title: Body image disturbance in binge eating disorder: a comparison of obese patients with and without binge eating disorder regarding the cognitive, behavioral and perceptual component of body image.
abstract: Whereas the manifestation of body image disturbance in binge eating disorder (BED) has been intensively investigated concerning the cognitive-affective component, with regard to the behavioral and the perceptual components of body image disturbance in BED, research is limited and results are inconsistent. Therefore, the present study assessed body image disturbance in BED with respect to the different components of body image in a sample of obese females (n = 31) with BED compared to obese females without an eating disorder (n = 28). The Eating Disorder Inventory-2, the Eating Disorder Examination-Questionnaire, the Body Image Avoidance Questionnaire and the Body Checking Questionnaire as well as a Digital Photo Distortion Technique based on a picture of each participant taken under standardized conditions were employed. Using two-sample t tests, we found that the participants with BED displayed significantly greater impairments concerning the cognitive-affective component of body image than the control group. Concerning the behavioral component, participants with BED reported more body checking and avoidance behavior than the controls, but group differences failed to reach significance after the Bonferroni corrections. Regarding the perceptual component, a significant group difference was found for the perceived "ideal" figure, with the individuals suffering from BED displaying a greater wish for a slimmer ideal figure than the control group. These results support the assumption that body image disturbance is a relevant factor in BED, similar to other eating disorders.
authors.affiliation: Department of Clinical Psychology and Psychotherapy, Ruhr-University Bochum, Bochum, Germany. merle.lewer@ruhr-uni-bochum.de.|Department of Clinical Psychology and Psychotherapy, Mental Health Research and Treatment Center, Ruhr-University Bochum, Massenbergstr. 9-13, 44787, Bochum, Germany. merle.lewer@ruhr-uni-bochum.de.
authors.forename: Merle
authors.initials: M
authors.lastname: Lewer
authors.affiliation: Department of Clinical Psychology and Psychotherapy, Ruhr-University Bochum, Bochum, Germany.
authors.forename: Nadia
authors.initials: N
authors.lastname: Nasrawi
authors.affiliation: Department of Clinical Psychology and Psychotherapy, Ruhr-University Bochum, Bochum, Germany.
authors.forename: Dorothea
authors.initials: D
authors.lastname: Schroeder
authors.affiliation: Department of Clinical Psychology and Psychotherapy, Osnabrueck University, Osnabrück, Germany.
authors.forename: Silja
authors.initials: S
authors.lastname: Vocks
mesh_terms: D000328:Adult; D056912:Binge-Eating Disorder / Q000150:complications / Q000523:psychology*; D057215:Body Dysmorphic Disorders / Q000150:complications / Q000523:psychology*; D001828:Body Image / Q000523:psychology*; D003071:Cognition / Q000502:physiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000523:psychology*; D012649:Self Concept; D011795:Surveys and Questionnaires
keywords: Binge eating disorder; Body image disturbance; Digital photo distortion technique; Obesity