Binge-eating disorder


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Risk factors

By Mayo Clinic staff

Factors that can increase your risk of developing binge-eating disorder include:

  • Family history and biological factors. You're much more likely to have an eating disorder if your parents or siblings have (or had) an eating disorder. Some people with binge-eating disorder may have inherited genes that make them more susceptible to developing the disorder, or their brain chemicals may have changed.
  • Psychological issues. Most people who have binge-eating disorder are overweight, acutely aware of their appearance, and feel bad about it. When you have binge-eating disorder, you may act impulsively and feel you can't control your behavior. You may have a history of depression or substance abuse. And you may have trouble coping with stress, worry, anger, sadness and boredom.
  • Dieting. Many people with binge-eating disorder have a history of dieting — some have dieted to excess dating back to childhood. Dieting may trigger an urge to binge eat, especially if you have low self-esteem and symptoms of depression.
  • Your age. Although people of any age can have binge-eating disorder, it often begins in the late teens or early 20s.
References
  1. Binge eating disorder. National Institute of Diabetes and Digestive and Kidney Diseases. http://win.niddk.nih.gov/publications/binge.htm. Accessed Jan. 31, 2012.
  2. Appendix B: Criteria sets and axes provided for further study. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://dsm.psychiatryonline.org/content.aspx?bookid=22§ionid=1891981. Accessed Jan. 31, 2012.
  3. Sim LA, et al. Identification and treatment of eating disorders in the primary care setting. Mayo Clinic Proceedings. 2010;85:746.
  4. Herpertz S, et al. The diagnosis and treatment of eating disorders. Deutsches Ärzteblatt International. 2011;108:678.
  5. Hay PJ, et al. Clinical psychopharmacology of eating disorders: A research update. International Journal of Neuropsychopharmacology. 2011; In press. Accessed Feb. 2, 2012.
  6. Breuner CC. Complementary, holistic, and integrative medicine: Eating disorders. Pediatrics in Review. 2010;31:c75.
  7. Carei TR, et al. Randomized controlled clinical trial of yoga in the treatment of eating disorders. Journal of Adolescent Health. 2010;46:346.
  8. Forman SF. Eating disorders: Epidemiology, pathogenesis and clinical features. http://www.uptodate.com/home/index.html. Accessed Jan. 26, 2012.
  9. Carrard I, et al. Acceptance and efficacy of a guided Internet self-help treatment program for obese patients with binge eating disorder. Clinical Practice & Epidemiology in Mental Health. 2011;7:8.
  10. Hudson JI, et al. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry. 2007;61:348.
  11. Mazzeo SE, et al. Environmental and genetic risk factors for eating disorders: What the clinician needs to know. Child and Adolescent Psychiatric Clinics of North America. 2009;18:67.
  12. Hall-Flavin DK (expert opinion). Mayo Clinic Rochester, Minn. Feb. 22, 2012.
  13. Sim LA (expert opinion). Mayo Clinic Rochester, Minn. Feb. 20, 2012.
  14. Goldschmidt AB, et al. Which dieters are at risk for the onset of binge eating? A prospective study of adolescents and young adults. Journal of Adolescent Health. February 22, 2012. http://jahonline.org. Accessed March 21, 2012.
DS00608 April 3, 2012

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