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Experimental Brain Research

, Volume 234, Issue 3, pp 695–709 | Cite as

The effects of body exposure on self-body image and esthetic appreciation in anorexia nervosa

  • Valentina CazzatoEmail author
  • Emanuel Mian
  • Sonia Mele
  • Giulia Tognana
  • Patrizia Todisco
  • Cosimo UrgesiEmail author
Research Article

Abstract

Repeated exposures to thin-idealized body shapes may alter women’s perceptions of what normal (e.g., accepted) and ideal (e.g., desired) bodies in a cultural environment look like. The aim of the present study was to investigate whether exposure to thin and round body shapes may change the subsequent esthetic appreciation of others’ bodies and the perceptual and cognitive–affective dimensions of self-body image in patients suffering from anorexia nervosa (AN). Thirteen AN patients and 13 matched healthy controls were exposed to pictures of either thin or round unfamiliar body models and, before and after exposure, they were required to either express liking judgments about round and slim figures of unfamiliar bodies (esthetic task) or to adjust distorted pictures of their own body to their perceptual (How do you see yourself?), affective (How do you feel yourself?), metacognitive (How do others see you?) and ideal (How would you like to look like?) body image (self-body adjustment task). Brief exposures to round models increased liking judgments of round figures in both groups. However, only in AN patients, exposure to round models induced an increase in thin figures liking, which positively correlated with their preoccupation with dieting. Furthermore, exposure to round bodies in AN patients, but not in controls, increased the distortion for the perceptual body image and decreased the size of the ideal one. No differences between the two groups were obtained after adaptation to thin models. Our results suggest that AN patients’ perception of their own and others’ body is more easily malleable by exposure to round figures as compared to controls. Crucially, this mechanism may strongly contribute to the development and maintenance of self-body image disturbances.

Keywords

Anorexia nervosa Body image Size distortion Esthetic Perceptual adaptation Eating disorders 

Notes

Acknowledgments

We are grateful to Alice Garolla for helping with clinical evaluation of patients. This work was supported by grants from Italian Ministry of Health (Progetto Giovani Ricercatori GR-2008-1137139; Ricerca Corrente, Scientific Institute, IRCCS Eugenio Medea, Italy), and Italian Ministry of University and Research (Bando Futuro in Ricerca 2012, Prot. No. RBFR12F0BD) to CU.

