Department of Psychology, Ruhr-University Bochum, Germany.
Eur Eat Disord Rev. 2011 Sep-Oct;19(5):375-81. doi: 10.1002/erv.1100. Epub 2011 Feb 22.
Binge eating disorder (BED) is characterized by frequent binge eating without compensatory behaviour and is thus often associated with obesity. Whereas for the eating disorders anorexia nervosa and bulimia nervosa, one of the main diagnostic features is a negative body image, the research criteria for BED do not include body image disturbance. Although several studies have been conducted on the occurrence of body image disturbance in BED, no review has yet summarized and integrated these findings. Therefore, the present paper reviews studies on the cognitive-affective, perceptual and behavioural components of body image. Many of the reviewed studies reveal that individuals with BED display a higher degree of weight and shape concerns than obese persons without BED. Concerning the perceptual component, no evidence exists to date that persons with and without BED differ in terms of the perception of their own body size. While many studies have examined the cognitive-affective body image component, research on the behavioural manifestations of body image disturbance is generally lacking. However, there is first evidence that persons with BED display an enhanced degree of body checking and avoidance. The results of this review indicate that body image disturbance seems to be a symptom of BED but which still requires further exploration.
暴食障碍（BED）的特征是频繁的暴食行为，而没有补偿性行为，因此通常与肥胖有关。尽管对于饮食障碍神经性厌食症和神经性贪食症，其主要诊断特征之一是负面的身体形象，但 BED 的研究标准不包括身体形象障碍。尽管已经有几项关于 BED 中身体形象障碍发生的研究，但尚无综述综合这些发现。因此，本文综述了身体形象的认知-情感、感知和行为成分的研究。许多已审查的研究表明，与没有 BED 的肥胖者相比，BED 患者表现出更高程度的体重和体型担忧。关于感知成分，目前尚无证据表明 BED 患者和非 BED 患者在对自身身体大小的感知方面存在差异。虽然许多研究都研究了认知-情感身体形象成分，但关于身体形象障碍的行为表现的研究通常缺乏。然而，有初步证据表明，BED 患者表现出更高程度的身体检查和回避。本综述的结果表明，身体形象障碍似乎是 BED 的症状之一，但仍需要进一步探索。
