Article

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

Department of Psychiatry, Institute of Community and Family Psychiatry, S.M.B.D. Jewish General Hospital, 4333 Côte Ste-Catherine Road, Montreal, Que., Canada H3T 1E4.
Behaviour Research and Therapy (Impact Factor: 3.85). 02/2007; 45(1):139-49. DOI: 10.1016/j.brat.2006.01.017
Source: PubMed

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.

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