Testing the efficacy of pure versus guided mirror exposure in women with bulimia nervosa: A combination of neuroendocrine and psychological indices

Díaz-Ferrer, Sandra; Rodríguez‐Ruiz, Sonia; Ortega-Roldán, Blanca; Moreno-Domínguez, Silvia; Fernández‐Santaella, M. Carmen

doi:10.1016/j.jbtep.2015.01.003

Cited by 21 publications

(19 citation statements)

References 23 publications

(32 reference statements)

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“…In line with the previous study, a recent study compared guided mirror exposure with pure mirror exposure in university women with BN through psychological indices recorded within and between sessions (Díaz‐Ferrer, Rodríguez‐Ruiz, Ortega‐Roldán, Moreno‐Domínguez, & Fernández‐Santaella, ). Over the course of the treatment, both exposure procedures reduced negative thoughts and increased positive thoughts.…”

Section: Introductionmentioning

confidence: 54%

“…In line with our hypothesis, both techniques decreased negative thoughts and increased positive thoughts and feelings of satisfaction throughout the sessions, as found in previous research (Díaz‐Ferrer et al ., ; Trentowska et al ., ; Vocks et al ., ). Self‐reported avoidance behaviours also improved considerably, although treatment was not explicitly directed towards avoidance behaviours, also replicating previous findings (Luethcke et al ., ; Vocks et al ., ).…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the pattern of subjective discomfort changes within sessions was different for each group, in line with findings in previous studies (Díaz‐Ferrer et al ., ; Moreno‐Domínguez et al ., ). In pure mirror exposure, the pattern is characterized by a linear decrease.…”

Section: Discussionmentioning

confidence: 99%

“…The primary aim of this study was to replicate the results of Díaz‐Ferrer et al . () concerning the effectiveness of pure mirror exposure compared with guided mirror exposure to reduce body dissatisfaction, thoughts and avoidance behaviours in six treatment sessions in female university students with high body dissatisfaction and subclinical ED symptoms. The secondary aim was to examine the physiological (heart rate and skin conductance) and emotional changes that occur in pure and guided mirror exposure sessions.…”

Section: Introductionmentioning

confidence: 99%

“…The secondary aim was to examine the physiological (heart rate and skin conductance) and emotional changes that occur in pure and guided mirror exposure sessions. Consistent with previous studies (Díaz‐Ferrer et al ., ; Moreno‐Domínguez et al ., ), we hypothesized that (i) both techniques will improve positive thoughts and body satisfaction and decrease negative thoughts and associated avoidance behaviours, (ii) the pattern of emotional and physiological changes observed within the sessions will differ between the two exposure techniques and (iii) the pure exposure technique will elicit greater body discomfort and greater heart rate and skin conductance responses within the sessions than the guided exposure technique.…”

Section: Introductionmentioning

confidence: 99%

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Psychophysiological Changes during Pure vs Guided Mirror Exposure Therapies in Women with High Body Dissatisfaction: What Are They Learning about Their Bodies?

Díaz-Ferrer

Rodríguez‐Ruiz

Ortega-Roldán

et al. 2017

Euro Eating Disorders Rev

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This study aimed to examine the psychophysiological changes resulting from two mirror exposure treatments that are effective at reducing body dissatisfaction. Thirty-five university women with body dissatisfaction and subclinical eating disorders were randomly assigned to one of two groups: pure (n = 17) or guided exposure (n = 18). The participants received six sessions of treatment. Their thoughts, feelings and avoidance behaviours were assessed after each session. Their subjective discomfort, heart rate and skin conductance were assessed within the sessions. Both groups showed improvement in cognitive-affective and avoidance behaviour symptoms. Nevertheless, the pure exposure group showed faster habituation of subjective discomfort and a greater physiological response than the guided exposure group. These findings suggest that both procedures are effective interventions for improving body image disturbances, although psychophysiological changes observed within session suggest that each technique would act through different processes. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

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Section: Introductionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Psychophysiological Changes during Pure vs Guided Mirror Exposure Therapies in Women with High Body Dissatisfaction: What Are They Learning about Their Bodies?

Díaz-Ferrer

Rodríguez‐Ruiz

Ortega-Roldán

et al. 2017

Euro Eating Disorders Rev

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What happens in the course of positive mirror exposure? Effects on eating pathology, body satisfaction, affect, and subjective physiological arousal in patients with anorexia and bulimia nervosa

Tanck

Hartmann

Svaldi

et al. 2022

Euro Eating Disorders Rev

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Objective Mirror exposure (ME) is a therapeutic technique to improve body image disturbance. However, evidence on the effectiveness of different forms of ME in clinical populations is lacking. The present study therefore analysed effects of ME on trait‐like and state measures of body image in patients with anorexia nervosa (AN) and bulimia nervosa (BN). Method The present study therefore analysed effects of ME on trait‐like and state measures of body image in patients with anorexia nervosa (AN) and bulimia nervosa (BN). In total, 47 inpatients underwent 3 ME sessions guided by a therapist, with instructions to exclusively verbalise positively about their whole body. Participants completed questionnaires on trait‐like eating pathology and body image at the start and end of the study, and instruments on state affect and body satisfaction were administered directly before and after each ME session. Subjective physiological arousal and emotional valence relating to each body part were assessed within each session. Results The results indicate significant improvements in eating pathology and body image regarding trait‐like measures in patients with AN and BN. Concerning state measures, negative affect significantly decreased and body satisfaction increased during ME. Physiological arousal decreased and positively valenced emotions relating to the various body parts increased. Conclusions These findings suggest that positively verbalising about one's body during ME improves eating pathology, body image, affect, and subjective physiological arousal, and thus seems to be an effective form of ME.

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Images of Thin and Plus-Size Models Produce Opposite Effects on Women’s Body Image, Body Dissatisfaction, and Anxiety

et al. 2018

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Testing the efficacy of pure versus guided mirror exposure in women with bulimia nervosa: A combination of neuroendocrine and psychological indices

Cited by 21 publications

References 23 publications

Psychophysiological Changes during Pure vs Guided Mirror Exposure Therapies in Women with High Body Dissatisfaction: What Are They Learning about Their Bodies?

Psychophysiological Changes during Pure vs Guided Mirror Exposure Therapies in Women with High Body Dissatisfaction: What Are They Learning about Their Bodies?

What happens in the course of positive mirror exposure? Effects on eating pathology, body satisfaction, affect, and subjective physiological arousal in patients with anorexia and bulimia nervosa

Images of Thin and Plus-Size Models Produce Opposite Effects on Women’s Body Image, Body Dissatisfaction, and Anxiety

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