Abstract
PURPOSE: Little is known about how fathers of patients with eating disorders perceive their own body. In this study we investigated body image perception of patients with anorexia and bulimia nervosa and body image perception of their fathers in a computer assisted approach. METHODS: A computer program, the somatomorphic matrix, is presented that allows modeling of perceived and desired body-images of patients and their relatives. Patients and fathers rated their own body images and fathers additionally rated the body images of their daughters. The images implemented in the program correspond with defined percentages of body fat and muscularity. Selected images were compared with subjects’ anthropometric data regarding body fat and muscularity. Data from 42 father-daughter-dyads (27 patients with anorexia, 15 with bulimia nervosa) were examined. Differences between both diagnostic groups were compared and associations between fathers’ and daughters’ body image perceptions within each group were investigated. RESULTS: Patients with anorexia nervosa overestimated their bodies on the body fat dimension. Patients with bulimia nervosa wished to have a body with less fat. Fathers of both groups of patients perceived their own bodies correctly but wished to have less body fat and to be more muscular. The wish for a change in body fat of anorexia nervosa patients was highly correlated with fathers’ BMI (r=0.49; p=0.009). The wish for a change in body fat of bulimia nervosa patients was correlated with fathers’ distorted body image perception in terms of muscularity (r=−0.66, p=0.007) and with fathers’ wish for a more muscular body (r=−0.51, p=0.05). CONCLUSION: Body images of patients with eating disorders and their fathers are related in the group of patients with bulimia nervosa. Perhaps, body images of fathers should be addressed in family therapy with patients with bulimia nervosa.
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Stein A., Woolley H., Cooper S.D., Fairburn C.G.: An observational study of mothers with eating disorders and their infants. J. Child. Psychol. Psychiatr., 35, 733–748, 1994.
Agras S., Hammer L., McNicholas F.: A prospective study of the influence of eating-disordered mothers on their children. Int. J. Eat. Disord., 25, 253–262, 1999.
Cooper P.J., Whelan E., Woolgar J.M., Morrell J., Murray L.: Association between childhood feeding problems and maternal eating disorder: role of the family environment. Br. J. Psychiatry, 84, 210–215, 2004.
Gowers S.G., Shore A.: Development of weight and shape concerns in the aetiology of eating disorders. Br. J. Psychiatry, 179, 236–242, 2001.
Dixon R., Adair V., O’Connor S.: Parental influences on the dieting beliefs and behaviors of adolescent females. New Zealand]. J. Adolesc. Health, 19, 303–307, 1996.
Schwartz D.J., Phares V., Tantleff-Dunn S., Thompson J.K.: Body image, psychological functioning, and parental feedback regarding physical appearance. Int. J. Eat. Disord., 25, 339–343, 1999.
Keery H., Boutelle K., van den Berg P., Thompson J.K.: The impact of appearance-related teasing by family members. J. Adolesc. Health, 37, 120–127, 2005.
Smolak L., Levine M.P., Schermer F.: Parental input and weight concerns among elementary school children. Int. J. Eat. Disord., 25, 263–271, 1999.
McKinley N.M.: Women and objectified body consciousness: mothers’ and daughters’ body experience in cultural, developmental, and familial context. Developmental Psychol., 35, 760–769, 1999.
Field A.E., Camargo C.A., Taylor C.B., Berkey C.S., Roberts S.B., Colditz G.A.: Peer, parent and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys. Pediatrics, 107, 54–60, 2001.
Moreno A., Thelen M.H.: Parental factors related to bulimia nervosa. Addict. Behav., 18, 681–689, 1993.
Kanakis D.M., Thelen M.H.: Parental variables associated with bulimia nervosa. Addict. Behav., 20, 491–500, 1995.
McCabe M.P., Ricciardelli L.A.: A prospective study of pressures from parents, peers, and the media on extreme weight change behaviors among adolescent boys and girls. Behav. Res. Ther., 43, 653–668, 2005.
Cash T.F., Deagle E.A.: The nature and extent of bodyimage disturbances in anorexia nervosa and bulimia nervosa: a meta-analysis. Int J Eat Disord., 22, 107–125, 1997.
Gruber A.J., Pope H.G., Borowiecki J.J., Cohane G.: The development of the somatomorphic matrix: a biaxial instrument for measuring body image in men and women. In: Norton K., Olds T., Kollman J. (Eds.) Kinanthropometry VI. Adelaide, International Society for the Advancement of Kinanthropometry, 2000, pp. 217–231.
Gruber A.J., Pope H.G., Lalonde J.K., Hudson J.I.: Why do young women diet? The roles of body fat, body perception, and body ideal. J. Clin. Psychiatry, 62, 609–611, 2001.
