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What is binge-eating disorder?

Binge-eating disorder is characterized by episodes of eating food in a larger amount than normal in a short duration of time. The yearly prevalence rate for binge-eating disorder in the United States is 1.6% in women and 0.6% in men.

What does binge-eating disorder look like?

Risk Factors

  • May have a genetic component

Prognosis

  • Individuals typically report greater functional impairment, lower quality of life, and more subjective distress
  • Common psychiatric comorbidities: bipolar disorders, depressive disorders, anxiety disorders, substance use disorders
  • Common medical comorbidities: obesity, diabetes, hypertension, chronic pain

Differential Diagnosis

  • Bulimia nervosa
  • Obesity
  • Anxiety disorders
  • Kleine-Levin syndrome
  • Depressive disorders
  • Bipolar disorders
  • Borderline personality disorder

How is binge-eating disorder investigated?

  • Labwork for metabolic workup
  • Physical exam focused on medical issues related to obesity
Screening/Scale Rater Description
Eating Disorder Diagnostic Scale (EDDS) Client 22-item scale that screens for several eating disorders

How is binge-eating disorder treated?

Medication should not be used alone as a treatment option.

  • Some evidence of efficacy for lisdexamfetamine, sertraline, fluoxetine, and topiramate

References

[1] American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA.

[2] Boyd, M. A. (2019). Psychiatric & mental health nursing for Canadian practice. Wolters Kluwer.

[3] Townsend, M. C. (2015). Psychiatric mental health nursing. F.A. Davis.