Editing Eating disorder (section)

=== Psychopathology ===
The psychopathology of eating disorders centers around [[body image disturbance]],<ref>{{cite journal | vauthors = Artoni P, Chierici ML, Arnone F, Cigarini C, De Bernardis E, Galeazzi GM, Minneci DG, Scita F, Turrini G, De Bernardis M, Pingani L | title = Body perception treatment, a possible way to treat body image disturbance in eating disorders: a case-control efficacy study | journal = Eating and Weight Disorders | volume = 26 | issue = 2 | pages = 499–514 | date = March 2021 | pmid = 32124409 | doi = 10.1007/s40519-020-00875-x | s2cid = 211728899}}</ref> such as concerns with weight and shape; self-worth being too dependent on weight and shape; fear of gaining weight even when underweight; denial of how severe the symptoms are and a distortion in the way the body is experienced.<ref name="Treasure et al 2009">{{cite journal | vauthors = Treasure J, Claudino AM, Zucker N | title = Eating disorders | journal = Lancet | volume = 375 | issue = 9714 | pages = 583–593 | date = February 2010 | pmid = 19931176 | doi = 10.1016/S0140-6736(09)61748-7 | s2cid = 24550420}}</ref>

The main psychopathological features of anorexia were outlined in 1982 as problems in body perception, emotion processing and interpersonal relationships.<ref name=":11">{{cite journal |vauthors=Treasure J, Cardi V |title=Anorexia Nervosa, Theory and Treatment: Where Are We 35 Years on from Hilde Bruch's Foundation Lecture? |journal=European Eating Disorders Review |volume=25 |issue=3 |pages=139–147 |date=May 2017 |pmid=28402069 |doi=10.1002/erv.2511 |s2cid=13929652}}</ref><ref>{{cite journal |vauthors=Tasca GA, Balfour L |title=Attachment and eating disorders: a review of current research |journal=The International Journal of Eating Disorders |volume=47 |issue=7 |pages=710–7 |date=November 2014 |pmid=24862477 |doi=10.1002/eat.22302 |s2cid=5096523}}</ref> Women with eating disorders have greater body dissatisfaction.<ref>{{cite journal |vauthors=Cash TF, Deagle EA |title=The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: a meta-analysis |journal=The International Journal of Eating Disorders |volume=22 |issue=2 |pages=107–25 |date=September 1997 |pmid=9261648 |doi=10.1002/(SICI)1098-108X(199709)22:2<107::AID-EAT1>3.0.CO;2-J}}</ref> This impairment of body perception involves vision, [[proprioception]], interoception and tactile perception.<ref name=":12">{{cite journal |vauthors=Gaudio S, Brooks SJ, Riva G |title=Nonvisual multisensory impairment of body perception in anorexia nervosa: a systematic review of neuropsychological studies |journal=PLOS ONE |volume=9 |issue=10 |pages=e110087 |date=2014-10-10 |pmid=25303480 |pmc=4193894 |doi=10.1371/journal.pone.0110087 |bibcode=2014PLoSO...9k0087G |doi-access=free}}</ref> There is an alteration in integration of signals in which body parts are experienced as dissociated from the body as a whole.<ref name=":12" /> [[Hilde Bruch|Bruch]] once theorized that difficult early relationships were related to the cause of anorexia and how primary caregivers can contribute to the onset of the illness.<ref name=":11" />

A prominent feature of bulimia is dissatisfaction with body shape.<ref name=":13">{{cite journal |vauthors=Cooper PJ, Fairburn CG |title=Confusion over the core psychopathology of bulimia nervosa |journal=The International Journal of Eating Disorders |volume=13 |issue=4 |pages=385–9 |date=May 1993 |pmid=8490640 |doi=10.1002/1098-108x(199305)13:4<385::aid-eat2260130406>3.0.co;2-w}}</ref> However, dissatisfaction with body shape is not of diagnostic significance as it is sometimes present in individuals with no eating disorder.<ref name=":13" /> This highly labile feature can fluctuate depending on changes in shape and weight, the degree of control over eating and mood.<ref name=":13" /> In contrast, a necessary diagnostic feature for anorexia nervosa and bulimia nervosa is having overvalued ideas about shape and weight are relatively stable and partially related to the patients' low self-esteem.<ref name=":13" />