{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:04:41Z","timestamp":1767675881920},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2008,6,4]],"date-time":"2008-06-04T00:00:00Z","timestamp":1212537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective:<\/jats:title><jats:p>To investigate obese people with\/without binge\u2010eating Disorder (BED) in terms of shared psychopathological features pertaining to spectrum of eating disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p>One\u2010hundred obese adult patients with a BMI &gt; 30 kg\/m<jats:sup>2<\/jats:sup> referred to an Eating Disorder Unit and\/or hospital weight\u2010loss programs were administered the BED Clinical Interview, the Eating Disorder Inventory, and the Structured Clinical Interview for Anorexic\u2010Bulimic Spectrum, Self\u2010Report.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Twenty\u2010seven subjects satisfied DSM\u2010IV research criteria for current BED; compared to nonbingeing obese subjects, BED ones were characterized by greater weight\u2010shape concerns influencing self\u2010esteem (<jats:italic>p<\/jats:italic> = .05), overall impairment due to the overweight condition (<jats:italic>p<\/jats:italic> &lt; .005), psychological distress leading to professional help (<jats:italic>p<\/jats:italic> &lt; .001), dichotomous reasoning (<jats:italic>p<\/jats:italic> = .01) and secondary social phobia due to the overweight condition (<jats:italic>p<\/jats:italic> &lt; .005). Compared to the other group, BED obese subjects scored higher at the following EDI subscales: bulimia (<jats:italic>p<\/jats:italic> &lt; .0001), ineffectiveness (<jats:italic>p<\/jats:italic> &lt; .01), interoceptive awareness and social insecurity (<jats:italic>p<\/jats:italic> &lt; .05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>The results of this study highlight the role of cognitive mechanisms such as dichotomous reasoning and weight\u2010shape concerns unduly influencing self\u2010esteem as a hallmark of BED in obese patients, and the importance of investigating eating disorder psychopathology by adopting a dimensional perspective, rather than strictly focusing on categories when dealing with obese patients. \u00a9 2008 by Wiley Periodicals, Inc. 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