title: Overvaluation of shape and weight in binge eating disorder.
abstract: The excessive influence of shape or weight on self-evaluation--referred to as overvaluation--is considered by some a central feature across eating disorders but is not a diagnostic requirement for binge eating disorder (BED). This study examined shape/weight overvaluation in 399 consecutive patients with BED. Participants completed semistructured interviews, including the Eating Disorder Examination (EDE; C. G. Fairburn & Z. Cooper, 1993) and several self-report measures. Shape/weight overvaluation was unrelated to body mass index (BMI) but was strongly associated with measures of eating-related psychopathology and psychological status (i.e., higher depression and lower self-esteem). Participants were categorized via EDE guidelines into 1 of 2 groups: clinical overvaluation (58%) or subclinical overvaluation (42%). The 2 groups did not differ significantly in BMI or binge eating frequency, but the clinical overvaluation group had significantly greater eating-related psychopathology and poorer psychological status than the subclinical overvaluation group. Findings suggest that overvaluation does not simply reflect concern commensurate with being overweight but is strongly associated with eating-related psychopathology and psychological functioning and warrants consideration as a diagnostic feature for BED.
authors.affiliation: Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA. joshua.hrabosky@yale.edu
authors.forename: Joshua I
authors.initials: JI
authors.lastname: Hrabosky
authors.forename: Robin M
authors.initials: RM
authors.lastname: Masheb
authors.forename: Marney A
authors.initials: MA
authors.lastname: White
authors.forename: Carlos M
authors.initials: CM
authors.lastname: Grilo
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D001828:Body Image; D015992:Body Mass Index; D001835:Body Weight; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012649:Self Concept; D011795:Surveys and Questionnaires