Exploring the mind's eye: Contents and characteristics of mental images in overweight individuals with binge eating behaviour

Dugué, Rebecca; Keller, Stefan; Tuschen‐Caffier, Brunna; Jacob, Gitta

doi:10.1016/j.psychres.2016.10.028

Cited by 13 publications

(19 citation statements)

References 51 publications

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“…The current study sought to explore characteristics and content of intrusive images of individuals with different subtypes of EDs, compared with a dieting and nondieting control group. In line with our first hypothesis, intrusive images in ED versus nonclinical participants were more repetitive, vivid, negative, and anxiety provoking and were richer in sensory modalities (in line with e.g., Dugué et al, ; Osman et al, ; Pratt, Cooper, & Hackmann, ). Second, as expected, the intrusive image characteristics of patients with different subtypes of EDs were similar but unexpectedly differed in vantage perspective.…”

Section: Discussionsupporting

confidence: 85%

“…ED patients' images of their body were more distorted, included more social evaluation themes, and more bodily sensations. Dugué et al () reported similar content in intrusive images in individuals with binge eating, the most frequent being images related to body shape, food, negative self, and social rejection. Contrary to their findings, in our study, images of food were not widely reported.…”

Section: Discussionmentioning

confidence: 95%

“…The authors further reported that even though the modality of the image was most often visual, images could also contain cutaneous (e.g., tight clothes) and organic (e.g., sense of heaviness) sensations. More recently, Dugué, Keller, Tuschen‐Caffier, and Jacob () reported that overweight individuals with binge eating behaviours experienced more intrusive images prior to binge eating episodes than a healthy group and a mixed clinical non‐ED patient group and that these images were more distressing, distracting, more difficult to control, and followed by a higher desire to eat in binge eating disorder (BED; Dugué et al, ). Finally, Hinrichsen, Morrison, Waller, and Schmidt () showed that patients with BN experience recurrent intrusive images related to adverse life events before self‐induced vomiting (Hinrichsen et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…In the present study, we examined the characteristics and content of intrusive images in patients with different subtypes of EDs, and in dieting and nondieting controls. First, we hypothesized that ED patients would report intrusive images that are more repetitive, vivid, have a more negative valence, are more distressing, and are higher in number of sensory modalities than both control groups (Dugué et al, ; Somerville et al, ). Second, within the ED group, we did not expect to find significant differences among ED subtypes in characteristics of intrusive images (i.e., repetitiveness, number of modalities, vividness, valence, anxiety inducing, and vantage perspective), based on the transdiagnostic model (Fairburn, ).…”

Section: Introductionmentioning

confidence: 99%

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Characteristics and content of intrusive images in patients with eating disorders

Kadriu

Claes

Witteman

et al. 2019

Euro Eating Disorders Rev

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The aim of this study was to examine the characteristics and content of intrusive images in patients with different subtypes of eating disorders (EDs). Data were collected from 74 ED patients, 22 dieting, and 29 nondieting controls. Participants completed a set of self‐report questionnaires. Intrusive images of ED patients were significantly more repetitive, detailed, vivid, and distressing than intrusive images of dieting and/or nondieting controls. Most of the intrusive images were the same for the ED subtypes; however, patients with anorexia nervosa were more likely to report an observer vantage perspective than patients with bulimia nervosa, who were more likely to report a field vantage perspective. As expected, intrusive images' content was related to body checking (weight and shape) or negative self (evaluated by themselves or others). Finally, there were significant associations between intrusive images' vividness and weight and shape concerns. These findings indicate that intrusive images may be a core element of EDs and targeting intrusive images in therapy may be helpful.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics and content of intrusive images in patients with eating disorders

Kadriu

Claes

Witteman

et al. 2019

Euro Eating Disorders Rev

View full text Add to dashboard Cite

show abstract

“…A few studies have highlighted the importance of mental imagery related to interpersonal problems in eating disorders. Mental images of social rejection are highly prevalent among individuals with BN or BED (Dugué, Keller, Tuschen‐Caffier, & Jacob, ; Hinrichsen, Morrison, Waller, & Schmidt, ).…”

Section: Introductionmentioning

confidence: 99%

Imagery rescripting in individuals with binge‐eating behavior: An experimental proof‐of‐concept study

Dugué

Renner

Austermann

et al. 2018

Intl J Eating Disorders

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Objective: Mental imagery is more strongly related to emotions than verbal cognitions. Binge eating is associated with dysfunctional emotional regulation. However, cognitive therapy techniques have focused on verbal cognitions. This proof-of-concept study compares a traditional cognitive therapy technique, cognitive restructuring (CR), with imagery rescripting (IR) in individuals with binge-eating disorder or bulimia nervosa.Method: Thirty-six participants were asked to recall an idiosyncratic mental image of social rejection. They were then randomly assigned to a single session of CR or IR. Ratings of positive and negative emotions, and impact on rational and emotional core beliefs were administered prior to and after imagery recall, after the experimental intervention, and 1 week later. Eating disorder psychopathology was measured before and 1 week after the experimental intervention.Results: Repeated measures ANOVAs revealed that after the experimental intervention, negative emotions and core beliefs had significantly decreased in CR and IR. Both groups also showed an increase in positive emotions that lasted until 1-week follow-up.Discussion: This study suggests that CR and IR as an experimental intervention have comparable impact on distress and rational and emotional core beliefs. The feasibility of IR has been demonstrated. The effect of imagery recall on CR needs further investigation. K E Y W O R D Sbinge eating, bulimia nervosa, cognitive restructuring, imagery rescripting, mental imagery

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Intrusive images, autobiographical memories, and core beliefs of patients with an eating disorder

Kadriu

Claes

Witteman

et al. 2022

Applied Cognitive Psychology

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This study aimed to assess the characteristics and content of intrusive images in patients with eating disorders, and test the relations between intrusive images, core beliefs and autobiographical memories. As an exploratory aim, patients with anorexia nervosa, bulimia nervosa and binge eating disorders were compared on the level of dissociation associated with intrusive images. Self-report questionnaire data were collected from 85 patients with an eating disorder. Most participants (91.7%) experienced intrusive images related to body weight and shape and self-worth, and results confirms that these images were highly distressing and vivid. We found that intrusive images were linked to autobiographical memories, and that negative and distressing intrusive images were positively associated with negative core beliefs. Eating disorder subtypes did not differ on the level of dissociation associated with intrusive images. Our findings point to the potential importance of targeting intrusive images or autobiographical memories in the treatment of eating disorders.

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Exploring the mind's eye: Contents and characteristics of mental images in overweight individuals with binge eating behaviour

Cited by 13 publications

References 51 publications

Characteristics and content of intrusive images in patients with eating disorders

Characteristics and content of intrusive images in patients with eating disorders

Imagery rescripting in individuals with binge‐eating behavior: An experimental proof‐of‐concept study

Intrusive images, autobiographical memories, and core beliefs of patients with an eating disorder

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