Skip to main content

Virtual Reality for the Treatment of Body Image Disturbances in Eating and Weight Disorders

  • Chapter
  • First Online:
Body Image, Eating, and Weight

Abstract

Virtual Reality (VR) is an emerging simulative technology that provides the individual with the feeling of “being inside” a synthetic environment generated by computer graphics. The sense of presence and emotional engagement offered by VR can be a powerful tool for personal change because it provides a high level of personal efficacy and self-reflectiveness. More, VR can be considered an embodied technology for its ability of modifying the experience of the body: using VR, subjects can experience digital bodies as if they were their own body. For these features, several VR applications have been developed to be used in the treatment of body image disturbances, and their effectiveness has been positively tested in case studies, as well as in non-controlled and controlled trials. The rationale behind many of these trials is the hypothesis that individuals with EDs may reflect a deficit in the processing and integration of multisensory bodily representations and signals that alters the way the body is “experienced” and “remembered”. In this view, VR as a synthetic egocentric experience, can be used in a sensory training to unlock the body memory (body image rescripting protocol) by increasing the contribution of new egocentric/internal somatosensory information directly related to the existing allocentric memory. The emerging field of multisensory bodily illusion may further improve the actual protocols.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Riva G, editor. Virtual reality in neuro-psycho-physiology: cognitive, clinical and methodological issues in assessment and rehabilitation. Amsterdam: IOS Press; 1997.

    Google Scholar 

  2. Riva G, Melis L, Bolzoni M. Treating body image disturbances. Commun ACM. 1997;40(8):69–71.

    Article  Google Scholar 

  3. Riva G. Modifications of body image induced by virtual reality. Percept Mot Skills. 1998;86:163–70.

    Article  CAS  PubMed  Google Scholar 

  4. Wiederhold BK, Riva G, Gutiérrez-Maldonado J. Virtual reality in the assessment and treatment of weight-related disorders. Cyberpsychol Behav Soc Netw. 2016;19(2):67–73.

    Article  PubMed  Google Scholar 

  5. Gutierrez-Maldonado J, Wiederhold BK, Riva G. Future directions: how virtual reality can further improve the assessment and treatment of eating disorders and obesity. Cyberpsychol Behav Soc Netw. 2016;19(2):148–53.

    Article  PubMed  Google Scholar 

  6. Riva G, et al. Presence-inducing media for mental health applications. In: Lombard M, et al., editors. Immersed in media. New York: Springer; 2015. p. 283–332.

    Chapter  Google Scholar 

  7. Riva G, Waterworth JA. Presence and the self: a cognitive neuroscience approach. Presence-Connect. 2003;3(1). http://presence.cs.ucl.ac.uk/presenceconnect/articles/Apr2003/jwworthApr72003114532/jwworthApr72003114532.html.

  8. Gorini A, et al. The role of immersion and narrative in mediated presence: the virtual hospital experience. Cyberpsychol Behav Soc Netw. 2011;14(3):99–105.

    Article  PubMed  Google Scholar 

  9. Zahoric P, Jenison RL. Presence as being-in-the-world. Presence Teleoperators Virtual Environ. 1998;7(1):78–89.

    Article  Google Scholar 

  10. Riva G, Waterworth JA, Murray D, editors. Interacting with presence: HCI and the sense of presence in computer-mediated environments. Berlin: De Gruyter Open; 2014. http://www.presence-research.com/.

  11. Riva G, Davide F, IJsselsteijn WA, editors. Being there: concepts, effects and measurements of user presence in synthetic environments. In: Riva G, Davide F, editors. Emerging communication: studies on new technologies and practices in communication. Amsterdam: Ios Press; 2003. http://www.emergingcommunication.com/volume5.html.

  12. Lee KM. Presence, explicated. Commun Theory. 2004;14(1):27–50.

    Article  Google Scholar 

  13. Lombard M, et al., editors. Immersed in media. Telepresence theory, measurement & technology. Heidelberg: Springer; 2015.

    Google Scholar 

  14. Waterworth JA, Riva G. Feeling present in the physical world and in computer-mediated environments. Basingstoke: Palgrave Macmillan; 2014.

    Book  Google Scholar 

  15. Banos RM, et al. Immersion and emotion: their impact on the sense of presence. Cyberpsychol Behav. 2004;7(6):734–41.

    Article  CAS  PubMed  Google Scholar 

  16. Banos RM, et al. Presence and emotions in virtual environments: the influence of stereoscopy. Cyberpsychol Behav. 2008;11(1):1–8.

