Insight impairment in body image disorders: Delusionality and overvalued ideas in anorexia nervosa versus body dysmorphic disorder

Hartmann, Andrea S.; Thomas, Jennifer J.; Wilson, Anne E.; Wilhelm, Sabine

doi:10.1016/j.psychres.2013.08.010

Cited by 62 publications

(79 citation statements)

References 51 publications

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“…Interestingly, in contrast to previous findings [11][12][13], the correlation between delusionality and overall BDD symptom severity fell short of significance in the current sample (p = .09). Future research needs to explore what kind of factors (e.g., current treatment status) might have accounted for this inconsistency.…”

Section: Discussioncontrasting

confidence: 99%

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The German version of the Brown Assessment of Beliefs Scale (BABS): Development and evaluation of its psychometric properties

Buhlmann¹

2014

Comprehensive Psychiatry

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Section: Discussioncontrasting

confidence: 99%

“…Further, poor insight was significantly correlated with BDD symptom severity. These findings are consistent with a recent study by Hartmann et al [13] which found that delusionality is associated with BDD symptom severity in BDD as well as shape concerns and drive for thinness in anorexia nervosa.…”

supporting

confidence: 93%

The German version of the Brown Assessment of Beliefs Scale (BABS): Development and evaluation of its psychometric properties

Buhlmann¹

2014

Comprehensive Psychiatry

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“…Sin embargo, este fenómeno ha sido raramente estudiado en la AN. Hartmann et al evaluaron el componente delirante en las creencias relacionadas con la apariencia en AN y TDC, exhibiendo este último un nivel delirante significativamente mayor en una escala dimensional y más criterios dicotómicos para creencias delusionales 32 . Cabe resaltar que la psicofarmacología del TDC delirante es también controversial, como se detallará más adelante.…”

Section: Espectro Psicóticounclassified

Trastorno dismórfico corporal: aspectos clínicos, dimensiones nosológicas y controversias con la anorexia nerviosa

et al. 2016

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Body dysmorphic disorder: clinical aspects, nosological dimensions and controversies with anorexia nervosa There is strong evidence about the co-existence of body dysmorphic disorder (BDD) and eating disorders (ED), particularly with anorexia nervosa (ANL as distorsiones cognitivas respecto de la apariencia son centrales en el trastorno dismórfico corporal (TDC), cuyos portadores demuestran preocupación por defectos físicos imaginarios, leves o aún invisibles a los demás y en algunos casos próximos a una condición delirante, que se gestaría desde la idea sobrevalorada, con una alta ponderación de las creencias individuales, surgidas a partir de fuertes sentimientos en torno a defectos auto-percibidos que eclipsan la introspección cognitivo-racional. La entidad parece ser relativamente común en la población general y en contextos psiquiátricos, dermatológicos y de cirugía cosmética 1 . La relación entre el TDC y los trastornos de la conducta alimentaria (TCA) se expresa principalmente en la anorexia nerviosa (AN), mas su intercurrencia ha sido escasamente investigada y diagnosticada 2 , traduciéndose en una severa discapacidad psicosocial, con deficiente calidad de vida e incluso alto riesgo suicida 3 . La etiología precisa del TDC es desconocida, pero se plantea un considerable componente hereditario, pues el trastorno se presenta hasta ocho veces más frecuentemente en las familias con antecedentes de la patología. Se han verificado anormalidades en la función ejecutiva, el reconocimiento emocional y la auto-percepción visual, siendo la serotonina un modulador conductualmente relevante 4 .

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Section: Introductionmentioning

confidence: 99%

“…Both anorexia nervosa and bulimia nervosa are also found in the new DSM-5, although a new diagnosis of bingeeating disorder has been added to aid in diagnosis [10][11][12][13][14]. Patients with anorexia nervosa refuse to maintain a minimally normal body weight, have an intense fear of gaining weight or becoming fat, and have a disturbed view of their weight or body shape [13,15,16]. These patients may have an almost delusional view of their bodies, an inability to identify feelings and needs, and a sense of ineffectiveness often accompanied by perfectionism [17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Personality assessment inventory profiles of university students with eating disorders

MacGregor

Lamborn

2014

J Eat Disord

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Background: Eating disorders are complex disorders that involve medical and psychological symptoms. Understanding the psychological factors associated with different eating disorders is important for assessment, diagnosis, and treatment. Methods: This study sought to determine on which of the 22 Personality Assessment Inventory (PAI) scales patients with anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified (EDNOS) differed, and whether the PAI can be used to classify eating disorder subtypes. Because we were interested in both whether the PAI could be used to differentiate eating disorder subtypes from each other, as well as from other disorders, we also included a group of patients with major depression. Results: The three eating disorder groups did differ significantly from each other, and from the patients with depression, on a number of the PAI scales. Only two PAI scales (Anxiety and Depression), however, exceeded a T-score of 70 for the patients with anorexia nervosa, no scales exceeded a T-score of 70 for the patients with bulimia nervosa or EDNOS, and only two exceeded a T-score of 70 for the patients with depression (Depression and Suicide). A discriminant function analysis revealed an overall correct classification between the groups of 81.6%. Conclusions: The PAI helps to understand the psychological factors associated with eating disorders and can be used to assist with assessment. Continued investigation using the PAI in an eating disordered population is supported.

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Insight impairment in body image disorders: Delusionality and overvalued ideas in anorexia nervosa versus body dysmorphic disorder

Cited by 62 publications

References 51 publications

The German version of the Brown Assessment of Beliefs Scale (BABS): Development and evaluation of its psychometric properties

The German version of the Brown Assessment of Beliefs Scale (BABS): Development and evaluation of its psychometric properties

Trastorno dismórfico corporal: aspectos clínicos, dimensiones nosológicas y controversias con la anorexia nerviosa

Personality assessment inventory profiles of university students with eating disorders

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