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The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: A meta-analysis

1997; Wiley; Volume: 22; Issue: 2 Linguagem: Inglês

10.1002/(sici)1098-108x(199709)22

1098-108X

Thomas F. Cash, Edwin A. Deagle,

Eating Disorders and Behaviors

International Journal of Eating DisordersVolume 22, Issue 2 p. 107-126 Research Article The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: A meta-analysis Thomas F. Cash, Corresponding Author Thomas F. Cash Department of Psychology, Old Dominion University, Norfolk, VirginiaDepartment of Psychology, Old Dominion University, Norfolk, VA 23529-0267Search for more papers by this authorEdwin A. Deagle III, Edwin A. Deagle III Department of Psychology, University of Houston, Houston, TexasSearch for more papers by this author Thomas F. Cash, Corresponding Author Thomas F. Cash Department of Psychology, Old Dominion University, Norfolk, VirginiaDepartment of Psychology, Old Dominion University, Norfolk, VA 23529-0267Search for more papers by this authorEdwin A. Deagle III, Edwin A. Deagle III Department of Psychology, University of Houston, Houston, TexasSearch for more papers by this author First published: 06 December 1998 https://doi.org/10.1002/(SICI)1098-108X(199709)22:2 3.0.CO;2-JCitations: 523AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Objective Although body-image disturbance is among the diagnostic criteria for anorexia nervosa and bulimia nervosa, the nature and extent of this disturbance have not been precisely identified. This is the purpose of this first meta-analysis of extant research on body image and eating disorders. Method: Using contemporary techniques, the meta-analysis systematically examined 66 studies (from 1974 to 1993) of perceptual and attitudinal parameters of body image among anorexics and bulimics relative to control groups. Results: Attitudinal body dissatisfaction, both questionnaire and self-ideal discrepancy measures, produced substantially larger effect sizes than did perceptual size-estimation inaccuracy. Body dissatisfaction measures, whether global or weight/shape related, differentiated bulimic and anorexic groups (with bulimics having more dissatisfaction), whereas perceptual distortion indices did not. Somewhat larger effects occurred with whole-body than with body-part size-estimation assessments. Size distortion among patients with eating disorders appears unlikely to reflect a more generalized sensory/perceptual deficit. 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