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Eating disorders—anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED)—have a combined prevalence in women of 3%–6%, taking into account the diagnostic changes in DSM-5 (American Psychiatric Association 2013; Hudson et al. 2007; Mond 2013). About 10% of all cases of AN and BN are in males, with the proportion rising to about 30% for BED in clinical samples. Because much comorbid psychopathology is associated with each of these disorders, including current major depression in about 25% of cases, the treatment plan must take any such disorders into account. Both psychopharmacological and psychotherapeutic treatments are effective for BN and BED. Hence, determining how to sequence or combine treatment modalities is an important issue. Cases of BN (and BED) were rarely seen until their increase throughout the Western world in the late 1970s (Garner et al. 1985). This increase has been attributed to increasing societal pressures on women to maintain a thin body shape.
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