Overvaluation of Shape and Weight in Obesity

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Overvaluation of form and weight (i.e., judging the self-worth solely or predominantly in phrases of his or her form, weight, and their management) is widespread to anorexia nervosa and bulimia nervosa sufferers, and it’s reported by greater than 50% of these with binge-eating dysfunction (BED).

Overvaluation of form and weight ought to be differentiated from body dissatisfaction. Indeed some research have proven that the previous is extra steady and carefully related to shallowness than the latter, which is malleable, fluctuates enormously in response to circumstances and environmental stimuli (e.g., temper adjustments, current food consumption), and is often reported in the final

Figure 1 reveals on the left the self-evaluation pie chart of a person with out the overvaluation of form and weight characterised by a predominant slice representing form and weight, and a couple of different slices. While on the precise is represented a pie chart of somebody with out the overvaluation of form and weight, which can embrace a larger quantity of slices and a smaller slice representing form and weight. The measurement of every slice of the ‘pie’ will signify the relative significance that the person offers to every area. 

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Figure 1. An instance of a pie chart of a person with the overvaluation of form and weight (on the left) and one with out the overvaluation of form and weight (on the precise).

Source: Riccardo Dalle Grave, MD

Although not a diagnostic criterion, overvaluation of form and weight has been proposed as a marker of comorbid psychopathology and a specifier of BED severity. This as a result of people with BED and overvaluation of form and weight report extra extreme eating–associated psychopathology and psychological impairment (e.g., depression, low shallowness, poor high quality of life) than these with BED and subclinical overvaluation of form and weight, in addition to an chubby comparability group. Some research have additionally reported that larger baseline overvaluation of form and weight predicts the poorest outcomes on the finish of therapy and at follow-up in sufferers with BED. 

It is well-known that BED is commonly related to weight problems, and 1.4% to 9% of sufferers in search of therapy for weight problems meet the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) standards for BED. These information indicated that overvaluation of form and weight is inevitably present in a subgroup of people in search of therapy for weight problems with BED, however no examine had beforehand tried to find out whether or not it is usually present in treatment-seeking sufferers with weight problems however with out BED or different eating issues. 

A examine not too long ago printed on Obesity aimed to evaluate the presence of the overvaluation of form and weight and its related options in 1,134 sufferers with weight problems however no eating dysfunction who have been in search of therapy from a specialist unit.

The Eating Disorder Examination interview was administered by professional clinicians to evaluate the eating dysfunction psychopathology and overvaluation of form and weight. Patients additionally accomplished the Symptom Check List-90-Revised and the 36-Item Short Form Health Survey to evaluate normal psychopathology and high quality of life, respectively.

About 20% of the sufferers with weight problems introduced with scientific overvaluation of form and weight, which was related to the feminine gender, larger anticipated weight loss, extra extreme eating-related psychopathology, larger normal psychopathology, and decrease psychological high quality of life. Moreover, feminine gender, eating concern and the psychological element of high quality of life have been independently correlated with overvaluation of form and weight in these sufferers.

The outcomes of the examine have two necessary scientific implications. First, given the affiliation with eating psychopathology, poorer psychological functioning, and psychological high quality of life, in addition to its potential destructive affect on therapy end result, overvaluation of form and weight ought to be routinely assessed for in sufferers in search of therapy for weight problems, particularly in females (see Table 1).

Table 1. Some questions derived by the Eating Disorder Examination Interview (EDE) to evaluate the presence of the overvaluation of form and weight

  • “Over the past 4 weeks, has your shape influenced how you feel about (judge/think/evaluate) yourself as a person?”
  • “Over the past 4 weeks, has your weight influenced how you feel about (judge/think/ evaluate) yourself as a person?” 

As these ideas are fairly advanced, one other query that will assist to know the 2 above query could also be:

  • “If you imagine the things which influence how you feel about (judge/think/evaluate) yourself, such as your performance at work, being a parent, your marriage, and how you get along with other people, and put these things in order of importance, where does your shape (or weight) fit in?”

Derived from Fairburn, C.G., Cooper, Z., O’Connor, M. (2008). Eating Disorder Examination (16.0D). In Fairburn CG. Cognitive Behavior Therapy and Eating Disorders. New York: Guilford Press.

Second, if the presence of scientific overvaluation of form and weight is detected, it ought to be addressed instantly, as it’s not related to body weight, and subsequently it’s unlikely to enhance by way of weight loss alone. This could be finished by integrating particular methods and procedures to deal with the overvaluation of form and weight derived by the cognitive conduct therapy of eating issues into weight-loss lifestyle-modification therapies for weight problems.

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