The nature of body image disturbance in patients with binge eating disorder

Int J Eat Disord. 2003 Apr;33(3):333-41. doi: 10.1002/eat.10139.

Abstract

Objective: This study examined the distinction between body dissatisfaction and self-evaluation unduly influenced by body shape and weight, and their longitudinal relationships to depressive symptomatology and self-esteem in patients with binge eating disorder (BED).

Method: Ninety-seven patients with BED completed measures tapping these constructs at baseline and again 4 weeks later.

Results: Change in body dissatisfaction was significantly correlated with both change in depressive symptomatology and change in self-esteem over time, whereas change in self-evaluation was significantly correlated only with change in self-esteem. In addition, change in shape concern, but not change in weight concern, was significantly correlated with change in self-esteem only.

Discussion: These findings suggest that self-evaluation unduly influenced by body shape is a more useful indicator for BED than body dissatisfaction or self-evaluation unduly influenced by weight.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Body Image*
  • Body Weight
  • Bulimia / psychology*
  • Female
  • Humans
  • Longitudinal Studies
  • Middle Aged
  • Self Concept*