Nonvisual Multisensory Impairment of Body Perception in Anorexia Nervosa: A Systematic Review of Neuropsychological Studies
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{"title"=>"Nonvisual multisensory impairment of body perception in anorexia nervosa: A systematic review of neuropsychological studies", "type"=>"generic", "authors"=>[{"first_name"=>"Santino", "last_name"=>"Gaudio", "scopus_author_id"=>"36617443000"}, {"first_name"=>"Samantha Jane", "last_name"=>"Brooks", "scopus_author_id"=>"21833601900"}, {"first_name"=>"Giuseppe", "last_name"=>"Riva", "scopus_author_id"=>"56962750600"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "arxiv"=>"arXiv:1011.1669v3", "scopus"=>"2-s2.0-84907833418", "sgr"=>"84907833418", "pui"=>"600125469", "isbn"=>"1932-6203", "pmid"=>"25303480", "doi"=>"10.1371/journal.pone.0110087"}, "id"=>"4a8b8dc4-2687-3084-83e9-0697548fe5d3", "abstract"=>"BACKGROUND: Body image distortion is a central symptom of Anorexia Nervosa (AN). Even if corporeal awareness is multisensory majority of AN studies mainly investigated visual misperception. We systematically reviewed AN studies that have investigated different nonvisual sensory inputs using an integrative multisensory approach to body perception. We also discussed the findings in the light of AN neuroimaging evidence.\\n\\nMETHODS: PubMed and PsycINFO were searched until March, 2014. To be included in the review, studies were mainly required to: investigate a sample of patients with current or past AN and a control group and use tasks that directly elicited one or more nonvisual sensory domains.\\n\\nRESULTS: Thirteen studies were included. They studied a total of 223 people with current or past AN and 273 control subjects. Overall, results show impairment in tactile and proprioceptive domains of body perception in AN patients. Interoception and multisensory integration have been poorly explored directly in AN patients. A limitation of this review is the relatively small amount of literature available.\\n\\nCONCLUSIONS: Our results showed that AN patients had a multisensory impairment of body perception that goes beyond visual misperception and involves tactile and proprioceptive sensory components. Furthermore, impairment of tactile and proprioceptive components may be associated with parietal cortex alterations in AN patients. Interoception and multisensory integration have been weakly explored directly. Further research, using multisensory approaches as well as neuroimaging techniques, is needed to better define the complexity of body image distortion in AN.\\n\\nKEY FINDINGS: The review suggests an altered capacity of AN patients in processing and integration of bodily signals: body parts are experienced as dissociated from their holistic and perceptive dimensions. Specifically, it is likely that not only perception but memory, and in particular sensorimotor/proprioceptive memory, probably shapes bodily experience in patients with AN.", "link"=>"http://www.mendeley.com/research/nonvisual-multisensory-impairment-body-perception-anorexia-nervosa-systematic-review-neuropsychologi", "reader_count"=>83, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Librarian"=>1, "Student > Doctoral Student"=>5, "Researcher"=>20, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>2, "Other"=>1, "Student > Master"=>9, "Student > Bachelor"=>14, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>3, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>1, "Librarian"=>1, "Student > Doctoral Student"=>5, "Researcher"=>20, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>2, "Other"=>1, "Student > Master"=>9, "Student > Bachelor"=>14, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>3, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>10, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>11, "Agricultural and Biological Sciences"=>3, "Neuroscience"=>6, "Design"=>1, "Psychology"=>49, "Social Sciences"=>2}, "reader_count_by_subdiscipline"=>{"Design"=>{"Design"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>11}, "Neuroscience"=>{"Neuroscience"=>6}, "Social Sciences"=>{"Social Sciences"=>2}, "Psychology"=>{"Psychology"=>49}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Unspecified"=>{"Unspecified"=>10}}, "reader_count_by_country"=>{"Brazil"=>1, "United Kingdom"=>2, "Germany"=>1}, "group_count"=>2}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1713708"], "description"=>"<p>Note: BMI =  Body mass index. n =  number. AN =  anorexia nervosa. HC =  healthy control. BN =  bulimia nervosa. EDNOS  =  eating disorder not otherwise specified. REC-AN  =  recovered from AN.</p><p>* =  months.</p><p>° =  median.</p>a<p>The sample was composed by: AN: n = 15; AN subtype EDNOS: n = 5.</p>b<p>The sample was composed by: AN: n = 11; EDNOS: n = 14.</p><p>Sample characteristics of neuropsychological studies.</p>", "links"=>[], "tags"=>["proprioceptive", "body perception", "literature available.ConclusionsOur results", "parietal cortex alterations", "Neuropsychological Studies BackgroundBody image distortion", "Nonvisual Multisensory Impairment", "273 control subjects", "Anorexia nervosa", "multisensory integration", "results show impairment", "AN.Key FindingsThe review", "body image distortion"], "article_id"=>1201021, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Santino Gaudio", "Samantha Jane Brooks", "Giuseppe Riva"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0110087.t001", "stats"=>{"downloads"=>0, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Sample_characteristics_of_neuropsychological_studies_/1201021", "title"=>"Sample characteristics of neuropsychological studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-10 03:39:16"}
