title: Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients.
abstract: Despite the fact that negative self-evaluations are widely considered to be prominent in eating disorders, the role of self-criticism has received little empirical attention. The vast majority of research on the construct of self-criticism has focused on its role as a specific personality vulnerability factor in depression-related phenomena. In this study of 236 patients with binge eating disorder, confirmatory factor analysis supported self-criticism, self-esteem, depressive symptoms, and over-evaluation of shape and weight as distinct, albeit related, constructs. Structural equation modeling demonstrated that the relation between self-criticism and over-evaluation of shape and weight was partly mediated or explained by low self-esteem and depressive symptoms. Continued efforts to understand the role of self-criticism in eating disorders appear warranted.
authors.affiliation: Department of Psychiatry, Institute of Community and Family Psychiatry, S.M.B.D. Jewish General Hospital, 4333 Côte Ste-Catherine Road, Montreal, Que., Canada H3T 1E4. david.dunkley@mail.mcgill.ca
authors.forename: David M
authors.initials: DM
authors.lastname: Dunkley
authors.forename: Carlos M
authors.initials: CM
authors.lastname: Grilo
mesh_terms: D000328:Adult; D001828:Body Image; D001835:Body Weight; D052018:Bulimia Nervosa / Q000523:psychology*; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D050177:Overweight; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D012649:Self Concept