“…Studies that have examined the prognostic value of subjective binge eating episodes have found that these types of eating episodes predict lower rates of remission from BN and BED (Castellini et al, 2012), and that they are less responsive to treatments for BN (Walsh, Fairburn, Mickley, Sysko, & Parides, 2004), as compared to objective binge episodes. Moreover, several studies of BN and BED have shown that decreases in objective binge eating are often accompanied by slower decreases, or even increases, in subjective binge eating (Hildebrandt & Latner, 2006; Niego, Pratt, & Agras, 1997; Peterson et al, 2000). Relatedly, although eating-related and general psychopathology generally decrease during treatment for BN (Hay, Bacaltchuk, Stefano, & Kashyap, 2009), it is unknown whether reductions in binge size (i.e., from objectively to subjectively large) or in loss of control differentially account for these improvements.…”