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Clarifying these mechanisms is essential for refining diagnostic models and improving treatment. This study focused on young to early\u2010middle adults, a developmental period with elevated risk for the onset and aggravation of BSED, to identify empirical subgroups based on eating\u2010 and psychological\u2010related variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A two\u2010step cluster analysis was performed in 187 patients (men and women, aged 20\u201345 years) diagnosed with different BSED subtypes. Variables considered included emotion\u2010related eating behaviors, impulsivity, emotion dysregulation, decision\u2010making, stress, anxiety\u2013depression, and obsessive\u2013compulsive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A three\u2010cluster solution provided the best fit, yielding distinct patient profiles. Anxiety\u2013depression and hunger emerged as the most influential variables for the clustering. No significant differences between the clusters were found in sociodemographic characteristics and eating disorder subtype. Clear gradients were observed in clinical severity and psychological functioning, ranging from high psychopathological burden and dysregulation in Cluster 1 (10.2% of the sample) to markedly more adaptive functioning and reduced distress in Cluster 3 (56.7%). The largest between\u2010cluster differences involved hunger, emotion regulation deficits, and anxiety\u2013depression levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings delineate clinically meaningful BSED subgroups, spanning severely dysregulated to more adaptive profiles. This differentiation may enhance diagnostic classification and inform process\u2010based treatment approaches, enabling personalized interventions targeting core features (particularly anxiety\u2013depression, emotion regulation, and hunger) to optimize clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jobe\/9309734","type":"journal-article","created":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T19:04:42Z","timestamp":1792350282000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological Process\u2013Based Profiles in the Binge\u2010Eating Spectrum: Clinical Implications Beyond DSM\u20105 Subtypes"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0643-8022","authenticated-orcid":false,"given":"Geovanny Genaro","family":"Reivan-Ortiz","sequence":"first","affiliation":[{"name":"Universidad Catolica de Cuenca  Cuenca Azuay 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