Altered Processing and Integration of Multisensory Bodily Representations and Signals in Eating Disorders: A Possible Path Toward the Understanding of Their Underlying Causes
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According to the Diagnostic and Statistical Manual of Mental Disorders (DSM V) eating problems are the clinical core of eating disorders (EDs). However, the importance of shape and weight overvaluation symptoms in these disorders underlines the critical role of the experience of the body in the etiology of EDs. This article suggests that the transdiagnostic centrality of these symptoms in individuals with EDs may reflect a deficit in the processing and integration of multisensory bodily representations and signals. Multisensory body integration is a critical cognitive and perceptual process, allowing the individual to protect and extend her/his boundaries at both the homeostatic and psychological levels. To achieve this goal the brain integrates sensory data arriving from real-time multiple sensory modalities and internal bodily information with predictions made using the stored information about the body from conceptual, perceptual, and episodic memory. In this view the emotional, visual, tactile, proprioceptive and interoceptive deficits reported by many authors in individuals with EDs may reflect a broader impairment in multisensory body integration that affects the individual's abilities: (a) to identify the relevant interoceptive signals that predict potential pleasant (or aversive) consequences; and (b) to modify/correct the autobiographical allocentric (observer view) memories of body related events (self-objectified memories). Based on this view, the article also proposes a strategy, based on new technologies (i.e., virtual reality and brain/body stimulation), for using crossmodal associations to reactivate and correct the multisensory body integration processes.
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These strategies are based on predictive coding theories.
“These strategies are based on predictive coding theories [22].”
From Immersive Virtual Reality in Psychotherapeutic Interventions for Youth with Eating Disorders: A Pilot Study in a Rural Context (2025) · cites this paper as [22]
These findings reinforce the potential of immersive VR as a useful tool to generate prediction errors and provoke updating processes in the internal body model.
“These findings reinforce the potential of immersive VR as a useful tool to generate prediction errors and provoke updating processes in the internal body model, reinforced with real-time multisensory body integration [22].”
From Immersive Virtual Reality in Psychotherapeutic Interventions for Youth with Eating Disorders: A Pilot Study in a Rural Context (2025) · cites this paper as [22]
The decrease in anxiety was more marked for trait anxiety, where the effect size suggested a moderate to large change.
“This decrease was more marked for trait anxiety, where the effect size suggested a moderate to large change [13,15,22].”
From Immersive Virtual Reality in Psychotherapeutic Interventions for Youth with Eating Disorders: A Pilot Study in a Rural Context (2025) · cites this paper as [22]
The Introduction discusses predictors of eating disorders, while the retrieved treatment passage in “Restoring The Normal Functioning of Multisensory Body Integration” discusses a prevention program without reporting anxiety outcomes. Searches for trait anxiety, state anxiety, and a moderate-to-large effect size found no passage in our copy supporting the claimed decrease; page numbers were unavailable. (LLM, conf=0.73)
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- Authors
- Riva, G., & Dakanalis, A.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- University of Pavia (IT)
- Corresponding author
- Riva, Giuseppe
- Venue
- Frontiers in Human Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2018-02-12
- Volume
- 12
- Pages
- 49-49
- ISSN
- 1662-5161 (ISSN-L)
- PMC
- PMC5816057
- OpenAlex
- W2789205455
- Cited by
- 103
- References
- 85
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 18 · 2023: 19 · 2022: 11 · 2021: 5 · 2020: 15 · 2019: 10 · 2018: 6
- FWCI
- 10.58
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Human Neuroscience (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, other-oa)
- Funders
- Ministero dell’Istruzione, dell’Università e della Ricerca (201597WTTM)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- eating disorders, representation of the body, interoception, cross-modal associations, autobiographical memory, virtual reality, brain stimulation, body perception, etiology of eating disorders
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