An fMRI investigation of emotional processing of body shape in bulimia nervosa
Objective: Cognitive‐behavioral theories of eating disorder etiology emphasize the role of body‐oriented self‐schemas. Examination of brain regions associated with self‐referencing, such as medial prefrontal cortex (mPFC), during processing of body‐related stimuli can thus be utilized to evaluate su...
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| Veröffentlicht in: | The International journal of eating disorders 2012-01, Vol.45 (1), p.17-25 |
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| container_title | The International journal of eating disorders |
| container_volume | 45 |
| creator | Spangler, Diane L. Allen, Mark D. |
| description | Objective:
Cognitive‐behavioral theories of eating disorder etiology emphasize the role of body‐oriented self‐schemas. Examination of brain regions associated with self‐referencing, such as medial prefrontal cortex (mPFC), during processing of body‐related stimuli can thus be utilized to evaluate such theories.
Method:
Twelve women with bulima nervosa (BN) and 12 comparison women underwent functional brain imaging while viewing images of women with either thin or overweight bodies in a self‐referencing context.
Results:
For thin bodies, there was no significant mPFC activation for either group. For overweight bodies, mPFC activation was significantly greater for BN patients, with a focus in subregions associated with emotional processing.
Discussion:
These findings are consistent with cognitive models of eating disorders which posit that negative body‐related stimuli are more central to self‐schemas and more emotionally provocative in persons with eating disorders, lending support to treatment and prevention interventions that emphasize body overvaluation as a primary target of change. © 2011 by Wiley Periodicals,Inc. (Int J Eat Disord 2012) |
| doi_str_mv | 10.1002/eat.20899 |
| format | Article |
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Cognitive‐behavioral theories of eating disorder etiology emphasize the role of body‐oriented self‐schemas. Examination of brain regions associated with self‐referencing, such as medial prefrontal cortex (mPFC), during processing of body‐related stimuli can thus be utilized to evaluate such theories.
Method:
Twelve women with bulima nervosa (BN) and 12 comparison women underwent functional brain imaging while viewing images of women with either thin or overweight bodies in a self‐referencing context.
Results:
For thin bodies, there was no significant mPFC activation for either group. For overweight bodies, mPFC activation was significantly greater for BN patients, with a focus in subregions associated with emotional processing.
Discussion:
These findings are consistent with cognitive models of eating disorders which posit that negative body‐related stimuli are more central to self‐schemas and more emotionally provocative in persons with eating disorders, lending support to treatment and prevention interventions that emphasize body overvaluation as a primary target of change. © 2011 by Wiley Periodicals,Inc. (Int J Eat Disord 2012)</description><identifier>ISSN: 0276-3478</identifier><identifier>EISSN: 1098-108X</identifier><identifier>DOI: 10.1002/eat.20899</identifier><identifier>PMID: 21312206</identifier><identifier>CODEN: INDIDJ</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Body Image ; body shape ; Brain ; Brain Mapping ; Bulimia ; bulimia nervosa ; Bulimia Nervosa - physiopathology ; Cognition & reasoning ; Eating disorders ; Emotions - physiology ; Female ; fMRI ; Human body ; Humans ; Magnetic Resonance Imaging ; medial prefrontal cortex ; NMR ; Nuclear magnetic resonance ; Overweight ; Photic Stimulation ; Prefrontal Cortex - physiopathology ; Self image ; self reflection</subject><ispartof>The International journal of eating disorders, 2012-01, Vol.45 (1), p.17-25</ispartof><rights>Copyright © 2011 Wiley Periodicals, Inc.</rights><rights>Copyright Wiley Periodicals Inc. Jan 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4559-3e8f11d0c30d9b3890e647e33caf5611d425afdce3893c406b89fcc343174183</citedby><cites>FETCH-LOGICAL-c4559-3e8f11d0c30d9b3890e647e33caf5611d425afdce3893c406b89fcc343174183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Feat.20899$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Feat.20899$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21312206$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spangler, Diane L.</creatorcontrib><creatorcontrib>Allen, Mark D.</creatorcontrib><title>An fMRI investigation of emotional processing of body shape in bulimia nervosa</title><title>The International journal of eating disorders</title><addtitle>Int. J. Eat. Disord</addtitle><description>Objective:
Cognitive‐behavioral theories of eating disorder etiology emphasize the role of body‐oriented self‐schemas. Examination of brain regions associated with self‐referencing, such as medial prefrontal cortex (mPFC), during processing of body‐related stimuli can thus be utilized to evaluate such theories.
Method:
Twelve women with bulima nervosa (BN) and 12 comparison women underwent functional brain imaging while viewing images of women with either thin or overweight bodies in a self‐referencing context.
Results:
For thin bodies, there was no significant mPFC activation for either group. For overweight bodies, mPFC activation was significantly greater for BN patients, with a focus in subregions associated with emotional processing.
