Similarities have been reported between the diagnostic and associated characteristics of binge-eating disorder (BED) and substance-related and non-substance-related disorders. This has resulted in interest in using addiction models to inform clinical care for people with BED. The purpose of this paper was to review features of addiction in BED with a focus on clinical implications. First, we briefly summarize similarities and differences in diagnostic and mechanistic features and symptoms for BED and food addiction, substance-related disorders, and non-substance-related disorders. Then we review aspects of addiction in BED that have clinical implications for screening and treatment of this condition. Similarities in diagnostic criteria between BED and substance-related and non-substance-related disorders include loss of control, greater use than intended, continued use despite adverse consequences, and marked distress. Addiction models may help inform aspects of clinical care of BED, particularly for shared antecedents and mechanisms underlying both disorders and to enhance engagement in treatment. Yet, there are large gaps in evidence regarding the effects of many aspects of addiction models to BED. More research is needed to examine the safety and efficacy of using addiction theories and frameworks for clinical strategies for BED.
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机译：据报道，暴食症 （BED） 与物质相关和非物质相关疾病的诊断和相关特征之间存在相似性。这导致人们对使用成瘾模型为 BED 患者的临床护理提供信息感兴趣。本文的目的是回顾 BED 成瘾的特征，重点是临床意义。首先，我们简要总结了 BED 和食物成瘾、物质相关疾病和非物质相关疾病的诊断和机制特征和症状的异同。然后，我们回顾了 BED 成瘾的各个方面，这些方面对筛查和治疗这种情况具有临床意义。BED 与物质相关和非物质相关疾病之间的诊断标准相似性包括失去控制、使用量超过预期、尽管有不良后果仍继续使用以及明显的痛苦。成瘾模型可能有助于告知 BED 临床护理的各个方面，特别是对于两种疾病的共同前因和机制，并加强对治疗的参与。然而，关于成瘾模型的许多方面对 BED 的影响，证据存在很大差距。需要更多的研究来检验使用成瘾理论和框架作为 BED 临床策略的安全性和有效性。
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