Shame and binge eating pathology: A systematic review

O’Loghlen, Elyse; Grant, Sharon; Galligan, Roslyn

doi:10.1002/cpp.2615

Cited by 22 publications

(21 citation statements)

References 92 publications

(149 reference statements)

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“…Although sexual functioning, pleasure and satisfaction were low, sexual motivation was high among participants. The findings concerning participants’ negative self-perceptions toward sexuality are coherent with the documented association between binge eating, low self-esteem and overwhelming bodily shame [ 60 , 61 ]. Such perceptions may be rooted in past experiences of violence, which also contribute to the etiology of EDs.…”

Section: Discussionsupporting

confidence: 75%

Sexual self-concept, functioning, and practices of women with binge eating episodes

2023

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Purpose Positive sexuality has received little empirical attention in relation to eating disorders. Two tendencies related to sexuality have been identified among women with anorexia nervosa (avoidance) and bulimia nervosa (disinhibition), but it is unclear if they also apply to women with binge eating episodes without compensatory behaviors. This study aimed at (1) exploring the sexual self-concept, functioning, and practices of women with binge eating episodes with or without comorbid restrictive and/or compensatory behaviors, considering past experiences of violence, and (2) verifying the presence of distinct profiles of sexual dispositions among this population. Methods In total, 253 women reporting recurrent episodes of loss of control related to food intake in the past 5 years, completed a web-based questionnaire. Descriptive and correlational analyses were conducted to outline participants’ sexual self-concept, functioning, and practices and to examine the relationship between these factors. A two-step cluster analysis was also performed to determine whether participants presented distinct profiles of sexual dispositions. Results Participants were generally characterized by a negative sexual self-concept and poor sexual functioning. While a first subgroup of participants displayed a pattern of sexual difficulties and avoidance, a second subgroup had a positive sexual self-concept, better sexual functioning and a wider range of sexual practices. Subgroups did not differ relative to binge eating. Conclusions Sexuality offers a platform for positive embodiment, which can lead to the improvement of body image and mind–body connection and may thus constitute an essential clinical target to improve treatment related to binge eating episodes. Level of evidence: Level II: The experimental study is a non-randomized controlled trial.

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Section: Discussionsupporting

confidence: 75%

Sexual self-concept, functioning, and practices of women with binge eating episodes

2023

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“…As other eating disorders and as obesity, BED is associated with considerable stigma 54 and shame 124 .…”

Section: [H2] Screening Tools and Assessmentmentioning

confidence: 99%

Binge eating disorder

Giel¹,

Bulik

Fernández‐Aranda

et al. 2022

Nat Rev Dis Primers

101

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Primer articlesNature Reviews publishes timely, authoritative articles that are of broad interest and exceptional quality. Thank you for taking the time to help us to ensure that our articles meet these high standards.Primer articles in Nature Reviews provide an overview of a disease or disorder. Primers are intended to provide an authoritative, global perspective for the benefit of biomedical scientists, putting current clinical and translational challenges into context. These overview articles are meant to be introductory and cover all aspects from epidemiology to disease mechanisms, diagnosis and treatment.Please submit your report in narrative form and provide detailed justifications for all statements. Confidential comments to the editor are welcome, but it is helpful if the main points are stated in the comments for transmission to the authors.Please note that all Primer articles follow the same set organization of the main headings. Additionally, Nature Reviews articles will be thoroughly edited before publication and all figures will be redrawn by our in-house art editors. We therefore request that you concentrate on the scientific content of the article and display items, rather than the 'order' of the content or any minor errors in language or grammar that might be present in the draft version. Please consider and comment on the following points when reviewing this manuscript:• Is the article written for a broad audience, including biomedical scientists, translational researchers, medical students and clinicians?• Is the global perspective well represented?• Does the article present the current state of the art in the disease, without much emphasis on historical aspects?• Are the open research questions outlines and comprehensive?• Does the length of the article seem appropriate?• Are the ideas logically presented and discussed?• Does the article provide a balanced overview of the literature? Please bear in mind that it may not be possible to cover all aspects of a field within such a concise article.• Is the discussion fair and accurate? Although our authors are encouraged to be opinionated, they should not ignore alternative points of view. • Do the figures, boxes and tables provide clear and accurate information? Are there any additional or alternative display items that you think that the authors should include?• Are the references appropriate and up-to-date? Do they reflect the scope of the article?• Are you aware of any undeclared conflicts of interest that might affect the balance, or perceived balance, of the article?

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“…However, there also is evidence for prospective bi-directionality between depression and food insecurity (Huddleston-Casas, 2009). Given associations between shame and food insecurity (Swales et al, 2020) and shame and psychopathology (Blythin et al, 2020;Cândea & Szentagotai-T atar, 2018;Kim et al, 2011;O'Loghlen et al, 2022), shame may serve as a correlate of, or putative mechanism underlying, the relationship between food insecurity and psychopathology regardless of the direction. Future studies should address this possibility using prospective, longitudinal designs.…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, in both cross‐sectional and longitudinal studies of participants not selected for food insecurity, shame consistently emerges as the self‐conscious emotion most strongly associated with, and predictive of, psychopathology including depression (Kim et al, 2011), anxiety (Cândea & Szentagotai‐Tătar, 2018), and disordered eating (Blythin et al, 2020; O'Loghlen et al, 2022). Guilt, on the other hand, has inconsistent associations with psychopathology (Tangney et al, 2007) and is viewed as a potentially adaptive emotion that may motivate one toward positive, reparative behavior that is protective from psychological harm (Treeby et al, 2018; VanDerhei et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Comorbid eating, depressive, and anxiety psychopathology is associated with elevated shame in women with food insecurity

Davis

Kells

Todorov

et al. 2023

Intl J Eating Disorders

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Objective: To compare participants with current food insecurity and different psychopathology profiles on shame, guilt, anxiety, and depression using a cross-sectional design.Method: Women with current food insecurity (n = 99; 54% White) were placed into four groups based on their endorsement of symptoms of psychopathology: eating disorder with depression/anxiety comorbidity (ED-C group; n = 17), depression/ anxiety only (Depression/anxiety group; n = 34), eating disorder only (ED group; n = 12), and No-diagnosis group (n = 36). Groups were compared on self-report measures of shame, guilt, depression, and anxiety using analysis of covariance. Results:The presence of an eating disorder was associated with quadruple the risk of screening positive for comorbid depression and anxiety. The ED-C group reported elevated shame relative to the ED and No-diagnosis groups. The ED-C group reported the highest levels of anxiety, followed by the Depression/anxiety group, and the ED and No-diagnosis groups.Discussion: The presence of an eating disorder with comorbidity among women with food insecurity is associated with heightened shame. Given shame's status as a transdiagnostic predictor of psychopathology, it may serve as a putative mechanism underlying the relationship between food insecurity and eating disorder comorbidity.Public Significance Statement: Women with food insecurity and an ED were more likely to also screen positive for depression and/or anxiety than women with food insecurity and no ED. Overlap between ED, depression, and anxiety was associated with elevated shame, a harmful, maladaptive emotion with negative psychosocial consequences.

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Shame and binge eating pathology: A systematic review

Cited by 22 publications

References 92 publications

Sexual self-concept, functioning, and practices of women with binge eating episodes

Sexual self-concept, functioning, and practices of women with binge eating episodes

Binge eating disorder

Comorbid eating, depressive, and anxiety psychopathology is associated with elevated shame in women with food insecurity

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