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Journal article
Relationships between nonappearance self-discrepancy, weight discrepancy, and binge eating disorder symptoms
EATING AND WEIGHT DISORDERS-STUDIES ON ANOREXIA BULIMIA AND OBESITY, v 26(5), pp 1571-1580
Jun 2021
PMID: 32772322
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose Self-discrepancy (i.e., perceived differences between one's actual self and personal standards) has been associated with binge eating disorder (BED) symptoms. However, little is known about how weight discrepancy (i.e., the difference between one's actual and ideal weights) interacts with or is distinguished from nonappearance self-discrepancy (discrepancy unrelated to weight or shape) in predicting BED severity. The current study examined how these two forms of discrepancy independently and interactively relate to BED and associated symptoms to elucidate how facets of self-discrepancy may operate to precipitate and maintain BED. Methods Adults with BED (N = 111) completed questionnaires and interviews prior to treatment that assessed self-discrepancy (computerized selves) and weight discrepancy (assessed during the Eating Disorder Examination [EDE]) as predictors of global eating disorder (ED) symptomatology (EDE Global score), depression (Beck Depression Inventory), anxiety (State-Trait Anxiety Inventory), self-esteem (Rosenberg Self-Esteem Scale), and ED-related impairment (Clinical Impairment Assessment). Results Multivariate regression models indicated nonappearance self-discrepancy and weight discrepancy were not significantly related to the severity of global ED symptoms, but both independently predicted impairment (ps < 0.05). Nonappearance self-discrepancy, but not weight discrepancy, was also associated with higher depression (p = 0.001), anxiety (p < 0.001), and lower self-esteem (p < 0.001). Conclusion These findings suggest distinct associations of weight discrepancy and nonappearance self-discrepancy with ED and related symptoms, as well as each of these constructs' relevance to everyday functioning in BED. The results also highlight potential avenues for future research to examine mechanistic pathways by which self-discrepancy influences BED severity.
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Details
- Title
- Relationships between nonappearance self-discrepancy, weight discrepancy, and binge eating disorder symptoms
- Publication Details
- EATING AND WEIGHT DISORDERS-STUDIES ON ANOREXIA BULIMIA AND OBESITY, v 26(5), pp 1571-1580
- Publisher
- SPRINGER; NEW YORK
- Number of pages
- 9
- Grant note
- This research was supported by the National Institute of Mental Health (C.B.P., Grant Number R34MH099040-01A1; S.A.W., Grant Number R34MH098995).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000557325000003
- Scopus ID
- 2-s2.0-85089071831
- Other Identifier
- 991021860670804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry