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. 2025 May;15(5):e70155.
doi: 10.1002/brb3.70155.

What About the Differences in Body Representation and Body Image Between Stroke Patients and Healthy Controls? Psychological and Clinical Implications

Maria Grazia Maggio  1 , Amelia Rizzo  2 , Morena De Francesco  2 , Martina Barbera  2 , Muhammad Kamran  3 , Rosaria De Luca  1 , Francesco Corallo  1 , Angelo Quartarone  1 , Rocco Salvatore Calabrò  1
Affiliations

What About the Differences in Body Representation and Body Image Between Stroke Patients and Healthy Controls? Psychological and Clinical Implications

Maria Grazia Maggio et al. Brain Behav. 2025 May.

Abstract

Introduction: The integrity of body representation can be profoundly compromised in neurological patients. This study aims to evaluate body representation in both healthy individuals and stroke patients.

Material and methods: The study included 40 chronic stroke patients recruited from the Neurorehabilitation Unit, IRCCS Centro Neurolesi "Bonino-Pulejo," and 40 healthy controls from the University of Messina. Both groups were age- and gender-matched. All participants completed the Body Uneasiness Test to assess body image discomfort and body schema accuracy.

Results: A total of 80 participants were enrolled, divided equally into two groups matched by gender: stroke patients and healthy controls. Healthy controls showed higher scores in compulsive self-monitoring (p = 0.023), while stroke patients exhibited greater depersonalization (p = 0.039) and significantly higher psychological distress (p ≤ 0.001).

Discussion: These findings underscore the complexity of bodily and psychological experiences in both health and disease, emphasizing the need for tailored clinical interventions. While the direct impact on quality of life may vary, addressing these issues can contribute to improved overall well-being for both groups.

Keywords: body image; body representation; neurological patients; neurorehabilitation; stroke.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Comparison of compulsive self‐monitoring between stroke group (ST‐G) and healthy control group (HC‐G).
FIGURE 2
FIGURE 2
Comparison of depersonalization between stroke group (ST‐G) and healthy control group (HC‐G).
FIGURE 3
FIGURE 3
Comparison of positive symptom distress index between stroke group (ST‐G) and healthy control group (HC‐G).
See this image and copyright information in PMC

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