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  • Cited by 3
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Harshbarger, J. L. Ahlers-Schmidt, C. R. Atif, M. Allred, E. Carroll, M. and Hauser, R. 2011. School counselors’ knowledge of eating disorders. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, Vol. 16, Issue. 2, p. e131.

    Hay, Phillipa Darby, Anita and Mond, Jonathan 2007. Knowledge and Beliefs about Bulimia Nervosa and its Treatment: A Comparative Study of Three Disciplines. Journal of Clinical Psychology in Medical Settings, Vol. 14, Issue. 1, p. 59.

    May, Carl 2006. A rational model for assessing and evaluating complex interventions in health care. BMC Health Services Research, Vol. 6, Issue. 1,

  • Primary Health Care Research & Development, Volume 4, Issue 4
  • October 2003, pp. 301-306

Binge eating disorder: general practitioners' constructs of an ambiguous pathology

  • Elizabeth Henderson (a1), Carl May (a2) and Carolyn A. Chew-Graham (a1)
  • DOI:
  • Published online: 31 October 2006

Eating disorders are amongst the most commonly encountered psychiatric disorders experienced by young women. Binge eating disorder (BED) has received some support as a distinct pathology, but is hard to disentangle from other kinds of behaviours. This qualitative study explored awareness and knowledge of BED amongst a group of 18 inner-city general practitioners in NW England. Thematic coding of their accounts suggested a dichotomous tension. (1) Subjects were largely unaware of the existence of BED, and found it difficult to conceptualize its diagnosis and management in primary care. (2) Subjects framed BED as a ‘disorder’ that was firmly within the sphere of patients' personal responsibility, and recognized that psychological distress would be an important causal factor in its aetiology. Subjects were reluctant to consider BED as a diagnosis for obese patients because of the absence of services for onward referral, and because of uncertainties about effective treatment.

Corresponding author
Address for correspondence: Carl May, Centre for Health Services Research, University of Newcastle upon Tyne, 21 Claremont Place, Newcastle upon Tyne, NE2 4AA, UK. Email:
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Primary Health Care Research & Development
  • ISSN: 1463-4236
  • EISSN: 1477-1128
  • URL: /core/journals/primary-health-care-research-and-development
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