PMID- 24480398 OWN - NLM STAT- MEDLINE DCOM- 20141107 LR - 20220408 IS - 1873-7943 (Electronic) IS - 0005-7916 (Linking) VI - 45 IP - 2 DP - 2014 Jun TI - Implicit cognitive processes in binge-eating disorder and obesity. PG - 285-90 LID - S0005-7916(14)00002-0 [pii] LID - 10.1016/j.jbtep.2014.01.001 [doi] AB - OBJECTIVES: Binge-eating disorder (BED) is characterized by recurrent binge eating episodes, associated eating disorder and general psychopathology, and commonly occurs in obese individuals. Explicit self-esteem and explicit weight bias have been linked to BED, while little is known about implicit cognitive processes such as implicit self-esteem and implicit weight bias. METHODS: Obese participants with BED and an individually matched obese only group (OB) and normal weight control group (CG; each N = 26) were recruited from the community to examine group differences and associations in explicit and implicit self-esteem and weight bias, as well as the impact of implicit cognitive processes on global eating disorder psychopathology. Implicit cognitive processes were assessed using the Implicit Association Test. RESULTS: Significantly lower explicit self-esteem, as well as higher exposure to explicit weight bias, compared to CG and OB was found in the BED group. All groups showed positive implicit self-esteem, however, it was significantly lower in BED when compared to CG. BED and CG demonstrated equally high implicit weight bias whereas OB did not. Explicit and implicit measures were not significantly correlated. Global eating disorder psychopathology was predicted by explicit and implicit self-esteem. CONCLUSIONS: The results of the present study add to the importance of implicit self-esteem and implicit weight bias beyond explicit measures in BED, while both were previously shown to be associated with onset and maintenance of BED. In conclusion, implicit cognitive processes should be focused on in interventions for BED to investigate their impact on psychological treatments. CI - Copyright (c) 2014 Elsevier Ltd. All rights reserved. FAU - Brauhardt, Anne AU - Brauhardt A AD - Leipzig University Medical Center, Integrated Research and Treatment Center AdiposityDiseases, Medical Psychology and Medical Sociology, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany. Electronic address: anne.brauhardt@medizin.uni-leipzig.de. FAU - Rudolph, Almut AU - Rudolph A AD - Leipzig University Medical Center, Integrated Research and Treatment Center AdiposityDiseases, Medical Psychology and Medical Sociology, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany. FAU - Hilbert, Anja AU - Hilbert A AD - Leipzig University Medical Center, Integrated Research and Treatment Center AdiposityDiseases, Medical Psychology and Medical Sociology, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140112 PL - Netherlands TA - J Behav Ther Exp Psychiatry JT - Journal of behavior therapy and experimental psychiatry JID - 0245075 SB - IM MH - Adult MH - Analysis of Variance MH - Bias MH - Binge-Eating Disorder/*complications/*psychology MH - Body Weight/physiology MH - Case-Control Studies MH - Cognition/*physiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Obesity/*complications/*psychology MH - Psychiatric Status Rating Scales MH - *Self Concept MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - Binge-eating disorder OT - Explicit self-esteem OT - Explicit weight bias OT - Implicit self-esteem OT - Implicit weight bias OT - Obesity EDAT- 2014/02/01 06:00 MHDA- 2014/11/08 06:00 CRDT- 2014/02/01 06:00 PHST- 2013/08/13 00:00 [received] PHST- 2014/01/01 00:00 [revised] PHST- 2014/01/03 00:00 [accepted] PHST- 2014/02/01 06:00 [entrez] PHST- 2014/02/01 06:00 [pubmed] PHST- 2014/11/08 06:00 [medline] AID - S0005-7916(14)00002-0 [pii] AID - 10.1016/j.jbtep.2014.01.001 [doi] PST - ppublish SO - J Behav Ther Exp Psychiatry. 2014 Jun;45(2):285-90. doi: 10.1016/j.jbtep.2014.01.001. Epub 2014 Jan 12.