Abstract:
:A distorted representation of one's own body is a diagnostic criterion and core psychopathology of both anorexia nervosa (AN) and bulimia nervosa (BN). Despite recent technical advances in research, it is still unknown whether this body image disturbance is characterized by body dissatisfaction and a low ideal weight and/or includes a distorted perception or processing of body size. In this article, we provide an update and meta-analysis of 42 articles summarizing measures and results for body size estimation (BSE) from 926 individuals with AN, 536 individuals with BN and 1920 controls. We replicate findings that individuals with AN and BN overestimate their body size as compared to controls (ES=0.63). Our meta-regression shows that metric methods (BSE by direct or indirect spatial measures) yield larger effect sizes than depictive methods (BSE by evaluating distorted pictures), and that effect sizes are larger for patients with BN than for patients with AN. To interpret these results, we suggest a revised theoretical framework for BSE that accounts for differences between depictive and metric BSE methods regarding the underlying body representations (conceptual vs. perceptual, implicit vs. explicit). We also discuss clinical implications and argue for the importance of multimethod approaches to investigate body image disturbance.
journal_name
Clin Psychol Revjournal_title
Clinical psychology reviewauthors
Mölbert SC,Klein L,Thaler A,Mohler BJ,Brozzo C,Martus P,Karnath HO,Zipfel S,Giel KEdoi
10.1016/j.cpr.2017.08.005subject
Has Abstractpub_date
2017-11-01 00:00:00pages
21-31eissn
0272-7358issn
1873-7811pii
S0272-7358(16)30482-2journal_volume
57pub_type
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