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Body checking behaviors in anorexia nervosa.

Simona Calugi1, Marwan El Ghoch1, Riccardo Dalle Grave1

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The International Journal of Eating Disorders
|January 25, 2017
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Summary

Enhanced cognitive behavioral therapy (CBT-E) significantly reduced body checking in anorexia nervosa patients. This reduction correlated with improvements in eating disorder and general psychopathology, highlighting CBT-E

Keywords:
anorexia nervosabody checking, body checking questionnairecognitive behavioral therapyinpatient treatmentshape concern

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Therapy

Background:

  • Anorexia nervosa is a severe eating disorder characterized by body image disturbances.
  • Body checking is a common behavior in eating disorders, often linked to shape and weight concerns.

Purpose of the Study:

  • To evaluate changes in body checking behaviors over time in anorexia nervosa patients undergoing enhanced cognitive behavioral therapy (CBT-E).
  • To examine the relationship between changes in body checking and improvements in eating disorder and general psychopathology.

Main Methods:

  • Sixty-six adult anorexia nervosa patients received inpatient CBT-E.
  • Body checking (Body Checking Questionnaire - BCQ), eating disorder, and general psychopathology symptoms were assessed at multiple time points.
  • Patient scores were compared to a healthy control group.

Main Results:

  • Patients with anorexia nervosa initially exhibited higher body checking scores than healthy controls.
  • Following CBT-E treatment, patients showed significant reductions in body checking at post-treatment and 12-month follow-up.
  • Reductions in body checking were significantly associated with improvements in eating disorder and general psychopathology.

Conclusions:

  • Inpatient enhanced cognitive behavioral therapy (CBT-E) is effective in reducing body checking behaviors in patients with anorexia nervosa.
  • Decreased body checking is linked to both short-term and long-term improvements in eating disorder and general psychopathology.
  • Addressing body checking through CBT-E may be a key strategy for alleviating shape and weight concerns in anorexia nervosa.