Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients

Behav Res Ther. 2007 Jan;45(1):139-49. doi: 10.1016/j.brat.2006.01.017. Epub 2006 Mar 13.

Abstract

Despite the fact that negative self-evaluations are widely considered to be prominent in eating disorders, the role of self-criticism has received little empirical attention. The vast majority of research on the construct of self-criticism has focused on its role as a specific personality vulnerability factor in depression-related phenomena. In this study of 236 patients with binge eating disorder, confirmatory factor analysis supported self-criticism, self-esteem, depressive symptoms, and over-evaluation of shape and weight as distinct, albeit related, constructs. Structural equation modeling demonstrated that the relation between self-criticism and over-evaluation of shape and weight was partly mediated or explained by low self-esteem and depressive symptoms. Continued efforts to understand the role of self-criticism in eating disorders appear warranted.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Body Image
  • Body Weight
  • Bulimia Nervosa / psychology*
  • Depression / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical
  • Overweight
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Self Concept*