Other Specified Feeding or Eating Disorder 353
weight and shape are higher in obese individuals with the disorder than in those without
the disorder. Second, rates of psychiatric comorbidity are significantly higher among
obese individuals with the disorder compared with those without the disorder. Third, the
long-term successful outcome of evidence-based psychological treatments for binge-
eating disorder can be contrasted with the absence of effective long-term treatments for
obesity.
Bipolar and depressive disorders. Increases in appetite and weight gain are included
in the criteria for major depressive episode an d in the atypical features specifiers for de-
pressive and bipolar disorders. Increased eati ng in the context of a major depressive epi-
sode may or may not be associated with loss of control. If the full crit eria for both disorders
are met, both diagnoses can be given. Binge eating and other symptoms of disordered eat-
ing are seen in association with bipolar disorder . If the full criteria for both disorders are
met, both diagnoses should be given.
Borderline personality disorder. Binge eating is included in  the impulsive behavior cri-
terion that is part of the definition of border line personality disorder. If the full criteria for
both disorders are met, both  diagnoses should be given.
Comorbidity 
Binge-eating disorder is associated with si gnificant psychiatric comorbidity that is com-
parable to that of bulimia ne rvosa and anorexia nervosa. Th e most common comorbid dis-
orders are bipolar disorders, depressive disorders, anxiety disorders, and, to a lesser
degree, substance use disorders. The psychiat ric comorbidity is linked to the severity of
binge eating and not to the degree of obesity.
Other Specified Feeding or Eating Disorder
307.59 (F50.8)