    Article  PubMed  Google Scholar 

  17. Pillai JS, Schmidt C, Richir S. Achieving presence through evoked reality. Front Psychol. 2013;4:86.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Di Lernia D, Serino S, Pezzulo G, Pedroli E, Cipresso P, Riva G. Feel the time. Time perception as a function of interoceptive processing. Front Hum Neurosci. 2018;12:74. https://doi.org/10.3389/fnhum.2018.00074.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Seth AK, Suzuki K, Critchley HD. An interoceptive predictive coding model of conscious presence. Front Psychol. 2011;2:395.

    PubMed  Google Scholar 

  20. Riva G. Neuroscience and eating disorders: the allocentric lock hypothesis. Med Hypotheses. 2012;78:254–7.

    Article  PubMed  Google Scholar 

  21. Riva G. Is presence a technology issue? Some insights from cognitive sciences. Virtual Real. 2009;13(3):59–69.

    Article  Google Scholar 

  22. Ling Y, et al. A meta-analysis on the relationship between self-reported presence and anxiety in virtual reality exposure therapy for anxiety disorders. PLoS One. 2014;9(5):e96144.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Sanchez-Vives MV, Slater M. From presence to consciousness through virtual reality. Nat Rev Neurosci. 2005;6(4):332–9.

    Article  CAS  PubMed  Google Scholar 

  24. Slater M, Wilbur S. A framework for immersive virtual environments (FIVE): Speculations on the role of presence in virtual environments. Presence Teleoperators Virtual Environ. 1997;6(6):603–16.

    Article  Google Scholar 

  25. Slater M. Presence and the sixth sense. Presence Teleoperators Virtual Environ. 2002;11(4):435–9.

    Article  Google Scholar 

  26. Riva G, Gaggioli A, Villani D, Preziosa A, Morganti F, Corsi R, et al. NeuroVR: an open source virtual reality platform for clinical psychology and behavioral neurosciences. Stud Health Technol Inform. 2007;125:394–9.

    PubMed  Google Scholar 

  27. Glantz K, et al. Virtual reality (VR) and psychotherapy: opportunities and challenges. Presence Teleoperators Virtual Environ. 1997;6(1):87–105.

    Article  CAS  Google Scholar 

  28. Riva G, Gamberini L. Virtual reality in telemedicine. Telemed J E Health. 2004;6(3):327–40. https://doi.org/10.1089/153056200750040183.

    Article  Google Scholar 

  29. Riva G, Baños RM, Botella C, Mantovani F, Gaggioli A. Transforming experience: the potential of augmented reality and virtual reality for enhancing personal and clinical change. Front Psych. 2016;7:164.

    Google Scholar 

  30. Vincelli F. From imagination to virtual reality: the future of clinical psychology. Cyberpsychol Behav. 1999;2(3):241–8.

    Article  CAS  PubMed  Google Scholar 

  31. Riva G. Letter to the Editor: virtual reality in the treatment of eating and weight disorders. Psychol Med. 2017;47(14):2567–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Zanier ER, Zoerle T, Di Lernia D, Riva G. Virtual reality for traumatic brain injury. Front Neurol. 2018;9:345.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Dakanalis A, Timko A, Serino S, Riva G, Clerici M, Carrà G. Prospective psychosocial predictors of onset and cessation of eating pathology amongst college women. Eur Eat Disord Rev. 2016;24(3):251–6.

    Article  PubMed  Google Scholar 

  34. Dakanalis A, Gaudio S, Serino S, Clerici M, Carrà G, Riva G. Body-image distortion in anorexia nervosa. Nat Rev Dis Primers. 2016;2:16026.

    Article  Google Scholar 

  35. Riva G. The neuroscience of body memory: From the self through the space to the others. Cortex. 2018;104:241–60.

    Article  PubMed  Google Scholar 

  36. Blanke O, Slater M, Serino A. Behavioral, neural, and computational principles of bodily self-consciousness. Neuron. 2015;88(1):145–66.

    Article  CAS  PubMed  Google Scholar 

  37. Pazzaglia M, Zantedeschi M. Plasticity and awareness of bodily distortion. Neural Plast. 2016;2016:9834340.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Cash TF, Deagle EA. The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: a meta-analysis. Int J Eat Disord. 1997;22(2):107–26.