Compliance with ethical standards

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

  1. Ahern AL, Bennett KM, Hetherington MM (2008) Internalization of the ultra-thin ideal: positive implicit associations with underweight fashion models are associated with drive for thinness in young women. Eat Disord J Treat Prev 16:294–307CrossRefGoogle Scholar
  2. American Psychiatric Association (1994) DSM-IV-TR: diagnostic and statistical manual of mental disorder, 4th edn. American Psychiatric Press Inc, Washington, DC, p 980Google Scholar
  3. Boothroyd LG, Tovée MT, Pollett T (2012) Visual diet versus associative learning as mechanisms of change in body size preferences. PLoS One 7(11):e48691PubMedCentralCrossRefPubMedGoogle Scholar
  4. Calder AJ, Beaver JD, Winston JS, Dolan RJ, Jenkins R, Eger E et al (2007) Separate coding of different gaze directions in the superior temporal sulcus and inferior parietal lobule. Curr Biol 17:20–25PubMedCentralCrossRefPubMedGoogle Scholar
  5. Cattarin JA, Thompson JK, Thomas C, Williams R (2000) Body image, mood and televised images of attractiveness: the role of social comparison. J Soc Clin Psychol 19:220–239CrossRefGoogle Scholar
  6. Cazzato V, Siega S, Urgesi C (2012) “What women like”: influence of motion and form on esthetic body perception. Front Psychol 3:235PubMedCentralCrossRefPubMedGoogle Scholar
  7. Cazzato V, Mele S, Urgesi C (2014) Gender differences in the visual underpinning of perceiving and appreciating the beauty of the body. Behav Brain Res 264:188–196CrossRefPubMedGoogle Scholar
  8. Cazzato V, Mian E, Serino A, Mele S, Urgesi C (2015) Distinct contributions of extrastriate body area and temporoparietal junction in perceiving one’s own and others’ body. Cogn Affect Behav Neurosci 15:211–228CrossRefPubMedGoogle Scholar
  9. Cooper PJ, Taylor MMJ, Cooper Z, Fairbum CG (1987) The development and validation of the body shape questionnaire. Int J Eat Disord 6:485–494CrossRefGoogle Scholar
  10. Dennett HW, McKone E, Edwards M, Susilo T (2012) Face aftereffects predict individual differences in face recognition ability. Psychol Sci 23:1279–1287CrossRefPubMedGoogle Scholar
  11. Derogatis LR, Lipman RS, Covi L (1973) SCL-90: an outpatient psychiatric rating scale- preliminary report. Psychopharmacol Bull 9:13–28PubMedGoogle Scholar
  12. Dittmar H, Howard S (2004) Thin-ideal internalization and social comparison tendency as moderators of thin media models’ impact on women’s body focused anxiety. J Soc Clin Psychol 23:768–791CrossRefGoogle Scholar
  13. Dobson KS, Dozois DJA (2004) Attentional biases in eating disorders: a meta-analytic review of Stroop performance. Clin Psychol Rev 23:1001–1022CrossRefPubMedGoogle Scholar
  14. Durkin SJ, Paxton SJ (2002) Predictors of vulnerability to reduced body image satisfaction and psychological well-being in response to idealized female media images in adolescent girls. J Psychosom Res 53:995–1005CrossRefPubMedGoogle Scholar
  15. Eshkevari E, Rieger E, Longo MR, Haggard P, Treasure J (2012) Increased plasticity of the bodily self in eating disorders. Psychol Med 42:819–828CrossRefPubMedGoogle Scholar
  16. Fernandez S, Pritchard M (2012) Relationships between self-esteem, media influence and drive for thinness. Eat Behav 13:321–325CrossRefPubMedGoogle Scholar
  17. Fox CJ, Barton JJS (2007) What is adapted in face adaptation? The neural representations of expression in the human visual system. Brain Res 1127:80–89CrossRefPubMedGoogle Scholar
  18. Garner D (1984) Eating disorder inventory, 2. Organizzazioni Speciali, FirenzeGoogle Scholar
  19. Garner DM, Olmstead MP, Polivy J (1983) Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord 2:15–34CrossRefGoogle Scholar
  20. Ghuman AS, McDaniel JR, Martin A (2010) Face adaptation without a face. Curr Biol 20:32–36PubMedCentralCrossRefPubMedGoogle Scholar
