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DSM-5 diagnostic criteria for binge eating disorder

Recurrent episodes of binge eating characterized by:
Eating, in a discrete period of time (within any 2-hour period), an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances
A sense of lack of control over eating during the episode (a feeling that one cannot stop eating or control what or how much one is eating)
Binge eating episodes are associated with:
Eating much more rapidly than normal
Eating until feeling uncomfortably full
Eating large amounts of food when not feeling physically hungry
Eating alone because of feeling embarrassed by how much one is eating
Feeling disgusted with oneself, depressed, or very guilty afterward
Other characteristics:
Marked distress regarding binge eating
Binge eating occurs, on average, at least once a week for 3 months
Binge eating is not associated with the recurrent use of inappropriate compensatory behavior as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa
Frequency of episodes of binge eating (episodes/week)
1-3
4-7
8-13
≥ 14
Remission
After full criteria were previously met, binge eating occurs at an average frequency of < 1 episode/week for a sustained period of time
After full criteria were previously met, none of the criteria have been met for a sustained period of time
Diagnostic criteria not met
Reference
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR™). APA. 2022.
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