Benninghoven D., Jürgens E., Mohr A., Heberlein I., Kunzendorf S., Jantschek G.: Different changes of body-images in patients with anorexia or bulimia nervosa during inpatient psychosomatic treatment. Eur. Eat. Disord. Rev., 14, 88–96, 2006.
Cafri G., Straus J., Thompson J.K.: Male body image: Satisfaction and its relationship to well-being using the somatomorphic matrix. Int. J. Men’s Health, 1, 215–231, 2002.
Pope H.G., Gruber A., Mangweth B., Bureau B., deCol C., Jovent R., Hudson J.I.: Body image perception among men in three countries. Am. J. Psychiatry, 157, 1297–1301, 2000.
Hausmann A., Mangweth B., Walch T., Rupp C.I., Pope H.G.: Body image dissatisfaction in gay versus heterosexual men: is there really a difference? J. Clin. Psychiatry 65, 1555–1558, 2004.
Leit R.A., Gray J.J., Pope H.G.: The media’s representation of the ideal male body: A cause for muscle dysmorphia? Int. J. Eat. Disord., 31, 334–338, 2002.
Lipinski J., Pope H.G.: Body ideal in young samoan men: A comparison with men in North America and Europe. Int. J. Men’s Health, 1, 163–171, 2002.
Mangweth B., Hausmann A., Walch T., Hotter A., Rupp C.I., Biebl W., Hudson J.I., Pope H.G.: Body fat perception in eating-disordered men. Int. J. Eat. Disord, 35, 102–108, 2004.
Yang C.F., Gray P., Pope H.G.: Male body image in Taiwan versus the West: Yanggang Zhiqi meets the Adonis complex. Am. J. Psychiatry, 62, 263–269, 2005.
Boschi V., Siervo M., D’Orsi P., Margiotta N., Trapanese E., Basile F., Nasti G., Papa A., Bellini O., Falconi C.: Body composition, eating behavior, foodbody concerns and eating disorders in adolescent girls. Ann. Nutr. Metab., 47, 284–293, 2003.
Scalfi L., Marra M., Caldara A., Silvestri E., Contaldo F.: Changes in bioimpedance analysis after stable refeeding of undernourished anorexic patients. Int. J. Obes. Relat. Metab. Disord., 23, 133–137, 1999.
Weinbrenner T., Zittermann A., Gouni-Berthold I., Stehle P., Berthold H.K.: Body mass index and disease duration are predictors of disturbed bone turnover in anorexia nervosa. A case-control study. Eur. J. Clin. Nutr., 57, 1262–1267, 2003.
Dournin J.V.G.A., Womersley J.: Body fat assessed from total body desity and ist estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. Br. J. Nutr., 32, 77–97, 1974.
Kouri E., Pope H.G., Katz D.L., Olivia P.: Fat free mass index in users and nonusers of anabolic-androgenic steroids. Clin. J. Sport Med., 5, 223–228, 1995.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed. Washington D.C., American Psychiatric Association, 1994.
Heyward V.H. Wagner D.R.: Applied body composition assessment, 2nd ed. Leeds, Human Kinetics, 2004.
Rosen J.C.: Body image assessment and treatment in controlled studies of eating disorders. Int. J. Eat. Disord., 20, 331–343, 1996.
Skrzypek S., Wehmeier P.M., Remschmidt H.: Body image assessment using body size estimation in recent studies on anorexia nervosa. A brief review. Eur. Child Adolesc. Psychiatry, 10, 215–221, 2001.
Stice E., Shaw H.E.: Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. J. Psychosom. Res., 53, 985–993, 2002.
Stice E., Whitenton K.: Risk factors for body dissatisfaction in adolescent girls: a longitudinal investigation. Developmental Psychol., 38, 669–679, 2002.
Hill A.J., Franklin J.A.: Mothers, daughters and dieting: investigating the transmission of weight control. Br. J. Clin. Psychol., 37, 3–13, 1998.
Piccoli A., Codognotto M., Di Pascoli L., Boffo G., Caregaro, L. Body mass index and agreement between bioimpedance and anthropometry estimates of body compartments in anorexia nervosa. J Parenter. Enteral Nutr., 29, 148–156, 2005.
Cafri G., Roehrig M., Thompson J.K.: Reliability assessment of the somatomorphic matrix. Int. J. Eat. Disord., 35, 597–600, 2004.
Vandereycken W.: Family and marital therapies for eating disorders. In: Gabbard G.O. (Ed.), Treatment of Psychiatric Disorders, 3rd ed. Washigton D.C., American Psychiatric Publishing, 2001, pp. 2193–2208.
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Benninghoven, D., Tetsch, N., Kunzendorf, S. et al. Perceptual body image of patients with anorexia or bulimia nervosa and their fathers. Eat Weight Disord 12, 12–19 (2007). https://doi.org/10.1007/BF03327767
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DOI: https://doi.org/10.1007/BF03327767