23 General introduction 1 Appendix Diagnostic criteria for binge eating disorder DSM-5 (American Psychiatric Association, 2013). A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: 1. Eating, in a discrete period of time (e.g. 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. 2. A sense of lack of control over eating during the episode (e.g. a feeling that one cannot stop eating or control what one is eating). B. The binge eating episodes are associated with three (or more) of the following: 1. Eating much more rapidly than normal; 2. Eating until feeling uncomfortably full; 3. Eating large amounts of food when not feeling physically hungry; 4. Eating alone because of feeling embarrassed by how much one is eating; 5. Feeling disgusted with oneself, depressed, or very guilty afterwards. C. Marked distress regarding binge eating is present. D. The binge eating occurs, on average, at least once a week for 3 months. E. The binge eating is not associated with the recurrent use of inappropriate compensatory behaviours as in bulimia nervosa and does not occur exclusively during the course of bulimia nervosa or anorexia nervosa. Specify current severity: Mild: 1-3 binge eating episodes per week Moderate: 4-7 binge eating episodes per week Severe: 8-13 binge eating episodes per week Extreme: 14 or more binge eating episodes per week
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