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The stability of perceptual disturbances in anorexia nervosa

Published online by Cambridge University Press:  09 July 2009

Paul E. Garfinkel*
Affiliation:
Psychosomatic Medicine Unit, Clarke Institute of Psychiatry, Toronto, Canada
Harvey Moldofsky
Affiliation:
Psychosomatic Medicine Unit, Clarke Institute of Psychiatry, Toronto, Canada
David M. Garner
Affiliation:
Psychosomatic Medicine Unit, Clarke Institute of Psychiatry, Toronto, Canada
*
1Address for correspondence: Dr Paul E. Garfinkel, Clarke Institute of Psychiatry, 250 College Street, Toronto, Canada M5T 1R8.

Synopsis

Patients with anorexia nervosa have previously been shown to display disturbances in visual self-perception and interoception. In the present investigation we wished to determine the stability of these disturbances and the effects of weight gain on them. We studied 29 females, 16 patients with primary anorexia nervosa and 13 controls, who had also been studied one year previously. Each subject took part in investigations of body image, using a distorting photograph technique, and interoception, using a satiety aversion to sucrose test. We found that some anorexic subjects tend to overestimate body size and have an absence of aversion to repeated sucrose tastes. Moreover, these disturbances were stable over the year and were not affected by weight change.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1979

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References

Bruch, H., (1973). Eating Disorders. Basic Books: New York.Google Scholar
Cabanac, M. & Duclaux, R. (1970). Obesity: absence of satiety aversion to sucrose. Science 168, 496497.Google Scholar
Canadian Average Weights for Height, Age and Sex (Pamphlet). (1954). Nutrition Division of the Department of National Health and Welfare: Ottawa.Google Scholar
Crisp, A. H. & Kalucy, R. S. (1974). Aspects of the perceptual disorder in anorexia nervosa. British Journal of Medical Psychology 47, 349361.CrossRefGoogle ScholarPubMed
Duncan, D. B. (1955). Multiple range and multiple F tests. Biometrics 11, 142.CrossRefGoogle Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A. Jr, Winokur, G. & Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry 26, 5763.Google Scholar
Fries, H. (1977). Studies on secondary amenorrhea, anorectic behavior, and body image perception: Importance for the early recognition of anorexia nervosa. In Anorexia Nervosa (ed. Vigersky, R. A.), pp. 163176. Raven Press: New York.Google Scholar
Garfinkel, P. E., Moldofsky, H. & Garner, D. M. (1977). Prognosis in anorexia nervosa as influenced by clinical features, treatment and self perception. Canadian Medical Association Journal 117, 10411045.Google Scholar
Garfinkel, P. E., Moldofsky, H., Garner, D. M., Stancer, H. C. & Coscina, D. V. (1978). Body awareness in anorexia nervosa: disturbances in ‘body image’ and ‘satiety’. Psychosomatic Medicine 40, 487497.CrossRefGoogle ScholarPubMed
Garner, D. M. & Garfinkel, P. E. (1978). Socio-cultural factors in anorexia nervosa. Lancet ii, 674.CrossRefGoogle Scholar
Garner, D. M., Garfinkel, P. E., Stancer, H. C. & Moldofsky, H. (1976). Body image disturbances in anorexia nervosa and obesity. Psychosomatic Medicine 38, 327337.CrossRefGoogle ScholarPubMed
Glucksman, M. L. & Hirsch, J. (1969). The response of obese patients to weight reduction. III. The perception of body size. Psychosomatic Medicine 31, 17.Google Scholar
Grinker, J. A. (1977). Effects of metabolic state on taste parameters and intake: comparisons of human and animal obesity. In Taste and Development (ed. Weiffenbach, J. M.), pp. 309327. DHEW Publication No. (NIH) 76–1068. Public Health Service, National Institute of Health: Bethesda, MD.Google Scholar
Halmi, K. A., Goldberg, S. C. & Cunningham, S. (1977). Perceptual distortion of body image in adolescent girls: distortion of body image in adolescence. Psychological Medicine 7, 253257.CrossRefGoogle ScholarPubMed
Slade, P. D. & Russell, G. F. M. (1973). Awareness of body dimension in anorexia nervosa: cross-section and longitudinal studies. Psychological Medicine 3, 188199.CrossRefGoogle Scholar
Stellar, E. (1977). Sweet preference and hedonic experience. In Taste and Development (ed. Weiffenbach, J. M.), pp. 363374. DHEW Publication No. (NIH) 76–1068. Public Health Service, National Institute of Health: Bethesda, MD.Google Scholar