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Letters to the Editor |

Critical Differences Between Binge Eating and Overeating

Harold Alan Pincus, MD; Michael First, MD
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Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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Arch Gen Psychiatry. 1999;56(10):951-951. doi:
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Fairburn et al,1 in the May 1998 issue of the ARCHIVES, identified a number of risk factors for binge eating disorder, a research category included in the appendix of DSM-IV. Comparison groups included healthy controls, women with other psychiatric disorders, and women with bulimia nervosa. While knowledge of such risk factors sheds some light on the development of binge eating disorder, the study design leaves out a critically important comparison group: women with obesity but without any psychiatric disorder. One of the main concerns in whether to include binge eating disorder in DSM-IV was trying to draw the line between binge eating disorder and normality.2 The establishment of clear differences between binge eaters and those who have a more generalized overeating pattern (ie, patients who are obese) is therefore of great importance. When designing studies of binge eating disorder, investigators should consider collecting such information to enrich the database that will be used as the basis for revising DSM-IV in the future.

REFERENCES

Fairburn  CG, Doll  HA, Welch  SL, Hay  PJ, Davies  BA, O'Conner  ME. Risk factors for binge-eating disorder: a community-based, case-control study. Arch Gen Psychiatry. 1998;55425- 432
Walsh  RT,  DSM-IV eating disorders. Widiger  TA, Frances  AJ, Pincus  HA, Ross  R, First  MB, David  W, Kline  M.eds.DSM-IV Sourcebook. Washington DC American Psychiatric Press1998;

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Fairburn  CG, Doll  HA, Welch  SL, Hay  PJ, Davies  BA, O'Conner  ME. Risk factors for binge-eating disorder: a community-based, case-control study. Arch Gen Psychiatry. 1998;55425- 432
Walsh  RT,  DSM-IV eating disorders. Widiger  TA, Frances  AJ, Pincus  HA, Ross  R, First  MB, David  W, Kline  M.eds.DSM-IV Sourcebook. Washington DC American Psychiatric Press1998;

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