Spitzer R L, Yanovski S, Wadden T, Wing R, Marcus M D, Stunkard A, Devlin M, Mitchell J, Hasin D, Horne R L
Department of Psychiatry, Columbia University.
Int J Eat Disord. 1993 Mar;13(2):137-53.
Binge eating disorder (BED) is a new eating disorder that describes the eating disturbance of a large number of individuals who suffer from recurrent binge eating but who do not regularly engage in the compensatory behaviors to avoid weight gain seen in bulimia nervosa. This multisite study of BED involved 1,785 subjects drawn from 18 weight control programs, 942 subjects from five nonpatient community samples, and 75 patients with bulimia nervosa. Approximately 29% of subjects in weight control programs met the criteria for BED. In the nonpatient community samples BED was more common than purging bulimia nervosa. The validity of BED was supported by its strong association with (1) impairment in work and social functioning, (2) overconcern with body/shape and weight, (3) general psychopathology, (4) significant amount of time in adult life on diets, (5) a history of depression, alcohol/drug abuse, and treatment for emotional problems.
暴饮暴食症（BED）是一种新的饮食失调症，它描述了大量反复出现暴饮暴食行为，但不像神经性贪食症患者那样经常采取代偿行为来避免体重增加的个体的饮食紊乱情况。这项关于暴饮暴食症的多地点研究涉及从18个体重控制项目中抽取的1785名受试者、来自5个非患者社区样本的942名受试者以及75名神经性贪食症患者。体重控制项目中约29%的受试者符合暴饮暴食症的标准。在非患者社区样本中，暴饮暴食症比清除型神经性贪食症更为常见。暴饮暴食症的有效性得到了以下方面的有力支持：（1）工作和社会功能受损；（2）过度关注身体/体型和体重；（3）一般精神病理学；（4）成年后大量节食时间；（5）有抑郁症、酒精/药物滥用史以及情感问题治疗史。
