الفهرس 
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Abstract
BED is described by the DSM-5 criteria as recurrent episodes of binge eating that, throughout the previous three months, occurred at least once a week. With no compensatory behaviours like purging, strict dieting, or vigorous exercise.
At least three of the following symptoms are linked to episodes of binge eating: eating faster than normal, feeling uncomfortable while eating, consuming large amounts of food without experiencing hunger, eating in private out of embarrassment and feelings of shame, depression, or guilt after the episode (APA, 2013).
The most common eating disorder, accounting for 2-5% of the overall population, is binge-eating disorder (BED).
BED is often associated with multiple physical, social, and psychological medical conditions. There is a tendency for both genders to have higher rates of obesity. Studies have indicated that a higher chance of serious health conditions linked to obesity.
Mood and anxiety disorders are the most common comorbidities, with 67.0% of BED patients having at least one additional psychiatric condition in their lifetime and 37.0% having at least one concurrent psychiatric condition. The majority of BED patients suffer from multiple mental disorders. Anxiety and mood disorders coexist among individuals with BED in the range of 30 to 80 percent.
A vicious cycle of negative emotions leading to binge-eating episodes and increased feelings of guilt and shame about excessive consumption in food develops.
Many theories highlight the way alterations in emotions, such as shame and guilt, and low self-esteem could result in binge eating behaviours. Women who binge eat report being in a negative mood preceding their binge episodes and are more prone to mood swings. A deeper comprehension of the underlying relation between depression and anxiety symptoms, as well as binge eating behaviours, is necessary to develop more effective treatment strategies for both obesity and BED.
Therefore, this study was designed to assess depressive symptoms, anxiety symptoms and low self-esteem in patients with BED and to measure the correlation between severity of depression, anxiety and low self-esteem symptoms and severity of binge eating disorder.
This was a cross-sectional study conducted on 70 participants with BED. Patients were recruited from outpatient psychiatry clinics at Alexandria University Hospitals from November 2022 till August 2023.
All patients were subjected to history talking, full psychiatric interview using SCID-5-RV and psychometric studies including beck depression inventory (BDI), binge eating scale (BES), beck anxiety inventory (BAI), and Rosenberg self-esteem scale (RSS).
Summary of results
• Participants of this study were 78.6% women and 21.4% men with BED.
• The mean (SD) age was ap