Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, N-0424 Oslo, Norway.
Institute of Psychology, Faculty of Social Sciences, University of Oslo, N-0317 Oslo, Norway.
Nutrients. 2017 Nov 21;9(11):1267. doi: 10.3390/nu9111267.
Binge eating disorder (BED) is characterized by recurrent binge eating and marked distress in the absence of inappropriate compensatory behaviors for weight control. BED is prevalent in men and women, is associated with elevated psychosocial and functional impairment, and is associated strongly with obesity and related medical comorbidities. The aim is to provide a brief, state-of-the-art review of the major and recent findings to inform educational and awareness campaigns, stigma reduction interventions, as well as current clinical practice and future research. A narrative approach was used to synthesize emerging literature on the public and healthcare professionals' knowledge and attitudes toward individuals with BED in comparison to other eating disorders (EDs) or mental illness. A total of 13 articles were reviewed. Nine studies investigated community samples and four studies investigated healthcare professionals. The reviewed literature suggested that BED is perceived by the public as less impairing, less severe, and "easier-to-treat" than other EDs. Attitudes and beliefs reflecting perceived blameworthiness and lack of self-discipline were ascribed to vignettes with BED. Community studies indicated a low level of public awareness that BED constitutes a discreet eating disorder. The literature on healthcare professionals' knowledge and attitudes toward BED remains very limited. The few existing studies suggest encouraging trends in recognition and diagnostic accuracy, yet there remains a need for increased clinical awareness of BED-associated medical complications and knowledge of full BED diagnostic criteria.
暴食障碍（BED）的特征是反复发作的暴食行为和明显的苦恼，而不存在控制体重的不适当补偿行为。BED 在男性和女性中都很常见，与较高的心理社会和功能障碍有关，并且与肥胖和相关的医疗合并症密切相关。目的是提供对主要和最新发现的简要、最先进的综述，为教育和宣传活动、减少污名化干预措施以及当前的临床实践和未来的研究提供信息。采用叙述方法综合了关于公众和医疗保健专业人员对 BED 患者与其他饮食障碍（ED）或精神疾病患者的知识和态度的新兴文献。共审查了 13 篇文章。9 项研究调查了社区样本，4 项研究调查了医疗保健专业人员。审查的文献表明，与其他 ED 相比，公众认为 BED 的致残性、严重性和“更容易治疗”。将归因于 BED 虚构情节的观念和信念反映了可归咎性和缺乏自律性。社区研究表明，公众对 BED 构成一种独特的饮食障碍的认识程度较低。关于医疗保健专业人员对 BED 的知识和态度的文献仍然非常有限。为数不多的现有研究表明，在识别和诊断准确性方面存在令人鼓舞的趋势，但仍需要提高对 BED 相关医疗并发症的临床认识，并全面了解 BED 的诊断标准。
