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Cognitions in Obese Binge Eaters and Obese Non-Binge Eaters

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Abstract

The aim of this study was to examine the frequency and content of several cognitions (negative self-schemas and weight, shape, and eating-focused cognitions) in obese binge eaters and obese non-binge eaters. We used a structured clinical interview to detect differences in cognitions. The majority of obese binge eaters mentioned negative self-schemas that could be characterized as negative generalizations about the self combined with weight, shape, or eating concerns, whereas the majority of obese non-binge eaters mentioned weight, shape, and eating concerns that were not combined with negative generalizations about the self. Participants with negative self-schemas, irrespective of binge category, were more depressed and had lower self-esteem than the other participants. Finally, with respect to the content analyses of negative self-schemas, we found that both groups most often mentioned themes such as rejection, unworthiness, and lack of willpower. However, obese non-binge eaters mentioned more self-schemas regarding lack of willpower, whereas obese binge eaters were more preoccupied with rejection and unworthiness. Implications for future work are discussed, including how cognitive techniques focusing on negative self-schemas might improve treatment for obesity.

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REFERENCES

  • Adami, G. F., Gandolfo, P., Campostano, A., Bauer, B., Cocchi, F., & Scoinaro, N. (1994). Eating disorder inventory in the assessment of psychosocial status in the obese patient prior to and at long term following bibliopancreatic diversion for obesity. International Journal of Eating Disorders, 3, 265-274.

    Google Scholar 

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4 th edition). Washington, D.C.: Author.

    Google Scholar 

  • Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper and Row.

    Google Scholar 

  • Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Beck, A. T. (1996). Beyond belief: A theory of modes, personality, and psychopathology. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 1-25). New York: Guilford Press.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.

    Google Scholar 

  • Beck, A. T., Wright, F. D., Newman, C. F., & Liese, B. S. (1993). Cognitive therapy of substance abuse. New York: Guilford Press.

    Google Scholar 

  • Clark, D. A. (1988). The validity of measures of cognition: A review of the literature. Cognitive Therapy and Research, 12, 1-20.

    Google Scholar 

  • Clark, D. A., & Steer, R. A. (1996). Empirical status of the cognitive model. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 75-96). New York: Guilford Press.

    Google Scholar 

  • Cooper, M. Cohen-Toveé, E., Todd, G. Wells, A. & Toveé, M. (1997). The eating disorder belief questionnaire: Preliminary development. Behaviour Research and Therapy, 4, 381-388.

    Google Scholar 

  • Cooper, M. J., & Fairburn, C. G. (1992). Thoughts about eating, weight and shape in anorexia nervosa and bulimia nervosa. Behaviour Research and Therapy, 30, 501-511.

    Google Scholar 

  • Dritschel, B. H., Williams, K., & Cooper, P. J. (1991). Cognitive distortions amongst women experiencing bulimic episodes. International Journal of Eating Disorders, 5, 547-555.

    Google Scholar 

  • Eldredge, K. L., & Agras, W. S. (1996). Weight and shape overconcern and emotional eating in binge eating disorder. International Journal of Eating Disorders, 1, 73-82.

    Google Scholar 

  • Fairburn, C. G. (1987). The definition of bulimia nervosa: Guidelines for clinicians and research workers. Annals of Behavioral Medicine, 9, 3-7.

    Google Scholar 

  • Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders. Interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363-370.

    Google Scholar 

  • Fichter, M. M., Quadflieg, N., & Brandl, B. (1993). Recurrent overeating: An empirical comparison of binge eating disorder, bulimia nervosa, and obesity. International Journal of Eating Disorders, 14, 1-16.

    Google Scholar 

  • Garner D. M., & Bemis, K. M. (1982). A cognitive-behavioural approach to anorexia nervosa. Cognitive Therapy and Research, 6, 123-150.

    Google Scholar 

  • Garner, D. M., Olmsted, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15-34.

    Google Scholar 

  • Hunt, D. A., & Rosen, J. C. (1981). Thoughts about food by obese and nonobese individuals. Cognitive Therapy and Research, 5, 317-322.

    Google Scholar 

  • Kuehnel, R. H., & Wadden, T. A. (1994). Binge eating disorder, weight cycling, and psychopathology. International Journal of Eating Disorders, 15, 321-329.

