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Independent assessments conducted at posttreatment and at 12\u2010month follow\u2010up included the Eating Disorder Examination interview, the Beck Depression Inventory, and weight measurements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 129 participants who attained abstinence from binge\u2010eating at posttreatment, 46 (36%) were categorized with clinical overvaluation and 83 (64%) with subclinical overvaluation; 115 (89%) were re\u2010assessed at 12\u2010month follow\u2010up. Participants with overvaluation at posttreatment were significantly more likely than those without to relapse at 12\u2010months to non\u2010abstinence from binge eating (54% vs. 28%) and to diagnosis\u2010level binge\u2010eating frequency of once weekly or greater (31% vs. 13%). Overvaluation at posttreatment predicted significantly higher eating\u2010disorder psychopathology and depression scores at 12\u2010month follow\u2010up but were unrelated to weight and weight changes. Treatment groups did not have main or interaction effects; posttreatment overvaluation effects were observed regardless of treatment and of covarying for posttreatment value of dependent variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings suggest that overvaluation of shape\/weight at the end of treatment predicts relapse and heightened eating\u2010disorder psychopathology and depression scores 1\u2009year later in patients who achieved abstinence from binge eating with behaviorally\u2010based treatments.<\/jats:p><jats:p>Overvaluation of shape\/weight has significant clinical implications and warrants consideration as a diagnostic specifier for BED as it provides important prospective prognostic information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Although effective treatments are available for binge\u2010eating disorder, relapse following successful treatments is not uncommon. Almost nothing is known about what predicts relapse following treatments for binge\u2010eating disorder. Our study found that overvaluation of shape\/weight (i.e., body image concerns that overly impact self\u2010worth) at posttreatment prospectively predicted relapse and higher eating\u2010disorder psychopathology and depression 1\u2009year later in patients who achieved binge\u2010eating abstinence with behaviorally based treatments.<\/jats:p><jats:p><jats:bold>Clinicaltrials.gov registration<\/jats:bold>: NCT00829283. (Treatment of obesity and binge eating: Behavioral weight loss vs. stepped care.)<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24141","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T09:24:44Z","timestamp":1707297884000},"page":"1268-1273","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Overvaluation of shape\/weight at posttreatment predicts relapse at 12\u2010month follow\u2010up after successful behaviorally\u2010based treatment of binge\u2010eating disorder"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0245-3444","authenticated-orcid":false,"given":"Carlos M.","family":"Grilo","sequence":"first","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8760-8040","authenticated-orcid":false,"given":"Valentina","family":"Ivezaj","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralitza","family":"Gueorguieva","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Yale School of Public Health  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,6]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Manual for revised beck depression inventory","author":"Beck A. 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