Discussion:
These findings are consistent with cognitive models of eating disorders which posit that negative body‐related stimuli are more central to self‐schemas and more emotionally provocative in persons with eating disorders, lending support to treatment and prevention interventions that emphasize body overvaluation as a primary target of change. © 2011 by Wiley Periodicals,Inc. (Int J Eat Disord 2012)</description><subject>Adolescent</subject><subject>Adult</subject><subject>Body Image</subject><subject>body shape</subject><subject>Brain</subject><subject>Brain Mapping</subject><subject>Bulimia</subject><subject>bulimia nervosa</subject><subject>Bulimia Nervosa - physiopathology</subject><subject>Cognition & reasoning</subject><subject>Eating disorders</subject><subject>Emotions - physiology</subject><subject>Female</subject><subject>fMRI</subject><subject>Human body</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>medial prefrontal cortex</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Overweight</subject><subject>Photic Stimulation</subject><subject>Prefrontal Cortex - physiopathology</subject><subject>Self image</subject><subject>self reflection</subject><issn>0276-3478</issn><issn>1098-108X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtOwzAQRS0EglJY8AMoYoNYBMZxHvayQjwqoCAUATvLcSZgSOISN0D_HpcCCyRWHnnOvTNzCdmhcEgBoiNUs8MIuBArZEBB8JACf1glA4iyNGRxxjfIpnPPAJAySNbJRkQZjSJIB2QyaoPq6nYcmPYN3cw8qpmxbWCrABu7KFUdTDur0TnTPi7-C1vOA_ekpug1QdHXpjEqaLF7s05tkbVK1Q63v98hyU9P8uPz8PL6bHw8ugx1nCQiZMgrSkvQDEpRMC4A0zhDxrSqktR34ihRVanRt5iOIS24qLRmMaNZTDkbkv2lrV_ttfd7y8Y4jXWtWrS9k4JS4QfxyJN7f8hn23f-qgWUpB7kmYcOlpDurHMdVnLamUZ1c0lBLhKWPmH5lbBnd78N-6LB8pf8idQDR0vg3dQ4_99JnozyH8twqTBuhh-_CtW9yDRjWSLvJ2cyv7uBJLvI5YR9ApUXkuY</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Spangler, Diane L.</creator><creator>Allen, Mark D.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201201</creationdate><title>An fMRI investigation of emotional processing of body shape in bulimia nervosa</title><author>Spangler, Diane L. ; Allen, Mark D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4559-3e8f11d0c30d9b3890e647e33caf5611d425afdce3893c406b89fcc343174183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Body Image</topic><topic>body shape</topic><topic>Brain</topic><topic>Brain Mapping</topic><topic>Bulimia</topic><topic>bulimia nervosa</topic><topic>Bulimia Nervosa - physiopathology</topic><topic>Cognition & reasoning</topic><topic>Eating disorders</topic><topic>Emotions - physiology</topic><topic>Female</topic><topic>fMRI</topic><topic>Human body</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>medial prefrontal cortex</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Overweight</topic><topic>Photic Stimulation</topic><topic>Prefrontal Cortex - physiopathology</topic><topic>Self image</topic><topic>self reflection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spangler, Diane L.</creatorcontrib><creatorcontrib>Allen, Mark D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The International journal of eating disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spangler, Diane L.</au><au>Allen, Mark D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An fMRI investigation of emotional processing of body shape in bulimia nervosa</atitle><jtitle>The International journal of eating disorders</jtitle><addtitle>Int. J. Eat. Disord</addtitle><date>2012-01</date><risdate>2012</risdate><volume>45</volume><issue>1</issue><spage>17</spage><epage>25</epage><pages>17-25</pages><issn>0276-3478</issn><eissn>1098-108X</eissn><coden>INDIDJ</coden><abstract>Objective:
Cognitive‐behavioral theories of eating disorder etiology emphasize the role of body‐oriented self‐schemas. Examination of brain regions associated with self‐referencing, such as medial prefrontal cortex (mPFC), during processing of body‐related stimuli can thus be utilized to evaluate such theories.
Method:
Twelve women with bulima nervosa (BN) and 12 comparison women underwent functional brain imaging while viewing images of women with either thin or overweight bodies in a self‐referencing context.
Results:
For thin bodies, there was no significant mPFC activation for either group. For overweight bodies, mPFC activation was significantly greater for BN patients, with a focus in subregions associated with emotional processing.
Discussion:
These findings are consistent with cognitive models of eating disorders which posit that negative body‐related stimuli are more central to self‐schemas and more emotionally provocative in persons with eating disorders, lending support to treatment and prevention interventions that emphasize body overvaluation as a primary target of change. © 2011 by Wiley Periodicals,Inc. (Int J Eat Disord 2012)</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>21312206</pmid><doi>10.1002/eat.20899</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0276-3478 |
| ispartof | The International journal of eating disorders, 2012-01, Vol.45 (1), p.17-25 |
| issn | 0276-3478 1098-108X |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Body Image body shape Brain Brain Mapping Bulimia bulimia nervosa Bulimia Nervosa - physiopathology Cognition & reasoning Eating disorders Emotions - physiology Female fMRI Human body Humans Magnetic Resonance Imaging medial prefrontal cortex NMR Nuclear magnetic resonance Overweight Photic Stimulation Prefrontal Cortex - physiopathology Self image self reflection |
| title | An fMRI investigation of emotional processing of body shape in bulimia nervosa |
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