  21. Gibson JJ, Radner M (1937) Adaptation after-effect and contrast in the perception of tilted lines. J Exp Psychol 20:453–467CrossRefGoogle Scholar
  22. Glauert R, Rhodes G, Byrne S, Fink B, Grammer K (2009) Body dissatisfaction and the effects of perceptual exposure on body norms and ideals. Int J Eat Disord 42:443–452CrossRefPubMedGoogle Scholar
  23. Glauert R, Rhodes G, Fink B, Grammer K (2010) Body dissatisfaction and attentional bias to thin bodies. Int J Eat Disord 43:42–49PubMedGoogle Scholar
  24. Hargreaves D, Tiggemann M (2003a) Longer-term implications of responsiveness to ‘Thin-Ideal’ television: support for a cumulative hypothesis of body image disturbance? Eur Eat Disord Rev 11:465–477CrossRefGoogle Scholar
  25. Hargreaves D, Tiggemann M (2003b) The effect of “thin ideal” television commercials on body dissatisfaction and schema activation during early adolescence. J Youth Adolesc 32:367–373CrossRefGoogle Scholar
  26. Hausenblas HA, Campbell A, Menzel JE, Doughty J, Levine M, Thompson JK (2013) Media effects of experimental presentation of the ideal physique on eating disorder symptoms: a meta-analysis of laboratory studies. Clin Psychol Rev 33:168–181CrossRefPubMedGoogle Scholar
  27. Hummel D, Rudolf AK, Untch KH, Grabhorn R, Mohr HM (2012) Visual adaptation to thin and fat bodies transfers across identity. PLoS One 7(8):e43195PubMedCentralCrossRefPubMedGoogle Scholar
  28. Johnson F, Wardle J (2005) Dietary restraint, body dissatisfaction, and psychological distress: a prospective analysis. J Abnorm Psychol 114:119–124CrossRefPubMedGoogle Scholar
  29. McCollough C (1965) The conditioning of color-perception. Am J Psychol 78:362–378CrossRefPubMedGoogle Scholar
  30. Mele S, Cazzato V, Urgesi C (2013) The importance of perceptual experience in the esthetic appreciation of the body. PLoS One 8(12):e81378PubMedCentralCrossRefPubMedGoogle Scholar
  31. Mele S, Di Taranto F, Cazzato V, Maestro S, Fabbro F, Muratori F, Urgesi C (2015) Altered norm-based reshaping of esthetic body ideals in adolescent patients with anorexia nervosa (submitted)Google Scholar
  32. Mian E, Gerbino W (2009) Body image assessment in the computer aided psychological support for eating disorders. Abstracts from cyber therapy 14, designing the future of healthcare, Lago Maggiore, Verbania, Italy. Cyber Psychol Behav 12:581–673CrossRefGoogle Scholar
  33. Ng M, Boynton GM, Fine I (2008) Face adaptation does not improve performance on search or discrimination tasks. J Vis 8:1–20PubMedCentralCrossRefPubMedGoogle Scholar
  34. Palumbo R, Laeng B, Tommasi L (2013) Gender-specific aftereffects following adaptation to silhouettes of human bodies. Vis Cogn 21:1–12CrossRefGoogle Scholar
  35. Palumbo R, D’Ascenzo S, Tommasi L (2015) Cross-category adaptation: exposure to faces produces gender aftereffects in body perception. Psychol Res 79:380–388CrossRefPubMedGoogle Scholar
  36. Probst M, Vandereycken W, Van Coppenolle H, Vanderlinden J (1995) The body attitude test for patients with an eating disorder: psychometric characteristics of a new questionnaire. Eat Disord 3:133–144CrossRefGoogle Scholar
  37. Re DE, Coetzee V, Xiao DK, Buls D, Tiddeman BP, Boothroyd LG, Perrett DI (2011) Viewing heavy bodies enhances preferences for facial adiposity. J Evol Psychol 9:295–308CrossRefGoogle Scholar
  38. Rhodes G, Jeffery L, Watson TL, Clifford CW, Nakayama K (2003) Fitting the mind to the world: face adaptation and attractiveness aftereffects. Psychol Sci 14:558–566CrossRefPubMedGoogle Scholar
  39. Smeets MAM, Kosslyn SM (2001) Hemispheric differences in body image in anorexia nervosa. Int J Eat Disord 29:409–416CrossRefPubMedGoogle Scholar
