Binge eating disorder: Difference between revisions

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=== Clinic ===
=== Clinic ===


* BED is an eating disorder characterized by frequent and recurrent binge eating episodes with associated negative psychological and social problems, but without the compensatory behaviors common to bulimia nervosa, OSFED, or the binge-purge subtype of anorexia nervosa.
* BED is one of the most prevalent [[eating disorders]]
* BED is a recently described condition, which was required to distinguish binge eating similar to that seen in bulimia nervosa but without characteristic purging.
* Frequent and recurrent binge eating episodes + Associated negative psychosocial problems, without the compensatory behaviors  
* Individuals who are diagnosed with bulimia nervosa and binge eating disorder exhibit similar patterns of compulsive overeating, neurobiological features of dysfunctional cognitive control and food addiction, and biological and environmental risk factors. Some professionals consider BED to be a milder form of bulimia with the two conditions on the same spectrum.
* In contrast [[Bulimia]] nervosa, OSFED, or Anorexia nervosa has compensatory behaviors.
* Binge eating is one of the most prevalent eating disorders among adults, though there tends to be less media coverage and research about the disorder in comparison to anorexia nervosa and bulimia nervosa.
 


=== Signs / Symptoms ===
=== Signs / Symptoms ===


* Binge eating (Uncontrollable eating) is the core symptom of BED; however, not everyone who binge eats has BED.  
* Binge eating (Uncontrollable eating) is the core symptom of BED, however, not everyone who binge eats has BED.
* An individual may occasionally binge eat without experiencing many of the negative physical, psychological, or social effects of BED.
* An individual may occasionally binge eat without experiencing many of the negative physical, psychological, or social effects of BED including:
* This may be considered disordered eating rather than a clinical disorder.
** Eating much faster than normal
* Precisely defining binge eating can be problematic, however binge eating episodes in BED are generally described as having the following potential features:
** Eating much faster than normal, perhaps in a short space of time
** Eating until feeling uncomfortably full
** Eating until feeling uncomfortably full
** Eating a large amount when not hungry
** Eating a large amount when not hungry
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** Body image disturbance
** Body image disturbance


=== BED vs bulimia nervosa ===


* In contrast to bulimia nervosa, binge eating episodes are not regularly followed by activities intended to compensate for the amount of food consumed, such as self-induced vomiting, laxative or enema misuse, or strenuous exercise.  
=== BED vs [[Bulimia|Bulimia nervosa]] ===
 
* Unlike bulimia nervosa, BED is not followed by [[Compulsivity]]
* Those activities intended to compensate for the amount of food consumed, such as self-induced vomiting, laxative or enema misuse, or strenuous exercise.
* Individuals who are diagnosed with bulimia nervosa and binge eating disorder exhibit similar patterns of compulsive overeating, neurobiological features of dysfunctional cognitive control and food addiction, and biological and environmental risk factors.
* Some professionals consider BED to be a milder form of bulimia with the two conditions on the same spectrum.
 
 
=== Features ===


* BED is characterized more by overeating than dietary restriction.  
*BED is characterized more by overeating than dietary restriction.  
* Those with BED often have poor body image and frequently diet, but are unsuccessful due to the severity of their binge eating.
* BED patients often have poor body image and frequently unsuccessful diets.
* Obesity is common in persons with BED, as is depression, low self-esteem, stress and boredom.  
* Obesity is common in persons with BED, as is depression, [[Self Confidence|low self-esteem]], stress and boredom.  
* Those with BED are also at risk of Non-alcoholic fatty liver disease, menstrual irregularities such as amenorrhea, and gastrointestinal problems such as acid reflux and heartburn.
* They also have risk of Non-alcoholic fatty liver disease, [[Female remedies|menstrual irregularities]] such as amenorrhea, and GI problems such as [[GERD, Gastroesophageal Reflux Disease|acid reflux]] and heartburn.


=== Causes ===
=== Causes ===

Latest revision as of 09:21, 26 September 2023

Clinic

  • BED is one of the most prevalent eating disorders
  • Frequent and recurrent binge eating episodes + Associated negative psychosocial problems, without the compensatory behaviors
  • In contrast Bulimia nervosa, OSFED, or Anorexia nervosa has compensatory behaviors.


Signs / Symptoms

  • Binge eating (Uncontrollable eating) is the core symptom of BED, however, not everyone who binge eats has BED.
  • An individual may occasionally binge eat without experiencing many of the negative physical, psychological, or social effects of BED including:
    • Eating much faster than normal
    • Eating until feeling uncomfortably full
    • Eating a large amount when not hungry
    • Subjective loss of control over how much or what is eaten
    • Binges may be planned in advance, involving the purchase of special binge foods, and the allocation of specific time for binging, sometimes at night
    • Eating alone or secretly due to embarrassment over the amount of food consumed
    • There may be a dazed mental state during the binge
    • Not being able to remember what was eaten after the binge
    • Feelings of guilt, shame or disgust following a food binge
    • Body image disturbance


BED vs Bulimia nervosa

  • Unlike bulimia nervosa, BED is not followed by Compulsivity
  • Those activities intended to compensate for the amount of food consumed, such as self-induced vomiting, laxative or enema misuse, or strenuous exercise.
  • Individuals who are diagnosed with bulimia nervosa and binge eating disorder exhibit similar patterns of compulsive overeating, neurobiological features of dysfunctional cognitive control and food addiction, and biological and environmental risk factors.
  • Some professionals consider BED to be a milder form of bulimia with the two conditions on the same spectrum.


Features

  • BED is characterized more by overeating than dietary restriction.
  • BED patients often have poor body image and frequently unsuccessful diets.
  • Obesity is common in persons with BED, as is depression, low self-esteem, stress and boredom.
  • They also have risk of Non-alcoholic fatty liver disease, menstrual irregularities such as amenorrhea, and GI problems such as acid reflux and heartburn.

Causes

  • BED is an "expressive disorder"—a disorder that is an expression of deeper psychological problems.
  • BEDs have higher weight bias internalization, which includes low self-esteem, unhealthy eating patterns, and general body dissatisfaction.
  • BED is a side effect of depression, as it is common for people to turn to comfort foods when they are feeling down.
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