Clinical Correlates of Body-Size Distortion

1993 ◽  
Vol 76 (3_suppl) ◽  
pp. 1311-1319 ◽  
Author(s):  
Andrés J. Pumariega ◽  
Carl R. Gustavson ◽  
Joan C. Gustavson ◽  
Sandra A. Black ◽  
Andrew R. Gustavson ◽  
...  

Body-size distortion has been considered a central symptom of eating disorders. We studied 35 female eating-disordered patients and 85 controls using a computer-based body-size estimation technique. We have found almost identical linear relationships between body-size distortion and weight:height ratios in both groups. In the clinical group, distortion scores were not correlated with scores on the Eating Attitudes Test or Beck Depression Inventory but were negatively correlated with body dissatisfaction as measured on the Eating Disorder Inventory. These results raise further questions about the role of body-size distortion both as a diagnostic criterion and as a complicating phenomenon in eating disorders.

1996 ◽  
Vol 24 (3) ◽  
pp. 223-233 ◽  
Author(s):  
Pau Pérez Sales ◽  
Rosa Calvo Sagardoy ◽  
Teresa Ferrer Gila

Although body image problems are a major prognostic factor in the course of eating disorders, its treatment has received little attention in the research literature. We present two psychophysiologically controlled cases of intensive exposure treatment with conflicting outcomes. Pre-post treatment assessments included measurements of body size estimation, body related avoidant attitudes and body dissatisfaction. In case 1, although dissatisfaction and avoidant attitudes decreased, body size overestimation remained basically unchanged. Case 2 did not improve. Psychophysiological recordings showed a covert avoidance of treatment stimuli. We discuss the pros and the cons of the treatment, and the implications for the use of exposure therapy in body image disorders.


1997 ◽  
Vol 66 (2) ◽  
pp. 87-91 ◽  
Author(s):  
Michel Probst ◽  
Walter Vandereycken ◽  
Herman van Coppenolle

2009 ◽  
Vol 17 (6) ◽  
pp. 468-475 ◽  
Author(s):  
Nora Schneider ◽  
Katja Frieler ◽  
Ernst Pfeiffer ◽  
Ulrike Lehmkuhl ◽  
Harriet Salbach-Andrae

2012 ◽  
Vol 42 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Reena Amin ◽  
Clara Strauss ◽  
Glenn Waller

Background: Different body-related behaviours and cognitions (checking, avoidance, comparison, display) have been shown to be related to unhealthy eating attitudes in a non-clinical sample. Aims: This study tested whether the use of body-related behaviours is higher in eating-disordered women than in non-clinical women. It also examined whether the use of body-related behaviours is associated with psychological characteristics (particularly anxiety, depression and narcissistic characteristics), controlling for age and eating pathology. Method: Ninety-nine adult women with diagnosed eating disorders (mean age = 30.4 years, SD = 9.44; mean body mass index = 21.9, SD = 6.39) completed standardized measures of eating pathology, anxiety and depression, narcissistic characteristics, and body-related behaviours and cognitions. Results: The Body-Related Behaviours Scale (BRBS) had acceptable levels of internal consistency in this group, and its scales were only weakly to moderately correlated with each other. There were no differences between diagnostic groups, but the clinical group had higher scores that a previous non-clinical sample on three of the scales. The four body-related behaviours had different patterns of association with eating pathology, depression and narcissistic features. However, anxiety was not associated with BRBS scores. Conclusions: The findings support the importance of a wide range of body-related behaviours and cognitions in understanding the eating disorders. However, the lack of an association with anxiety is counter to the suggestion that the various behaviours measured by the BRBS reflect safety behaviours on the part of sufferers. Depression and narcissistic features might be more important in maintaining such behaviours.


1993 ◽  
Vol 162 (6) ◽  
pp. 837-840 ◽  
Author(s):  
Kate Hamilton ◽  
Glenn Waller

Anorexic end bulimic women overestimate their body sizes substantially more than comparison women, but little is known about the factors that influence this overestimation. This study examined the influence of media portrayal of idealised female bodies in women's fashion magazines. Comparison women were not affected by the nature of the photographs that they saw, but eating-disordered women were - they overestimated more when they had seen the pictures of women than when they saw photographs of neutral objects.


2012 ◽  
Vol 40 (4) ◽  
pp. 462-473 ◽  
Author(s):  
Glenn Waller ◽  
Tonya Shaw ◽  
Caroline Meyer ◽  
Michelle Haslam ◽  
Rachel Lawson ◽  
...  

Background: Perseveration, persistence and perfectionism are traits that have been suggested to be relevant to the eating disorders. This study explored the levels and correlates of these three traits in the eating disorders and control groups. Method: A measure of these three elements (the Persistence, Perseveration and Perfectionism Questionnaire - PPPQ-22) was administered to 99 women with eating disorders, 25 women with other psychiatric disorders, and 91 non-clinical women. Differences in PPPQ-22 scores across groups were measured, as were the associations between PPPQ-22 scores and eating attitudes. Results: The eating disordered groups showed lower levels of persistence (the drive towards goal achievement) than the non-clinical group, but did not show higher levels of perseveration (the following of rules, without considering whether goals are achieved). Both women with eating disorders and non-clinical controls showed correlations between eating disorder symptoms and perseveration. Conclusions: The current study, using a relatively new measure, suggests that low levels of persistence, rather than high levels of perseveration, may be implicated in the eating disorders. It was less clear that perfectionism per se was a useful construct in understanding eating pathology. If confirmed by future research, persistence should be considered in treatment of these complex and challenging conditions.


Body Image ◽  
2006 ◽  
Vol 3 (2) ◽  
pp. 163-171 ◽  
Author(s):  
Marita P. McCabe ◽  
Lina A. Ricciardelli ◽  
Geeta Sitaram ◽  
Katherine Mikhail

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