Body image distortion in Anorexia Nervosa – is there really a perceptual deficit?

Abstract Perceived and ideal body image were analysed in 36 inpatients with Anorexia Nervosa (AN) and 18 control patients (age 11–23 years). A computer-based image distortion technique allowed distortion of the whole body and of body parts. Subjects rated their own image. A body perception index (BPI) was calculated by dividing estimated dimension with real dimension. There was no general overestimation of body dimensions in AN patients in comparison to controls but AN patients more often under- or overestimated their body dimensions. Control patients showed a significant lower ideal BPI than AN patients, whose ideal body shape was similar to the observed body shape. Profile analyses of the body part estimation procedure revealed significant differences between groups in the ideal body shape at the body regions thigh, hip, waist and chest with control patients again showing a lower BPI.

[1]  Hilde Bruch,et al.  Perceptual and conceptual disturbances in anorexia nervosa. , 1962 .

[2]  M. L. Glucksman,et al.  The response of obese patients to weight reduction. 3. The perception of body size. , 1969, Psychosomatic medicine.

[3]  P. Slade,et al.  Awareness of body dimensions in anorexia nervosa: cross-sectional and longitudinal studies , 1973, Psychological Medicine.

[4]  A H Crisp,et al.  Aspects of the perceptual disorder in anorexia nervosa. , 1974, The British journal of medical psychology.

[5]  P. Slade,et al.  Experimental studies on the nature of the psychological disorder in anorexia nervosa , 1975, Psychoneuroendocrinology.

[6]  F. Askevold.  Measuring body image. Preliminary report on a new method. , 1975, Psychotherapy and psychosomatics.

[7]  P Allebeck,et al.  Body image--an apparatus for measuring disturbances in estimation of size and shape. , 1976, Journal of psychosomatic research.

[8]  H. Moldofsky,et al.  Body Image Disturbances in Anorexia Nervosa and Obesity , 1976, Psychosomatic medicine.

[9]  P. Slade,et al.  A reappraisal of body perception disturbance in anorexia nervosa , 1977, Psychological Medicine.

[10]  H. Moldofsky,et al.  Body Awareness in Anorexia Nervosa: Disturbances in “Body Image” and “Satiety” , 1978, Psychosomatic medicine.

[11]  M. Christie,et al.  Ego strength and body image in anorexia nervosa. , 1978, Journal of psychosomatic research.

[12]  H. Moldofsky,et al.  Perceptual Experiences in Anorexia Nervosa and Obesity* , 1978, Canadian Psychiatric Association journal.

[13]  M Strober,et al.  Body image disturbance in anorexia nervosa during the acute and recuperative phase , 1979, Psychological Medicine.

[14]  D. Garner,et al.  Body Image in Anorexia Nervosa: Measurement, Theory and Clinical Implications , 1982, International journal of psychiatry in medicine.

[15]  J. Polivy,et al.  Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. , 1983 .

[16]  R. Meermann.  Experimental investigation of disturbances in body image estimation in anorexia nervosa patients, and ballet and gymnastics pupils , 1983 .

[17]  A. Crisp,et al.  The reliability of estimates of body width and their relationship to current measured body size among anorexic and normal subjects , 1984, Psychological Medicine.

[18]  D. L. Norris.  The effects of mirror confrontation on self-estimation of body dimensions in anorexia nervosa, bulimia and two control groups , 1984, Psychological Medicine.

[19]  J. K. Collins,et al.  Body Shape Perception and its Disturbance in Anorexia Nervosa , 1984, British Journal of Psychiatry.

[20]  Eric Button.  Body size perception and response to in‐patient treatment in anorexia nervosa , 1986 .

[21]  M. Fichter,et al.  The Measurement of Body Image Disturbances in Anorexia Nervosa , 1986, British Journal of Psychiatry.

[22]  J. K. Collins.  Methodology for the objective measurement of body image , 1987 .

[23]  M. Taylor,et al.  The development and validation of the body shape questionnaire , 1987 .

[24]  T. Brown,et al.  Body Image in Anorexia Nervosa and Bulimia Nervosa , 1987, Behavior modification.

[25]  L. Penner,et al.  The psychometric properties of several measures of body image , 1987 .

