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Volume 9
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Article

The Role of the Embodiment Disturbance in the Anorexia Nervosa Psychopathology: A Network Analysis Study

by
Giammarco Cascino
1,
Giovanni Castellini
2,
Giovanni Stanghellini
3,4,
Valdo Ricca
2,
Emanuele Cassioli
2,
Valeria Ruzzi
5,
Palmiero Monteleone
1 and
Alessio Maria Monteleone
5,*
1
Department of Medicine, Surgery and Dentistry ‘Scuola Medica Salernitana’, Section of Neurosciences, University of Salerno, 84081 Salerno, Italy
2
Psychiatry Unit, Department of Health Sciences, University of Florence, 50139 Florence, Italy
3
Department of Psychological, Humanistic and Territorial Sciences, ‘G. d’Annunzio’ University, 66100 Chieti, Italy
4
‘D. Portales’ University, 8320000 Santiago, Chile
5
Department of Psychiatry, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
*
Author to whom correspondence should be addressed.
Brain Sci. 2019, 9(10), 276; https://doi.org/10.3390/brainsci9100276
Submission received: 29 July 2019 / Revised: 4 October 2019 / Accepted: 12 October 2019 / Published: 15 October 2019
(This article belongs to the Special Issue Psychotherapeutic Treatment for Anorexia Nervosa)
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Abstract

Anorexia Nervosa (AN) is characterized by body image distortion. From a phenomenological perspective, body image disturbance has been associated with a more profound disturbance encompassing disorders of the way persons experience their own body. The aim of this study was to disentangle the complex dynamics that connect the experience of one’s own body and self-identity to the psychopathological features of AN by applying a network analysis. Fifty-seven patients with AN restrictive subtype and 27 with AN binge–purging subtype participated in the study. Eating Disorders Inventory-2 and Identity and Eating Disorders subscores, measuring the embodiment dimensions, were included in the network. Two of the main dimensions of embodiment—feeling extraneous from one’s own body and feeling oneself through objective measures—were the nodes with the highest strength together with interoceptive awareness (IA). IA was a node included in several pathways connecting embodiment dimensions with most of the AN psychopathological dimensions. The centrality of the embodiment disorder suggests the importance of considering the body image disturbance in people with AN as resulting from their difficulty in experiencing inner states and as a tool to build its own self. This assumption may orient therapeutic interventions.
Keywords: anorexia nervosa; embodiment; network analysis; body image; body awareness anorexia nervosa; embodiment; network analysis; body image; body awareness

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MDPI and ACS Style

Cascino, G.; Castellini, G.; Stanghellini, G.; Ricca, V.; Cassioli, E.; Ruzzi, V.; Monteleone, P.; Monteleone, A.M. The Role of the Embodiment Disturbance in the Anorexia Nervosa Psychopathology: A Network Analysis Study. Brain Sci. 2019, 9, 276. https://doi.org/10.3390/brainsci9100276

AMA Style

Cascino G, Castellini G, Stanghellini G, Ricca V, Cassioli E, Ruzzi V, Monteleone P, Monteleone AM. The Role of the Embodiment Disturbance in the Anorexia Nervosa Psychopathology: A Network Analysis Study. Brain Sciences. 2019; 9(10):276. https://doi.org/10.3390/brainsci9100276

Chicago/Turabian Style

Cascino, Giammarco, Giovanni Castellini, Giovanni Stanghellini, Valdo Ricca, Emanuele Cassioli, Valeria Ruzzi, Palmiero Monteleone, and Alessio Maria Monteleone. 2019. "The Role of the Embodiment Disturbance in the Anorexia Nervosa Psychopathology: A Network Analysis Study" Brain Sciences 9, no. 10: 276. https://doi.org/10.3390/brainsci9100276

APA Style

Cascino, G., Castellini, G., Stanghellini, G., Ricca, V., Cassioli, E., Ruzzi, V., Monteleone, P., & Monteleone, A. M. (2019). The Role of the Embodiment Disturbance in the Anorexia Nervosa Psychopathology: A Network Analysis Study. Brain Sciences, 9(10), 276. https://doi.org/10.3390/brainsci9100276

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