Frequency of binge eating disorder in patients with borderline personality disorder and its relation to emotional regulation and impulsivity

Abstract

inge eating disorder is described by frequently repeated episodes of consuming large amounts of food (binging), unlike bulimia nervosa, there are no associated compensatory behaviors such as self-induced vomiting or excessive exercise. It is the most prevalent eating disorder. Binge eating was not identified as a separate eating disorder before the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published in 2013, but it was considered as a diagnosis in clinical practice. It is typically associated with feeling guilty and unable to self-control, which ultimately leads to anxiety and depression. Binge eating disorder eventually leads to morbid obesity, about half of patients with morbid obesity have an underlying binge eating disorder. Morbid obesity causes deleterious health effects such as ischemic heart disease, malignancies and psychiatric illness, causing high morbidity and mortality. Management of psychological and physical burden associated with BED requires involvement of medical staff of different specialties e.g. psychiatrists, bariatric surgeons and dieticians, which sometimes leads to a conflicting treatment plans. Patients with binge eating disorder usually have other comorbid mental illnesses. Research studies showed that