    Article  CAS  PubMed  Google Scholar 

  39. Gaudio S, Nocchi F, Franchin T, Genovese E, Cannatà V, Longo D, Fariello G. Gray matter decrease distribution in the early stages of Anorexia Nervosa restrictive type in adolescents. Psychiatry Res. 2011;191(1):24–30.

    Article  PubMed  Google Scholar 

  40. Riva G. Neurobiology of anorexia nervosa: serotonin dysfunctions link self-starvation with body image disturbances through an impaired body memory. Front Hum Neurosci. 2016;10:600.

    PubMed  PubMed Central  Google Scholar 

  41. Esposito R, et al. The role of body image and self-perception in anorexia nervosa: the neuroimaging perspective. J Neuropsychol. 2018;12(1):41–52.

    Article  PubMed  Google Scholar 

  42. Marco JH, Perpiñá C, Botella C. The treatment of the body image disturbances in eating disorders and clinically significant change. Ann Psychol. 2014;30(2):422–30.

    Google Scholar 

  43. Dakanalis A, Riva G. Mass media, body image and eating disturbances: the underline mechanism through the lens of the objectification theory. In: Latzer J, Merrick J, Stein D, editors. Body image: gender differences, sociocultural influences and health implication. New York: Nova Science; 2013. p. 217–36.

    Google Scholar 

  44. Eshkevari E, et al. Persistent body image disturbance following recovery from eating disorders. Int J Eat Disord. 2014;47(4):400–9.

    Article  PubMed  Google Scholar 

  45. Thompson JK, Smolak L. Body image, eating disorders, and obesity in youth: assessment, prevention, and treatment. New York: Taylor & Francis; 2001.

    Book  Google Scholar 

  46. Sato Y, et al. Neural basis of impaired cognitive flexibility in patients with anorexia nervosa. PLoS One. 2013;8(5):e61108.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Gaudio S, Quattrocchi CC. Neural basis of a multidimensional model of body image distortion in anorexia nervosa. Neurosci Biobehav Rev. 2012;36(8):1839–47.

    Article  PubMed  Google Scholar 

  48. Suchan B, Vocks S, Waldorf M. Alterations in activity, volume, and connectivity of body-processing brain areas in anorexia nervosa. Eur Psychol. 2015;20(1):27–33.

    Article  Google Scholar 

  49. van den Berg P, et al. The Tripartite Influence model of body image and eating disturbance: a covariance structure modeling investigation testing the mediational role of appearance comparison. J Psychosom Res. 2002;53(5):1007–20.

    Article  PubMed  Google Scholar 

  50. Tylka TL. Refinement of the tripartite influence model for men: dual body image pathways to body change behaviors. Body Image. 2011;8(3):199–207.

    Article  PubMed  Google Scholar 

  51. Swami V. Cultural influences on body size ideals unpacking the impact of westernization and modernization. Eur Psychol. 2015;20(1):44–51.

    Article  Google Scholar 

  52. Riva G, Gaudio S, Dakanalis A. The neuropsychology of self-objectification. Eur Psychologist. 2015;20(1):34–43.

    Article  Google Scholar 

  53. Gaudio S, Wiemerslage L, Brooks SJ, Schiöth HB. A systematic review of resting-state functional-MRI studies in anorexia nervosa: evidence for functional connectivity impairment in cognitive control and visuospatial and body-signal integration. Neurosci Biobehav Rev. 2016;71:578–89.

    Article  PubMed  Google Scholar 

  54. Cash TF. Body image: past, present, and future. Body Image. 2004;1(1):1–5.

    Article  PubMed  Google Scholar 

  55. Grogan S. Body image: understanding body dissatisfaction in men, women and children. 3rd ed. New York: Routledge; 2016.

    Book  Google Scholar 

  56. Halliwell E. Future directions for positive body image research. Body Image. 2015;14:177–89.

    Article  PubMed  Google Scholar 

  57. Gutierrez-Maldonado J, Ferrer-Garcia M, Dakanalis A, Riva G. Virtual reality: applications to eating disorders. In: Agras SW, Robinson A, editors. The Oxford handbook of eating disorders. 2nd ed. Oxford: Oxford University Press; 2017. p. 146–61.

    Google Scholar 

  58. Riva G, Gutiérrez-Maldonado J, Wiederhold BK. Virtual worlds versus real body: virtual reality meets eating and weight disorders. Cyberpsychol Behav Soc Netw. 2016;19(2):63–6.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Serino S, Dakanalis A. Bodily illusions and weight-related disorders: clinical insights from experimental research. Ann Phys Rehabil Med. 2017;60(3):217–9.

