Financial Disclosure: Dr. Grilo reports that he receives royalties from Guilford Press and Taylor and Francis Books (for academic books). The author reports no conflicts of interest or any competing interests. The funding agency (NIH) had no role in the preparation or the content of this paper. No additional compensation was provided for the completion of this work.
Article first published online: 12 DEC 2012
Copyright © 2012 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 46, Issue 3, pages 208–211, April 2013
How to Cite
Grilo, C. M. (2013), Why no cognitive body image feature such as overvaluation of shape/weight in the binge eating disorder diagnosis?. Int. J. Eat. Disord., 46: 208–211. doi: 10.1002/eat.22082
Supported by K24 DK070052 from the National Institutes of Health.
- Issue published online: 11 MAR 2013
- Article first published online: 12 DEC 2012
- Manuscript Accepted: 30 OCT 2012
- National Institutes of Health. Grant Number: K24 DK070052
- binge eating;
- body image;
- body dissatisfaction;
- eating disorder
Undue influence of body shape or weight on self-evaluation—referred to as overvaluation—is considered a core feature across eating disorders, but is not a diagnostic requirement for binge eating disorder (BED). This article addresses the relevance of a feature reflecting disturbance in body image for the diagnosis of BED.
The distinction between overvaluation of shape/weight and body dissatisfaction is discussed, and empirical research regarding the concurrent and predictive significance of overvaluation of shape/weight for BED is reviewed.
The literature suggests that overvaluation does not simply reflect concern or distress commensurate with excess weight, is reliably associated with greater severity of eating-related psychopathology and psychological distress, and has reliably shown negative prognostic significance.
Overvaluation of shape/weight warrants consideration as a diagnostic specifier for BED. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)