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Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun.

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DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet].

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Table 21DSM-IV to DSM-5 Binge Eating Disorder Comparison

DSM-IVDSM-5
Disorder Class: Criteria Sets and Axes Provided for Further StudyDisorder Class: Feeding and Eating Disorders
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 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 or how much one is eating)
SAME
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 after overeating
SAME
C. Marked distress regarding binge eating is present.SAME
D. The binge eating occurs, on average, at least 2 days a week for 6 months.
Note: The method of determining frequency differs from that used for bulimia nervosa; future research should address whether the preferred method of setting a frequency threshold is counting the number of days on which binges occur or counting the number of episodes of binge eating.
D. The binge eating occurs, on average, at least once a week for 3 months.
E. The binge eating is not associated with the regular use of inappropriate compensatory behaviors (e.g., purging, fasting, excessive exercise) and does not occur exclusively during the course of anorexia nervosa or bulimia nervosa.SAME
Specify if:
  • In partial remission: After full criteria for binge-eating disorder were previously met, binge eating occurs at an average frequency of less than one episode per week for a sustained period of time.
  • In full remission: After full criteria for binge- eating disorder were previously met, none of the criteria have been met for a sustained period of time.
Specify current severity:
  • Severity is also noted in the diagnosis, from mild to extreme:
    • 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

From: 3, DSM-5 Child Mental Disorder Classification

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