    Article  PubMed  Google Scholar 

  60. Olive I, Berthoz A. Combined induction of rubber-hand illusion and out-of-body experiences. Front Psychol. 2012;3:128.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Pomes A, Slater M. Drift and ownership toward a distant virtual body. Front Hum Neurosci. 2013;7:908.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Maselli A, Slater M. Sliding perspectives: dissociating ownership from self-location during full body illusions in virtual reality. Front Hum Neurosci. 2014;8:693.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Costantini M. Body perception, awareness, and illusions. Wiley Interdiscip Rev Cogn Sci. 2014;5(5):551–60.

    Article  PubMed  Google Scholar 

  64. Gallace A, Spence C. Outside the boundaries of our bodies: the relationship between touch and the representation of the body in our mind. In: Gallace A, Spence C, editors. In touch with the future: the sense of touch from cognitive neuroscience to virtual reality. Oxford: Oxford University Press; 2014. p. 102–24.

    Chapter  Google Scholar 

  65. Serino S, Scarpina F, Dakanalis A, Keizer A, Pedroli E, Castelnuovo G, et al. The role of age on multisensory bodily experience: an experimental study with a virtual reality full-body illusion. Cyberpsychol Behav Soc Netw. 2018;21(5):304–10. https://doi.org/10.1089/cyber.2017.0674.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Riva G. Virtual environment for body-image modification: virtual reality system for the treatment of body image disturbances. Comput Hum Behav. 1998;14(3):477–90.

    Article  Google Scholar 

  67. Fredrickson BL, Roberts T. Objectification theory: toward understanding women’s lived experiences and mental health risks. Psychol Women Q. 1997;21:173–206.

    Article  Google Scholar 

  68. Calogero RM, Tantleff-Dunn S, Thompson JK. Self-objectification in women: causes, consequences, and counteractions. Washington, DC: American Psychological Association; 2010.

    Google Scholar 

  69. Dakanalis A, Carra G, Calogero R, Fida R, Clerici M, Zanetti MA, Riva G. The developmental effects of media-ideal internalization and self-objectification processes on adolescents’ negative body-feelings, dietary restraint, and binge eating. Eur Child Adolesc Psychiatry. 2015;28(8):997–1010. https://doi.org/10.1007/s00787-014-0649-1.

    Article  Google Scholar 

  70. Fredrickson BL, Roberts TA, Noll SM, Quinn DM, Twenge JM. That swimsuit becomes you: sex differences in selfobjectification, restrained eating, and math performance. J Pers Soc Psychol. 1998;75(1):269–84.

    Article  CAS  PubMed  Google Scholar 

  71. Nell SM, Fredrickson BL. A mediational model linking self-objectification, body shame and disordered eating. Psychol Women Q. 1998;22:623–36.

    Article  Google Scholar 

  72. Tiggemann M, Lynch D. Body image across the life span in adult women: The role of self-objectification. Dev Psychol. 2001;37(2):243–53.

    Article  CAS  PubMed  Google Scholar 

  73. Dakanalis A, et al. Objectified body consciousness (OBC) in eating psychopathology. Assessment. 2017;24(2):252–74.

    Article  PubMed  Google Scholar 

  74. Riva G. Out of my real body: cognitive neuroscience meets eating disorders. Front Hum Neurosci. 2014;8:236.

    PubMed  PubMed Central  Google Scholar 

  75. Dakanalis A, et al. Psychosocial moderators of the relationship between body dissatisfaction and symptoms of eating disorders: a look at a sample of young Italian women. Eur Rev Appl Psychol. 2013;63(5):323–34.

    Article  Google Scholar 

  76. Dakanalis A, et al. Internalization of sociocultural standards of beauty and eating disordered behaviours: the role of body surveillance, shame, and social anxiety. J Psychopathol. 2013;20:33–7.

    Google Scholar 

  77. Calogero RM. Objectification processes and disordered eating in British women and men. J Health Psychol. 2009;14(3):394–402.

    Article  PubMed  Google Scholar 

  78. Dakanalis A, Clerici M, Bartoli F, Caslini M, Crocamo C, Riva G, Carra G. Risk and maintenance factors for young women’s DSM-5 eating disorders. Arch Womens Ment Health. 2017;11 https://doi.org/10.1007/s00737-017-0761-6.