  40. Smeets MAM, Klugkist IG, van Rooden S, Anema HA, Postma A (2009) Mental body distance comparison: a tool for assessing clinical disturbances in visual body image. Acta Psychol 132:157–165CrossRefGoogle Scholar
  41. Stefanile C, Matera C, Nerini A, Pisani E (2011) Validation of an Italian version of the sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3) on adolescent girls. Body Image 8:432–436CrossRefPubMedGoogle Scholar
  42. Stice E (2001) A prospective test of the dual-pathway model of bulimic pathology: mediating effects of dieting and negative affect. J Abnorm Psychol 110:124–135CrossRefPubMedGoogle Scholar
  43. Stice E, Ng J, Shaw H (2010) Risk factors and prodromal eating pathology. J Child Psychol Psychiatry 51:518–525CrossRefPubMedGoogle Scholar
  44. Suchan B, Bauser DS, Busch M, Schulte D, Grönemeyer D, Herpertz S, Vocks S (2013) Reduced connectivity between the left fusiform body area and the extrastriate body area in anorexia nervosa is associated with body image distortion. Behav Brain Res 241:80–85CrossRefPubMedGoogle Scholar
  45. Thompson JK (2004) The (mis)measurement of body image: ten strategies to improve assessment for applied and research purposes. Body Image 1:7–14CrossRefPubMedGoogle Scholar
  46. Thompson P, Burr D (2009) Visual after effects. Curr Biol 19:R11–R14CrossRefPubMedGoogle Scholar
  47. Thompson JK, van den Berg P, Roehrig M, Guarda AS, Heinberg LS (2004) The Sociocultural Attitudes Towards Appearance Scale-3 (SATAQ-3): development and validation. Int J Eat Disord 35:293–304CrossRefPubMedGoogle Scholar
  48. Tucci S, Peters J (2008) Media influences on body dissatisfaction in female students. Psicothema 20:521–524PubMedGoogle Scholar
  49. Urgesi C, Fornasari L, Perini L, Canalaz F, Cremaschi S, Faleschini L, Balestrieri M, Fabbro F, Aglioti SM, Brambilla P (2012) Visual body perception in anorexia nervosa. Int J Eat Disord 45:501–511CrossRefPubMedGoogle Scholar
  50. Urgesi C, Fornasari L, Canalaz F, Perini L, Cremaschi S, Faleschini L, Zappoli Thyrion E, Zuliani M, Balestrieri M, Fabbro F, Brambilla P (2014) Impaired configural body processing in anorexia nervosa: evidence from the body inversion effect. Br J Psychol 105:486–508CrossRefPubMedGoogle Scholar
  51. Valentine T (1991) Representation and process in face recognition. In: Cronley-Dillon J (series ed), Watt RJ (vol. ed) Pattern recognition by man and machine, vol 14. Vision and visual dysfunction. Basingstoke, Macmillan, pp 107–124Google Scholar
  52. Valentine T, Darling S, Donnelly M (2004) Why are average faces attractive? The effect of view and averageness on the attractiveness of female faces. Psychon Bull Rev 11:482–487CrossRefPubMedGoogle Scholar
  53. Webster MA, Kaping D, Mizokami Y, Duhamel P (2004) Adaptation to natural facial categories. Nature 428:557–561CrossRefPubMedGoogle Scholar
  54. Wiederman MW, Pryor TL (2000) Body dissatisfaction, bulimia, and depression among women: the mediating role of drive for thinness. Int J Eat Disord 27:90–95CrossRefPubMedGoogle Scholar
  55. Winkler C, Rhodes G (2005) Perceptual adaptation affects attractiveness of female bodies. Br J Psychol 96:141–154CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Valentina Cazzato
    • 1
    • 2
    • 3
    Email author
  • Emanuel Mian
    • 4
    • 5
  • Sonia Mele
    • 1
    • 2
  • Giulia Tognana
    • 5
  • Patrizia Todisco
    • 5
  • Cosimo Urgesi
    • 1
    • 2
    Email author
  1. 1.Department of Human SciencesUniversity of UdineUdineItaly
  2. 2.Scientific Institute IRCCS Eugenio MedeaSan Vito al TagliamentoItaly
  3. 3.Division of PsychologyUniversity of BradfordBradfordUK
  4. 4.Istituto Nazionale di Chirurgia dell’Obesità (INCO)MilanItaly
  5. 5.Eating Disorders - Psychonutritional RehabilitationVilla Margherita ClinicArcugnanoItaly

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