What is and what is not positive body image? Conceptual foundations and construct definition

Internalisation of stereotyped body appearance standards and body dissatisfaction in adolescent boys: Moderating role of sports participation

The aim of this study was to test the moderating role of sport participation in the mediation model of media pressures, internalisation of appearance ideals and body dissatisfaction in adolescent boys. Five hundred and seventy adolescent boys (mean age 17.2 ± 0.45; range 15-19 years) participated in the cross-sectional study. Adolescents completed a questionnaire consisting of measures of attitudes towards sociocultural pressures on appearance, body dissatisfaction and sport participation (participation in achievement sport, leisure exercising and non-participation in any sports). Sports participation moderated the associations between the internalisation of stereotyped appearance ideals and body dissatisfaction. In athletes, the effect of internalisation of thin body ideals on body dissatisfaction was not significant, while the effect of internalisation of muscular/athletic body ideals was negative. In leisure exercisers, the effect of internalisation of muscular body ideals on body dissatisfaction was not significant, yet internalisation of thin body ideals had a significant effect on body dissatisfaction. The strongest associations between appearance ideals internalisation and body dissatisfaction were found in adolescent boys who reported no participation in sports. Sports participation might be an effective tool in decreasing the negative effect of internalisation of stereotyped appearance ideals on adolescent boys' body image.

Unexcused absence from physical education in elementary school. On the role of autonomous motivation and body image factors

Physical education (PE) is an essential school subject due to its potential to promote well-being and health in all children. Yet, PE stands out among other subjects in terms of truancy. This study is one of the first to examine if unexcused absence from PE is associated with early adolescents' body image and autonomous motivation towards PE. A total of 526 Swedish 6th graders (Mage = 12.28, SD = 0.31) reported the frequency of unexcused absence from PE and answered questions about aesthetic and functional body image, social physique anxiety, and autonomous motivation. Findings showed that unexcused absence from PE was associated with less autonomous motivation and higher social physique anxiety. Participants who had never been absent reported higher functional body image investment and satisfaction. Analyses showed that whereas the aesthetic aspects of body image were associated with decreased autonomous motivation toward PE, functional aspects predicted higher autonomous motivation. The study sheds novel light on the links between absence from PE, body image, and autonomous motivation. As absence may have real-life practical effects for school achievement, health, and well-being, the findings demonstrate the importance of mitigating social physique anxiety and promoting an inclusive and body positive PE context early on.

Normative body image development: A longitudinal meta-analysis of mean-level change

This meta-analysis synthesized longitudinal data on mean-level change in body image, focusing on the constructs of body satisfaction and dissatisfaction, body esteem, perceived attractiveness, valuation, self-objectification, and body shame. We searched five databases and accessed unpublished data to identify studies that assessed body image at two or more time points over six months or longer. Analyses were based on data from 142 samples representing a total of 128,254 participants. The age associated with the midpoint of measurement intervals ranged from 6 to 54 years. Multilevel metaregression models examined standardized yearly mean change, and the potential moderators of body image construct, gender, birth cohort, attrition rate, age, and time lag. Boys and men showed fluctuations in overall body image with net-improvements between ages 10 and 24. Girls and women showed worsening body image between ages 10 and 16, but improvements between ages 16 and 24. Change was greatest between ages 10 and 14, and stabilized around age 24. We found no effect of construct, birth cohort, or attrition rate. Results suggest a need to revise understandings of normative body image development: sensitive periods may occur somewhat earlier than previously believed, and body image may show mean-level improvements during certain age ranges.

Investigating longitudinal bidirectional associations between appearance comparisons to fitspiration content on Instagram, positive and negative body image, and dietary restraint

This study tested whether appearance comparisons to fitspiration images on Instagram are reciprocally associated with positive body image, negative body image, and dietary restraint. Adult women were invited to complete study measures at the baseline (n = 3039), 4-month (n = 1453), and 8-month (n = 1329) follow-up. Cross-lagged panel analyses were computed to test hypothesized bidirectional relationships using full information maximum likelihood to handle missing data. Results identified a unidirectional relationship between positive body image and fitspiration comparisons: higher positive body image (body appreciation) predicted lower fitspiration comparisons at each time-point. Evidence for bidirectional associations between fitspiration comparisons, negative body image and dietary restraint was also found. Higher negative body image and dietary restraint predicted greater fitspiration comparisons, and higher fitspiration comparisons predicted greater negative body image and dietary restraint. The findings identify factors associated with appearance-related fitspiration comparisons. Social media literacy programs may benefit from addressing comparisons to fitspiration content depicted on Instagram.

"I'll never sacrifice my well-being again:" The journey from negative to positive body image among women who perceive their body to deviate from societal norms

We conducted one-on-one interviews with 25 Canadian cisgender women who self-identified as having (a) a condition or characteristic causing their body to deviate from societal norms and (b) overcome a negative body image to develop a positive body image. Using coding reliability thematic analyses, we identified 12 themes (italicised) involving processes and experiences associated with shifts in body image. Women had moments that sparked and confirmed the importance of building positive body image (Enough is Enough). They experienced accepting Social Connections and Community and Accessed Critical Knowledge conducive to body positivity. They engaged in Joyful Movement, Adaptive Appearance Investment, and Joyful and Intuitive Eating. They identified how Changing Societal Norms, Becoming Older and Wiser, COVID-19 Pandemic, having Illnesses and Medical Conditions, Pregnancy and Motherhood, and Spirituality, Religion, and Nature affected their body image, values, and valued action. As women engaged in these processes and experiences, shifts occurred in their perceptions of their embodied selves in the world, represented by four "Bigger Lessons:" I Am More Than My Looks, I Am More Than My Body, I am More Than My Self, and I am Inherently Worthy of Love, Respect, and Joy. These findings can inform body image programmes and clinical interventions.