    Article  PubMed  Google Scholar 

  79. Dakanalis A, et al. body dissatisfaction and eating disorder symptomatology: a latent structural equation modeling analysis of moderating variables in 18-to-28-year-old males. J Psychol. 2015;149(1):85–112.

    Article  PubMed  Google Scholar 

  80. Riva G, Gaudio S, Dakanalis A. I’m in a virtual body: a locked allocentric memory may impair the experience of the body in both obesity and anorexia nervosa. Eat Weight Disord. 2013;19(1):133–4.

    Article  PubMed  Google Scholar 

  81. Gaudio S, Riva G. Body image disturbances in anorexia: the link between functional connectivity alterations and reference frames. Biol Psychiatry. 2013;73(9):e25–6.

    Article  PubMed  Google Scholar 

  82. Riva G, Gaudio S. Allocentric lock in anorexia nervosa: new evidences from neuroimaging studies. Med Hypotheses. 2012;79(1):113–7.

    Article  PubMed  Google Scholar 

  83. Riva G, Dakanalis A. Altered processing and integration of multisensory bodily representations and signals in eating disorders: a possible path toward the understanding of their underlying causes. Front Hum Neurosci. 2018;12:49.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Riva G, Gaudio S. Locked to a wrong body: eating disorders as the outcome of a primary disturbance in multisensory body integration. Conscious Cogn. 2018;59:57–9. https://doi.org/10.1016/j.concog.2017.08.006.

    Article  PubMed  Google Scholar 

  85. Luongo MA, Pazzaglia M. Commentary: body image distortion and exposure to extreme body types: contingent adaptation and cross adaptation for self and other. Front Hum Neurosci. 2016;10:526.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Eich E, et al. Neural systems mediating field and observer memories. Neuropsychologia. 2009;47(11):2239–51.

    Article  PubMed  Google Scholar 

  87. Eich E, et al. Field and observer perspectives in autobiographical memory. In: Forgas JP, Fiedler K, Sedikides C, editors. Social thinking and interpersonal behavior. New York: Taylor & Francis; 2012. p. 163–81.

    Google Scholar 

  88. Juurmaa J, Lehtinen-Railo S. Visual experience and access to spatial knowledge. J Vis Impair Blind. 1994;88:157–70.

    Google Scholar 

  89. Kaye WH, Fudge JL, Paulus M. New insights into symptoms and neurocircuit function of anorexia nervosa. Nat Rev Neurosci. 2009;10(8):573–84.

    Article  CAS  PubMed  Google Scholar 

  90. Kaye WH, et al. Nothing tastes as good as skinny feels: the neurobiology of anorexia nervosa. Trends Neurosci. 2013;36(2):110–20.

    Article  CAS  PubMed  Google Scholar 

  91. Jean A, et al. The nucleus accumbens 5-HTR4-CART pathway ties anorexia to hyperactivity. Transl Psychiatry. 2012;2:e203.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  92. Kumar KK, Tung S, Iqbal J. Bone loss in anorexia nervosa: leptin, serotonin, and the sympathetic nervous system. Ann N Y Acad Sci. 2010;1211:51–65.

    Article  CAS  PubMed  Google Scholar 

  93. Calati R, et al. The 5-HTTLPR polymorphism and eating disorders: a meta-analysis. Int J Eat Disord. 2011;44(3):191–9.

    Article  PubMed  Google Scholar 

  94. Chen J, et al. The 5-HTTLPR confers susceptibility to anorexia nervosa in Han Chinese: evidence from a case-control and family-based study. PLoS One. 2015;10(3):e0119378.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  95. Murray SB, et al. A comparison of eating, exercise, shape, and weight related symptomatology in males with muscle dysmorphia and anorexia nervosa. Body Image. 2012;9(2):193–200.

    Article  PubMed  Google Scholar 

  96. Cafri G, Olivardia R, Thompson JK. Symptom characteristics and psychiatric comorbidity among males with muscle dysmorphia. Compr Psychiatry. 2008;49(4):374–9.

    Article  PubMed  Google Scholar 

  97. Serino S, et al. Virtual reality body-swapping: a tool for modifying the allocentric memory of the body. Cyberpsychol Behav Soc Netw. 2016;19(2):127–33.

    Article  PubMed  Google Scholar 

  98. Serino S, et al. Out of body, out of space: impaired reference frame processing in eating disorders. Psychiatry Res. 2015;230(2):732–4.

