Persistent body image disturbance following recovery from eating disorders

Ertimiss Eshkevari, Elizabeth Rieger, Matthew R Longo, Patrick Haggard, Janet Treasure

Research output: Contribution to journalArticlepeer-review

96 Citations (Scopus)

Abstract

Objective
Individuals with an eating disorder experience the rubber hand illusion (RHI) significantly more strongly than healthy controls on both perceptual (proprioceptive drift) and subjective (self-report embodiment questionnaire) measures. This heightened sensitivity to visual information about the body, and/or reduced somatosensory information processing about the body, suggest an increased malleability of the bodily self. The aim of the present study was to explore whether this is a state phenomenon or a persisting individual trait that outlasts the period of acute eating disorder.

Method
The RHI and self-report measures of eating disorder psychopathology (EDI-3 subscales of Drive for Thinness, Bulimia, Body Dissatisfaction, Interoceptive Deficits, and Emotional Dysregulation; DASS-21; and the Self-Objectification Questionnaire) were administered to 78 individuals with an eating disorder, 28 individuals recovered from an eating disorder, and 61 healthy controls.

Results
Proprioceptive drift in recovered individuals was intermediate between the acutely ill and HC groups. Subjective report of the strength of the illusion in recovered individuals was similar to acutely ill individuals.

Discussion
These results suggest that increased malleability of the bodily self persists, at least partially, following recovery and may be a trait phenomenon in people with eating disorders. Those with a lifetime history of an eating disorder may have heightened sensitivity to visual information about the body and reduced somatosensory information processing of the body.
Original languageEnglish
Pages (from-to)400-409
Number of pages10
JournalThe International journal of eating disorders
Volume47
Issue number4
DOIs
Publication statusPublished - 14 May 2014

Keywords

  • Adolescent
  • Adult
  • Body Image
  • Eating Disorders
  • Female
  • Humans
  • Illusions
  • Middle Aged
  • Proprioception
  • Questionnaires
  • Young Adult

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