Recurrent binge eating with and without the undue influence of weight or shape on self-evaluation": Implications for the diagnosis of binge eating disorder"

About this resource

Levels of eating disorder psychopathology, impairment in psycho-social functioning and use of health services were compared among probable cases of binge eating disorder (BED) with and without extreme weight or shape concerns ("undue influence of weight or shape on self-evaluation") recruited from a large community sample of women. Data for obese non-binge eaters (n = 457), also recruited from the community sample, and for a clinical sample of eating disorder patients (n = 128), recruited separately, were included for comparative purposes. BED cases who reported extreme weight or shape concerns (n = 51, 46.4%) had significantly higher levels of eating disorder psychopathology and functional impairment than those who did not report such concerns (n = 59), after controlling for between-group differences in age and body weight. In addition, BED cases who reported extreme weight or shape concerns were more likely to have sought treatment for an eating or weight problem than those who did not. Whereas levels of eating disorder psychopathology and functional impairment were markedly elevated among BED cases with extreme weight or shape concerns, BED cases who did not report extreme weight or shape concerns resembled obese non-binge eaters in most respects. The findings support the inclusion of an undue influence of weight or shape on self-evaluation as a diagnostic criterion for BED. In the absence of this influence, eating disorders that otherwise resemble BED do not appear to be "clinically significant".

AuthorMond, Jonathan M.; Hay, Phillipa P. J.; Rodgers, Bryan & Owen, Cathy
JournalBehaviour Research and Therapy

See also

Mortality in eating disorders - results of a large prospective clinical longitudinal study.

OBJECTIVE To report on long-term mortality in anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and eating disorder not otherwise specified (ED-NOS), causes of death, and predictors of early death.

Read more

Change in attachment anxiety is associated with improved depression among women with binge eating disorder

The study examined if the relationship between change in attachment insecurity and target symptom outcomes was moderated by treatment type.

Read more

RESET - A Conversation About Boys' Body Image

Australia's first digital body image program for boys!RESET is a digital education program designed to start a deeper conversation with boys about negative body image and eating disorders.

Read more

Dialectical behavior therapy for binge eating disorder

This study evaluated the use of dialectical behavior therapy (DBT) adapted for binge eating disorder (BED).

Read more

Help us improve!

Give us feedback!

We will continue throughout 2020 to update and improve the NEDC website and welcome any feedback you may have on the site.

Provide feedback