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Distorting Patient or Distorting Instrument?

Body Shape Disturbance in Patients with Anorexia Nervosa and Bulimia

Published online by Cambridge University Press:  02 January 2018

P. K. Bowden ,
S. W. Touyz ,
P. J. Rodriguez ,
R. Hensley  and
P. J. V. Beumont
P. K. Bowden*
Affiliation:
Department of Clinical Psychology, Westmead Hospital
S. W. Touyz
Affiliation:
Department of Clinical Psychology, Westmead Hospital
P. J. Rodriguez
Affiliation:
Department of Clinical Psychology, the Prince Henry Hospital, Little Bay
R. Hensley
Affiliation:
Department of Psychology
P. J. V. Beumont
Affiliation:
University of Sydney
*
∗Westmead 2145, New South Wales, Australia
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Abstract

Three current techniques for estimating body size (Image Marking, Visual Size Estimation, and Distorting Video techniques) were compared. Anorexia nervosa and bulimic patients and normal control subjects were required to make size judgements of the way they ‘knew’ they looked, the way they ‘felt’ they looked, and of the width of an inanimate control object. Results from the three techniques were not the same, thus implying that research findings can no longer be cross-compared. Moreover, while all subjects were similar in the accuracy of their estimation of a control object, anorexia nervosa and bulimic patients overestimated their own body size significantly more than normal controls. This difference was even more marked when affective instructions were compared.

Type
Papers
Information
The British Journal of Psychiatry , Volume 155 , Issue 2 , August 1989 , pp. 196 - 201
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

