Subjective experience of sensation in anorexia nervosa
The nature of disturbance in body experience in anorexia nervosa (AN) remains poorly operationalized despite its prognostic significance. We examined the relationship of subjective reports of sensitivity to and behavioral avoidance of sensory experience (e.g., to touch, motion) to body image disturb...
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| Veröffentlicht in: | Behaviour research and therapy 2013-06, Vol.51 (6), p.256-265 |
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| creator | Zucker, Nancy L. Merwin, Rhonda M. Bulik, Cynthia M. Moskovich, Ashley Wildes, Jennifer E. Groh, Jennifer |
| description | The nature of disturbance in body experience in anorexia nervosa (AN) remains poorly operationalized despite its prognostic significance. We examined the relationship of subjective reports of sensitivity to and behavioral avoidance of sensory experience (e.g., to touch, motion) to body image disturbance and temperament in adult women currently diagnosed with AN (n = 20), women with a prior history of AN who were weight restored (n = 15), and healthy controls with no eating disorder history (n = 24). Levels of sensitivity to sensation and attempts to avoid sensory experience were significantly higher in both clinical groups relative to healthy controls. Sensory sensitivity was associated with body image disturbance (r(56) = .51, p |
| doi_str_mv | 10.1016/j.brat.2013.01.010 |
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► We examined the relation of subjective sensory sensitivity to body image disturbance in women with anorexia nervosa (AN). ► Ill and weight-restored women with AN reported enhanced sensory sensitivity and increased efforts to avoid sensory experience. ► Subjective sensory sensitivity was positively correlated with body image disturbance and harm avoidance in women with AN. ► Subjective sensory sensitivity was associated with lowest lifetime body mass index (BMI), but not current BMI, in AN.</description><identifier>ISSN: 0005-7967</identifier><identifier>ISSN: 1873-622X</identifier><identifier>EISSN: 1873-622X</identifier><identifier>DOI: 10.1016/j.brat.2013.01.010</identifier><identifier>PMID: 23523866</identifier><identifier>CODEN: BRTHAA</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Anorexia ; Anorexia nervosa ; Anorexia Nervosa - psychology ; Avoidance ; Awareness ; Biological and medical sciences ; Body Image - psychology ; Body image disturbance ; Body image disturbances ; Body Mass Index ; Case-Control Studies ; Correlation analysis ; Eating behavior disorders ; Eating disorders ; Female ; Humans ; Kinesthesia ; Kinesthesis - physiology ; Medical sciences ; Medicin och hälsovetenskap ; Middle Aged ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Self image ; Self Report ; Sensitivity ; Sensory perception ; Temperament ; Vestibular ; Women ; Young Adult</subject><ispartof>Behaviour research and therapy, 2013-06, Vol.51 (6), p.256-265</ispartof><rights>2013 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Jun 2013</rights><rights>2013 Elsevier Ltd. All rights reserved. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c667t-5d307561e0c8fc482b17575c4a030ca346b228db6ceed677835a7c0b3ea0a59a3</citedby><cites>FETCH-LOGICAL-c667t-5d307561e0c8fc482b17575c4a030ca346b228db6ceed677835a7c0b3ea0a59a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.brat.2013.01.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,315,553,781,785,886,3551,27929,27930,31004,31005,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27302836$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23523866$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:126777175$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Zucker, Nancy L.</creatorcontrib><creatorcontrib>Merwin, Rhonda M.</creatorcontrib><creatorcontrib>Bulik, Cynthia M.</creatorcontrib><creatorcontrib>Moskovich, Ashley</creatorcontrib><creatorcontrib>Wildes, Jennifer E.</creatorcontrib><creatorcontrib>Groh, Jennifer</creatorcontrib><title>Subjective experience of sensation in anorexia nervosa</title><title>Behaviour research and therapy</title><addtitle>Behav Res Ther</addtitle><description>The nature of disturbance in body experience in anorexia nervosa (AN) remains poorly operationalized despite its prognostic significance. We examined the relationship of subjective reports of sensitivity to and behavioral avoidance of sensory experience (e.g., to touch, motion) to body image disturbance and temperament in adult women currently diagnosed with AN (n = 20), women with a prior history of AN who were weight restored (n = 15), and healthy controls with no eating disorder history (n = 24). Levels of sensitivity to sensation and attempts to avoid sensory experience were significantly higher in both clinical groups relative to healthy controls. Sensory sensitivity was associated with body image disturbance (r(56) = .51, p < .0001), indicating that body image disturbance increased with increased global sensitivity to sensation. Sensory sensitivity was also negatively and significantly correlated with lowest BMI (r2 = −.32, p < .001), but not current BMI (r2 = .03, p = .18), and to the temperament feature of harm avoidance in both clinical groups. We discuss how intervention strategies that address sensitization and habituation to somatic experience via conditioning exercises may provide a new manner in which to address body image disturbance in AN.