Consumers' body image expressions: Reflection of a Snow White or an Evil Queen

Introduction

The aim of this paper is to explore how minimal-self impacts the body image, projecting it as a reflection of one's approach toward their health and mental well-being.

Methods

The study takes qualitative data from two countries India and Germany and draws on a qualitative study of 20 individuals who are involved in some kind of physical activity for a long time. This paper examines the body image perspectives from Grimms Brothers fairytale characters showcasing fit and healthy perspectives on Snow White side and projected and superfluous perspectives on Evil Queen side. The study also provides a model deciphering the rationale for both the reflections.

Results

The body image projection from Snow White perspectives (success & dedication, self-esteem, bodybuilding, and cosmetic surgery) relates to positive reflection of oneself with focus on fitness, discipline, and mental rejuvenation in life. Notably, Evil Queen perspectives (unrealistic makeover, dark side of social media, gain an edge over others, and mental benchmarking with fair skin) reveal these facets as motivators to equip their body as means of physical non-verbal communication assets.

Conclusion

Analysis shows that there is no clear white or black view of health and fitness projection via body image but it's a gray line that gives wholesome fitness either a holistic mental peace or a competitive or success-oriented approach.

Power, Self-Esteem, and Body Image

Abstract: We expected power – the perceived capacity to influence others – to be an antecedent of positive body image because power is closely linked to self-esteem, which in turn is linked to body image. In a cross-sectional study ( N = 318), sense of power was positively related to body appreciation and satisfaction with one’s appearance. Self-esteem partially mediated this effect. In an experimental study ( N = 114), participants assigned to a high-power group indicated more body appreciation, reported more body satisfaction, and estimated themselves to be taller than participants assigned to a low-power group. Self-esteem mediated all the effects. Altogether, power affected body image directly but also indirectly through elevated self-esteem. Implications refer to clinical prevention and intervention programs.

Measurement invariance of the Broad Conceptualization of Beauty Scale (BCBS) across Black, Hispanic, and White women in the United States

The Broad Conceptualization of Beauty Scale (BCBS) assesses the degree to which women perceive diverse appearances and internal qualities as being beautiful. Although the instrument is increasingly used in diverse national and linguistic contexts, no previous study has examined measurement invariance of the BCBS across racial groups. To rectify this, we asked 395 Black, 406 Hispanic, and 423 White women from the United States to complete the BCBS. Confirmatory factor analysis indicated that a unidimensional model of BCBS scores had poor fit to the data in the total sample, but freely estimating error covariances between six pairs of items resulted in adequate fit. Additionally, full configural and scalar invariance was supported, but metric invariance was not, with further testing indicating that the item loading for one item differed across groups. Comparison of latent means indicated that all between-groups comparisons in BCBS scores were non-significant. However, medium-sized group differences in BCBS scores emerged once group differences in key demographics were controlled for. Overall, these results suggest that the BCBS largely achieves measurement invariance across Black, Hispanic, and White women in the United States, suggestive of similarity in how the construct of broad conceptualisation of beauty is understood and experienced.

Coping profiles, depression, and body image anxiety during the Covid-19 pandemic: Comparative analysis of females with thyroid diseases and a non-clinical sample

OBJECTIVES

This study aimed to compare profiles of coping among females with thyroid disorders and females from a healthy control group regarding depression levels and body image anxiety. We also wanted to check whether subjectively experienced Covid-19-related psychological distress moderated the above-mentioned association in both groups of participants.

METHOD

The study sample comprised 564 females, of which 329 were diagnosed with a thyroid disease and 235 formed the healthy control group. Participants filled out paper-and-pencil or online versions of psychometric questionnaires to assess coping strategies, depression, and body image anxiety.

RESULTS

In general, we observed higher depression intensity and a higher level of body image anxiety among females with thyroid diseases than among the healthy control group. Latent profile analysis revealed adaptive vs. maladaptive coping profiles from both study samples. Depression symptoms were significantly higher if coping was maladaptive in both the clinical and control groups. Still, there were no significant differences in body image anxiety between participants with adaptive and maladaptive coping profiles. Covid-19-related distress did not moderate the link between coping profiles, depression, and body image anxiety in either group.

CONCLUSION

Greater focus should be placed on the role of body image in females struggling with thyroid diseases. Bodily therapy may help these patients to cope better with co-occurring thyroid diseases and mental disorders, whose relationship is still not fully understood.

