Mind the Gap! Die Körperwahrnehmung von Patienten mit Essstörungen

Dr. med. Florian Junne

Prof. Dr. med. Stephan Zipfel

„Evaluation of the disturbance in body image is of importance not only as a diagnostic criterion, but also in appraising treatment progress. Anorexic patients may gain weight for many reasons or may seem to progress well in psychotherapy. Without a corrective change in the body image, however, the improvement is apt to be only a temporary remission“.

• Literatur

• 1 Junne F, Zipfel S, Wild B. et al. The relationship of body image with symptoms of depression and anxiety in patients with anorexia nervosa during outpatient psychotherapy: Results of the ANTOP study. Psychotherapy 2016; 53: 141-151
• 2 Schmidt U, Adan R, Böhm I. et al. Eating disorders: the big issue. The Lancet Psychiatry 2016; 3: 313-315
• 3 Zipfel S, Löwe B, Reas DL. et al. Long-term prognosis in anorexia nervosa: lessons from a 21-year follow-up study. The Lancet 2000; 355: 721-722
• 4 American Psychiatric Association. Diagnostic and statistical manual of mental disorders, fifth edition. Arlington, VA: American Psychiatric Association; 2013
• 5 Phillipou A, Castle DJ, Rossell SL. Anorexia nervosa: Eating disorder or body image disorder?. Australian & New Zealand Journal of Psychiatry 2017; 0: 1-2
• 6 Mölbert SC, Klein L, Thaler A. et al. Depictive and metric body size estimation in anorexia nervosa and bulimia nervosa: A systematic review and meta-analysis. Clin Psychol Rev 2017; 57: 21-31
• 7 Cash TF. The psychology of physical appearance: Aesthetics, attributes, and images. In: Cash TF, Pruzinsky T. (Hrsg.) Body images: Development, deviance, and change. New York: Guilford Press; 1990: 51-79
• 8 Cash TF, Deagle EA. The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: A meta-analysis. International Journal of Eating Disorders 1997; 22: 107-126
• 9 Cash TF, Hrabosky JI. Treatment of body image disturbances. In: Thompson JK. (Hrsg.) Handbook of eating disorders and obesity. New York: Wiley; 2004: 515-541
• 10 Cash TF. Body image: Past, present, and future. Body Image 2004; 1: 1-5
• 11 de Vignemont F. Body schema and body image - pros and cons. Neuropsychologia 2010; 48: 669-680
• 12 Dijkerman HC, De Haan EH. Somatosensory processes subserving perception and action. Behavioral and Brain Sciences 2007; 30: 189-201
• 13 Mölbert SC, Hautzinger M, Karnath H-O. et al. Validierung der deutschsprachigen Version der Physical Appearance Comparison Scale (PACS): Psychometrische Eigenschaften und Zusammenhang mit Essverhalten, Körperbild und Selbstwert. Psychotherapie• Psychosomatik• Medizinische Psychologie 2017; 67: 91-97
• 14 Fernández F, Vandereycken W. Influence of video confrontation on the self-evaluation of anorexia nervosa patients: A controlled study. Eating Disorders 1994; 2: 135-140
• 15 Bruch H. Perceptual and conceptual disturbances in anorexia nervosa. Psychosomatic Medicine 1962; 24: 187-194
• 16 Clement U, Löwe B. Fragebogen zum Körperbild (FKB-20), Testmappe mit Handanweisung, Fragebogen und Auswertungsblättern. Göttingen: Hogrefe; 1996