Why no cognitive body image feature such as overvaluation of shape/weight in the binge eating disorder diagnosis?
Open accessAbstract
Objective: 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. Method: 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. Results: 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. Discussion: Overvaluation of shape/weight warrants consideration as a diagnostic specifier for BED. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)
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For both AN and BN, a disturbance in body image is required, whereas for BED the ICD-11 notes that overvaluation of shape/weight is commonly present but not required; this is at odds with the DSM-5 for BED but is consistent with empirical data.
“Finally, for both AN and BN, a disturbance in body image is required, whereas for BED the ICD-11 notes that, while overvaluation of shape/weight is commonly present, it is not required; this is at odds with the DSM-5 for BED but is consistent with empirical data [20, 95].”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [95]
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Self-citation
- Authors
- Grilo, C. M.
- Affiliations
- Yale University (US)
- Corresponding author
- Grilo, Carlos M.
- ORCID
- Grilo, Carlos M.
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2012-12-12
- Volume
- 46
- Issue
- 3
- Pages
- 208-211
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC3600067
- OpenAlex
- W2091327618
- Cited by
- 142
- References
- 31
- Citations by year
- 2026: 1 · 2025: 12 · 2024: 19 · 2023: 7 · 2022: 7 · 2021: 9 · 2020: 16 · 2019: 11 · 2018: 14 · 2017: 12 · 2016: 10 · 2015: 10 · 2014: 12 · 2013: 2
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K24DK070052)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- binge eating disorder, body image, body dissatisfaction, diagnostic criteria, eating disorder severity, psychological distress, prognosis
- MeSH terms
- Body Image, Body Weight, Humans, Self Concept, Diagnostic and Statistical Manual of Mental Disorders, Overweight, Binge-Eating Disorder
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