  • {"files"=>["https://ndownloader.figshare.com/files/1713709"], "description"=>"<p>Note: Degree of involvement of the sensory component of body perception: ** =  present; * =  related but no primary involved; - =  absent. Brief description of sensory components of body perception: Tactile  =  the tasks was based on tactile stimulus touching the skin; Haptic: the tasks was based on active haptic exploration of objects (e.g. palpate an object); Proprioceptive  =  the task <u>was based on a sensory judgment</u> about limb and body position; Interoceptive  =  the task tested the sensitivity to visceral activity;</p><p>Visual: the task was based on the viewing of real own body images.</p><p>Classification of neuropsychological studies based on the multisensory model of body perception in AN.</p>", "links"=>[], "tags"=>["proprioceptive", "body perception", "literature available.ConclusionsOur results", "parietal cortex alterations", "Neuropsychological Studies BackgroundBody image distortion", "Nonvisual Multisensory Impairment", "273 control subjects", "Anorexia nervosa", "multisensory integration", "results show impairment", "AN.Key FindingsThe review", "body image distortion"], "article_id"=>1201022, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Santino Gaudio", "Samantha Jane Brooks", "Giuseppe Riva"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0110087.t002", "stats"=>{"downloads"=>2, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Classification_of_neuropsychological_studies_based_on_the_multisensory_model_of_body_perception_in_AN_/1201022", "title"=>"Classification of neuropsychological studies based on the multisensory model of body perception in AN.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-10 03:39:16"}
  • {"files"=>["https://ndownloader.figshare.com/files/1713707"], "description"=>"<p>Flow diagram of article selection.</p>", "links"=>[], "tags"=>["proprioceptive", "body perception", "literature available.ConclusionsOur results", "parietal cortex alterations", "Neuropsychological Studies BackgroundBody image distortion", "Nonvisual Multisensory Impairment", "273 control subjects", "Anorexia nervosa", "multisensory integration", "results show impairment", "AN.Key FindingsThe review", "body image distortion"], "article_id"=>1201020, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Santino Gaudio", "Samantha Jane Brooks", "Giuseppe Riva"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0110087.g001", "stats"=>{"downloads"=>0, "page_views"=>24, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_diagram_of_article_selection_/1201020", "title"=>"Flow diagram of article selection.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-10-10 03:39:16"}
  • {"files"=>["https://ndownloader.figshare.com/files/1713710", "https://ndownloader.figshare.com/files/1713711"], "description"=>"<div><p>Background</p><p>Body image distortion is a central symptom of Anorexia Nervosa (AN). Even if corporeal awareness is multisensory majority of AN studies mainly investigated visual misperception. We systematically reviewed AN studies that have investigated different nonvisual sensory inputs using an integrative multisensory approach to body perception. We also discussed the findings in the light of AN neuroimaging evidence.</p><p>Methods</p><p>PubMed and PsycINFO were searched until March, 2014. To be included in the review, studies were mainly required to: investigate a sample of patients with current or past AN and a control group and use tasks that directly elicited one or more nonvisual sensory domains.</p><p>Results</p><p>Thirteen studies were included. They studied a total of 223 people with current or past AN and 273 control subjects. Overall, results show impairment in tactile and proprioceptive domains of body perception in AN patients. Interoception and multisensory integration have been poorly explored directly in AN patients. A limitation of this review is the relatively small amount of literature available.</p><p>Conclusions</p><p>Our results showed that AN patients had a multisensory impairment of body perception that goes beyond visual misperception and involves tactile and proprioceptive sensory components. Furthermore, impairment of tactile and proprioceptive components may be associated with parietal cortex alterations in AN patients. Interoception and multisensory integration have been weakly explored directly. Further research, using multisensory approaches as well as neuroimaging techniques, is needed to better define the complexity of body image distortion in AN.</p><p>Key Findings</p><p>The review suggests an altered capacity of AN patients in processing and integration of bodily signals: body parts are experienced as dissociated from their holistic and perceptive dimensions. Specifically, it is likely that not only perception but memory, and in particular sensorimotor/proprioceptive memory, probably shapes bodily experience in patients with AN.</p></div>", "links"=>[], "tags"=>["proprioceptive", "body perception", "literature available.ConclusionsOur results", "parietal cortex alterations", "Neuropsychological Studies BackgroundBody image distortion", "Nonvisual Multisensory Impairment", "273 control subjects", "Anorexia nervosa", "multisensory integration", "results show impairment", "AN.Key FindingsThe review", "body image distortion"], "article_id"=>1201023, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Santino Gaudio", "Samantha Jane Brooks", "Giuseppe Riva"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0110087.s001", "https://dx.doi.org/10.1371/journal.pone.0110087.s002"], "stats"=>{"downloads"=>10, "page_views"=>43, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Nonvisual_Multisensory_Impairment_of_Body_Perception_in_Anorexia_Nervosa_A_Systematic_Review_of_Neuropsychological_Studies_/1201023", "title"=>"Nonvisual Multisensory Impairment of Body Perception in Anorexia Nervosa: A Systematic Review of Neuropsychological Studies", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-10-10 03:39:16"}

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