Abstract

Historically, body size overestimation has been linked to abnormal levels of body dissatisfaction found in eating disorders. However, recently this relationship has been called into question. Indeed, despite a link between how we perceive and how we feel about our body seeming intuitive, until now lack of an experimental method to manipulate body size has meant that a causal link, even in healthy participants, has remained elusive. Recent developments in body perception research demonstrate that the perceptual experience of the body can be readily manipulated using multisensory illusions. The current study exploits such illusions to modulate perceived body size in an attempt to influence body satisfaction. Participants were presented with stereoscopic video images of slimmer and wider mannequin bodies viewed through head-mounted displays from first person perspective. Illusory ownership was induced by synchronously stroking the seen mannequin body with the unseen real body. Pre and post-illusion affective and perceptual measures captured changes in perceived body size and body satisfaction. Illusory ownership of a slimmer body resulted in participants perceiving their actual body as slimmer and giving higher ratings of body satisfaction demonstrating a direct link between perceptual and affective body representations. Change in body satisfaction following illusory ownership of a wider body, however, was related to degree of (non-clinical) eating disorder psychopathology, which can be linked to fluctuating body representations found in clinical samples. The results suggest that body perception is linked to body satisfaction and may be of importance for eating disorder symptomology.

Highlights

  • Eating disorders (EDs), such as anorexia nervosa (AN) and bulimia nervosa (BN), are serious psychiatric conditions primarily afflicting young women

  • The data were ordinal and not normally distributed (Shapiro-Wilk test) so were analysed using nonparametric Wilcoxon signed rank tests, for which effect size is indicated by the probability of superiority for dependent measures (PSdep)

  • After determining that neither sex of the participant nor illusory body size affected illusion strength it was shown that ownership over a slimmer body significantly decreases perceived body width and increases body satisfaction

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Summary

Introduction

Eating disorders (EDs), such as anorexia nervosa (AN) and bulimia nervosa (BN), are serious psychiatric conditions primarily afflicting young women. Petkova and Ehrsson [20] expanded this concept, demonstrating that viewing a mannequin body from first person perspective, whilst experiencing synchronous visual-tactile stimulation induces illusory ownership over the fake body Such illusions are demonstrated by subjective reports of ownership, and with objective measures. Attacking the ‘owned’ (synchronously stroked) body (part) with a threatening object (e.g. a knife or a hammer) can cause heightened skin conductance as if the real body was being threatened [21,22] Modulation of these illusions can produce perceptual changes to the shape and size of the actual body, for example, illusory elongation of a finger [23] or arm [24,25] and illusory expansion of the stomach [26]. Due to recent evidence associating EDs with more readily fluctuating body representations [14] it is predicted that higher (non-clinical) scores will correspond with greater affective and perceptual effects of the illusions

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