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Targeting body image in eating disorders
Current Opinion in Psychology ( IF 6.3 ) Pub Date : 2021-04-08 , DOI: 10.1016/j.copsyc.2021.03.013
Piers L Cornelissen 1 , Martin J Tovée 1
Affiliation  

Eating disorders, such as anorexia nervosa (AN), are challenging to treat successfully and have a very high relapse rate. Body image disturbance (BID) is a core component of these eating disorders. It is a predicter of onset, treatment outcome and future relapse. However, recent studies suggest that BID can be improved by an adaptation of cognitive bias training. This does not target the accuracy of body size judgements, but instead focusses on how a body of a particular size is categorised by a patient. This recalibration of the categorical boundary at which bodies are judged as over-weight, which challenges a patient’s existing preconceptions about which constitutes an acceptable body size, seems to lead to a more general reassessment of eating disordered attitudes and a significant improvement in their psychological profile. These promising findings need further trials to determine the long-term effectiveness of such a targeted intervention, but it potentially provides an important additional treatment option. Additionally, this cognitive bias training may also be effective augmentation to treatment in other conditions which feature BID, such as bulimia nervosa and body dysmorphia.



中文翻译:

针对饮食失调中的身体形象

进食障碍,例如神经性厌食症 (AN),难以成功治疗,并且复发率非常高。身体意象障碍 (BID) 是这些饮食失调的核心组成部分。它是发病、治疗结果和未来复发的预测指标。然而,最近的研究表明,可以通过适应认知偏差训练来改善 BID。这并不针对体型判断的准确性,而是侧重于如何对特定体型的身体进行分类由一个病人。这种对身体被判断为超重的分类边界的重新校准,挑战了患者现有的关于哪些构成可接受的体型的先入之见,似乎导致了对饮食失调态度的更普遍的重新评估,并显着改善了他们的心理状况. 这些有希望的发现需要进一步的试验来确定这种有针对性的干预措施的长期有效性,但它可能提供一个重要的额外治疗选择。此外,这种认知偏差训练也可能是对以 BID 为特征的其他病症(例如神经性贪食症和身体畸形)的治疗的有效增强。

更新日期:2021-04-08
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