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Body Image Distortion in Bulimia Nervosa

Published online by Cambridge University Press:  29 January 2018

Sandra A. Birtchnell ,
J. Hubert Lacey  and
Anne Harte
Sandra A. Birtchnell
Affiliation:
Academic Department of Psychiatry, St. George's Hospital Medical School, London SW17
J. Hubert Lacey*
Affiliation:
Academic Department of Psychiatry, St. George's Hospital Medical School
Anne Harte
Affiliation:
Department of Adult Psychiatry, St. George's Hospital
*
∗Correspondence
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Abstract

Body image perception was measured in 50 women with bulima nervosa and 19 age and weight matched female controls, using a visual size estimation apparatus. Both groups overestimated body widths, but not the width of a neutral object, and whilst there was a trend for bulimics to overestimate more than controls this did not reach significance. The part of the body most overestimated corresponded to the part most disliked in only a third of both groups. The bulimics without a previous history of anorexia nervosa overestimated body width more than those with such a history; this may be related to the fact that the former had a significantly greater weight index. Bulimics who were within 5% of mean-matched population weight overestimated body width less than the others, this difference reaching significance when compared with the heavier groups; a similar, but non-significant, trend was demonstrated in controls. This may be linked to a greater dissatisfaction with body size. Duration of illness, frequency of bingeing and self-induced vomiting were not shown significantly to alter body size estimation. The bulimics who completed a 10-session outpatient treatment programme subsequently demonstrated a significant decrease in overestimation of waist and hip width.

Type
Papers
Information
The British Journal of Psychiatry , Volume 147 , Issue 4 , October 1985 , pp. 408 - 412
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic & Statistical Manual of Mental Disorders, 3rd ed. Washington, DC: The American Psychiatric Association.Google Scholar
Askevold, F. (1975) Measuring body image. Psychotherapy and Psychosomatics, 26, 71–77.Google Scholar
Bentovim, D. (1980) Anorexia nervosa and studies of an aspect of body experience. Ph.D. Thesis: University of London.Google Scholar
Bruch, H. (1962) Perceptual and conceptual disturbances in anorexia nervosa. Psychosomatic Medicine, 24, 187–194.Google Scholar
Bruch, H. (1973) Eating Disorders: Obesity, Anorexia Nervosa and the Person Within. New York: Basic Books.Google Scholar
Button, E. J., Fransella, F. & Slade, P. D. (1977) A reappraisal of body perception disturbance in anorexia nervosa. Psychological Medicine, 7, 235–245.Google Scholar
Casper, R. C., Halmi, K. A., Goldberg, S. C., Eckert, E. D. & Davis, J. M. (1979) Disturbances in body image estimation as related to other characteristics and outcome in anorexia nervosa. British Journal of Psychiatry, 134, 60–66.CrossRefGoogle ScholarPubMed
Crisp, A. H. & Kalucy, R. S. (1974) Aspects of the perpeptual disorder in anorexia nervosa. British Journal of Medical Psychology, 47, 349–361.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, F. A., Winokur, G. & Manuz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.Google Scholar
Fries, H. (1977) Studies on secondary amenorrhoea; anorectic behaviour and body image perception; importance for early recognition of anorexia nervosa. In Anorexia Nervosa (ed. Vigersky, S.). New York: Raven Press.Google Scholar
Garfinkel, P. E. & Garner, D. M. (1982) Anorexia Nervosa. A Multidimensional Perspective. Ch. VI: Anorexia nervosa, perceptual and conceptual disturbances. New York: Brunner/Mazel.Google Scholar
Garner, D. M., Garfinkel, P. E., Stancer, H. C. & Moldofsky, H. (1976) Body image disturbances in anorexia nervosa and obesity. Psychosomatic Medicine, 38, 327–336.CrossRefGoogle ScholarPubMed
Garner, D. M., & Garfinkel, P. E. (1981/2) Body image in anorexia nervosa; measurement theory and clinical implications. International Journal of Psychiatry in Medicine, Vol. 11(3), 263–284.CrossRefGoogle Scholar
Gerstmann, J. (1958) Psychological and phenomenological aspects of disorders of the body image. Journal of Nervous and Mental Diseases, 126, 499–512.Google Scholar
Glucksman, M. L. & Hirsch, J. (1969) The response of obese patients to weight reduction. Psychosomatic Medicine, 31, 1–7.Google Scholar
Head, H. (1920) Studies in Neurology, Vol. 11. London: Oxford University Press.Google Scholar
Heunemann, R. C., Shapiro, L. R., Hampton, M. C. & Mitchell, B. W. (1966) A longitudinal study of gross body weight composition and body conformation and their association with food and activity in a teenage population. American Journal of Clinical Nutrition, 18, 325–338.Google Scholar
Kemsley, W. F. F. (1953/54) Average body weights at different ages and heights. Annals of Eugenics, 16, 316–334.Google Scholar
Kolb, L. C. (1959) Disturbances of the body image. In American Handbook of Psychiatry (ed. Arieti, S.). New York: Basic Books.Google Scholar
Lacey, J. H. (1983) Bulimia nervosa, binge eating and psychogenic vomiting; a controlled treatment study and long term outcome. British Medical Journal, 286, 1609–1613.Google Scholar
Pierloot, R. A. & Houben, M. E. (1978) Estimation of body dimensions in anorexia nervosa. Psychological Medicine, 8, 317–324.CrossRefGoogle ScholarPubMed
Reitman, E. E. & Cleveland, S. E. (1969) Changes in body image following sensory deprivation in schizophrenia and control groups. Journal of Abnormal and Social Psychology, 68, 169–176.Google Scholar
Russell, G. F. M. (1979) Bulimia nervosa, an ominous variant of anorexia nervosa. Psychological Medicine, 9, 429–448.Google Scholar
Schilder, P. (1935) Image and Appearance of the Human Body. London: Kegan Paul, Trench Trubner & Co.Google Scholar
Schontz, F. C. (1974) Body image and its disorders. International Journal of Psychiatry in Medicine, 54, 150–161.Google Scholar
Slade, P. D. & Russell, G. F. M. (1973) Experimental investigations of bodily perception in anorexia nervosa and obesity. Psychotherapy and Psychosomatics, 22, 359–363.Google Scholar
Stunkard, A. J. & Mendelson, M. (1967) Obesity and the body image. I. Characteristics of disturbances in the body image of some obese persons. American Journal of Psychiatry, 132(2), 1296–1300.Google Scholar
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