Longitudinal associations between mindfulness and changes to body image in first-time parent couples

Pregnancy and postpartum are associated with declines in body image. Research on postpartum body image focuses almost exclusively on the person who gave birth and studies examining protective factors for postpartum body image are scarce. We assessed 257 new-parent couples from mid-pregnancy to 6-months postpartum to examine whether mindfulness-a recognized contributor to psychological well-being-buffered against declines in both partners' perceptions of mothers' body. Mothers' positive body image and partners' perception of mothers' body were collected at four time-points (second and third trimester; 3- and 6-months postpartum); both partners' mindfulness facets-observing, describing, awareness acting, non-judgement, and non-reactivity-were assessed in the second trimester. Dyadic latent growth curve modeling revealed that both partners' perceptions of mothers' body were positively correlated at all moments; however, mothers' positive body image worsened over time, whereas partners' perception of mothers' body remained stable. Mindfulness facets were positively associated with mothers' positive body image (observe, describe, and non-judging) and fathers' (non-judging) perceptions of mothers' body in pregnancy. Mothers' mindfulness facets (acting with awareness, non-judging) were associated with subsequent trajectories of their own body image. By identifying mindfulness facets as targetable protective factors during pregnancy, these findings have implications for future research and interventions focused on perinatal body image.

Effects of COVID-19 specific body positive and diet culture related social media content on body image and mood among young women

During the COVID-19 pandemic, social media content emerged that included explicit weight and shape pressure. In addition, however, body positive social media content that was pandemic-specific appeared. This study aimed to examine the effects of body positive and diet culture COVID-19 body-related social media content on the body image and mood of young women. A sample of 387 female identifying participants aged 18-25 were allocated to view one of three sets of social media images: body positive or diet related content specific to the COVID-19 pandemic, or a travel condition. Body image and mood before and after viewing the images were assessed. Trait level social media literacy and current social distancing and isolation restrictions were examined as moderators. Exposure to the body positive content was associated with improved body image and mood as compared to the diet culture content. No support was found for moderating effects although social media literacy was associated with improved body image after exposure. Findings suggest that even in the context of the COVID-19 pandemic, body positive content may be helpful to body image. Further work examining inter-individual differences in the effects of social media on body image and mood are warranted.

Imagery versus captions: The effect of body positive Instagram content on young women's mood and body image

Body positive social media content aims to positively impact young women's body image and mood by challenging traditionally narrow beauty ideals. This online experiment investigated the effect of viewing body positive Instagram posts on young women's body image and mood, whilst focusing on understanding the impact of the images and captions in the posts. Overall, 195 young women (18-30 years old) were randomly assigned to view either body positive (consisting of images and captions), body positive captions only, body positive images only, or thin-ideal Instagram posts. Positive mood increased in all conditions pre to post exposure. Further, body satisfaction and negative mood improved pre-post exposure for all body positive conditions. However, when controlling for trait body appreciation significant effects only remained for the combined image and caption body positive condition. There were no significant differences in positive mood, state body appreciation, self-objectification, or broad conceptualisations of beauty between the three body positive exposure conditions. Therefore, to improve body satisfaction and mood, body positive content should include a combination of images and captions.

A structural invariance analysis of the acceptance model of intuitive eating across black, hispanic, and white young-adult women

In this cross-sectional study, structural invariance of the acceptance model of intuitive eating was examined between a sample of Black (n = 420), Hispanic (n = 420), and White (n = 435) cisgender women between the ages of 18-30 years old residing in the United States. Mean age for the total sample (n = 1275) was 24.17 years old (SD = 3.65). Women were recruited via Qualtrics Sampling, and self-report measures were administered online. Multigroup analyses were employed within a structural equation modeling framework, and measurement invariance at the configural, metric, scalar, and strict/residual levels was investigated first. After uncovering and accounting for several error variances that were non-invariant, multigroup structural invariance analyses indicated that paths within the model were invariant across the three ethnicities of women. BMI was also incorporated into the model, which, likewise, showed invariance in its associations with specific constructs. With due cautions related to the impact of cultural ideals regarding appearance and the interplay of ethnicity and body-related experiences among women, these results provide preliminary evidence that the model may apply to Black, White, and Hispanic women in the U.S.

Integrating social media variables as predictors, mediators, and moderators within body image frameworks: Potential mechanisms of action to consider in future research

In this article, we consider how social media variables may be integrated as predictors, mediators, and moderators within dominant theoretical frameworks of body image in order to identify potential mechanisms of action that can be empirically examined in future research and used to direct prevention and intervention efforts. To achieve this goal, we first articulate social media variables that have been investigated as predictors, mediators, and moderators in body image research. Next, we present the following critical and sociocultural theoretical frameworks: social comparison theory, tripartite influence model, objectification theory, developmental theory of embodiment, acceptance model of intuitive eating, cultivation theory, and uses and gratifications theory. Additionally, we present the theory of development of critical body awareness, a newly developed model that may provide further insight regarding the relationships between social media and body image-related outcomes. For each model, we articulate extant research that has explored social media variables within its context and explicate how social media variables could potentially be studied as predictors, mediators, and moderators within its structure. To conclude, we address pertinent limitations and gaps within this research space that could direct future research across the theoretical frameworks.

Further evaluation of the psychometric properties of the German version of the Body Appreciation Scale-2 (BAS-2): Cross-validation, measurement invariance, and population-based norms

Using a representative sample of the German general population (N = 2509, 16-74 years), this work aimed to cross-validate the modified one-factor model recently reported for the German Body Appreciation Scale 2 (BAS-2). We also examined measurement invariance across gender, tested differential item functioning across age and BMI, systematically evaluated subgroup differences, and provided norms according to subgroups. Overall, the BAS-2 demonstrates good internal consistency. Cross-validation supported the generalizability of the modified one-factor model. Multi-group confirmatory factor analyses supported full scalar invariance across gender; comparisons revealed higher scores among men compared to women with a small effect size. Age (only women) and BMI (both genders) significantly predicted latent BAS-2 scores. Of note, differential item functioning for age and BMI was observed. Concerning manifest group differences, we found a significant main effect of weight status: Individuals with obesity reported the lowest body appreciation levels, while individuals with underweight/ normal weight reported highest levels. Our findings suggest that the German BAS-2 has good psychometric properties and is suitable for examining body appreciation across gender among German women and men. Moreover, norm values enable future usage of the scale in health and clinical research by providing reference data for interpretation.

