Table 1, DSM-IV and DSM-5 diagnostic criteria for binge-eating disorder - Management and Outcomes of Binge-Eating Disorder

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Berkman ND, Brownley KA, Peat CM, et al. Management and Outcomes of Binge-Eating Disorder [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2015 Dec. (Comparative Effectiveness Reviews, No. 160.)

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Management and Outcomes of Binge-Eating Disorder [Internet].

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Table 1DSM-IV and DSM-5 diagnostic criteria for binge-eating disorder

Criteria Set	Specific Definitions for Each Criterion
Criterion 1	Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than most people would eat in a similar period of time under similar circumstances The sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating)
Criterion 2	Binge-eating episodes are associated with three (or more) of the following: 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 being embarrassed by how much one is eating Feeling disgusted with oneself, depressed, or very guilty after overeating
Criterion 3	Marked distress regarding binge eating is present.
Criterion 4	The binge eating occurs, on average, at least 2 days a week for 6 months (DSM-IV frequency and duration criteria) at least 1 day a week for 3 months (DSM-5 frequency and duration criteria)
Criterion 5	The binge eating is not associated with the regular use of inappropriate compensatory behavior (e.g., purging, fasting, excessive exercise) and does not occur exclusively during the course of anorexia nervosa or bulimia nervosa.
Severity Grading	DSM-IV does not include a BED severity grading scale. Applicable to DSM-5 only, BED severity is graded as follows: Mild: 1 to 3 episodes per week Moderate: 4 to 7 episodes per week Severe: 8 to 13 episodes per week Extreme: 14 or more episodes per week

: BED = binge-eating disorder; DSM = Diagnostic and Statistical Manual of Mental Disorders

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Berkman ND, Brownley KA, Peat CM, et al. Management and Outcomes of Binge-Eating Disorder [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2015 Dec. (Comparative Effectiveness Reviews, No. 160.) Table 1, DSM-IV and DSM-5 diagnostic criteria for binge-eating disorder.
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