Table 1.
Diagnostic criteria (reduced version) of BED and differential eating disorder diagnoses according to DSM-5.
| Criterion | BED | BN | AN |
|---|---|---|---|
| A | Recurrent episodes of binge eating. An episode of binge eating is characterized by both: Eating in a discrete period of time, an amount of food that is definitely larger than what most individuals would eat A sense of lack of control over eating |
Recurrent episodes of binge eating. An episode of binge eating is characterized by both: Eating in a discrete period of time, an amount of food that is definitely larger than what most individuals would eat A sense of lack of control over eating |
Restriction of energy intake relative to requirements, leading to a significantly low body weight |
| B | Binge eating episodes are associated with three or more of the following: 1. eating much more rapidly 2. feeling uncomfortably full 3. not feeling physically hungry 4. alone because of feeling embarrassed 5. Feeling disgusted with oneself, depressed, or very guilty afterwards |
Recurrent inappropriate compensatory behaviors to prevent weight gain, such as self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise. | Intense fear of gaining weight or of becoming fat, or persistent behaviour that interferes with weight gain, even though at a significantly low weight. |
| C | Marked distress regarding binge eating is present. | The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for 3 months. | Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight |
| D | The binge eating occurs, on average, at least once a week for 3 months. | Self-evaluation is unduly influenced by body shape and weight. | |
| E | does not occur exclusively during the course of bulimia nervosa or anorexia nervosa | does not occur exclusively during episodes of anorexia nervosa | |
| Specifier |
Restricting type: During the last three months, the individual has not engaged in recurrent episodes of binge eating or purging behaviour; weight loss is accomplished primarily through dieting, fasting and/or excessive exercise. Binge-eating/purging type: During the last three months the individual has engaged in recurrent episodes of binge eating or purging behaviour. |
AN: Anorexia Nervosa, BED: Binge Eating Disorder, BN: Bulimia Nervosa. Similarities between BED and BN (green), similarities between BN and AN (purple) and differences between BED and BN/AN (blue)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Press.