Body image as a global mental health concern

Body image concerns related to weight or other dimensions of appearance are now prevalent on a global scale. This paper reviews the theoretical frameworks that account for the global similarities and regional differences in rates and presentation of body image concerns, as well as reviewing the extant data. Given the harmful consequences of body image concerns in terms of mental and physical health, their global burden is high. Interventions to mitigate these concerns at the individual and systemic level are warranted.

Translation, Cross-Cultural Adaptation, and Psychometric Validation of the Positive Body Image among Adolescents Scale (PBIAS) into Spanish and Catalan

The Positive Body Image among Adolescents Scale (PBIAS) explores the factors that bolster and interfere with developing and maintaining a positive body image during adolescence. The aim of this study was to translate, adapt, and validate the PBIAS into Spanish and Catalan. A cross-sectional study was conducted for the instrument's translation, cross-cultural adaptation, and psychometric validation. A process of translation, back-translation, expert consultation, and piloting was followed. The reliability and statistical validity were evaluated. The Cronbach's alpha was 0.95 in both the Spanish and Catalan versions. Pearson's correlation coefficients were statistically significant (r > 0.087) for all items analyzed. The resulting values of the Spanish and Catalan versions indicate a good level of concordance (p < 0.001) with the original questionnaire, the comparative fit index being 0.914 and 0.913, the Tucker-Lewis index being 0.893 and 0.892, the root mean square error of approximation being 1.31 and 1.28, and the standardized root mean square residual being 0.051 and 0.060, respectively. The instrument presents a good level of internal consistency, a high level of reliability, and statistical validity compared to the original instrument. The PBIAS in Spanish and Catalan can be a useful assessment instrument for educators and health professionals in the context of adolescent mental health literacy. This work contributes to the Sustainable Development Goals (Goal 3) of the United Nations 2030 Agenda.

Implications of Socio-Cultural Pressure for a Thin Body Image on Avoidance of Social Interaction and on Corrective, Compensatory or Compulsive Shopping Behaviour

This paper aims to discuss the implications of body talk and socio-cultural pressure for the internalisation of a thin body image in purchase decisions, shopping habits and other outcomes of body dissatisfaction, in particular the proneness to avoid human/social interaction in retail contexts and proneness to engage in corrective, compensatory or compulsive shopping behaviour. This paper conducted an online questionnaire that measured the following constructs: body mass index; Socio-cultural Attitudes Towards Appearance Scale-4 (SATAQ-4), Body Appreciation Scale (BAS-2), Acceptance of Cosmetic Surgery Scale (ACSS), Compulsive Buying Follow-up Scale (CBFS), proneness to avoid social interaction in retail contexts, and the intention to purchase a list of products and services as a compensation for body dissatisfaction. A structural equations model supported the hypotheses proposing the influence of BAS-2 and SATAQ-4 (the internalisation of thin/athletic body and the social comparison induced by family, peers and media) upon the outcomes of social-interaction avoidance, ACSS and CBFS. Nevertheless, BAS-2 only influences social-interaction avoidance. This paper provides several recommendations to brand managers highlighting the social responsibility role of brand advertising in enhancing positive body appreciation, mitigating the psychological damage caused by socio-cultural pressure and preventing the stigmatisation bias against obese people.

Functionality appreciation and its correlates: Systematic review and meta-analysis

Functionality appreciation is a component of positive body image that refers to respecting and honoring the body for what it is capable of doing. A growing number of studies have investigated the features, correlates, and outcomes of functionality appreciation, yet a synthesis of this literature is missing. We conducted a systematic review and meta-analysis of research on functionality appreciation. Fifty-six studies were included (85 % cross-sectional). Random effects meta-analyses were performed on 21 cross-sectional correlates and on seven randomized trials of psychological interventions that assessed functionality appreciation as an outcome. Meta-analyses showed that functionality appreciation was consistently associated with fewer body image problems, lower levels of eating disorder symptoms, and better mental health and wellbeing. Functionality appreciation was unrelated to age and gender, but weakly (and negatively) related to body mass index. Preliminary evidence from prospective designs suggests that the appreciation of body functionality may promote adaptive eating patterns and prevent maladaptive eating and body image patterns over time. Psychological interventions designed to cultivate functionality appreciation in full or in part produced greater improvements in this construct than control conditions. Findings confirm that functionality appreciation is associated with numerous wellbeing constructs and could serve as a potentially useful target for intervention.

Body appreciation predicts better mental health and wellbeing. A short-term prospective study

Body appreciation is a key component of positive body image that has been consistently associated with better mental health and wellbeing. Existing research on body appreciation is largely limited to cross-sectional designs, although emerging evidence suggests that body appreciation may predict better wellbeing over time. The current study extends from this literature by testing whether body appreciation prospectively predicts numerous mental health and wellbeing outcomes (i.e., depressive and anxiety symptoms, self-esteem, flourishing, and general wellbeing). The sample consisted of adult women who completed study measures at baseline (n = 1749) and three month follow-up (n = 1258). Linear multiple regressions revealed that body appreciation scores at baseline significantly predicted decreased depressive symptoms (but not anxiety) and increased self-esteem, flourishing, and wellbeing scores at follow-up. Associations were evident after controlling for the influence of negative body image. Findings add to a growing body of evidence highlighting the protective potential of body appreciation and strengthen prior claims about the viability of targeting this facet of positive body image in mental health prevention and early intervention programs.

