PMID- 18528872
OWN - NLM
STAT- MEDLINE
DCOM- 20090219
LR  - 20081031
IS  - 1098-108X (Electronic)
IS  - 0276-3478 (Linking)
VI  - 41
IP  - 7
DP  - 2008 Nov
TI  - Shared psychopathology in obese subjects with and without binge-eating disorder.
PG  - 643-9
LID - 10.1002/eat.20544 [doi]
AB  - OBJECTIVE: To investigate obese people with/without binge-eating Disorder (BED) 
      in terms of shared psychopathological features pertaining to spectrum of eating 
      disorders. METHOD: One-hundred obese adult patients with a BMI > 30 kg/m(2) 
      referred to an Eating Disorder Unit and/or hospital weight-loss programs were 
      administered the BED Clinical Interview, the Eating Disorder Inventory, and the 
      Structured Clinical Interview for Anorexic-Bulimic Spectrum, Self-Report. 
      RESULTS: Twenty-seven subjects satisfied DSM-IV research criteria for current 
      BED; compared to nonbingeing obese subjects, BED ones were characterized by 
      greater weight-shape concerns influencing self-esteem (p = .05), overall 
      impairment due to the overweight condition (p < .005), psychological distress 
      leading to professional help (p < .001), dichotomous reasoning (p = .01) and 
      secondary social phobia due to the overweight condition (p < .005). Compared to 
      the other group, BED obese subjects scored higher at the following EDI subscales: 
      bulimia (p < .0001), ineffectiveness (p < .01), interoceptive awareness and 
      social insecurity (p < .05). CONCLUSION: The results of this study highlight the 
      role of cognitive mechanisms such as dichotomous reasoning and weight-shape 
      concerns unduly influencing self-esteem as a hallmark of BED in obese patients, 
      and the importance of investigating eating disorder psychopathology by adopting a 
      dimensional perspective, rather than strictly focusing on categories when dealing 
      with obese patients.
FAU - Ramacciotti, Carla E
AU  - Ramacciotti CE
AD  - Department of Psychiatry, Pharmacology, Neurobiology and Biotechnologies, Section 
      of Psychiatry, University of Pisa, Italy. carlarama2001@hotmail.com
FAU - Coli, Elisabetta
AU  - Coli E
FAU - Bondi, Emi
AU  - Bondi E
FAU - Burgalassi, Annalisa
AU  - Burgalassi A
FAU - Massimetti, Gabriele
AU  - Massimetti G
FAU - Dell'osso, Liliana
AU  - Dell'osso L
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Int J Eat Disord
JT  - The International journal of eating disorders
JID - 8111226
SB  - IM
MH  - Adult
MH  - *Attitude
MH  - Behavioral Symptoms
MH  - *Body Image
MH  - Bulimia Nervosa/diagnosis/*psychology
MH  - Cognition
MH  - Cross-Sectional Studies
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Humans
MH  - Italy
MH  - Male
MH  - Models, Psychological
MH  - Obesity/diagnosis/*psychology
MH  - *Self Concept
MH  - Stress, Psychological/psychology
EDAT- 2008/06/06 09:00
MHDA- 2009/02/20 09:00
CRDT- 2008/06/06 09:00
PHST- 2008/06/06 09:00 [pubmed]
PHST- 2009/02/20 09:00 [medline]
PHST- 2008/06/06 09:00 [entrez]
AID - 10.1002/eat.20544 [doi]
PST - ppublish
SO  - Int J Eat Disord. 2008 Nov;41(7):643-9. doi: 10.1002/eat.20544.