Evidence map›Paper›PMID 21882218›Full record

ArticleThe International journal of eating disorders2012

Effects of reducing the frequency and duration criteria for binge eating on lifetime prevalence of bulimia nervosa and binge eating disorder: implications for DSM-5.

Sara E Trace, Laura M Thornton, Tammy L Root, Suzanne E Mazzeo, Paul Lichtenstein, Nancy L Pedersen, Cynthia M Bulik

Abstract readTwin Study
In one paragraph

Article in The International journal of eating disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Sleep and Eating Disorders.Current psychiatry reports · 2016
    Review
  14. Article
  15. Review
  16. Development of the 7-Item Binge-Eating Disorder Screener (BEDS-7).The primary care companion for CNS disorders · 2016
    Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sara E TraceDepartment of Psychiatry, University of North Carolina, Chapel Hill, NC 27599-7160, USA.
Laura M Thornton
Tammy L Root
Suzanne E Mazzeo
Paul Lichtenstein
Nancy L Pedersen
Cynthia M Bulik

Funding

GENETIC &ENVIRONMENT DETERMINANTS OF SMOKING CESSATIONR01CA085739 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI SULLIVAN, PATRICK F · 2001 to 2006
$3.1M
Postdoctoral Research Training in Eating DisordersT32MH076694 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M · 2007 to 2016
$1.8M
Microarrays &Proteomics in MZ Twins Discordant for CFSR01AI056014 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2004 to 2006
$1.2M
Genetic and Environmental Contributions to Alcohol Use and Eating DisordersK01AA018719 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROOT, TAMMY · 2010 to 2011
$248k
NCI NIH HHS CA-085739NCI NIH HHS R01 CA085739NIAAA NIH HHS 1K01AA 18719-01A1NIAAA NIH HHS K01 AA018719NIAID NIH HHS AI-056014NIAID NIH HHS R01 AI056014NIMH NIH HHS T32 MH076694NIMH NIH HHS T32MH076694
6 · The paper itself

Abstract

objectiveWe assessed the impact of reducing the binge eating frequency and duration thresholds on the diagnostic criteria for bulimia nervosa (BN) and binge eating disorder (BED).

methodWe estimated the lifetime population prevalence of BN and BED in 13,295 female twins from the Swedish Twin study of Adults: Genes and Environment employing a range of frequency and duration thresholds. External validation (risk to cotwin) was used to investigate empirical evidence for an optimal binge eating frequency threshold.

resultsThe lifetime prevalence estimates of BN and BED increased linearly as the frequency criterion decreased. As the required duration increased, the prevalence of BED decreased slightly. Discontinuity in cotwin risk was observed in BN between at least four times per month and at least five times per month. This model could not be fit for BED. DISCUSSION: The proposed changes to the DSM-5 binge eating frequency and duration criteria would allow for better detection of binge eating pathology without resulting in a markedly higher lifetime prevalence of BN or BED.

Indexed as

Diagnostic and Statistical Manual of Mental DisordersAdultBinge-Eating DisorderBulimiaBulimia NervosaDiseases in TwinsFemaleHumansMiddle AgedPrevalenceSweden

Identifiers

PMID21882218
PMCPMC3235235

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.