The relationship of body image and weight: A cross-sectional observational study of a Dutch female sample

Body image concerns may play a role in weight changing behaviour. The objective of this study was to assess body image in different weight groups. Participants reported satisfaction with (AE) and investment in (AO) appearance, and the discrepancy between current and ideal body size (BS). These scores were compared between weight groups based on body-mass index (BMI) using analysis of variance. One-sample t-tests and Cohen's d effect sizes examined the magnitude of differences within each weight group relative to neutral midpoints of the scales; cluster analysis identified body image profiles. A total of 27 896 women were included in this study. AE scores were highest for people with underweight and normal weight, AO scores were highest for the underweight group and lowest in class III obesity, and BS scores were largest in the obese groups (all p < .001) Cluster analysis identified eight body image profiles. In people with obesity, the most prevalent profiles included a preference for a smaller body and low satisfaction with appearance, but differed in investment in appearance (low vs. high). Most people with underweight were allocated to profiles showing high investment in their appearance, preference of a larger body, but differences in satisfaction with appearance (neutral vs. high). While people with a higher BMI have on average more body image concerns, different body image profiles exist in all weight groups. Future research should examine whether and which individuals in terms of body image profile may benefit more from weight interventions.

"I listen to my body now": a qualitative exploration of positive body image in breast cancer survivors

OBJECTIVE

Existing research has identified the high prevalence of body image concerns among female breast cancer survivors. However, it has neglected to explore the experience of positive body image among this group, despite its potential utility for intervention development. The present study therefore aimed to explore the experiences of breast cancer survivors who self-identified as experiencing a positive relationship with their post-treatment bodies.

DESIGN

Twenty-two participants (M age = 54, SD = 8.38) were interviewed using a semi-structured approach.

RESULTS

Thematic analysis identified three overarching themes amongst the qualitative data: (1) Resisting appearance pressures, (2) Receiving care, and (3) Self-worth beyond appearance. Findings indicated that women's life experiences had led them to develop a critical awareness of the unrealistic nature of appearance ideals. Their experience of positive body image was also attributed to engaging in self-care and receiving supportive care from others. Finally, women expressed prioritising functionality and health over their physical appearance.

CONCLUSION

The present findings advance the theoretical understanding of positive body image in a breast cancer population. They also provide an opportunity to test theorised models of positive body image.

#Bodypositive surpasses 1 billion engagements

The body-positive movement (#bodypositive) champions body acceptance by celebrating a diverse - visual - array of body types and shapes online. Sparked out of collective resistance to unrealistic bodies on social media, the #bodypositive community has assembled a considerable following: having now surpassed one billion engagements on Instagram. To mark this milestone, we highlight the problem, the promise, and the peril of image-focused movements on Instagram. On balance, we argue #bodypositive content on Instagram likely has a positive impact. As the movement continues to grow though, advocates can look to strengthen the content's positive impact with some careful, research-informed, messaging adjustments.

An integrative model of weight stigma, body image, and physical activity in adolescents

Negative weight-related experiences and internalized weight stigma have been associated with poorer body image and reduced physical activity in adolescents. However, exploring body image and physical activity as discrete weight stigma outcomes fails to consider the theoretically- and empirically-supported covariation between the two. The present study tested a novel integrated model of the associations among negative weight-related experiences and internalized weight stigma (via weight-related distress), body image (shame, authentic pride, body appreciation), and physical activity. Canadian adolescents (N = 311, M_age ± SD = 16.00 ± 1.01, 75.5% girls) completed a cross-sectional self-report survey. A structural equation model with maximum likelihood robust estimation was tested. Higher negative weight-related experiences were indirectly associated with poorer body image (i.e., higher shame; lower authentic pride and appreciation) through higher weight-related distress. Authentic pride was associated with moderate-to-vigorous physical activity. Higher negative weight-related experiences were indirectly associated with lower physical activity through higher weight-related distress and lower body-related authentic pride. These findings elucidate targetable individual mechanisms and larger systems that could improve body image and foster physical activity among adolescents who encounter negative weight-related experiences and internalized weight stigma.

Body Image Assessment Tools in Pregnant Women: A Systematic Review

Pregnancy is a remarkable time and generates several changes in women in a short period. Body image is understood as the mental representation of the body itself, and, although bodily changes are considered healthy, they can impact pregnant women's body image. Problems related to body image during pregnancy can affect the health of the mother and fetus; thus, it is essential for health professionals to detect potential disorders as soon as possible. The objective of this systematic review was to identify instruments for assessing body image in pregnant women, highlighting their main characteristics. To this end, we applied the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses to searches in the EMBASE, PubMed, and American Psychological Association databases from 5 January to 10 August 2021. We included studies on adult pregnant women without comorbidities in the validation and adaptation of (sub)scales that analyze components of body image. We excluded studies that considered nonpregnant, adolescent, postpartum, and/or clinical populations, as well as smoking/drug use studies that were not validation studies or did not assess any aspect of body image. We investigated the quality of the studies using the Quality Assessment Tool for Studies with Diverse Designs. In all, we examined 13 studies. The results point to a growing concern over body image during pregnancy, as there has been an increase in the number of validation and adaptation studies involving scales for different cultures that scrutinize different constructs. The findings suggest that the listed instruments be used in future research.

