Mirror exposure for the treatment of body image disturbance.
OBJECTIVE
Body image disturbance is a risk factor for the development and persistence of eating disorders. Limitations of current treatments for body image disturbance prompted the development of a mirror exposure (ME) treatment.


METHODS
ME involves deliberate, planned, and systematic exposure to body image. The approach is nonjudgmental, holistic in focus, and mindful of present emotional experience. Complementary behavioral assignments aim to reduce avoidance and excessive checking. The current study evaluated the effectiveness of ME therapy (in a three-session format) compared with a nondirective (ND) therapy for 45 women with extreme weight and shape concerns.


RESULTS
ME resulted in significant improvements at termination and follow-up in body checking and avoidance, weight and shape concerns, body dissatisfaction, dieting, depression, and self-esteem. As hypothesized, ME was significantly better than ND on many of the outcome measures.


CONCLUSIONS
ME is an effective treatment for body image disturbance and should be evaluated in the context of treatments for eating disorders.
Delinsky
Sherrie Selwyn
SS
Department of Psychology, Rutgers, The State University of New Jersey, Piscataway, NJ, USA.
Wilson
G Terence
GT
D000293:Adolescent; D000328:Adult; D001828:Body Image; D015928:Cognitive Behavioral Therapy; D005260:Female; D005500:Follow-Up Studies; D006694:Holistic Health; D006801:Humans; D010469:Perceptual Distortion; D009629:Person-Centered Psychotherapy; D010549:Personal Satisfaction; D010555:Personality Inventory; D012649:Self Concept; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires; D014796:Visual Perception