Brain activation and connectivity in anorexia nervosa and body dysmorphic disorder when viewing bodies: relationships to clinical symptoms and perception of appearance.

Brain activation Brain connectivity Independent components analysis Partial least squares Spatial frequency Visual processing fMRI

Journal

Brain imaging and behavior
ISSN: 1931-7565
Titre abrégé: Brain Imaging Behav
Pays: United States
ID NLM: 101300405

Informations de publication

Date de publication:
Jun 2021
Historique:
pubmed: 3 9 2020
medline: 21 7 2021
entrez: 3 9 2020
Statut: ppublish

Résumé

Anorexia nervosa (AN) and body dysmorphic disorder (BDD) are characterized by distorted perception of appearance, yet no studies have directly compared the neurobiology associated with body perception. We compared AN and BDD in brain activation and connectivity in relevant networks when viewing images of others' bodies and tested their relationships with clinical symptoms and subjective appearance evaluations. We acquired fMRI data from 64 unmedicated females (20 weight-restored AN, 23 BDD, 21 controls) during a matching task using unaltered or spatial-frequency filtered photos of others' bodies. Using general linear model and independent components analyses we compared brain activation and connectivity in visual, striatal, and parietal networks and performed univariate and partial least squares multivariate analyses to investigate relationships with clinical symptoms and appearance evaluations. AN and BDD showed partially overlapping patterns of hyperconnectivity in the dorsal visual network and hypoconnectivity in parietal network compared with controls. BDD, but not AN, demonstrated hypoactivity in dorsal visual and parietal networks compared to controls. Further, there were significant activity and connectivity differences between AN and BDD in both networks. In both groups, activity and/or connectivity were associated with symptom severity and appearance ratings of others' bodies. Thus, AN and BDD demonstrate both distinct and partially-overlapping aberrant neural phenotypes involved in body processing and visually encoding global features. Nevertheless, in each disorder, aberrant activity and connectivity show relationships to clinically relevant symptoms and subjective perception. These results have implications for understanding distinct and shared pathophysiology underlying perceptual distortions of appearance and may inform future novel treatment strategies.

Identifiants

pubmed: 32875486
doi: 10.1007/s11682-020-00323-5
pii: 10.1007/s11682-020-00323-5
pmc: PMC7921207
mid: NIHMS1625826
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1235-1252

Subventions

Organisme : NIH HHS
ID : R01MH093535
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH121520
Pays : United States
Organisme : NIMH NIH HHS
ID : R21 MH110865
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH105662
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH093535
Pays : United States
Organisme : NIH HHS
ID : GM08042
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM008042
Pays : United States

Informations de copyright

© 2020. Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Teena D Moody (TD)

Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90024-1759, USA. tmoody@g.ucla.edu.
UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA. tmoody@g.ucla.edu.

Francesca Morfini (F)

Department of Psychology, Northeastern University, Boston, MA, 02115, USA.

Gigi Cheng (G)

Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90024-1759, USA.
UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA.

Courtney L Sheen (CL)

Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90024-1759, USA.
UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA.

Wesley T Kerr (WT)

UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA.
Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA.

Michael Strober (M)

Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90024-1759, USA.
UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA.

Jamie D Feusner (JD)

Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90024-1759, USA.
UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA.

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