The Mediating Role of Body Acceptance in Explaining the Relation of Mindfulness, Self-Compassion and Mindful Eating to Body Image in Gay Men and Bisexual Men

Objectives

Mindfulness and mindfulness-based constructs, such as self-compassion and mindful eating, have been positively associated with healthier eating and body related perceptions. Exploration of mindfulness and related concepts have not been investigated extensively in gay and bisexual men, a population where eating and body related concerns have been found to be widespread.

Method

Participants completed an online questionnaire, assessing mindfulness, self-compassion, mindful eating, body image and body acceptance. Correlation analysis and further mediation analysis was conducted to explore the relations between these constructs within the present sample (n = 163).

Results

A community sample showed a positive association of body image to mindfulness-based concepts, and negative to body non-acceptance, within the target population. Mediation analysis showed the role of body acceptance in explaining the relation between mindfulness, self-compassion and mindful eating to body image.

Conclusions

Findings highlight the importance of body acceptance when considering the development of a mindfulness or compassion-based intervention to attenuate body related issues among gay and bisexual men.

Preregistration

This manuscript has not been preregistered.

Beyond Body Size: Focusing on Body Functionality to Improve Body Image Among Women Who Have Undergone Bariatric Surgery

This study investigated a novel technique to improve body image among women who have undergone bariatric surgery-namely, by having them focus on their body functionality (everything the body can do, rather than how it looks). Participants were 103 women (M_age = 46.61) who had undergone bariatric surgery 5-7 months prior to the study. They were randomized to the 1-week online intervention, comprising three functionality-focused writing exercises (Expand Your Horizon; Alleva et al., 2015), or to a wait-list control group. Body appreciation, appearance and functionality satisfaction, body awareness, self-objectification, self-esteem, and self-kindness were assessed at pretest, posttest, and at 1-week and 3-month follow-up. Multilevel modeling analyses showed that, compared to the control, the intervention group experienced improved body appreciation at posttest, and these improvements persisted at both follow-ups. These findings were nonsignificant when intent-to-treat analyses were performed. Both available case and intent-to-treat analyses showed that all participants experienced improvements in facets of body image across time. Qualitative analyses of participants' responses to the intervention writing exercises provided more insight. Via coding reliability thematic analysis, we identified 11 themes that together provide evidence that intervention participants experienced facets of a more positive body image, while also facing challenges to their body image and well-being. Together, findings suggest that focusing on body functionality may contribute to improved body image among women who have undergone bariatric surgery, but effects may be nuanced compared to prior functionality research among general samples of women. The study was registered retrospectively (ClinicalTrials.gov; identifier NCT04883268).

Pilot trial of a self-compassion intervention to address adolescents' social media-related body image concerns

Introduction: Self-compassion interventions reduce body dissatisfaction in adults but have not been extensively investigated in adolescents. A novel 5-week Digital Social Media Adolescent Resilience Training intervention grounded in Gilbert's (2010) Compassionate Mind Training was adapted to address adolescent's social media-related body image concerns. Method: A convenience sample of 102 adolescents, 54 girls (53%), 48 boys (47%), aged 15-17 years (M=15.6, SD=0.46) were recruited from four mixed gender Irish Secondary Schools. Due to data loss because of Covid-19, analyses were conducted on data from 80 participants (24 boys, 56 girls). A mixed methods quasi-experimental design was used. Primary outcomes of self-compassion, self-criticism, social media comparisons and body image perceptions were quantitatively assessed at pre, post-intervention and 3-month follow up, while post-intervention focus groups qualitatively documented adolescents' responses to the programme. Results: Qualitative data indicated that the programme was feasible and acceptable. Analyses revealed significant increases in body appreciation and body satisfaction in the experimental group from pre- to post-intervention. Girls exhibited significant increases in body appreciation and reductions in self-criticism, while boys exhibited increases in body satisfaction. Improvements in body satisfaction were observed at 3-month follow up. Conclusions: Findings indicate that self-compassion has potential to improve adolescent's body image perceptions, but further research is warranted.

Association between Motivation in Physical Education and Positive Body Image: Mediating and Moderating Effects of Physical Activity Habits

Concerns about body image might prevent adolescents from participating in physical education (PE) classes and physical activities during leisure-time. In this cross-sectional study, we assessed the relationships between teacher support of autonomy, student motivations for PE, and positive body image, in a sample of Lithuanian adolescents. A total of 715 adolescents (51.89% girls) participated in the study. Ages ranged from 14 to 18 years, with a mean age of 16.00 (SD = 0.79) for girls and 15.99 (SD = 0.75) for boys. The questionnaire consisted of demographic questions, the Learning Climate Questionnaire, the Revised Perceived Locus of Causality in Physical Education Questionnaire, the Body Appreciation Scale-2, the Self-Report Habit Index for Physical Activity (PA), perceived physical fitness (PPF), and Godin Leisure-Time Exercise Questionnaire. The results showed that teacher support for students' autonomy was associated with higher positive body image. In adolescent girls, autonomous motivation for PE was the mediator between teacher support of autonomy and positive body image. The associations between self-determined motivation in PE and positive body image were mediated by PPF on one hand, and through PA habits and PPF on the other hand of the structural equation model (in girls). PA habits moderated associations between PE motivation and PPF. Associations between PE motivation and PPF were stronger in girls with the lowest PA habits compared to girls with mean PA habits. These results suggest that PE classes are important for promoting students' positive body images. PE teachers are advised to use pedagogical strategies that promote the self-determined motivation of students for PE. Increased self-determined motivation for physical education might be an effective strategy for physical self-perception and positive body image promotion in adolescent girls, especially those with low PA habits.

