Use of extreme weight‐control behaviors in the absence of binge eating with and without subjective bulimic episodes: A community‐based study

Mond, Jonathan; Hay, Phillipa

doi:10.1002/eat.20667

Cited by 11 publications

(17 citation statements)

References 37 publications

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“…As I have argued elsewhere [1,54], there are at least two conceptual problems with the notion of a “purging disorder”. First, individuals who report the regular use of purging behaviors in the absence of binge eating often also report regular episodes of subjective binge eating, that is, episodes of perceived over-eating in which a loss of control is experienced but the amount of food consumed is not objectively large, and the available evidence suggests that it is the combination of subjective binge eating and purging behaviors, rather than the occurrence of purging per se, that accounts for the distress and disability associated with these conditions [1,14,54,55].…”

Section: Reviewmentioning

confidence: 99%

Classification of bulimic-type eating disorders: from DSM-IV to DSM-5

Mond

2013

J Eat Disord

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Proposed changes to the classification of bulimic-type eating disorders in the lead up to the publication of DSM-5 are reviewed. Several of the proposed changes, including according formal diagnostic status to binge eating disorder (BED), removing the separation of bulimia nervosa (BN) into purging and non-purging subtypes, and reducing the binge frequency threshold from twice per week to once per week for both BN and (BED), have considerable empirical evidence to support them and will likely have the effect of facilitating clinical practice, improving access to care, improving public and professional awareness and understanding of these disorders and stimulating the additional research needed to address at least some problematic issues. However, the omission of any reference to variants of BN characterized by subjective, but not objective, binge eating episodes, and to the undue influence of weight or shape on self-evaluation or similar cognitive criterion in relation to the diagnosis of BED, is regrettable, given their potential to inform clinical and research practice and given that there is considerable evidence to support specific reference to these distinctions. Other aspects of the proposed criteria, such as retention of behavioral indicators of impaired control associated with binge eating and the presence of marked distress regarding binge eating among the diagnostic for BED, appear anomalous in that there is little or no evidence to support their validity or clinical utility. It is hoped that these issues will be addressed in final phase of the DSM-5 development process.

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Section: Reviewmentioning

confidence: 99%

Classification of bulimic-type eating disorders: from DSM-IV to DSM-5

Mond

2013

J Eat Disord

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“…However, current classification systems for ED have been criticised for assigning too large a proportion of diagnosed ED patients to the residual EDNOS category [3] - nearly half of those receiving treatment [4]. Recent studies argue that binge eating with and without purging and non-purging CB needs to be more appropriately classified within diagnostic systems of ED [5-9]. Some suggest that purging without other ED symptoms (purging disorder) should be included in future classification schemes [5,10,11].…”

Section: Introductionmentioning

confidence: 99%

“…Some suggest that purging without other ED symptoms (purging disorder) should be included in future classification schemes [5,10,11]. In contrast, others propose that future diagnostic categories be reserved for combinations of binge eating with CB, whether purging or non-purging [7,9]. …”

Section: Introductionmentioning

confidence: 99%

“…Although a few such studies have been published [5-9], they provide limited information concerning the prevalence of symptoms and correlates with other psychosocial variables, and also whether such symptoms have different epidemiological patterns and co-morbidity. Thus, by using data from a large population-based longitudinal cohort study in Norway, this study aims to investigate the epidemiology of binge eating and purging and non-purging CB.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, Haedt and Keel showed that purging behaviours per se can demonstrate distinctive psychopathology; individuals with purging behaviour reported significantly greater perfectionism and more impairment in social relationships and educational satisfaction than a non-ED group [5]. Further research on characteristics of such eating problems has been strongly recommended [9,10]. To validate whether binge eaters with or without CB are discriminable, it is important to show that these groups have significant and distinctive patterns of psychopathology.…”

Section: Introductionmentioning

confidence: 99%

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Binge eating, purging and non-purging compensatory behaviours decrease from adolescence to adulthood: A population-based, longitudinal study

et al. 2012

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BackgroundSubclinical forms of eating disorders (ED) are highly prevalent, but relatively little is known about age trends, gender differences and distinctions among symptoms. This study investigates age trends and gender difference in binge eating, purging and non-purging compensatory behaviours (CB) and the relationship of such behaviours to psychosocial problems.MethodsData from the national representative longitudinal study "Young in Norway" (ages 14-34 years) were analysed using χ2 tests, logistic random intercept models and analyses of covariance.ResultsFor both genders, a decrease was found in the prevalence of CB from age 14-16 years to 23 years and over. For binging, however, a significant decrease was found only for females, whose binge eating also declined more markedly over time than did males'. A significant gender difference was detected for purging, with females at higher risk. Purging was related to particularly serious symptoms of psychosocial problems: Those who purged had significantly higher levels of appearance dissatisfaction, anxiety and depressive symptoms, alcohol consumption, self-concept instability and loneliness than those with symptoms of other forms of disordered eating.ConclusionsIndividuals affected by purging need to be targeted as a high-risk group. The distinction in severity among the subclinical ED may indicate the need for the reformulation of the eating disorder not otherwise specified category in the Diagnostic and Statistical Manual of Mental Disorders-V.

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Prior use of extreme weight‐control behaviors in a community sample of women with binge eating disorder or subthreshold binge eating disorder: A descriptive study

Mond

Peterson

Hay

2009

Intl J Eating Disorders

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Objective and Method The prior occurrence of regular extreme weight-control behaviors was examined in a community sample of women (n = 27) with binge eating disorder (BED) or sub-threshold BED. Results Approximately two thirds of participants (65.4%) reported the prior use of either purging at least weekly or nonpurging behaviors three or more times per week, for a period of 3 months or more, whereas 38.5% of participants reported either purging at least twice weekly or nonpurging behaviors five or more times per week. Comparatively few participants (11.1%) had ever met formal diagnostic criteria for BN. Discussion Considerable overlap between disorders characterized by binge eating in the absence of extreme weight-control behaviors and those characterized by extreme weight-control behaviors in the absence of binge eating may be apparent when a longitudinal perspective is taken. Caution needs to be exercised in drawing conclusions concerning the extent of this overlap based on any one operational definition of the term “regular extreme weight-control behaviors”.

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Use of extreme weight‐control behaviors in the absence of binge eating with and without subjective bulimic episodes: A community‐based study

Abstract: The findings are consistent with the hypothesis that it is the combination of SBEs and extreme weight-control behaviors, rather than extreme weight-control behaviors per se, that indicates clinical significance.

Cited by 11 publications

References 37 publications

Classification of bulimic-type eating disorders: from DSM-IV to DSM-5

Classification of bulimic-type eating disorders: from DSM-IV to DSM-5

Binge eating, purging and non-purging compensatory behaviours decrease from adolescence to adulthood: A population-based, longitudinal study

Prior use of extreme weight‐control behaviors in a community sample of women with binge eating disorder or subthreshold binge eating disorder: A descriptive study

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