Escandón-Nagel Neli, Peró-Cebollero Maribel, Grau Antoni, Soriano José, Feixas Guillem
Departament of Psychology, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile.
Departament de Psicología Social i Psicología Quantitativa, Facultat de Psicología, Institut de Neurociències de la Universitat de Barcelona, Universitat de Barcelona Institute of Complex Systems, Universitat de Barcelona, Barcelona, Spain.
Front Psychol. 2024 Jun 24;15:1414455. doi: 10.3389/fpsyg.2024.1414455. eCollection 2024.
The overvaluation of weight and shape is a diagnostic criterion in eating disorders, except in binge eating disorder (BED), where it has received less attention. This aspect is also not usually analyzed in people with overweight or obesity without an eating disorder. This research aims to identify the indicators of symptomatology, as well as those of self-construction and cognitive structure, that are associated with overvaluation in obesity, either alone or in conjunction with BED.
A sample of 102 overweight or obese participants was accessed. The sample was divided into four groups: one without overvaluation or BED ( = 33); a second with overvaluation and without BED ( = 21); a third with BED, but without overvaluation ( = 15), and a fourth with BED and overvaluation ( = 33). The groups completed instruments regarding eating symptomatology, anxiety, depression, and stress. In addition, they were administered the Repertory Grid Technique, a semi-structured interview to evaluate the cognitive structure involved in the construal of the self and others.
The factors of overvaluation and the presence of BED independently explained eating symptomatology, and the latter also showed a tendency to influence anxiety, depression, and stress. In terms of cognitive structure, weight polarization was explained by overvaluation, while BED was associated with a high presence of cognitive conflicts. In self-construction, BED was the factor that explained the differences, particularly in Self-Ideal discrepancy.
The results highlight the importance of overvaluation in obesity, even in the absence of BED. Its evaluation and treatment are recommended. Furthermore, in the case of BED, it is also advisable to evaluate the overvaluation of weight and shape since it can be a severity specifier.
除了暴食症（BED）外，对体重和体型的过度重视是饮食失调的一个诊断标准，而在暴食症中这一点受到的关注较少。在没有饮食失调的超重或肥胖人群中，这一方面通常也未被分析。本研究旨在确定与肥胖中过度重视相关的症状指标，以及自我建构和认知结构指标，无论其单独存在还是与暴食症同时存在。
选取了102名超重或肥胖参与者作为样本。样本被分为四组：一组没有过度重视或暴食症（n = 33）；第二组有过度重视但没有暴食症（n = 21）；第三组有暴食症但没有过度重视（n = 15）；第四组有暴食症且有过度重视（n = 33）。这些组完成了关于饮食症状、焦虑、抑郁和压力的量表。此外，他们还接受了 repertory grid 技术，这是一种半结构化访谈，用于评估自我和他人建构中涉及的认知结构。
过度重视因素和暴食症的存在分别独立解释了饮食症状，后者也显示出影响焦虑、抑郁和压力的趋势。在认知结构方面，过度重视解释了体重两极分化，而暴食症与认知冲突的高发生率相关。在自我建构方面，暴食症是解释差异的因素，特别是在自我理想差异方面。
结果突出了过度重视在肥胖中的重要性，即使没有暴食症。建议对其进行评估和治疗。此外，对于暴食症，评估体重和体型的过度重视也是可取的，因为它可能是一个严重程度指标。