Sexualized Images on Social Media and Adolescent Girls' Mental Health: Qualitative Insights from Parents, School Support Service Staff and Youth Mental Health Service Providers

This research explored adults' perceptions of how sexualized images typically found on social media might influence adolescent girls' mental health, what support girls might need should they experience mental health difficulties, and how such difficulties could be prevented or reduced. Qualitative data were collected using semi-structured in-depth interviews with parents of adolescent girls (n = 11) and those who provide support to them: school support service staff (n = 7) and youth mental health service providers (n = 10) located in Perth, Western Australia. All three participant groups perceived sexualized images typically found on social media as exacerbating poor mental health among adolescent girls. Two interrelated themes, emerged with participants describing the 'potential for comparison' and 'pressure to conform' they believed girls encounter on social media that influences their mental health. Participants also explained how they perceived 'counteracting negative influences' related to sexualized images on social media could prevent or reduce the potential for mental health harms among girls, and the importance of adults and services 'keeping up to date' and being 'approachable and trustworthy' when describing the support they believed girls might need. The findings of this study have important implications for the development of health promotion programs focused on social media use and mental health among adolescent girls.

The Role of Cognitive Distortions in Young Women’s Body Image Perception

The analysis of modern psychological research and the practice of psychological assistance indicates the relevance of the problem of body image, especially for girls and young women. Therewith, most of the available papers focus on the study of the body image of adolescent girls, which makes it necessary to clarify the predictors of body image in other age periods. The purpose of the study is to highlight the results of a theoretical and empirical study of the role of cognitive distortions in the perception of the body image of adolescent girls. The methodological basis of the research was T. Cash’s cognitive-behavioural concept of understanding body image, the interpretation of psychological mindedness by H. Conte, and A. Freeman’s theory of cognitive errors. The role of various factors in the perception of body image is considered: 1) cognitive distortions as one of the predictors of an irrational strategy of human behaviour and thinking; 2) interest in one’s own personality and understanding of one’s own experiences as a factor of full self-acceptance. A Multidimensional Body-Self Relations QuestionnaireAppearance Scales by T. Cash, Cognitive error questionnaire by A. Freeman and R. DeWolf, psychological mindedness scale by H. Conte, and the author’s questionnaire were used. The study confirmed the influence of social stereotypes on the perception of young women’s own body image. In particular, it is identified that a substantial number of respondents (78.3%) emphasise the existence of social standards and express a desire to lose weight or change the shape of their bodies. It was determined that 71% of respondents have a normal body weight, which does not require changes in terms of health. Correlation analysis showed weak to moderate associations between women’s psychological mindedness indicators and how they perceive their own bodies. A comparison of groups of women who expressed a desire to change their own bodies with women who did not have such a desire identified substantial differences between these groups in the severity of cognitive distortions, such as catastrophisation (p ≤ 0.01) and trust in criticism (p ≤ 0.05). The use of regression analysis confirmed the substantial impact of catastrophisation on how respondents perceive their own body image. There is also a moderate association between catastrophisation and the desire and willingness to discuss their own experiences, which should be considered when creating methods of psychological assistance for women with an irrational perception of their own body image

Sex and Rural/Urban Centre Location as Determinants of Body Image Self-Perception in Preschoolers

Body image and self-perception are highly related to psychological health and social well-being throughout the lifespan. Body image problems can lead to pathologies affecting the quality of life. Thus, it is essential to analyse perceived self-image from an early stage. This study aimed to assess body image and dissatisfaction in preschoolers, analyzing possible differences depending on sex (boy/girl) and school location (rural/urban). The sample consisted of 304 preschoolers from Extremadura (Spain) between three and six years of age. The Mann-Whitney U test was used to evaluate the differences in scores according to sex and centre location. The results showed significant differences in the body shape perception depending on the student's sex, with females showing higher scores in their Body Mass Index (BMI). However, females showed greater body dissatisfaction than their male counterparts, with greater disagreement between their perceived and desired figures. Actions and programmes to promote children's healthy body image need to be implemented with consideration for differences between the sexes.

Body satisfaction of lesbian and bisexual Brazilian women: Indicators of self-esteem, physical appearance perfectionism, and identity processes

This article examined the association between body satisfaction and sexual identification among lesbian and bisexual women, since these factors help to understand the cultural background of the objectification of female bodies in Latin cultures. Women who identify as lesbian (N = 239) and bisexual (N = 60) completed demographic data and measures of self-esteem, physical appearance perfectionism, lesbian and bisexual identity difficulties, and body satisfaction. We performed a three-stage hierarchical multiple regression to explore how variables relate to body satisfaction. The results suggest that self-esteem plays a key role, explaining 20.4% of the variance in body satisfaction. We discussed the psychosocial and cultural aspects involved in the relationship between the variables, and social and aesthetic pressures on women's bodies. This study contributes to discussions on psychosocial aspects associated with body satisfaction among Brazilian lesbian and bisexual women.

