Self and other body perception in anorexia nervosa: The role of posterior DMN nodes

Esther Via, Ximena Goldberg, Isabel Sánchez, Laura Forcano, Ben J. Harrison, Christopher G. Davey, Jesús Pujol, Ignacio Martínez-Zalacaín, Fernando Fernández-Aranda, Carles Soriano-Mas, Narcís Cardoner, José M. Menchón

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19 Citations (Scopus)


© 2016 Informa UK Limited, trading as Taylor & Francis Group. Objectives: Body image distortion is a core symptom of anorexia nervosa (AN), which involves alterations in self- (and other’s) evaluative processes arising during body perception. At a neural level, self-related information is thought to rely on areas of the so-called default mode network (DMN), which, additionally, shows prominent synchronised activity at rest. Methods: Twenty female patients with AN and 20 matched healthy controls were scanned using magnetic resonance imaging when: (a) viewing video clips of their own body and another's body; (b) at rest. Between-group differences within the DMN during task performance were evaluated and further explored for task-related and resting-state-related functional connectivity alterations. Results: AN patients showed a hyperactivation of the dorsal posterior cingulate cortex during their own-body processing but a response failure to another’s body processing at the precuneus and ventral PCC. Increased task-related connectivity was found between dPCC–dorsal anterior cingulate cortex and precuneus–mid-temporal cortex. Further, AN patients showed decreased resting-state connectivity between the dPCC and the angular gyrus. Conclusions: The PCC and the precuneus are suggested as key components of a network supporting self–other-evaluative processes implicated in body distortion, while the existence of DMN alterations at rest might reflect a sustained, task-independent breakdown within this network in AN.
Original languageEnglish
Pages (from-to)210-224
JournalWorld Journal of Biological Psychiatry
Issue number3
Publication statusPublished - 3 Apr 2018


  • Anorexia nervosa
  • body image
  • fMRI
  • resting state
  • self-evaluation


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