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Regional cerebral blood flow patterns of change following the own body image exposure in eating disorders: A longitudinal study

Published online by Cambridge University Press:  16 April 2020

Teresa Rodriguez-Cano ,
Luis Beato-Fernandez ,
Inmaculada Garcia-Vilches ,
Ana Garcia-Vicente ,
Victor Poblete-Garcia  and
Angel Soriano-Castrejon
Teresa Rodriguez-Cano
Affiliation:
Eating Disorders Unit, General Hospital of Ciudad Real, Spain
Luis Beato-Fernandez*
Affiliation:
Nuclear Medicine Department, General Hospital of Ciudad Real, Spain
Inmaculada Garcia-Vilches
Affiliation:
Eating Disorders Unit, General Hospital of Ciudad Real, Spain
Ana Garcia-Vicente
Affiliation:
Nuclear Medicine Department, General Hospital of Ciudad Real, Spain
Victor Poblete-Garcia
Affiliation:
Nuclear Medicine Department, General Hospital of Ciudad Real, Spain
Angel Soriano-Castrejon
Affiliation:
Nuclear Medicine Department, General Hospital of Ciudad Real, Spain
*
*Corresponding author. Carretera de Valdepenas 5, 3-4 B. 13004 – Ciudad Real, Spain. E-mail address: [email protected] (L. Beato-Fernandez).
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Abstract

Objective

The aim of the present study is to see if the changes in the regional cerebral blood flow (rCBF) experienced by restrictive anorexia nervosa (AR) and bulimia nervosa (BN) patients, following the exposure to their own body image, persist at follow-up.

Methods

Three single photon emission computed tomography (SPECT) were performed on nine patients with a DSM-IV diagnosis of AR, 13 with BP, and 12 controls: at rest, following a neutral stimulus, and after exposure to their previously filmed whole body image. Body dissatisfaction was measured by means of the Body Dissatisfaction Questionnaire (BSQ). One year later the same assessment was repeated.

Results

Following the exposure to their own body image, BN showed an increase in body dissatisfaction, which was associated with the increase in the rCBF of the Right Temporal Area. Those changes persisted at follow-up.

Discussion

More specific long term therapies are needed for the treatment of the averse response showed by ED patients to their own body image exposure that is associated with the hyperactivation of the right temporal area when they are confronted with their whole body image.

Keywords

Eating DisordersAnorexia nervosaBulimia nervosaSPECT
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 5 , June 2009 , pp. 275 - 281
Copyright
Copyright © Elsevier Masson SAS 2009

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