Static and dynamic body image in bulimia nervosa: Mental representation of body dimensions and biological motion patterns

Vocks, Silja; Legenbauer, Tanja; Rüddel, Heinz; Troje, Nikolaus F.

doi:10.1002/eat.20336

Cited by 65 publications

(63 citation statements)

References 47 publications

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“…The present data also shows that by improving body image, the cognitions relating to the disturbed eating behaviour are also reduced, even though the frequency of binge eating behaviour and the degree of restraint eating style were not reduced by a statistically significant level. This indicates that body image therapy alone cannot improve the disturbed eating pattern, but it may be a worthy complementation to standardised eating disorder treatment programmes (see also Vocks et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Body image as a theoretical construct, is thought to be multidimensional consisting of perceptual, cognitive, affective and behavioural components (Thompson, 2004). Dysfunction in one or more component can lead to specific effects such as: Overestimation of one's own body dimensions, (Cash and Deagle, 1997;Farrell, Lee, & Shafran, 2005;Vocks, Legenbauer, Rüddel, & Troje, 2007), negative feelings and thoughts towards the body (Cooper & Fairburn, 1992;Tuschen-Caffier, Vögele, Bracht, & Hilbert, 2003;Vocks, Wächter, Wucherer, & Kosfelder, 2008), as well as body avoidance and checking behaviour (Reas, Whisenhunt, Netemeyer, & Williamson, 2002;Rosen, Srebnik, Saltzberg, & Wendt, 1991;Shafran, Fairburn, Robinson, & Lask, 2004). Consequently, in the therapy of eating disorders, specific interventions for the improvement of body image are of interest (Fernandez, Turó n, Siegfried, Meermann & Vallejo, 1995;Vandereycken, Depreitere & Probst, 1987).…”

Section: Introductionmentioning

confidence: 99%

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Predictors of improved eating behaviour following body image therapy: A pilot study

Legenbauer

Schütt-Strömel

Hiller

et al. 2011

Euro Eating Disorders Rev

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Cognitive processes seem to play a vital role in eating disorders and body image. The current study, therefore, examines the impact and change of dysfunctional cognitions during a body image group therapy, which included 41 patients with an eating disorder. Dysfunctional cognitions were assessed with the 'Eating Disorder Cognition Questionnaire' both before and after treatment. Eating disorder psychopathology was also assessed. Results indicate a significant reduction of dysfunctional cognitions relating to 'body and self-esteem', 'dietary restraint', 'eating and loss of control', as well as 'internalisation and social comparison'. Furthermore, the changes in dysfunctional cognitions were associated with a reduction in eating disorder psychopathology. Body image therapy is a worthy complementation to standardised eating disorder treatment programmes as it reduces negative eating related thoughts and changes attitudes towards the body.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predictors of improved eating behaviour following body image therapy: A pilot study

Legenbauer

Schütt-Strömel

Hiller

et al. 2011

Euro Eating Disorders Rev

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“…Previous research has demonstrated that women with AN and BN seem to overestimate their own body dimensions to a similar degree, whereas healthy women show a tendency to underestimate them. 5,6 The cognitiveaffective component of a disturbed body image comprises negative body-related attitudes and emotions. Although in Western cultures, discontent with one's shape and weight seems to be widespread in the general female population, 7 women with eating disorders exceed healthy women in terms of body dissatisfaction.…”

Section: Introductionmentioning

confidence: 99%

Neural correlates of viewing photographs of one’s own body and another woman’s body in anorexia and bulimia nervosa: an fMRI study

Vocks

Busch²,

Grönemeyer³

et al. 2010

jpn

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153

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Background:In spite of many similarities in the psychopathology of anorexia nervosa (AN) and bulimia nervosa (BN), the 2 groups seem to differ in terms of body image disturbances. Therefore, the aim of the present study was to compare neuronal correlates of viewing photographs of one's own body and another woman's body in patients with these forms of eating disorders as well as controls. Methods: We performed functional magnetic resonance imaging while women with AN (n = 13), BN (n = 15) and healthy controls (n = 27) viewed 16 standardized pictures of their own body and another woman's body, taken while the participants were wearing a bikini. Results: When viewing their own body, participants with AN and BN showed reduced activity in the inferior parietal lobule compared with healthy women. In response to looking at another woman's body, participants with AN had higher amygdala activity than did those in the BN and control groups. Limitations: The generalizability of the results is limited by the small sample size. Conclusion: Our data suggest decreased attentional processes in AN and BN toward one's own body, possibly reflecting body-related avoidance behaviour. Enhanced limbic activity elicited by looking at another woman's body in participants with AN might be a neural correlate of stronger emotional activation and enhanced vigilance, possibly resulting from social comparison processes. Our study reveals hints about body image-associated alterations in brain activity, which seem to be more pronounced among women with AN than among those with BN.

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“…The perceptive component primarily involves the mental representation of one's own body. Healthy women, for example, tend to underestimate the size of their body [7] whereas patients with eating disorders often overestimate its dimensions [8,9]. …”

Section: Introductionmentioning

confidence: 99%

Body Image in Patients with Posttraumatic Stress Disorder after Childhood Sexual Abuse and Co-Occurring Eating Disorder

Dyer¹,

Borgmann²,

Kleindienst³

et al. 2012

Psychopathology

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Background: Body image is a multidimensional construct with cognitive-affective, behavioral and perceptive components. Survivors of childhood sexual abuse report a disturbance of the cognitive-affective component of their body image but not of the perceptive component. It has not yet been examined whether and how the behavioral component is affected. Also, it is still unknown whether the disturbances might be due to the influence of co-occurring eating disorders. Sampling and Methods: The cognitive-affective and behavioral components of the body image of 84 female participants with posttraumatic stress disorder (PTSD) after childhood sexual abuse (31 with a co-occurring eating disorder) and 53 healthy participants were assessed via the Dresden Body Image Inventory (Dresdner Körperbildfragebogen-35, DKB-35) and the Body Image Avoidance Questionnaire (BIAQ). Results: PTSD patients reported significantly higher negative scores on all DKB-35 subscales (p < 0.001) and the BIAQ (p = 0.002; p < 0.001). Results remained consistent after accounting for the influence of co-occurring eating disorders (p = 0.021; p = 0.001; p < 0.001). Conclusions: Results show for the first time that the behavioral component of the body image is impaired in female patients with PTSD in addition to the cognitive-affective component. This is not solely due to a comorbid eating disorder. The effect of established treatments on the body image of PTSD patients should be evaluated and new treatment modules should be developed and tested, if necessary.

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Static and dynamic body image in bulimia nervosa: Mental representation of body dimensions and biological motion patterns

Cited by 65 publications

References 47 publications

Predictors of improved eating behaviour following body image therapy: A pilot study

Predictors of improved eating behaviour following body image therapy: A pilot study

Neural correlates of viewing photographs of one’s own body and another woman’s body in anorexia and bulimia nervosa: an fMRI study

Body Image in Patients with Posttraumatic Stress Disorder after Childhood Sexual Abuse and Co-Occurring Eating Disorder

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