[26]  J. K. Collins,et al.  Variability in body shape perception in anorexic, bulimic, obese, and control subjects , 1987 .

[27]  C. Freeman,et al.  Body Size Estimation in Anorexia Nervosa , 1988, British Journal of Psychiatry.

[28]  R. Gardner,et al.  Body image distortion in anorexics as a non-sensory phenomenon: a signal detection approach. , 1988, Journal of clinical psychology.

[29]  D. Williamson,et al.  Assessment of Eating Disorders: Obesity, Anorexia, and Bulimia Nervosa , 1989 .

[30]  P J Beumont,et al.  Distorting patient or distorting instrument? Body shape disturbance in patients with anorexia nervosa and bulimia. , 1989, The British journal of psychiatry : the journal of mental science.

[31]  Body-Image Distortion among Male and Female College and High School Students, and Eating-Disordered Patients , 1990, Perceptual and motor skills.

[32]  R. Horne,et al.  Disturbed body image in patients with eating disorders. , 1991, The American journal of psychiatry.

[33]  L. Hsu,et al.  Body image disturbance: Time to abandon the concept for eating disorders? , 1991 .

[34]  J. S. Mizes.  The body image detection device versus subjective measures of weight dissatisfaction: a validity comparison. , 1992, Addictive behaviors.

[35]  M. Probst,et al.  Body image assessment in anorexia nervosa patients and university students by means of video distortion: a reliability study. , 1992, Journal of psychosomatic research.

[36]  I. Florin,et al.  Effects Of Negative Mood Induction On The Body Image Of Restrained Eaters , 1992 .

[37]  K. Halmi,et al.  Comparison of body size estimation and eating disorder inventory scores in anorexia and bulimia patients with obese, and restrained and unrestrained controls , 1992 .

[38]  P J Cooper,et al.  An experimental study of the effect of mood on body size perception. , 1992, Behaviour research and therapy.

[39]  L. Hsu,et al.  Is weight phobia always necessary for a diagnosis of anorexia nervosa? , 1993, The American journal of psychiatry.

[40]  H. J. Grubb,et al.  Factors Related to Depression and Eating Disorders: Self-Esteem, Body Image, and Attractiveness , 1993, Psychological reports.

[41]  Beinflusst die Stimmung die Figurwahrnehmung , 1993 .

[42]  G. Waller,et al.  Media Influences on Body Size Estimation in Anorexia and Bulimia , 1993, British Journal of Psychiatry.

[43]  D. Williamson,et al.  Equivalence of body image disturbances in anorexia and bulimia nervosa. , 1993, Journal of abnormal psychology.

[44]  K. Shiraki,et al.  Abnormal perception of body weight is not solely observed in pubertal girls: incorrect body image in children and its relationship to body weight , 1993, Acta psychiatrica Scandinavica.

[45]  Clinical Correlates of Body-Size Distortion , 1993, Perceptual and motor skills.

[46]  R. Meermann,et al.  Body size estimation and body dissatisfaction in eating disorder patients and normal controls. , 1994, The International journal of eating disorders.

[47]  W. Vandereycken,et al.  Influence of Video Confrontation on the Self-Evaluation of Anorexia Nervosa Patients: A Controlled Study , 1994 .

[48]  P. Slade,et al.  Body-Image Perception in Pre- and Postadolescent Females , 1994, Perceptual and motor skills.

[49]  M. Probst,et al.  Body size estimation in eating disorder patients: testing the video distortion method on a life-size screen. , 1995, Behaviour research and therapy.

[50]  D. Williamson,et al.  Body image disturbance, memory bias, and body dysphoria: Effects of negative mood induction. , 1995 .

[51]  J. Rosen.  Body image assessment and treatment in controlled studies of eating disorders. , 1996, The International journal of eating disorders.

[52]  S. Lautenbacher,et al.  Perception of Body Size and Body Satisfaction in Recovered Anorexic Women: Comparison with Restrained and Unrestrained Eaters , 1997, Perceptual and motor skills.

[53]  H. Remschmidt,et al.  The Computer Body Image Test: a procedure for the assessment of body image perception , 1999 .