Body image treatment within an inpatient program for anorexia nervosa: The role of mirror exposure in the desensitization process

Key, Adrienne; George, Catherine Louise; Beattie, Desley; Stammers, Kate; Lacey, Hubert; Waller, Glenn

doi:10.1002/eat.10027

Cited by 167 publications

(82 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In cognitive-behavioral treatment for eating disorders, body exposure techniques are applied, leading patients to focus systematically on each body part to correct their distorted view of themselves. 34,[53][54][55] Taking the results of the present study into account, it could be promising not only to restrict these exposure techniques to the static component of body image, but also to confront patients with their own motion patterns. Providing the patients with video feedback concerning their real motion patterns might correct their distorted view of themselves and thus contribute to the establishment of a positive body image.…”

Section: Resultsmentioning

confidence: 98%

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

Vocks

Legenbauer

Rüddel

et al. 2006

Intl J Eating Disorders

View full text Add to dashboard Cite

Objective: The aim of the present study was to find out whether in bulimia nervosa the perceptual component of a disturbed body image is restricted to the overestimation of one's own body dimensions (static body image) or can be extended to a misperception of one's own motion patterns (dynamic body image).Method: Participants with bulimia nervosa (n ¼ 30) and normal controls (n ¼ 55) estimated their body dimensions by means of a photo distortion technique and their walking patterns using a biological motion distortion device.Results: Not only did participants with bulimia nervosa overestimate their own body dimensions, but also they perceived their own motion patterns corresponding to a higher BMI than did controls. Static body image was correlated with shape/ weight concerns and drive for thinness, whereas dynamic body image was associated with social insecurity and body image avoidance. Conclusion:In bulimia nervosa, body image disturbances can be extended to a dynamic component.

show abstract

Section: Resultsmentioning

confidence: 98%

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

Vocks

Legenbauer

Rüddel

et al. 2006

Intl J Eating Disorders

View full text Add to dashboard Cite

show abstract

“…It is essential that the selection criteria for admission and the main treatment program remain the same (''treatment as usual''). Examples of this research strategy are the comparison of ''strict'' versus ''lenient'' contingency management (Touyz, 1998), behavioral contracts with varying degrees of minimum weight gain required (Solanto et al, 1994), day hospital programs of different lengths (Olmsted, McFarlane, Molleken, & Kaplan, 2001), body image treatment with or without confrontational procedures (Fernández & Vandereycken, 1994;Key et al, 2002), family therapy versus family group psychoeducation (Greist, Heinmaa, Stephens, Davis, & Katzman, 2000;Vanderlinden & Vandereycken, 1987), and cognitive-behavior group therapy versus a psychoeducation group (Wiseman, Sunday, Klapper, Klein, & Halmi, 2002).…”

Section: Discussionmentioning

confidence: 98%

The place of inpatient care in the treatment of anorexia nervosa: Questions to be answered

Vandereycken

2003

Intl J Eating Disorders

View full text Add to dashboard Cite

show abstract

“…Previous studies in eating‐disordered and non‐eating‐disordered women have suggested that being exposed to their own body in a mirror (mirror exposure therapy) can help desensitize a patient to their body appearance (Delinsky & Wilson, 2006; Key et al ., 2002; Vocks, Wachter, Wucherer, & Kosfelder, 2008). However, this does not directly tackle the issue of body size overestimation.…”

Section: Introductionmentioning

confidence: 99%

An interactive training programme to treat body image disturbance

Gledhill

Cornelissen

et al. 2016

British J Health Psychol

View full text Add to dashboard Cite

ObjectivesAnorexia nervosa (AN) is a life‐threatening mental health condition. A core feature is a disturbance of body image, such that sufferers see themselves as fatter than they actually are.DesignWe tested the effectiveness of a novel training programme to recalibrate our participants’ perception of body size.MethodsIn a novel adaptation of a cognitive bias training programme, participants judged the body size of a series of female bodies and were given feedback to improve their accuracy over four daily training sessions. In Study 1, we recruited young women with high concerns about their body size for a randomized controlled study. In Study 2, we then applied the training programme to a case series of women with atypical AN.ResultsIn Study 1, the training programme significantly improved the body size judgements of women with high body concerns compared to controls. We also found evidence of improved body image and reduced eating concerns in this group. In Study 2, the programme again recalibrated the body size judgements of women with atypical AN. We also saw evidence of a clinically meaningful reduction in their body size and eating‐disordered concerns.ConclusionsThis training has the potential to be a valuable treatment used together with more traditional talking therapies. Statement of contribution What is already known on this subject? A core feature of anorexia nervosa (AN) is an overestimation of body size; sufferers believe themselves to be larger than they are in reality. This study shows that an individual's perceptual boundary between what they classify as a fat versus a thin body is not immutable; it can be changed through a cognitive bias training programme. What does this study add? This means that body size overestimation may now be treatable.Critically, as well as improving the accuracy of body size judgements, we also found a clinically significant improvement in participants’ eating‐disordered concerns.This demonstrates that a targeted behavioural training regime can change body perception, and the central role that body overestimation has in eating‐disordered beliefs.

show abstract

Body image treatment within an inpatient program for anorexia nervosa: The role of mirror exposure in the desensitization process

Cited by 167 publications

References 10 publications

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

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

The place of inpatient care in the treatment of anorexia nervosa: Questions to be answered

An interactive training programme to treat body image disturbance

Contact Info

Product

Resources

About