Body image disturbances in anorexia nervosa patients 12 year after clinical presentation

Author(s): Manz, R., Herzog, W., Muller, S.

Journal/Book: Psychother Psychosom Med Psyc. 1997; 47: P O Box 30 11 20, D-70451 Stuttgart, Germany. Georg Thieme Verlag. 1-11.

Abstract: Of 103 patients with anorexia nervosa, 50 women and 5 men were followed-up on the average 11.8 year after clinical presentation with a differentiated method for body awareness according to Askevold. A considerable number of women with body image disturbances, however, largely corresponded to those of a healthy female control group. Both the male anorexia nervosa patients and the healthy male controls had normal findings. Applying to touch-induced stimulus, the body assessment indices only increased in former male anorexia patients but remained the same in female anorexia patients, while they clearly normalized in the sense of a realistic assessment in the two healthy control groups. Surprisingly, there was only little correlation between the visually measured body perception disorder and the self (EDI) and expert assessment (Sianex) at the time of follow-up (exception: the EDI scale 3 [dissatisfaction with one's own body). The global expert rating of body image disturbances at clinical presentation was important as a predictor for the severity of anorexia nervosa after 12 years. The findings were discussed under methodological and clinical aspects.

Note: Article Deter HC, Free Univ Berlin, Klinikum Benjamin Franklin, Med Klin & Poliklin, D-12200 Berlin, GERMANY

Keyword(s): body image disorder; psychodiagnostic findings male and female anorexia nervosa patients; follow-up examination; BULIMIA; SIZE; DISTORTION; RELIABILITY; DIMENSIONS; AWARENESS; DISORDER

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