► We examined the relation of subjective sensory sensitivity to body image disturbance in women with anorexia nervosa (AN). ► Ill and weight-restored women with AN reported enhanced sensory sensitivity and increased efforts to avoid sensory experience. ► Subjective sensory sensitivity was positively correlated with body image disturbance and harm avoidance in women with AN. ► Subjective sensory sensitivity was associated with lowest lifetime body mass index (BMI), but not current BMI, in AN.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anorexia</subject><subject>Anorexia nervosa</subject><subject>Anorexia Nervosa - psychology</subject><subject>Avoidance</subject><subject>Awareness</subject><subject>Biological and medical sciences</subject><subject>Body Image - psychology</subject><subject>Body image disturbance</subject><subject>Body image disturbances</subject><subject>Body Mass Index</subject><subject>Case-Control Studies</subject><subject>Correlation analysis</subject><subject>Eating behavior disorders</subject><subject>Eating disorders</subject><subject>Female</subject><subject>Humans</subject><subject>Kinesthesia</subject><subject>Kinesthesis - physiology</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Self image</subject><subject>Self Report</subject><subject>Sensitivity</subject><subject>Sensory perception</subject><subject>Temperament</subject><subject>Vestibular</subject><subject>Women</subject><subject>Young Adult</subject><issn>0005-7967</issn><issn>1873-622X</issn><issn>1873-622X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>D8T</sourceid><recordid>eNqNkluL1DAUx4so7uzqF_BBCiLsS8eTpLkURJDFGyz4oIJvIU1PNbWTjEk7rt_e1JnddQUvcCC33_-ck-RfFA8IrAkQ8WRYt9FMawqErYHkgFvFiijJKkHpx9vFCgB4JRshj4rjlIa8ZIrC3eKIMk6ZEmJViHdzO6Cd3A5LvNhidOgtlqEvE_pkJhd86XxpfIh44UzpMe5CMveKO70ZE94_jCfFh5cv3p-9rs7fvnpz9vy8skLIqeIdA8kFQbCqt7WiLZFcclsbYGANq0VLqepaYRE7IaVi3EgLLUMDhjeGnRTVPm_6htu51dvoNiZ-18E4fdj6kmeoOQMum8w3f-S3MXTXokshobmuzG1l7bO9NgMb7Cz6KZrxZoobJ9591p_CTrOGc0loTnB6SBDD1xnTpDcuWRxH4zHMSZM6l6lVrci_0fxBtIEa-H-gTDHVNFJm9NFv6BDm6PMHLVTd0KXLTNE9ZWNIKWJ_dUUCejGWHvRiLL0YSwPJAVn08NfHuZJcOikDjw-ASdaMfTTeunTNSQZUsYV7uucw22bnMOpkf3quczH7UHfB_a2PH4I46_o</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Zucker, Nancy L.</creator><creator>Merwin, Rhonda M.</creator><creator>Bulik, Cynthia M.</creator><creator>Moskovich, Ashley</creator><creator>Wildes, Jennifer E.</creator><creator>Groh, Jennifer</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Science Ltd</general><scope>IQODW</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>7QJ</scope><scope>7TK</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20130601</creationdate><title>Subjective experience of sensation in anorexia nervosa</title><author>Zucker, Nancy L. ; Merwin, Rhonda M. ; Bulik, Cynthia M. ; Moskovich, Ashley ; Wildes, Jennifer E. ; Groh, Jennifer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c667t-5d307561e0c8fc482b17575c4a030ca346b228db6ceed677835a7c0b3ea0a59a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anorexia</topic><topic>Anorexia nervosa</topic><topic>Anorexia Nervosa - psychology</topic><topic>Avoidance</topic><topic>Awareness</topic><topic>Biological and medical sciences</topic><topic>Body Image - psychology</topic><topic>Body image disturbance</topic><topic>Body image disturbances</topic><topic>Body Mass Index</topic><topic>Case-Control Studies</topic><topic>Correlation analysis</topic><topic>Eating behavior disorders</topic><topic>Eating disorders</topic><topic>Female</topic><topic>Humans</topic><topic>Kinesthesia</topic><topic>Kinesthesis - physiology</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Self image</topic><topic>Self Report</topic><topic>Sensitivity</topic><topic>Sensory perception</topic><topic>Temperament</topic><topic>Vestibular</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zucker, Nancy L.