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Subjective experience of sensation in anorexia nervosa.

dc.contributor.author Merwin, Rhonda
dc.contributor.author Zucker, Nancy
dc.contributor.author Groh, Jennifer
dc.contributor.author Moskovich, Ashley
dc.contributor.author Bulik, Cynthia M
dc.contributor.author Wildes, Jennifer E
dc.date.accessioned 2019-01-07T19:22:24Z
dc.date.available 2019-01-07T19:22:24Z
dc.date.issued 2013-06
dc.identifier S0005-7967(13)00032-6
dc.identifier.issn 0005-7967
dc.identifier.issn 1873-622X
dc.identifier.uri https://hdl.handle.net/10161/17898
dc.description.abstract The nature of disturbance in body experience in anorexia nervosa (AN) remains poorly operationalized despite its prognostic significance. We examined the relationship of subjective reports of sensitivity to and behavioral avoidance of sensory experience (e.g., to touch, motion) to body image disturbance and temperament in adult women currently diagnosed with AN (n = 20), women with a prior history of AN who were weight restored (n = 15), and healthy controls with no eating disorder history (n = 24). Levels of sensitivity to sensation and attempts to avoid sensory experience were significantly higher in both clinical groups relative to healthy controls. Sensory sensitivity was associated with body image disturbance (r(56) = .51, p < .0001), indicating that body image disturbance increased with increased global sensitivity to sensation. Sensory sensitivity was also negatively and significantly correlated with lowest BMI (r(2) = -.32, p < .001), but not current BMI (r(2) = .03, p = .18), and to the temperament feature of harm avoidance in both clinical groups. We discuss how intervention strategies that address sensitization and habituation to somatic experience via conditioning exercises may provide a new manner in which to address body image disturbance in AN.
dc.language eng
dc.publisher Elsevier BV
dc.relation.ispartof Behaviour research and therapy
dc.relation.isversionof 10.1016/j.brat.2013.01.010
dc.subject Humans
dc.subject Case-Control Studies
dc.subject Temperament
dc.subject Awareness
dc.subject Body Image
dc.subject Kinesthesis
dc.subject Anorexia Nervosa
dc.subject Adolescent
dc.subject Adult
dc.subject Middle Aged
dc.subject Female
dc.subject Young Adult
dc.subject Self Report
dc.title Subjective experience of sensation in anorexia nervosa.
dc.type Journal article
dc.date.updated 2019-01-07T19:22:23Z
pubs.begin-page 256
pubs.end-page 265
pubs.issue 6
pubs.organisational-group Trinity College of Arts & Sciences
pubs.organisational-group Duke
pubs.organisational-group Psychology and Neuroscience
pubs.organisational-group Neurobiology
pubs.organisational-group Basic Science Departments
pubs.organisational-group School of Medicine
pubs.organisational-group Duke Institute for Brain Sciences
pubs.organisational-group University Institutes and Centers
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Center for Cognitive Neuroscience
pubs.organisational-group Duke-UNC Center for Brain Imaging and Analysis
pubs.organisational-group Institutes and Centers
pubs.organisational-group Psychiatry, Child & Family Mental Health and Developmental Neuroscience
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Psychiatry & Behavioral Sciences, Behavioral Medicine
pubs.publication-status Published
pubs.volume 51
duke.contributor.orcid Groh, Jennifer|0000-0002-6435-3935


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