Binge-Eating Disorder (BED)
Binge-Eating Disorder is similar to Bulimia Nervosa in that it involves recurrent binge eating episodes along with feelings of lack of control during the binge-eating episode; however, these episodes are not followed by a compensatory behavior to rid the body of calories. Despite the feelings of shame and guilt post-binge, individuals with BED will not engage in vomiting, excessive exercises, or other compensatory behaviors. These binge eating episodes occur on average, at least once a week for 3 months.
Because these binge-eating episodes occur without compensatory behaviors, individuals with BED are at risk for obesity and related health disorders. Individuals with BED report feelings of embarrassment at the quantity of food consumed, and thus will often refuse to eat in public. Due to the restriction of eating around others, individuals with BED often engage in secret binge eating episodes in private, followed by discrete disposal of wrappers and containers.
While much is still being researched about binge-eating disorder, current research indicates that the onset of BED is later than that of anorexia nervosa and bulimia nervosa. Most patients are middle-aged, and approximately one third or more are male. Binge-eating disorder also appears to be more phasic rather than persistent, with individuals experiencing significant time periods where their binge-eating episodes are in control. The gender discrepancy in BED is much smaller than that of anorexia nervosa and bulimia nervosa.
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