title: A computer-based method for the assessment of body-image distortions in anorexia-nervosa patients.
abstract: A computer-based method for the assessment of body-image distortions in anorexia nervosa and other eating-disorder patients is presented in this paper. At the core of the method is a realistic pictorial simulation of lifelike weight changes, applied to a real source image of the patient. The patients, using a graphical user interface, adjust their body shapes until they meet their self-perceived appearance. Measuring the extent of virtual fattening or slimming of a body with respect to its real shape and size allows direct quantitative evaluation of the cognitive distortion in body image. In a preliminary experiment involving 33 anorexia-nervosa patients, 70% of the subjects chose an image with simulated visual weight gain between 8%-16% as their "real" body image, while only one of them recognized the original body image. In a second experiment involving 30 healthy participants, the quality of the weight modified images was evaluated by pairwise selection trials. Over a weight change range from -16% to +28%, in about 30% of the trials, artificially modified images were mistakenly taken as "original" images, thus demonstrating the quality of the artificial images. The method presented is currently in a clinical validation phase, toward application in the research, diagnosis, evaluation, and treatment of eating disorders.
authors.affiliation: Department of Electrical Engineering Systems, Tel Aviv University, Ramat Aviv 69978, Israel.
authors.forename: D
authors.initials: D
authors.lastname: Harari
authors.forename: M
authors.initials: M
authors.lastname: Furst
authors.forename: N
authors.initials: N
authors.lastname: Kiryati
authors.forename: A
authors.initials: A
authors.lastname: Caspi
authors.forename: M
authors.initials: M
authors.lastname: Davidson
mesh_terms: D000377:Agnosia / Q000473:pathology / Q000523:psychology; D000465:Algorithms; D000856:Anorexia Nervosa / Q000473:pathology* / Q000523:psychology*; D001824:Body Constitution; D001828:Body Image; D003198:Computer Simulation; D003201:Computers; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008953:Models, Anatomic; D015430:Weight Gain; D015431:Weight Loss