    Google Scholar 

  • Leary, M. R., Schreindorfer, L. S., & Haupt, A. L. (1995). The role of self-esteem in emotional and behavioral problems: Why is low self-esteem dysfunctional? Journal of Social and Clinical Psychology, 14, 297-314.

    Google Scholar 

  • Marcus, M. D., Smith, D., Santelli, R., & Kaye, W. (1992). Characterization of eating disordered behavior in obese binge eaters. International Journal of Eating Disorders, 12, 249-256.

    Google Scholar 

  • Marcus, M. D., Wing, R. R., Ewing, L., Kern, E., Gooding, W., & McDermott, M. (1990). Psychiatric disorders among binge eaters. International Journal of Eating Disorders, 9, 69-77.

    Google Scholar 

  • Marcus, M. D., Wing, R. R., & Hopkins, J. (1988). Obese binge eaters: Affect, cognitions, and response to behavioral weight control. Journal of Consulting and Clinical Psychology, 56, 433-439.

    Google Scholar 

  • Markus, H. (1977). Self-schemata and processing information about the self. Journal of Personality and Social Psychology, 35, 63-78.

    Google Scholar 

  • Markus, H., Hamil, R., & Sentis, K. P. (1987). Thinking fat: Self-schemas for body weight and the processing of weight relevant information. Journal of Applied Social Psychology, 17, 50-71.

    Google Scholar 

  • Markus, H., & Sentis, K. (1982). The self in social information processing. In J. Suls (Ed.), Psychological perspectives on the self. New York: Lawrence Erlbaum.

    Google Scholar 

  • Mitchell, J. E., & Mussell, P. E. (1995). Comorbidity and binge eating disorder. Addictive Behaviors, 20, 725-732.

    Google Scholar 

  • O'Connor, J., & Dowrick, P. W. (1987). Cognitions in normal weight, overweight, and previously overweight adults. Cognitive Therapy and Research, 3, 315-326.

    Google Scholar 

  • Phelan, P. W. (1987). Cognitive correlates of bulimia: The Bulimic Thoughts Questionnaire. International Journal of Eating Disorders, 6, 593-607.

    Google Scholar 

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Spitzer, R., Devlin, M., Walsh, B. T., Hasin, D., Wing, R., Marcus, M., Stunkard, A., Wadden, T., Yanovski, S., Agras, S., Mitchell, J., & Nonas, C. (1992). Binge eating disorder: A multisite field trial of the diagnostic criteria. International Journal of Eating Disorders, 11, 192-203.

    Google Scholar 

  • Sunday, S. R., Halmi, K. A., Werdann, L., & Levey, C. (1992). Comparison of body size estimation and eating disorder inventory scores in anorexia and bulimia patients with obese, restrained and unrestrained controls. International Journal of Eating Disorders, 11, 133-149.

    Google Scholar 

  • Telch, C. F., & Agras, W. S. (1994). Obesity, binge eating and psychopathology: Are they related? International Journal of Eating Disorders, 15, 53-61.

    Google Scholar 

  • Vitousek, K., & Hollon, S. D. (1990). The investigation of schematic content and processing in eating disorders. Cognitive Therapy and Research, 14, 191-214

    Google Scholar 

  • Wilson, G. T., Nonas, C. A., & Rosenblum, G. D. (1993). Assessment of binge eating in obese patients. International Journal of Eating Disorders, 13, 25-33.

    Google Scholar 

  • Yanovski, S. Z., Nelson, J. E., Dubbert, B. K., & Spitzer, R. L. (1993). Association of binge eating disorder and psychiatric comorbidity in obese subjects. American Journal of Psychiatry, 150, 1472-1479.

    Google Scholar 

  • Young, J. (1990). Cognitive therapy for personality disorders: A schema focused approach. Sarasota, FL: Professional Resourches Exchange.

    Google Scholar 

  • Zwaan, M. de, Bach, M., Mitchell, J. E., Ackard, D., Specker, S. M., Pyle, R. L., & Pakesch, G. (1995). Alexithymia, obesity, and binge eating disorder. International Journal of Eating Disorders, 17, 135-140.

    Google Scholar 

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Nauta, H., Hospers, H.J., Jansen, A. et al. Cognitions in Obese Binge Eaters and Obese Non-Binge Eaters. Cognitive Therapy and Research 24, 521–531 (2000). https://doi.org/10.1023/A:1005510027890

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