Differences in the nature of body image disturbances between female obese individuals with versus without a comorbid binge eating disorder: an exploratory study including static and dynamic aspects of body image

Behav Modif. 2011 Mar;35(2):162-86. doi: 10.1177/0145445510393478.


Various components of body image were measured to assess body image disturbances in patients with obesity. To overcome limitations of previous studies, a photo distortion technique and a biological motion distortion device were included to assess static and dynamic aspects of body image. Questionnaires assessed cognitive-affective aspects, bodily attitudes, and eating behavior. Patients with obesity and a binge eating disorder (OBE, n = 15) were compared with patients with obesity only (ONB; n = 15), to determine the nature of any differences in body image disturbances. Both groups had high levels of body image disturbances with cognitive-affective deficits. Binge eating disorder (BED) participants also had perceptual difficulties (static only). Both groups reported high importance of weight and shape for self-esteem. There were some significant differences between the groups suggesting that a comorbid BED causes further aggravation. Body image interventions in obesity treatment may be warranted.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Affect
  • Avoidance Learning
  • Binge-Eating Disorder / complications
  • Binge-Eating Disorder / psychology*
  • Body Dysmorphic Disorders / complications
  • Body Dysmorphic Disorders / psychology*
  • Body Image*
  • Cognition
  • Feeding Behavior / psychology
  • Female
  • Humans
  • Middle Aged
  • Obesity / complications
  • Obesity / psychology*
  • Photic Stimulation
  • Self Concept
  • Self Report