Question at position 4 Which of the following is true of individuals with binge eating disorder (BED)?They feel complete control over eating.They do not try to compensate for what they have eaten by purging.They do not feel ashamed or disgusted after bingeing.They frequently eat in public and among friends and feel positively strong about their eating behavior.

Question

Question at position 4 Which of the following is true of individuals with binge eating disorder (BED)?They feel complete control over eating.They do not try to compensate for what they have eaten by purging.They do not feel ashamed or disgusted after bingeing.They frequently eat in public and among friends and feel positively strong about their eating behavior.

BlackTom AI · Accepted Answer

Binge-eating disorder (BED) involves recurrent episodes of consuming large amounts of food accompanied by a sense of loss of control, and it is distinguished from bulimia nervosa by the absence of regular compensatory behaviors (e.g., purging). Key diagnostic features from DSM-5 include recurrent binge episodes, marked distress about the bingeing, and lack of recurrent inappropriate compensatory behaviors; bingeing typically occurs in secret and is often followed by shame or guilt.

1) Relevant knowledge points and concepts
- Binge episode: eating an objectively large amount of food in a discrete period with a subjective feeling of loss of control.
- Compensation: behaviors like self-induced vomiting, laxative misuse, fasting, or excessive exercise used to counteract intake—these are present in bulimia nervosa but not in BED.
- Emotional aftermath: people with BED commonly feel shame, disgust, or distress after bingeing and often eat alone to hide the behavior.

2) Step-by-step reasoning
- Evaluate each option against these key features.
- Option 1 claims they feel complete control over eating. This contradicts the core BED feature of loss of control, so it is incorrect.
- Option 2 states they do not try to compensate by purging. This matches the DSM-5 distinction between BED and bulimia nervosa and is correct.
- Option 3 asserts they do not feel ashamed or disgusted after bingeing. Clinical descriptions indicate the opposite—marked distress and negative feelings are typical—so this is incorrect.
- Option 4 claims they frequently eat in public and feel positively about their behavior. In reality, bingeing is often secretive and followed by negative feelings, making this incorrect.

3) Calculations: none required.

4) Why the correct answer is correct
Option 2 is correct because the absence of regular compensatory behaviors (purging, laxatives, excessive exercise) is a defining diagnostic difference between BED and bulimia nervosa.

5) Why other options are incorrect
Options 1, 3, and 4 contradict core BED features: loss of control, post-binge shame/guilt, and secretive/negative feelings about the behavior.

Conclusion: The correct answer is "They do not try to compensate for what they have eaten by purging," which matches the provided answer.

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