The effects of a self-esteem manipulation on body dissatisfaction in binge eating disorder

Current cognitive-behavioral models on the etiology of eating disorders propose low self-esteem to be causally linked with body image disturbances. Thus, the aim of the present study was to experimentally test the influence of state self-esteem on actual body dissatisfaction in binge eating disorder (BED). Twenty-six women with BED were assigned to either a positive or negative implicit manipulation of self-esteem. Thereafter, participants' actual body dissatisfaction and emotions were measured prior to and after a one minute mirror exposure. Main results reveal that after the negative compared to the positive self-esteem manipulation body dissatisfaction was significantly lower both prior to and after the mirror exposure. By contrast, no effects of the self-esteem manipulation were found on emotional ratings. In line with predictions by current cognitive-behavioral models, the results yield some evidence of the deteriorating effects of low self-esteem on body dissatisfaction in BED.

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