The nature of body image disturbance in patients with binge eating disorder

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Abstract
Objective This study examined the distinction between body dissatisfaction and self-evaluation unduly influenced by body shape and weight, and their longitudinal relationships to depressive symptomatology and self-esteem in patients with binge eating disorder (BED). Method Ninety-seven patients with BED completed measures tapping these constructs at baseline and again 4 weeks later. Results Change in body dissatisfaction was significantly correlated with both change in depressive symptomatology and change in self-esteem over time, whereas change in self-evaluation was significantly correlated only with change in self-esteem. In addition, change in shape concern, but not change in weight concern, was significantly correlated with change in self-esteem only. Discussion These findings suggest that self-evaluation unduly influenced by body shape is a more useful indicator for BED than body dissatisfaction or self-evaluation unduly influenced by weight. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 33: 333–341, 2003.