    Article  PubMed  Google Scholar 

  99. Riva G. Embodied medicine: what human-computer confluence can offer to health care. In: Gaggioli A, et al., editors. Human computer confluence: transforming human experience through symbiotic technologies. Warsaw: De Gruyter Open; 2016. p. 55–79.

    Google Scholar 

  100. Perpiña C, Botella C, Baños RM. Virtual reality in eating disorders. Eur Eat Disord Rev. 2003;11(3):261–78.

    Article  Google Scholar 

  101. Ferrer-Garcia M, Gutiérrez-Maldonado J, Riva G. Virtual reality based treatments in eating disorders and obesity: a review. J Contemp Psychol. 2013;43(4):207–21.

    Article  Google Scholar 

  102. Riva G. The key to unlocking the virtual body: virtual reality in the treatment of obesity and eating disorders. J Diabetes Sci Technol. 2011;5(2):283–92.

    Article  PubMed  PubMed Central  Google Scholar 

  103. Riva G. Medical clinical uses of virtual worlds. In: Grimshaw M, editor. The Oxford handbook of virtuality. New York: Oxford University Press; 2014. p. 649–65.

    Google Scholar 

  104. deShazer S. Keys to solutions in brief therapy. New York: W.W. Norton; 1985.

    Google Scholar 

  105. Riva G, et al. e-health in eating disorders: virtual reality and telemedicine in assessment and treatment. Stud Health Technol Inform. 2002;85:402–8.

    PubMed  Google Scholar 

  106. Riva G, et al. The use of VR in the treatment of eating disorders. Stud Health Technol Inform. 2004;99:121–63.

    PubMed  Google Scholar 

  107. Riva G, et al. Virtual reality-based multidimensional therapy for the treatment of body image disturbances in obesity: a controlled study. Cyberpsychol Behav. 2001;4(4):511–26.

    Article  CAS  PubMed  Google Scholar 

  108. Riva G, et al. Virtual-reality-based multidimensional therapy for the treatment of body image disturbances in binge eating disorders: a preliminary controlled study. IEEE Trans Inf Technol Biomed. 2002;6(3):224–34.

    Article  PubMed  Google Scholar 

  109. Cesa GL, et al. Virtual reality for enhancing the cognitive behavioral treatment of obesity with binge eating disorder: randomized controlled study with one-year follow-up. J Med Internet Res. 2013;15(6):e113.

    Article  PubMed  PubMed Central  Google Scholar 

  110. Manzoni GM, et al. Virtual reality-enhanced cognitive-behavioral therapy for morbid obesity: a randomized controlled study with 1 year follow-up. Cyberpsychol Behav Soc Netw. 2016;19(2):134–40.

    Article  PubMed  PubMed Central  Google Scholar 

  111. Ferrer-Garcia M, Gutierrez-Maldonado J, Pla-Sanjuanelo J, Vilalta-Abella F, Riva G, Clerici M, et al. A randomised controlled comparison of second-level treatment approaches for treatment-resistant adults with bulimia nervosa and binge eating disorder: assessing the benefits of virtual reality cue exposure therapy. Eur Eat Disord Rev. 2017;25(6):479–90. https://doi.org/10.1002/erv.2538.

    Article  PubMed  Google Scholar 

  112. Pla-Sanjuanelo J, Ferrer-García M, Vilalta-Abella F, Riva G, Dakanalis A, Ribas-Sabaté J, et al. Testing virtual reality-based cue-exposure software: which cue-elicited responses best discriminate between patients with eating disorders and healthy controls? Eat Weight Disord. 2017; https://doi.org/10.1007/s40519-017-0419-4.

  113. Ferrer-Garcia M, et al. The validity of virtual environments for eliciting emotional responses in patients with eating disorders and in controls. Behav Modif. 2009;33(6):830–54.

    Article  PubMed  Google Scholar 

  114. Pla-Sanjuanelo J, et al. Identifying specific cues and contexts related to bingeing behavior for the development of effective virtual environments. Appetite. 2015;87:81–9.

    Article  PubMed  Google Scholar 

  115. Dakanalis A, et al. Towards novel paradigms for treating dysfunctional bodily experience in eating disorders. Eat Weight Disord. 2017;22:373–5.

    Article  PubMed  Google Scholar 

  116. Butters JW, Cash TF. Cognitive-behavioral treatment of women’s body image satisfaction: a controlled outcome-study. J Consult Clin Psychol. 1987;55:889–97.