Abraham, S. F. & Beumont, P. J. V. (1982) How patients describe bulimia or binge eating. Psychological Medicine, 12, 625–635.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn). Washington DC: American Psychiatric Association.Google Scholar
Askevold, F. (1975) Measuring body image. Psychotherapy and Psychosomatics, 26, 71–77.Google Scholar
Ben-Tovim, D. I., Whitehead, J. & Crisp, A. H. (1979) A controlled study of the perception of body width in anorexia nervosa. Journal of Psychosomatic Research, 23, 267–272.Google Scholar
Ben-Tovim, D. I., Whitehead, J. & Crisp, A. (1984) The reliability of estimates of body width and their relationship to current measured body size among anorexic and normal subjects. Psychological Medicine, 14, 843–846.CrossRefGoogle ScholarPubMed
Beumont, P. J. V. (1988) Bulimia: is it an illness entity? International Journal of Eating Disorders, 7, 167–176.Google Scholar
Beumont, P. J. V., George, G. C. W. & Smart, D. E. (1975) “Diets” and “vomiters and purgers” in anorexia nervosa. Psychological Medicine, 6, 617–622.CrossRefGoogle Scholar
Birtchnell, S. A., Lacey, J. H. & Harte, A. (1985) Body image distortion in bulimia nervosa. British Journal of Psychiatry, 147, 408–412.Google Scholar
Bruch, H. (1962) Perceptual and conceptual disturbances in anorexia nervosa. Psychosomatic Medicine, 24, 187–194.Google Scholar
Button, E. J., Fransella, F. & Slade, P. D. (1977) A reappraisal of body-perception disturbance in anorexia nervosa. Psychological Medicine, 7, 235–243.Google Scholar
Cooper, P. J., Taylor, M. J., Cooper, Z., et al (1987) The development and validation of the body shape questionnaire. International Journal of Eating Disorders, 6, 485–494.Google Scholar
Crisp, A. H. & Kalucy, R. S. (1974) Aspects of the perceptual disorders in anorexia nervosa. British Journal of Medical Psychology, 47, 349–361.CrossRefGoogle ScholarPubMed
Freeman, R. J., Thomas, C. D., Solyom, L., et al (1984) A modified video camera for measuring body image distortion: technical description and reliability. Psychological Medicine, 14, 411–416.CrossRefGoogle ScholarPubMed
Freeman, R. J., Beach, B., Davis, R., et al (1985) The prediction of relapse in bulimia nervosa. Journal of Psychiatric Research, 19, 349–353.Google Scholar
Garfinkel, P. E., Moldofsky, H. & Garner, D. M. (1980) The heterogeneity of anorexia nervosa: bulimia as a distinct subgroup. Archives of General Psychiatry, 37, 1036–1040.Google Scholar
Garfinkel, P. E., Moldofsky, H. & Garner, D. (1982) Anorexia Nervosa: a Multidimensional Perspective. New York: Brunner/Mazel.Google Scholar
Garner, D. M. & Garfinkel, P. E. (1979) The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279.Google Scholar
Garner, D. M. & Garfinkel, P. E. (1981) Body image in anorexia nervosa: measurement, theory, and clinical implications. International Journal of Psychiatry in Medicine, 11, 263–284.Google Scholar
Garner, D. M. & Olmsted, M. A. (1983) The Eating Disorder Inventory Manual. Odessa, Fl: Psychological Assessment Resources.Google Scholar
Garner, D. M., Garfinkel, P. E. & O'Shaughnessy, M. (1985) The validity of the distinction between bulimia with and without anorexia nervosa. American Journal of Psychiatry, 142, 581–587.Google Scholar
Halmi, K., Casper, R. C., Eckert, E. D., et al (1977) Perceptual distortion of body image in adolescent girls: distortion of body image in adolescence. Psychological Medicine, 7, 253–257.Google Scholar
Hsu, L. K. G. (1982) Is there a disturbance in body image in anorexia nervosa? Journal of Nervous and Mental Disease, 170, 305–307.Google Scholar
Norris, D. L. (1984) The effects of mirror confrontation on self-estimation of body dimensions in anorexia nervosa, bulimia and two control groups. Psychological Medicine, 14, 835–842.Google Scholar
Pierloot, R. A. & Houben, M. E. (1978) Estimation of body dimensions in anorexia nervosa. Psychological Medicine, 7, 253–257.Google Scholar
Proctor, L. & Morley, S. (1986) ‘Demand characteristics’ in size estimation in anorexia nervosa. British Journal of Psychiatry, 149, 113–118.Google Scholar
Russell, G. F. M. (1970) Anorexia nervosa In Modern Trends in Psychological Medicine (ed. Prior J. H.). London: Butterworths.Google Scholar
Russell, G. F. M. (1979) Bulimia nervosa: an ominous variant of anorexia nervosa. Psychological Medicine, 9, 429–448.Google Scholar
Slade, P. (1985) A review of body-image studies in anorexia nervosa and bulimia nervosa. Journal of Psychiatric Research, 19, 255–266.Google Scholar
Slade, P. & Russell, G. F. M. (1973) Awareness of body dimensions in anorexia nervosa: cross-sectional and longitudinal studies. Psychological Medicine, 3, 188–199.Google Scholar
Taylor, H. J. & Cooper, J. (1986) Body size overestimation and depression. British Journal of Clinical Psychology, 25, 153–154.Google Scholar
Thompson, J. K., Berland, N. S. W., Linton, P. G., et al (1986) Utilization of a self-adjusting light beam in the objective assessment of body distortion in seven eating disorder groups. International Journal of Eating Disorders, 5, 113–120.Google Scholar
Thompson, J. K., Berland, N. S. W., Linton, P. G., & Thompson, C. M. (1986) Body size distortion and self-esteem in asymptomatic normal weight males and females. International Journal of Eating Disorders, 5, 1061–1068.Google Scholar
Touyz, S. W., Beumont, P. J. V., Collins, J. K., et al (1984a) Body shape perception and its disturbance in anorexia nervosa. British Journal of Psychiatry, 144, 167–171.CrossRefGoogle ScholarPubMed
Touyz, S. W., Beumont, P. J. V., Collins, J. K., et al (1984b) Body image perception and prognosis. Proceedings of the International Conference on Anorexia Nervosa and Related Disorders, Swansea. Google Scholar
Touyz, S. W., Beumont, P. J. V., Collins, J. K., et al (1985) Body shape perception in bulimia and anorexia nervosa. International Journal of Eating Disorders, 413, 259–266.Google Scholar
Touyz, S. W., & Beumont, P. J. V. (1987) Body image and its disturbance In Handbook of Eating Disorders Vol. 1: Anorexia Nervosa and Bulimia (eds Beumont P. J. V., Burrows G. D. & Casper R.), pp. 173–189. Amsterdam: Elsevier Science Publishers.Google Scholar
Whitehouse, A. M., Freeman, C. L. & Annandale, A. (1986) Body size estimation in bulimia. British Journal of Psychiatry, 149, 98–103.Google Scholar
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