What happens in the course of positive mirror exposure? Effects on eating pathology, body satisfaction, affect, and subjective physiological arousal in patients with anorexia and bulimia nervosa

被引:5
作者
Tanck, Julia A. [1 ]
Hartmann, Andrea S. [2 ]
Svaldi, Jennifer [3 ]
Hagena, Silka [4 ]
Osen, Bernhard [5 ]
Stierle, Carolin [5 ]
Vocks, Silja [1 ]
机构
[1] Osnabruck Univ, Inst Psychol, Unit Clin Psychol & Psychotherapy, Osnabruck, Germany
[2] Univ Konstanz, Dept Psychol, Unit Expt Clin Psychol, Constance, Germany
[3] Univ Tubingen, Inst Psychol, Unit Clin Psychol & Psychotherapy, Tubingen, Germany
[4] Asklepios Klin Nord Ochsenzoll, Hamburg, Germany
[5] Schon Klin Bad Bramstedt, Bad Bramstedt, Germany
关键词
anorexia nervosa; body image; body satisfaction; bulimia nervosa; mirror exposure; CHECKING QUESTIONNAIRE; IMAGE DISTURBANCES; SIZE ESTIMATION; GERMAN VERSION; DISORDERS; WOMEN; SELF; THERAPY; ATTENTION; EFFICACY;
D O I
10.1002/erv.2929
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective Mirror exposure (ME) is a therapeutic technique to improve body image disturbance. However, evidence on the effectiveness of different forms of ME in clinical populations is lacking. The present study therefore analysed effects of ME on trait-like and state measures of body image in patients with anorexia nervosa (AN) and bulimia nervosa (BN). Method The present study therefore analysed effects of ME on trait-like and state measures of body image in patients with anorexia nervosa (AN) and bulimia nervosa (BN). In total, 47 inpatients underwent 3 ME sessions guided by a therapist, with instructions to exclusively verbalise positively about their whole body. Participants completed questionnaires on trait-like eating pathology and body image at the start and end of the study, and instruments on state affect and body satisfaction were administered directly before and after each ME session. Subjective physiological arousal and emotional valence relating to each body part were assessed within each session. Results The results indicate significant improvements in eating pathology and body image regarding trait-like measures in patients with AN and BN. Concerning state measures, negative affect significantly decreased and body satisfaction increased during ME. Physiological arousal decreased and positively valenced emotions relating to the various body parts increased. Conclusions These findings suggest that positively verbalising about one's body during ME improves eating pathology, body image, affect, and subjective physiological arousal, and thus seems to be an effective form of ME.
引用
收藏
页码:797 / 814
页数:18
相关论文
共 72 条
[1]   Body functionality: A review of the literature [J].
Alleva, Jessica M. ;
Tylka, Tracy L. .
BODY IMAGE, 2021, 36 :149-171
[2]   A Meta-Analytic Review of Stand-Alone Interventions to Improve Body Image [J].
Alleva, Jessica M. ;
Sheeran, Paschal ;
Webb, Thomas L. ;
Martijn, Carolien ;
Miles, Eleanor .
PLOS ONE, 2015, 10 (09)
[3]   Eating disorders in midlife women: A perimenopausal eating disorder? [J].
Baker, Jessica H. ;
Runfola, Cristin D. .
MATURITAS, 2016, 85 :112-116
[4]   MEASURING EMOTION - THE SELF-ASSESSMENT MANNEQUIN AND THE SEMANTIC DIFFERENTIAL [J].
BRADLEY, MM ;
LANG, PJ .
JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY, 1994, 25 (01) :49-59
[5]   Exposure therapy for eating disorders: A systematic review [J].
Butler, Rachel M. ;
Heimberg, Richard G. .
CLINICAL PSYCHOLOGY REVIEW, 2020, 78
[6]  
Cash T.F., 2011, Body image: A handbook of science, practice, and prevention, V2nd, P39, DOI 10.1016/B978-0-12-384925-0.00054-7
[7]  
Cash TF, 1997, INT J EAT DISORDER, V22, P107, DOI 10.1002/(SICI)1098-108X(199709)22:2<107::AID-EAT1>3.0.CO
[8]  
2-J
[9]  
Cash Thomas F, 2002, Eat Disord, V10, P103, DOI 10.1080/10640260290081678
[10]   Incorporating positive body image into the treatment of eating disorders: A model for attunement and mindful self-care [J].
Cook-Cottone, Catherine P. .
BODY IMAGE, 2015, 14 :158-167