The DOI matches its Crossref record; 85 of the 85 references it cites were found in a registry or an index.
Altered Processing and Integration of Multisensory Bodily Representations and Signals in Eating Disorders: A Possible Path Toward the Understanding of Their Underlying Causes
Open accessAbstract
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 [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]
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“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]
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“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]
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Cites
Objectification Theory: Toward Understanding Women's Lived Experiences and Mental Health Risks
Fredrickson, B. L., & Roberts, T.-A. (1997) · Psychology of Women Quarterly · doi:10.1111/j.1471-6402.1997.tb00108.x · Cited by 5,531
Hohwy, J. (2013) · doi:10.1093/acprof:oso/9780199682737.001.0001 · Cited by 1,914
The theory of constructed emotion: an active inference account of interoception and categorization
Barrett, L. F. (2016) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsw154 · Cited by 1,426
Allostasis: A model of predictive regulation
Sterling, P. (2012) · Physiology & Behavior · doi:10.1016/j.physbeh.2011.06.004 · Cited by 1,073
Remembering the past and imagining the future: A neural model of spatial memory and imagery.
Byrne, P., Becker, S., & Burgess, N. (2007) · Psychological Review · doi:10.1037/0033-295x.114.2.340 · Cited by 1,011
Schmidt, U. H., & Treasure, J. L. (2006) · British Journal of Clinical Psychology · doi:10.1348/014466505x53902 · Cited by 963
Interoception in anxiety and depression
Paulus, M. P., & Stein, M. B. (2010) · Brain Structure and Function · doi:10.1007/s00429-010-0258-9 · Cited by 952
An Interoceptive Predictive Coding Model of Conscious Presence
Seth, A. K., Suzuki, K., & Critchley, H. D. (2012) · Frontiers in Psychology · doi:10.3389/fpsyg.2011.00395 · Cited by 950 · cited 1×
“…them both internally (i.e., producing a change in Frontiers in Human Neuroscience | www.frontiersin.org 2 February 2018 | Volume 12 | Article 49 FIGURE 1 | Multisensory integration of bodily signals. affect; Seth et al., 2012) and externally (i.e., by defining an action plan; Wang et al., 2014).”
BackgroundCognitive Behavior Therapy and Eating Disorders
Weiss, F. (2008) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2008.62.4.422 · Cited by 838
Treasure, J., & Schmidt, U. (2013) · Journal of Eating Disorders · doi:10.1186/2050-2974-1-13 · Cited by 646
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Research works printed but not linked: 2
- Gutiérrez-Maldonado, 2017, Virtual reality: applications to eating disorders, 146
- Riva, A healthy mind in a healthy virtual body: the future of virtual health care, 3
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Phenomenological approach to eating disorders
Frisone, F. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-36741-0.00017-6
Navas-León, S., Tajadura‐Jiménez, A., Sánchez-Martín, M., Crucianelli, L., & Morales, L. (2026) · Journal of Eating Disorders · doi:10.1186/s40337-026-01747-y
Väyrynen, H., Strid, N., Ylönen, E., Tuominen, J., Sikka, P., & Jylkkä, J. (2026) · Neuroscience of Consciousness · doi:10.1093/nc/niag062
Metadata
- 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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