title: Assessment of body image dissatisfaction in obese women: specificity, severity, and clinical significance.
abstract: This study assessed the specificity, severity, and clinical significance of body image dissatisfaction in 79 obese women using the Body Dysmorphic Disorder Examination--Self-Report (J. C. Rosen & J. Reiter, 1996). The vast majority of obese women demonstrated body image dissatisfaction related to their obesity, with almost half reporting the greatest dissatisfaction with their waist or abdomen. On average, they reported significantly more body image dissatisfaction than did 43 nonobese controls. The 2 groups did not differ on self-reported symptoms of depression or self-esteem. Body image dissatisfaction correlated significantly with reports of depressive symptoms and lower self-esteem but was not correlated with body mass index. Results are discussed in terms of the role of body image dissatisfaction in understanding and treating obese individuals.
authors.affiliation: Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia 19104-2648, USA. dsarwer@mail.med.upenn.edu
authors.forename: D B
authors.initials: DB
authors.lastname: Sarwer
authors.forename: T A
authors.initials: TA
authors.lastname: Wadden
authors.forename: G D
authors.initials: GD
authors.lastname: Foster
mesh_terms: D000328:Adult; D001828:Body Image; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000523:psychology*; D010549:Personal Satisfaction; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000209:etiology*