Skip to main content

Table 1 Diagnostic Criteria

From: Binge eating disorder and night eating syndrome in adults with type 2 diabetes: a systematic review

Eating Disorder DSM-IV [18] DSM-5 [12]
BED A Recurrent episodes of binge eating. An episode of binge eating is characterised by both of the following:
 1. eating, in a discrete period (e.g. within any 2-h period), an amount of food that is definitely larger than most people would eat in a similar period of time under similar circumstances
 2. a sense of lack of control over eating during the episode
No change
B The binge eating episodes are associated with > 3 of the following:
 1. eating much more rapidly than normal
 2. eating until feeling uncomfortably full
 3. eating large amounts of food when not feeling physically hungry
 4. eating alone because of being embarrassed by how much one is eating
 5. feeling disgusted, depressed or very guilty after overeating
No change
C Marked distress over binge eating is present No change
D The binge eating occurs on average 2 days per week for 6 months The binge occurs, on average, more than once per week for 3 months
E The binge eating is not associated with the regular use of inappropriate compensatory behaviours The binge eating is not associated with recurrent use of inappropriate compensatory behaviour, such as in bulimia nervosa.
NES NES would have been considered an eating disorder not otherwise categorised (EDNOS); but not listed as an eating disorder in its own right NES is listed as an eating disorder under the other specified feeding or eating disorder (OSFED) category:
1. Recurrent episodes of night eating, as manifested by eating after awakening from sleep or by excessive food consumption after the evening meal
2. There is awareness and recall of eating
3. Night eating causes significant distress and/or impairment in functioning
4. The disordered pattern of eating is not better explained by binge eating disorder or another mental disorder, including substance use, and is not attributable to another medical disorder or to an effect of medication
5. The night eating is not better explained by external influences such as changes in the individual’s sleep–wake cycle or by local social norms