Mechanisms of influence of body checking on binge eating

Antonios Dakanalis, Giuseppe Carrà, Alix Timko, Chiara Volpato, Joana Pla-Sanjuanelo, Assunta Zanetti, Massimo Clerici, Giuseppe Riva

Research output: Contribution to journalArticlepeer-review


Despite the theorized role of body checking behaviours in the maintenance process of binge eating, the mechanisms by which they may impact binge eating remain unclear. Using objectification model of eating pathology as a theoretical framework, the authors examined the potential intervening roles of body shame, appearance anxiety, and dietary restraint in the pathway between body checking and binge eating. Data collected from a large sample of treatment-seeking people with Bulimic-type Eating Disorders (N= 801) were analysed trough structural equation modelling. Results showed that, regardless of specific DSM-5 diagnostic categories, body checking behaviours were indirectly associated with binge eating and dietary restraint through body shame and appearance anxiety, whereas dietary restraint was directly linked to binge eating. The findings have clinical utility as they contribute to gaining insight into how critical scrutiny of one's body may act in several indirect ways to affect binge eating. We discuss practical implications of the findings.

Original languageEnglish
Pages (from-to)93-104
Number of pages12
JournalInternational Journal of Clinical and Health Psychology
Issue number2
Publication statusPublished - May 1 2015


  • Binge eating
  • Body image
  • Bulimic-type disorders
  • DSM-5
  • Ex post facto study

ASJC Scopus subject areas

  • Clinical Psychology


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