Evidence map›Paper›PMID 25652023›Full record

ArticlePsychological medicine2015

Anorexia nervosa and body dysmorphic disorder are associated with abnormalities in processing visual information.

W Li, T M Lai, C Bohon, S K Loo, D McCurdy, M Strober, S Bookheimer, J Feusner

Abstract readComparative Study
In one paragraph

Article in Psychological medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A Systematic Review to Explore a Neuropsychological Profile that Predates Anorexia Nervosa.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Pooled it
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  6. Review
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  13. The Future of Perceptual Dysregulation in Psychiatric Nosology.Current topics in behavioral neurosciences · 2025
    Review
  14. Perceptual Dysfunction in Eating Disorders.Current topics in behavioral neurosciences · 2025
    Review
  15. Sensing the Self: The Role of the Insula and Interoception in Body Image.Current topics in behavioral neurosciences · 2025
    Review
  16. Body dysmorphic disorder.Nature reviews. Disease primers · 2024
    Review
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

W LiInterdepartmental Neuroscience Program,University of California,Los Angeles,CA,USA.
T M LaiDepartment of Psychology,University of California,Los Angeles, CA,USA.
C BohonDepartment of Psychiatry and Behavioral Sciences,Stanford University,Palo Alto,CA,USA.
S K LooDepartment of Psychiatry and Biobehavioral Sciences,University of California,Los Angeles, CA,USA.
D McCurdyUniversity of California,Los Angeles, CA,USA.
M StroberDepartment of Psychiatry and Biobehavioral Sciences,University of California,Los Angeles, CA,USA.
S BookheimerDepartment of Psychiatry and Biobehavioral Sciences,University of California,Los Angeles, CA,USA.
J FeusnerDepartment of Psychiatry and Biobehavioral Sciences,University of California,Los Angeles, CA,USA.

Funding

Common and Distinct Phenotypes of Body Dysmorphic Disorder and Anorexia NervosaR01MH093535 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FEUSNER, JAMIE · 2011 to 2015
$2.0M
NIMH NIH HHS MH093535-02S1NIMH NIH HHS R01 MH093535
6 · The paper itself

Abstract

backgroundAnorexia nervosa (AN) and body dysmorphic disorder (BDD) are characterized by distorted body image and are frequently co-morbid with each other, although their relationship remains little studied. While there is evidence of abnormalities in visual and visuospatial processing in both disorders, no study has directly compared the two. We used two complementary modalities--event-related potentials (ERPs) and functional magnetic resonance imaging (fMRI)--to test for abnormal activity associated with early visual signaling.

methodWe acquired fMRI and ERP data in separate sessions from 15 unmedicated individuals in each of three groups (weight-restored AN, BDD, and healthy controls) while they viewed images of faces and houses of different spatial frequencies. We used joint independent component analyses to compare activity in visual systems.

resultsAN and BDD groups demonstrated similar hypoactivity in early secondary visual processing regions and the dorsal visual stream when viewing low spatial frequency faces, linked to the N170 component, as well as in early secondary visual processing regions when viewing low spatial frequency houses, linked to the P100 component. Additionally, the BDD group exhibited hyperactivity in fusiform cortex when viewing high spatial frequency houses, linked to the N170 component. Greater activity in this component was associated with lower attractiveness ratings of faces.

conclusionsResults provide preliminary evidence of similar abnormal spatiotemporal activation in AN and BDD for configural/holistic information for appearance- and non-appearance-related stimuli. This suggests a common phenotype of abnormal early visual system functioning, which may contribute to perceptual distortions.

Indexed as

Perceptual DistortionVisual PerceptionAdolescentAdultAnorexia NervosaBody Dysmorphic DisordersEvoked PotentialsFemaleHumansLos AngelesMagnetic Resonance ImagingMaleNeuropsychological TestsPsychiatric Status Rating ScalesVision DisordersYoung AdultDorsal/ventral visual streamselectroencephalographyevent-related potentialface processinghouse processingjoint ICA

Identifiers

PMID25652023
PMCPMC4898970

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.