‘Impaired Autonomy and Performance’ predicts binge eating disorder among obese patients

  • Marianna Rania
  • Matteo Aloi
  • Mariarita Caroleo
  • Elvira Anna Carbone
  • Gilda Fazia
  • Giuseppina Calabrò
  • Renato de Filippis
  • Filippo Staltari
  • Cristina Segura-GarciaEmail author
Original Article



The present study examined the predictive value of early maladaptive schema (EMS) domains on the diagnosis of binge eating disorder (BED).


Seventy obese patients seeking treatment for weight loss were recruited and allocated to either group 1 (obese) or group 2 (BED-obese) according to clinical diagnosis. Both groups underwent psychometric assessment for EMS (according to the latest four-factor model), eating and general psychopathologies. Logistic regression analysis was performed on significant variables and BED diagnosis.


In addition to showing higher values on all clinical variables, BED-obese patients exhibited significantly higher scores for all four schema domains. Regression analysis revealed a 12-fold increase in risk of BED with ‘Impaired Autonomy and Performance’. Depression did not account for a higher risk.


Impaired Autonomy and Performance is associated with BED in a sample of obese patients. Schema therapy should be considered a potential psychotherapy strategy in the treatment of BED.

Level of evidence

Level III, case–control study.


BED Binge Obesity EMS Schema Schema therapy 



The authors wish to thank all partakers for the time they spent for this study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Approval from the Ethical Committee of University Hospital Mater Domini at Catanzaro was obtained before data were collected for the current study.

Informed consent

Patients gave their informed consent before any research procedure took place.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Marianna Rania
    • 1
    • 3
  • Matteo Aloi
    • 1
    • 3
  • Mariarita Caroleo
    • 1
    • 3
  • Elvira Anna Carbone
    • 1
    • 3
  • Gilda Fazia
    • 1
    • 3
  • Giuseppina Calabrò
    • 1
    • 3
  • Renato de Filippis
    • 1
    • 3
  • Filippo Staltari
    • 1
    • 3
  • Cristina Segura-Garcia
    • 2
    • 3
    Email author
  1. 1.Department of Health SciencesUniversity “Magna Graecia” of CatanzaroCatanzaroItaly
  2. 2.Department of Medical and Surgical SciencesUniversity “Magna Graecia” of CatanzaroCatanzaroItaly
  3. 3.Center for Clinical Research and Treatment of Eating DisordersAzienda Ospedaliera Universitaria Mater DominiCatanzaroItaly

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