title: Estimating the Prevalence of Binge Eating Disorder in a Community Sample From the United States: Comparing DSM-IV-TR and DSM-5 Criteria.
abstract: To estimate binge eating disorder (BED) prevalence according to DSM-5 and DSM-IV-TR criteria in US adults and to estimate the proportion of individuals meeting DSM-5 BED criteria who reported being formally diagnosed.
  
  
  
  A representative sample of US adults who participated in the National Health and Wellness Survey were asked to respond to an Internet survey (conducted in October 2013). Assessments included 3-month, 12-month, and lifetime BED prevalence based on DSM-5 and DSM-IV-TR criteria and demographics, psychiatric comorbidities, and self-esteem (Rosenberg Self-Esteem Scale). Descriptive statistics are provided. Prevalence estimates were calculated using poststratification sampling weights.
  
  
  
  Of 22,397 respondents, 344 (women, n = 242; men, n = 102) self-reported symptoms consistent with DSM-5 BED symptom criteria. The 3-month, 12-month, and lifetime DSM-5 prevalence estimates (95% CIs) projected to the US population were 1.19% (1.04%-1.37%), 1.64% (1.45%-1.85%), and 2.03% (1.83%-2.26%), respectively. The 12-month and lifetime projected DSM-IV-TR prevalence estimates were 1.15% (1.00%-1.32%) and 1.52% (1.35%-1.70%), respectively. Of respondents meeting DSM-5 BED criteria in the past 12 months, 3.2% (11/344) reported receiving a formal diagnosis. Compared with non-BED respondents, respondents meeting DSM-5 BED criteria in the past 12 months were younger (mean ± SD age = 46.01 ± 14.32 vs 51.59 ± 15.80 years; P < .001), had a higher body mass index (mean ± SD = 33.71 ± 9.36 vs 27.96 ± 6.68 kg/m²; P < .001), and had lower self-esteem (mean ± SD score = 16.47 ± 6.99 vs 23.33 ± 6.06; P < .001).
  
  
  
  DSM-5 BED criteria resulted in higher BED prevalence estimates than with DSM-IV-TR criteria. Most BED respondents did not report being formally diagnosed, indicating an unmet need in BED recognition and diagnosis.
authors.affiliation: Shire, Lexington, Massachusetts, USA.|Merck Research Laboratories, North Wales, Pennsylvania, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Cossrow
authors.affiliation: Shire, Lexington, Massachusetts, USA.|Merck Research Laboratories, North Wales, Pennsylvania, USA.
authors.forename: Manjiri
authors.initials: M
authors.lastname: Pawaskar
authors.affiliation: Kantar Health, Princeton, New Jersey, USA.
authors.forename: Edward A
authors.initials: EA
authors.lastname: Witt
authors.affiliation: Shire, Lexington, Massachusetts, USA.|Epi Excellence LLC, Garnet Valley, Pennsylvania, and Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: Eileen E
authors.initials: EE
authors.lastname: Ming
authors.affiliation: Kantar Health, Horsham, Pennsylvania, USA.
authors.forename: Timothy W
authors.initials: TW
authors.lastname: Victor
authors.affiliation: Shire, 300 Shire Way, Lexington, MA 02421. bherman@shire.com.|Shire, Lexington, Massachusetts, USA.
authors.forename: Barry K
authors.initials: BK
authors.lastname: Herman
authors.affiliation: Center for Weight and Eating Disorders, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Wadden
authors.affiliation: Shire, Lexington, Massachusetts, USA.|M. H. Erder Health Economics, Inc, Livingston, New Jersey, USA.
authors.forename: M Haim
authors.initials: MH
authors.lastname: Erder
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D056912:Binge-Eating Disorder / Q000175:diagnosis* / Q000453:epidemiology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006306:Health Surveys / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D014481:United States; D055815:Young Adult