Page 85 - JCBP-2-4

Journal of Clinical and
Basic Psychosomatics Adverse life events and body image

Figure 1. Intergroup differences with regard to ALE categories. *Chi- Figure 2. Visual BID. Patients in the ED group (black columns) showed
square test, with P<0.05. the highest visual overestimation, whereas those in the RMDD group
Abbreviations: ALEs: Adverse life events; CG: Control group; ED: Eating and CG (dark and clear gray columns, respectively) underestimated their
disorders; RMDD: Recurrent major depressive disorder. shape when looking in the mirror. *Kruskal–Wallis test, with P<0.05.
Abbreviations: ED: Eating disorders; RMDD: Recurrent major depressive
disorder; CG: Control group.
(P = 0.062) and pre-13 interpersonal ALEs (P = 0.065) than
those in the other two groups. When considering pre-13
ALEs, whether interpersonal or non-interpersonal, the ED
group reported a significantly higher number of childhood
ALEs than the other two groups (P = 0.042).

The control group exhibited significantly lower levels
of extreme distress than the other two groups (P = 0.036).
Furthermore, the age of reporting the most distressing
ALE was lower in the ED group than in the other two
groups (P = 0.051).
Figure 3. Non-visual BID. In this histogram, patients in the ED
3.3. Characteristics of BID in the sample group overestimated their shape whereas the other groups mostly
underestimated their shape
Figures 2 and 3 depict the BID of patients with ALEs. Abbreviations: ED: Eating disorders; RMDD: Recurrent major depressive
Patients in the ED group overestimated their shape. disorder; CG: Control group.
However, they evaluated their figures more accurately
when looking in the mirror. Although not significant, a compared with the other two groups. Regarding pre-
larger proportion of patients displayed non-visual BID 13 ALEs (interpersonal or non-interpersonal), the
(69.6%) compared with visual BID (64.5%). Patients in ED group displayed higher levels of impulsivity and
the RMDD group reported a non-visual overestimation of perfectionism, although the difference was not significant.
their figure that was not present when they looked in the Similarly, patients in the ED group who experienced both
mirror. The ED group showed significantly higher visual interpersonal and pre-13-year ALEs exhibited higher
BID (P = 0.034) than the other two groups. levels of impulsivity and perfectionism than those in the
The analysis of intragroup differences regarding the other two groups, although this effect was not statistically
type of BID revealed that non-visual overestimation of significant.
the shape was prevalent in the ED group with more body Regarding BID, patients in the ED group who
dissatisfaction (P = 0.034). Conversely, in the control experienced interpersonal ALEs overestimated their body
group, body dissatisfaction was associated with visual shape both visually and non-visually. However, only the
BID (P = 0.020). The RMDD group did not report any visual BID differed significantly between the ED group
differences. and the other two groups. Patients in the other two groups
3.3.1. Relationship between ALEs, impulsivity, underestimated their body shape. Furthermore, the ED
perfectionism, and BID among the groups group demonstrated a markedly higher prevalence of
body dissatisfaction. When considering pre-13 ALEs
Table 2 illustrates the discrepancies in the levels of (interpersonal or non-interpersonal), the ED group
perfectionism, impulsivity, and BID with regard to ALE demonstrated higher levels of visual and non-visual BID
categories. and body dissatisfaction than the other two groups. When
Regarding interpersonal ALEs, the ED group displayed considering pre-13 interpersonal ALEs, the ED group
more pronounced levels of perfectionism, whereas the displayed heightened levels of body dissatisfaction and
RMDD group exhibited reduced levels of impulsivity visual BID. Nevertheless, the non-visual overestimation

Volume 2 Issue 4 (2024) 5 doi: 10.36922/jcbp.4662