Subjective experience of sensation in anorexia nervosa.

Published

Journal Article

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 (r(2) = -.32, p < .001), but not current BMI (r(2) = .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.

Full Text

Duke Authors

Cited Authors

  • Zucker, NL; Merwin, RM; Bulik, CM; Moskovich, A; Wildes, JE; Groh, J

Published Date

  • June 2013

Published In

Volume / Issue

  • 51 / 6

Start / End Page

  • 256 - 265

PubMed ID

  • 23523866

Pubmed Central ID

  • 23523866

Electronic International Standard Serial Number (EISSN)

  • 1873-622X

Digital Object Identifier (DOI)

  • 10.1016/j.brat.2013.01.010

Language

  • eng

Conference Location

  • England