Abstract
Increasing empirical evidence supports the validity of binge eating disorder (BED), a research diagnosis in the appendix of DSM-IV, and its inclusion as a distinct and formal diagnosis in the DSM-V. A pressing question regarding the specific criteria for BED diagnosis is whether, like bulimia nervosa (BN), it should be characterized by overvaluation of shape and weight. This study compared features of eating disorders in 436 treatment-seeking women comprising four groups: 195 BED participants who overvalue their shape/weight, 129 BED participants with subclinical levels of overvaluation, 61 BN participants, and 51 participants with sub-threshold BN. The BED clinical overvaluation group had significantly higher levels of specific eating disorder psychopathology than the three other groups which did not differ significantly from each other. Findings suggest that overvaluation of shape and weight should not be considered as a required criterion for BED because this would exclude a substantial proportion of BED patients with clinically significant problems. Rather, overvaluation of shape and weight warrants consideration either as a diagnostic specifier or as a dimensional severity rating as it provides important information about severity within BED.
Original language | English (US) |
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Pages (from-to) | 692-696 |
Number of pages | 5 |
Journal | Behaviour Research and Therapy |
Volume | 47 |
Issue number | 8 |
DOIs | |
State | Published - Aug 2009 |
Bibliographical note
Funding Information:Supported by the National Institutes of Health (DK056735, DK49587, DK071646, DK070052, MHDK058820, and MH65919).
Keywords
- Binge eating disorder
- Body image
- Bulimia nervosa
- Obesity
- Shape and weight concerns