</creatorcontrib><creatorcontrib>Merwin, Rhonda M.</creatorcontrib><creatorcontrib>Bulik, Cynthia M.</creatorcontrib><creatorcontrib>Moskovich, Ashley</creatorcontrib><creatorcontrib>Wildes, Jennifer E.</creatorcontrib><creatorcontrib>Groh, Jennifer</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Behaviour research and therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zucker, Nancy L.</au><au>Merwin, Rhonda M.</au><au>Bulik, Cynthia M.</au><au>Moskovich, Ashley</au><au>Wildes, Jennifer E.</au><au>Groh, Jennifer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subjective experience of sensation in anorexia nervosa</atitle><jtitle>Behaviour research and therapy</jtitle><addtitle>Behav Res Ther</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>51</volume><issue>6</issue><spage>256</spage><epage>265</epage><pages>256-265</pages><issn>0005-7967</issn><issn>1873-622X</issn><eissn>1873-622X</eissn><coden>BRTHAA</coden><abstract>The nature of disturbance in body experience in anorexia nervosa (AN) remains poorly operationalized despite its prognostic significance. We examined the relationship of subjective reports of sensitivity to and behavioral avoidance of sensory experience (e.g., to touch, motion) to body image disturbance and temperament in adult women currently diagnosed with AN (n = 20), women with a prior history of AN who were weight restored (n = 15), and healthy controls with no eating disorder history (n = 24). Levels of sensitivity to sensation and attempts to avoid sensory experience were significantly higher in both clinical groups relative to healthy controls. Sensory sensitivity was associated with body image disturbance (r(56) = .51, p < .0001), indicating that body image disturbance increased with increased global sensitivity to sensation. Sensory sensitivity was also negatively and significantly correlated with lowest BMI (r2 = −.32, p < .001), but not current BMI (r2 = .03, p = .18), and to the temperament feature of harm avoidance in both clinical groups. We discuss how intervention strategies that address sensitization and habituation to somatic experience via conditioning exercises may provide a new manner in which to address body image disturbance in AN.
► We examined the relation of subjective sensory sensitivity to body image disturbance in women with anorexia nervosa (AN). ► Ill and weight-restored women with AN reported enhanced sensory sensitivity and increased efforts to avoid sensory experience. ► Subjective sensory sensitivity was positively correlated with body image disturbance and harm avoidance in women with AN. ► Subjective sensory sensitivity was associated with lowest lifetime body mass index (BMI), but not current BMI, in AN.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>23523866</pmid><doi>10.1016/j.brat.2013.01.010</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Adult and adolescent clinical studies Anorexia Anorexia nervosa Anorexia Nervosa - psychology Avoidance Awareness Biological and medical sciences Body Image - psychology Body image disturbance Body image disturbances Body Mass Index Case-Control Studies Correlation analysis Eating behavior disorders Eating disorders Female Humans Kinesthesia Kinesthesis - physiology Medical sciences Medicin och hälsovetenskap Middle Aged Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Self image Self Report Sensitivity Sensory perception Temperament Vestibular Women Young Adult |
| title | Subjective experience of sensation in anorexia nervosa |
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