Importance of size in defining binge eating episodes in bulimia nervosa.
OBJECTIVE
This study sought to determine if amount of food consumed is important in defining binge eating episodes in individuals with bulimia nervosa (BN).


METHODS
Women (N = 30) with DSM-IV BN (OBN) and women (N = 25) who would have met DSM-IV criteria for BN except that their binge episodes were not objectively large (SBN) were recruited from the community. Subjects completed telephone interviews and questionnaires.


RESULTS
Results demonstrated no significant differences between women with OBN and SBN in levels of dietary restraint, disinhibition, or hunger; no significant differences in general psychopathology; and significant differences in frequency of binge/purge episodes and impulsiveness. Differences in impulsiveness remained after controlling for frequency of binge/purge episodes.


CONCLUSIONS
These results partially validate current diagnostic criteria for bulimia nervosa and elucidate one factor, impulsiveness, that may be important in understanding objective binge episodes in bulimia nervosa.
Keel
P K
PK
Department of Psychology, Harvard University, Cambridge, Massachusetts, USA.
Mayer
S A
SA
Harnden-Fischer
J H
JH
D000328:Adult; D002032:Bulimia / Q000150:complications* / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D007175:Impulsive Behavior / Q000175:diagnosis / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires