Giel Katrin, Zipfel Stephan, Schag Kathrin
Abteilung für Psychosomatische Medizin & Psychotherapie, Medizinische Universitätsklinik Tübingen, Osianderstr. 5, 72076, Tübingen, Deutschland.
Kompetenzzentrum für Essstörungen Tübingen (KOMET), Tübingen, Deutschland.
Nervenarzt. 2025 May;96(3):238-246. doi: 10.1007/s00115-025-01818-6. Epub 2025 Mar 17.
Eating disorders are complex mental disorders the prevalence of which has continued to increase, particularly since the coronavirus pandemic. Binge Eating Disorder has been newly included as a diagnosis in the Diagnostic and Statistical Manual of Mental disorders 5 (DSM-5) and the International Classification of Diseases 11th revision (ICD-11).
We present a state of the art overview of diagnostic criteria, psychopathology, differential diagnostics, epidemiology, comorbidities, developmental and maintenance factors, treatment and care situation of binge eating disorder.
A narrative review is provided.
Binge eating disorder is characterized by recurrent binge eating with loss of control. It is the most common eating disorder in the general population and is often associated with overweight or obesity. Neurobiological models see changes in the areas of emotion regulation, reward processing and impulse control as etiological contributions to binge eating disorder. Psychotherapy is the treatment of choice for binge eating disorder, which often goes undetected and untreated. A reason for this is the experienced or feared stigmatization, shame and feelings of guilt of those affected.
As the diagnosis of a binge eating disorder influences the choice of treatment and the prognosis of both the eating disorder and a potentially comorbid obesity, active clarification of the eating behavior and a possible eating disorder in the context of motivational interviewing is essential.
饮食失调是复杂的精神障碍，其患病率持续上升，尤其是自新冠疫情以来。暴食症已被新纳入《精神疾病诊断与统计手册》第5版（DSM-5）和《国际疾病分类》第11次修订版（ICD-11）的诊断范围。
我们对暴食症的诊断标准、精神病理学、鉴别诊断、流行病学、共病情况、发展和维持因素、治疗及护理状况进行了最新综述。
提供一篇叙述性综述。
暴食症的特征是反复出现失控的暴食行为。它是普通人群中最常见的饮食失调症，常与超重或肥胖有关。神经生物学模型认为，情绪调节、奖赏处理和冲动控制等区域的变化是导致暴食症的病因。心理治疗是暴食症的首选治疗方法，但这种疾病往往未被发现和治疗。原因在于患者经历或担心的污名化、羞耻感和内疚感。
由于暴食症的诊断会影响治疗选择以及饮食失调症和潜在共病肥胖症的预后，因此在动机性访谈的背景下，积极明确饮食行为和可能存在的饮食失调至关重要。
