Carlos M Grilo1. 1. Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA. carlos.grilo@yale.edu
Abstract
OBJECTIVE: Undue influence of body shape or weight on self-evaluation--referred to as overvaluation--is considered a core feature across eating disorders, but is not a diagnostic requirement for binge eating disorder (BED). This article addresses the relevance of a feature reflecting disturbance in body image for the diagnosis of BED. METHOD: The distinction between overvaluation of shape/weight and body dissatisfaction is discussed, and empirical research regarding the concurrent and predictive significance of overvaluation of shape/weight for BED is reviewed. RESULTS: The literature suggests that overvaluation does not simply reflect concern or distress commensurate with excess weight, is reliably associated with greater severity of eating-related psychopathology and psychological distress, and has reliably shown negative prognostic significance. DISCUSSION: Overvaluation of shape/weight warrants consideration as a diagnostic specifier for BED.
OBJECTIVE: Undue influence of body shape or weight on self-evaluation--referred to as overvaluation--is considered a core feature across eating disorders, but is not a diagnostic requirement for binge eating disorder (BED). This article addresses the relevance of a feature reflecting disturbance in body image for the diagnosis of BED. METHOD: The distinction between overvaluation of shape/weight and body dissatisfaction is discussed, and empirical research regarding the concurrent and predictive significance of overvaluation of shape/weight for BED is reviewed. RESULTS: The literature suggests that overvaluation does not simply reflect concern or distress commensurate with excess weight, is reliably associated with greater severity of eating-related psychopathology and psychological distress, and has reliably shown negative prognostic significance. DISCUSSION: Overvaluation of shape/weight warrants consideration as a diagnostic specifier for BED.
Authors: KayLoni L Olson; Rebecca H Neiberg; Deborah F Tate; Katelyn R Garcia; Amy A Gorin; Cora E Lewis; Jessica Unick; Rena R Wing Journal: Obesity (Silver Spring) Date: 2018-06-28 Impact factor: 5.002