    Article  CAS  PubMed  Google Scholar 

  117. Wooley SC, Wooley OW. Intensive out-patient and residential treatment for bulimia. In: Garner DM, Garfinkel PE, editors. Handbook of psychotherapy for anorexia and bulimia. New York: Guilford Press; 1985. p. 120–32.

    Google Scholar 

  118. Riva G, et al. Virtual reality based experiential cognitive treatment of anorexia nervosa. J Behav Ther Exp Psychiatry. 1999;30(3):221–30.

    Article  CAS  PubMed  Google Scholar 

  119. Rinaldi S, et al. La terapia cognitivo-esperienziale: un approccio integrato per la valutazione e il trattamento dei disturbi del comportamento alimentare. Quaderni di Psicoterapia Cognitiva. 1999;4(2):6–21.

    Google Scholar 

  120. Cesa GL, et al. Integrated experiential therapy for the treatment of obesity and binge eating disorder: a clinical trial. Cyberpsychol Behav. 2005;8(4):310–1.

    Google Scholar 

  121. Riva G, et al. Virtual reality environment for body image modification: a multidimensional therapy for the treatment of body image in obesity and related pathologies. Cyberpsychol Behav. 2000;3(3):421–31.

    Article  Google Scholar 

  122. Riva G, et al. Virtual reality based experiential cognitive treatment of obesity and binge-eating disorders. Clin Psychol Psychother. 2000;7(3):209–19.

    Article  Google Scholar 

  123. Serino S, Chirico A, Pedroli E, Polli N, Cacciatore C, Riva G. Two-phases innovative treatment for anorexia nervosa: the potential of virtual reality body-swap. Annu Rev Cyberther Telemed. 2017;15:111–5.

    Google Scholar 

  124. Keizer A, et al. A virtual reality full body illusion improves body image disturbance in anorexia nervosa. PLoS One. 2016;11(10):e0163921.

    Article  PubMed  PubMed Central  Google Scholar 

  125. Serino S, Scarpina F, Keizer A, Pedroli E, Dakanalis A, Castelnuovo G, Chirico A, Novelli M, Gaudio S, Riva G. A novel technique for improving bodily experience in a non-operable super-super obesity case. Front Psychol. 2016;7:83.

    Article  Google Scholar 

  126. Gutierrez-Maldonado J, et al. Virtual reality: applications to eating disorders. In: Agras SW, Robinson A, editors. The Oxford handbook of eating disorders. 2nd ed. Oxford: Oxford University Press; 2017. p. 146–61.

    Google Scholar 

  127. Riva G, et al. Embodied medicine: mens sana in corpore virtuale sano. Front Hum Neurosci. 2017;11:120.

    Article  PubMed  PubMed Central  Google Scholar 

  128. Preston C, Ehrsson HH. Illusory changes in body size modulate body satisfaction in a way that is related to non-clinical eating disorder psychopathology. PLoS One. 2014;9(1):e85773.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  129. Preston C, Kuper-Smith BJ, Henrik Ehrsson H. Owning the body in the mirror: the effect of visual perspective and mirror view on the fullbody illusion. Sci Rep. 2015;5:18345.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  130. Preston C, Ehrsson HH. Illusory obesity triggers body dissatisfaction responses in the insula and anterior cingulate cortex. Cereb Cortex. 2016;26(12):4450–60.

    Article  PubMed  PubMed Central  Google Scholar 

  131. Marco JH, Perpina C, Botella C. Effectiveness of cognitive behavioral therapy supported by virtual reality in the treatment of body image in eating disorders: One year follow-up. Psychiatry Res. 2013;209(3):619–25.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This chapter was supported by the research project: “Unlocking the memory of the body: Virtual Reality in Anorexia Nervosa” (201597WTTM) by the Italian Ministry of Education, Universities and Research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giuseppe Riva .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Riva, G., Gaudio, S., Serino, S., Dakanalis, A., Ferrer-García, M., Gutiérrez-Maldonado, J. (2018). Virtual Reality for the Treatment of Body Image Disturbances in Eating and Weight Disorders. In: Cuzzolaro, M., Fassino, S. (eds) Body Image, Eating, and Weight. Springer, Cham. https://doi.org/10.1007/978-3-319-90817-5_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-90817-5_25

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90816-8

  • Online ISBN: 978-3-319-90817-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics