How certainty appraisal might improve both body dissatisfaction and body overestimation in anorexia nervosa: a case report
Abstract Background Patients with anorexia nervosa often report a conscious alteration of body image representation, with both body overestimation and body dissatisfaction. Cognitive and behavioural therapy is effective for treating many psychiatric disorders but often fails to treat anorexia nervos...
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| Format: | Article |
| Language: | English |
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BMC
2018-10-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40337-018-0216-0 |
| _version_ | 1797934580115701760 |
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| author | M. Metral M. Mailliez |
| author_facet | M. Metral M. Mailliez |
| author_sort | M. Metral |
| collection | DOAJ |
| description | Abstract Background Patients with anorexia nervosa often report a conscious alteration of body image representation, with both body overestimation and body dissatisfaction. Cognitive and behavioural therapy is effective for treating many psychiatric disorders but often fails to treat anorexia nervosa and body image distortions. Although patients are aware of their weight loss, they continue to feel overweight - as if there were a conflict between a previous (maybe already false) body representation and the new one. These distortions are linked to negative emotions focused on the body but which can extend to the self (e.g. disgust and sadness). Case Presentation The present case report is the first in which the Appraisal Tendency Framework has been applied to decrease body image distortions in a patient with anorexia nervosa. The Appraisal Tendency Framework is usually used to understand how emotions influence decision making. Here, we report on a 24-year-old woman who suffered from anorexia nervosa and body image distortions, and was treated as an inpatient with conventional cognitive and behavioural therapy for an eating disorder. Body image distortions were assessed before and after the patient completed an adaptation of the Iowa Gambling Task, coupled with the induction of a heuristic processing emotion. We hypothesized that allowing the patient to focus on the emotional cues in the modified Iowa Gambling Task would improve her decisions about her true body shape. Conclusion All body image measures were improved after the protocol. Consequently, we suggest that the Appraisal Tendency Framework might be a valuable means of investigating body image issues in eating disorders and anorexia nervosa. Further studies are required to expand and detail these findings. |
| first_indexed | 2024-04-10T18:01:13Z |
| format | Article |
| id | doaj.art-07e9139646d7480b98d210e22d322bd4 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T18:01:13Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-07e9139646d7480b98d210e22d322bd42023-02-02T15:05:10ZengBMCJournal of Eating Disorders2050-29742018-10-01611610.1186/s40337-018-0216-0How certainty appraisal might improve both body dissatisfaction and body overestimation in anorexia nervosa: a case reportM. Metral0M. Mailliez1University Grenoble Alpes, University Savoie Mont Blanc, LIP/PC2SUniversity Grenoble Alpes, University Savoie Mont Blanc, LIP/PC2SAbstract Background Patients with anorexia nervosa often report a conscious alteration of body image representation, with both body overestimation and body dissatisfaction. Cognitive and behavioural therapy is effective for treating many psychiatric disorders but often fails to treat anorexia nervosa and body image distortions. Although patients are aware of their weight loss, they continue to feel overweight - as if there were a conflict between a previous (maybe already false) body representation and the new one. These distortions are linked to negative emotions focused on the body but which can extend to the self (e.g. disgust and sadness). Case Presentation The present case report is the first in which the Appraisal Tendency Framework has been applied to decrease body image distortions in a patient with anorexia nervosa. The Appraisal Tendency Framework is usually used to understand how emotions influence decision making. Here, we report on a 24-year-old woman who suffered from anorexia nervosa and body image distortions, and was treated as an inpatient with conventional cognitive and behavioural therapy for an eating disorder. Body image distortions were assessed before and after the patient completed an adaptation of the Iowa Gambling Task, coupled with the induction of a heuristic processing emotion. We hypothesized that allowing the patient to focus on the emotional cues in the modified Iowa Gambling Task would improve her decisions about her true body shape. Conclusion All body image measures were improved after the protocol. Consequently, we suggest that the Appraisal Tendency Framework might be a valuable means of investigating body image issues in eating disorders and anorexia nervosa. Further studies are required to expand and detail these findings.http://link.springer.com/article/10.1186/s40337-018-0216-0Anorexia nervosaBody overestimationBody dissatisfactionAppraisal tendency frameworkCognitive appraisal of (un)certainty |
| spellingShingle | M. Metral M. Mailliez How certainty appraisal might improve both body dissatisfaction and body overestimation in anorexia nervosa: a case report Journal of Eating Disorders Anorexia nervosa Body overestimation Body dissatisfaction Appraisal tendency framework Cognitive appraisal of (un)certainty |
| title | How certainty appraisal might improve both body dissatisfaction and body overestimation in anorexia nervosa: a case report |
| title_full | How certainty appraisal might improve both body dissatisfaction and body overestimation in anorexia nervosa: a case report |
| title_fullStr | How certainty appraisal might improve both body dissatisfaction and body overestimation in anorexia nervosa: a case report |
| title_full_unstemmed | How certainty appraisal might improve both body dissatisfaction and body overestimation in anorexia nervosa: a case report |
| title_short | How certainty appraisal might improve both body dissatisfaction and body overestimation in anorexia nervosa: a case report |
| title_sort | how certainty appraisal might improve both body dissatisfaction and body overestimation in anorexia nervosa a case report |
| topic | Anorexia nervosa Body overestimation Body dissatisfaction Appraisal tendency framework Cognitive appraisal of (un)certainty |
| url | http://link.springer.com/article/10.1186/s40337-018-0216-0 |
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