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Approximately 14% had a lifetime diagnosis of AN. Analyses compared BED AN+ and BED AN\u2013 on sociodemographic variables and clinical history.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The presence of lifetime <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content> was associated with more severe eating disorder symptoms, including earlier onset, more frequent, more chronic, and more types of eating disorder behaviors over the lifetime, as well as a higher lifetime prevalence of bulimia nervosa (<jats:styled-content style=\"fixed-case\">BN<\/jats:styled-content>). Participants with lifetime <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content> reported being more likely to have received treatments for <jats:styled-content style=\"fixed-case\">BED<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">BN<\/jats:styled-content>, had significantly lower minimum, current, and maximum <jats:styled-content style=\"fixed-case\">BMIs<\/jats:styled-content>, had more severe general anxiety, and were significantly more likely to be younger and female. In the full sample, the lifetime prevalence of unhealthy weight control behaviors was high and treatment utilization was low, despite an average 15\u2010year history since symptom onset. Gastrointestinal disorders and comorbid anxiety, depression, and attention\u2010deficit\/hyperactivity disorder symptoms were prevalent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Individuals fared poorly on a wide array of domains, yet those with lifetime <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content> fared considerably more poorly. All patients with <jats:styled-content style=\"fixed-case\">BED<\/jats:styled-content> should be screened for mental health and gastrointestinal comorbidities and offered referral and treatment options.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Individuals experiencing binge\u2010eating disorder have severe symptomology, but those who have experienced binge\u2010eating disorder and anorexia nervosa fare even more poorly. Our study emphasizes that patients with binge\u2010eating disorder would benefit from being screened for mental health and gastrointestinal comorbidities, and clinicians should consider history of unhealthy weight control behaviors to inform treatment and relapse prevention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23858","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T07:55:26Z","timestamp":1669794926000},"page":"428-438","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["<scp>Binge\u2010eating<\/scp> disorder with and without lifetime anorexia nervosa: A comparison of sociodemographic and clinical features"],"prefix":"10.1002","volume":"56","author":[{"given":"Pratiksha S.","family":"Pawar","sequence":"first","affiliation":[{"name":"Department of Biotechnology Dr. D. Y. Patil Biotechnology and Bioinformatics Institute, Dr. D. Y. Patil Vidyapeeth  Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9384-7988","authenticated-orcid":false,"given":"Laura M.","family":"Thornton","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2661-7987","authenticated-orcid":false,"given":"Rachael E.","family":"Flatt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Psychology and Neuroscience University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1780-5588","authenticated-orcid":false,"given":"Christina M.","family":"Sanzari","sequence":"additional","affiliation":[{"name":"Department of Psychology State University of New York at Albany  Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5786-1974","authenticated-orcid":false,"given":"Emily A.","family":"Carrino","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuroscience University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna P.","family":"Tregarthen","sequence":"additional","affiliation":[{"name":"Recovery Record, Inc  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Argue","sequence":"additional","affiliation":[{"name":"Recovery Record, Inc  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7772-3264","authenticated-orcid":false,"given":"Cynthia M.","family":"Bulik","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Nutrition University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8405-381X","authenticated-orcid":false,"given":"Hunna J.","family":"Watson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Discipline of Psychology, School of Population Health Curtin University  Bentley Australia"},{"name":"Division of Pediatrics, School of Medicine The University of Western Australia  Crawley Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2012.09.002"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00424"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20567"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1995.tb02031.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02698-7"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tem.2021.07.010"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41593-022-01071-z"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108x(200009)28"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e31820a1838"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.sh16003su1c.02"},{"key":"e_1_2_9_14_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu9111274"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2006.03.008"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1443-9573.2006.00265.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20422"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10016"},{"key":"e_1_2_9_20_1","first-page":"309","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. 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