title: What constitutes clinically significant binge eating? Association between binge features and clinical validators in college-age women.
abstract: OBJECTIVE
  To investigate the association between binge features and clinical validators.
  
  
  METHODS
  The Eating Disorder Examination assessed binge features in a sample of 549 college-age women: loss of control (LOC) presence, binge frequency, binge size, indicators of impaired control, and LOC severity. Clinical validators were self-reported clinical impairment and current psychiatric comorbidity, as determined via a semistructured interview.
  
  
  RESULTS
  Compared with women without LOC, those with LOC had significantly greater odds of reporting clinical impairment and comorbidity (ps < 0.001). Among women with LOC (n = 252), the indicators of impaired control and LOC severity, but not binge size or frequency, were associated with greater odds of reporting clinical impairment and/or comorbidity (ps < 0.05). DICUSSION: Findings confirm that the presence of LOC may be the hallmark feature of binge eating. Further, dimensional ratings about the LOC experience--and possibly the indicators of impaired control--may improve reliable identification of clinically significant binge eating.
authors: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
authors: Anna
authors: A
authors: Vannucci
authors: Kelly R
authors: KR
authors: Theim
authors: Andrea E
authors: AE
authors: Kass
authors: Mickey
authors: M
authors: Trockel
authors: Brooke
authors: B
authors: Genkin
authors: Marianne
authors: M
authors: Rizk
authors: Hannah
authors: H
authors: Weisman
authors: Jakki O
authors: JO
authors: Bailey
authors: Meghan M
authors: MM
authors: Sinton
authors: Vandana
authors: V
authors: Aspen
authors: Denise E
authors: DE
authors: Wilfley
authors: C Barr
authors: CB
authors: Taylor
mesh_terms: D000293:Adolescent; D000328:Adult; D056912:Binge-Eating Disorder / Q000175:diagnosis* / Q000523:psychology; D002032:Bulimia / Q000175:diagnosis* / Q000523:psychology; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D007389:Internal-External Control; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
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