OBJECTIVE: To investigate obese people with/without binge-eating Disorder (BED) in terms of shared psychopathological features pertaining to spectrum of eating disorders. METHOD: One-hundred obese adult patients with a BMI > 30 kg/m(2) referred to an Eating Disorder Unit and/or hospital weight-loss programs were administered the BED Clinical Interview, the Eating Disorder Inventory, and the Structured Clinical Interview for Anorexic-Bulimic Spectrum, Self-Report. RESULTS: Twenty-seven subjects satisfied DSM-IV research criteria for current BED; compared to nonbingeing obese subjects, BED ones were characterized by greater weight-shape concerns influencing self-esteem (p = .05), overall impairment due to the overweight condition (p < .005), psychological distress leading to professional help (p < .001), dichotomous reasoning (p = .01) and secondary social phobia due to the overweight condition (p < .005). Compared to the other group, BED obese subjects scored higher at the following EDI subscales: bulimia (p < .0001), ineffectiveness (p < .01), interoceptive awareness and social insecurity (p < .05). CONCLUSION: The results of this study highlight the role of cognitive mechanisms such as dichotomous reasoning and weight-shape concerns unduly influencing self-esteem as a hallmark of BED in obese patients, and the importance of investigating eating disorder psychopathology by adopting a dimensional perspective, rather than strictly focusing on categories when dealing with obese patients.
OBJECTIVE: To investigate obesepeople with/without binge-eating Disorder (BED) in terms of shared psychopathological features pertaining to spectrum of eating disorders. METHOD: One-hundred obese adult patients with a BMI > 30 kg/m(2) referred to an Eating Disorder Unit and/or hospital weight-loss programs were administered the BED Clinical Interview, the Eating Disorder Inventory, and the Structured Clinical Interview for Anorexic-Bulimic Spectrum, Self-Report. RESULTS: Twenty-seven subjects satisfied DSM-IV research criteria for current BED; compared to nonbingeing obese subjects, BED ones were characterized by greater weight-shape concerns influencing self-esteem (p = .05), overall impairment due to the overweight condition (p < .005), psychological distress leading to professional help (p < .001), dichotomous reasoning (p = .01) and secondary social phobia due to the overweight condition (p < .005). Compared to the other group, BED obese subjects scored higher at the following EDI subscales: bulimia (p < .0001), ineffectiveness (p < .01), interoceptive awareness and social insecurity (p < .05). CONCLUSION: The results of this study highlight the role of cognitive mechanisms such as dichotomous reasoning and weight-shape concerns unduly influencing self-esteem as a hallmark of BED in obesepatients, and the importance of investigating eating disorder psychopathology by adopting a dimensional perspective, rather than strictly focusing on categories when dealing with obesepatients.
Authors: M L Bautista-Díaz; K Franco-Paredes; J M Mancilla-Díaz; G Alvarez-Rayón; X López-Aguilar; T Ocampo Téllez-Girón; Y Soto-González Journal: Eat Weight Disord Date: 2012-02-06 Impact factor: 4.652
Authors: Sarah Fogarty; Lily Stojanovska; David Harris; Chris Zaslawski; Michael L Mathai; Andrew J McAinch Journal: Eat Weight Disord Date: 2015-01-29 Impact factor: 4.652
Authors: Eliza L Gordon; Alexandra L Terrill; Timothy W Smith; Anna R Ibele; Paige Martinez; Larissa A McGarrity Journal: Obes Surg Date: 2022-04-24 Impact factor: 3.479
Authors: Felipe Q da Luz; Amanda Sainsbury; Phillipa Hay; Jessica A Roekenes; Jessica Swinbourne; Dhiordan C da Silva; Margareth da S Oliveira Journal: Behav Sci (Basel) Date: 2017-02-28