Evidence map›Paper›PMID 32304257›Full record

ArticleThe International journal of eating disorders2020

Not all body image constructs are created equal: Predicting eating disorder outcomes from preoccupation, dissatisfaction, and overvaluation.

Autumn J Askew, Carol B Peterson, Scott J Crow, James E Mitchell, Katherine A Halmi, W Stewart Agras, Ann F Haynos

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The International journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Bulimia nervosa.Nature reviews. Disease primers · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Autumn J AskewDepartment of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota, USA.ORCID 0000-0002-7183-3160
Carol B PetersonDepartment of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota, USA.ORCID 0000-0001-9152-4552
Scott J CrowDepartment of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota, USA.ORCID 0000-0002-1827-5075
James E MitchellDepartment of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota, USA.ORCID 0000-0001-5434-6021
Katherine A HalmiNew York Presbyterian Hospital-Westchester Division, Weill Medical College of Cornell University, White Plains, New York, USA.
W Stewart AgrasDepartment of Psychiatry, Stanford University School of Medicine, Stanford, California, USA.
Ann F HaynosDepartment of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota, USA.ORCID 0000-0002-2548-1731
University of Minnesota · USUniversity of Minnesota Medical Center · USNewYork–Presbyterian Hospital · USStanford University · USUniversity of North Dakota · US

Funding

Regional Postdoctoral Training Grant in Eating Disorders ResearchT32MH082761 · NIMH · UNIVERSITY OF MINNESOTA · PI CAROL B. PETERSON · 2009 to 2026
$6.2M
Neural Correlates of Reward and Symptom Expression in Anorexia NervosaK23MH112867 · NIMH · UNIVERSITY OF MINNESOTA · PI HAYNOS, ANN FRANCES · 2017 to 2021
$878k
NIMH NIH HHS K23 MH112867NIMH NIH HHS K23MH112867NIMH NIH HHS T32 MH082761NIMH NIH HHS T32MH082761
6 · The paper itself

Abstract

objectiveDiverse terminology has been used to operationalize body image disturbance in eating disorders. However, the differential validity of these terms and their underlying constructs to predict outcomes among heterogeneous eating disorders is unknown. This study evaluated the validity of body image constructs to predict eating disorder and negative psychological symptoms concurrently and prospectively over 2 years in a transdiagnostic clinical sample.

methodsWomen with heterogeneous eating disorder diagnoses (n = 448) completed assessments at baseline, 12-month, and 24-month follow-up. Cross-sectional and cross-lagged generalized linear models examined effects of three body image constructs (i.e., weight and shape preoccupation, overvaluation, and dissatisfaction) on concurrent and subsequent outcomes (i.e., global eating disorder symptoms, binge eating, purging, fasting, self-esteem, and depression).

resultsIn concurrent analyses, preoccupation was significantly associated with all outcomes (ps = .01 to <.001), overvaluation with all outcomes (ps = .01 to <.001) except binge eating (p = .06), and dissatisfaction with all outcomes (ps < .001) except purging (p = .38). In prospective analyses, preoccupation predicted Eating Disorder Examination global (p = .003) and fasting (p < .001), overvaluation predicted binge eating (p = .01), and body dissatisfaction did not predict any outcomes. DISCUSSION: Preoccupation, overvaluation, and dissatisfaction are differentially related to eating disorder and psychiatric outcomes, indicating that no one body image construct can capture clinical risk in eating disorders. Preoccupation was the most consistent concurrent and longitudinal predictor; this construct may warrant further attention in assessment and diagnosis. Further investigation of these constructs in diverse samples is encouraged.

Indexed as

AdolescentAdultBinge-Eating DisorderBody ImageCross-Sectional StudiesEmotionsFemaleHumansMiddle AgedProspective StudiesSelf ConceptYoung Adultanorexia nervosabinge-eating disorderbody imagebulimia nervosafeeding and eating disorders

Identifiers

PMID32304257
PMCPMC9382219
OpenAlexW3016744962

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.