What is the evidence of effectiveness of non-pharmaceutical, non-surgical, biopsychosocial interventions for body image and pain management in individuals with endometriosis? A systematic review

Aim:

To identify and review the success of non-pharmaceutical, non-surgical biopsychosocial interventions in individuals with endometriosis, in managing pain and improving body image.

Methods:

Cochrane, EBSCO, IBSS, NICE, Open Grey, OVID, Proquest, Scopus and Science Direct were searched in April 2021, using inclusion and exclusion criteria.

Data collection and analysis:

Five randomised control trials, and one controlled clinical trial resulted from the search. Study quality was assessed using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool. Studies were synthesised by intervention type, into physical only, and physical and psychological.

Results:

Across the six papers, 323 participants were recruited, through medical records or self-referral, and treatments largely administered by specialist practitioners. From the EPHPP quality assessment,2 weak quality papers, and four moderate quality papers found improvements to pain, with large effect sizes in four papers. No studies used established body image measures to examine intervention effects on body image, and all lacked health psychology theoretical basis. There were common issues in selection bias, confounders and blinding.

Conclusion:

Without gold-standard methodology, evidence of effectiveness cannot be concluded. However, there is promising rationale if these issues are addressed.

Does body appreciation predict decreases in eating pathology via intuitive eating? A longitudinal mediation analysis

Evidence suggests that body appreciation may be a protective factor for eating pathology. However, potential explanatory mechanisms for this association are unclear, as longitudinal studies testing mediational pathways are missing. This longitudinal study tested whether intuitive eating mediates the association between body appreciation and eating pathology. Data were analyzed from 3039 women recruited from an educational platform about disordered eating, many of whom exhibited elevated symptomatology. Measures were administered at baseline (T1), four-month (T2) and eight-month (T3) follow-up. Path analyses were computed to test hypothesized indirect effects. Direct paths from T1 body appreciation to T2 intuitive eating (total and subscale scores) and T3 eating pathology/binge eating were observed. However, only one significant indirect effect emerged: higher T1 body appreciation scores predicted greater decreases in T3 eating pathology and binge eating via its effect on increasing T2 Unconditional Permission to Eat (UPE) subscale scores. Findings suggest that the features of the UPE construct (e.g., eating foods that are desired in a given moment, refusal to dichotomize foods as "good" or "bad," etc.) may be important mechanisms explaining how and why body appreciation protects against eating pathology. Efforts should be made to enhance body appreciation and intuitive eating in eating disorder prevention programs.

Measuring positive breast experience: Development and psychometric evaluation of the Breast Appreciation Scale (BrAS)

Existing measures of women's breasted experiences have focused on negative experiences, which de-centres women's meaning-making and relationships with their breasts. To rectify this, we developed a novel measure of women's positive breasted experiences, the Breast Appreciation Scale (BrAS), and examined the psychometric properties of this novel measure across four studies. Study 1, with 307 United Kingdom women, led to the extraction of a 9-item, unidimensional model of BrAS scores that showed adequate composite reliability and 4-week test-retest reliability. Study 2, with 297 United Kingdom women, showed that the unidimensional model of BrAS scores had adequate fit and evidenced convergent, concurrent, discriminant, and incremental validity. Study 3, with 295 women from the United Kingdom, provided additional support for factorial validity and concurrent validity, and additionally provided evidence of known-groups validity insofar as mothers had greater breast appreciation than non-mothers. Study 4 showed that the BrAS was scalar invariant across women from Australia, the United Kingdom, and the United States (N = 573) and provided additional evidence of concurrent validity. Based on these results, we conclude that the BrAS is a psychometrically valid measure of women's positive breasted experiences that can be utilised in future research.

Body image and associated factors among sexual minority men: A systematic review

Research suggests that the risk of body image concerns among sexual minority men is high. Recent work has increasingly examined body image in relation to psychological, interpersonal, and behavioral constructs, but these findings have yet to be consolidated and critically examined to identify potential risk and protective factors. The present study sought to systematically review and synthesize published findings on body image among sexual minority men. A total of 136 articles published between January 2011 and March 2022 were included. Sexual minority men were generally reported to have more negative body image compared to heterosexual men, yet findings varied across body image constructs. In correlational work, body image was often examined in relation to disordered eating, mental health, internalization of appearance ideals, objectification, sexual behavior and relationships, gay community identification and discrimination, and health concerns (e.g., HIV, AIDS). Robust relationships emerged among body image and stigma variables, including internalized homophobia and harassment related to LGBTQ+ presentation and intersecting minority identities. Sociocultural, objectification, and minority stress theories were employed to interpret findings and to delineate future directions grounded in intersectional approaches. Additional work focused on the role of stigma and discrimination in the development of these concerns across the lifespan is needed.

Rural-urban differences in body appreciation and associations with life satisfaction in adults from Sabah, Malaysia

Studies of body appreciation have typically focused on measurement of the construct in urban populations and there remains very little research on body appreciation in rural communities. To fill this gap, the present study examined rural-urban differences in body appreciation in an adult Kadazan-Dusun sample from the state of Sabah in Malaysia. Participants from rural (n = 215) and urban (n = 219) locales in the West Coast administrative district of Sabah were asked to complete Malay versions of the Body Appreciation Scale-2 (BAS-2) and the Satisfaction With Life Scale, and to provide their demographic details. Multi-group confirmatory factor analysis evidenced both partial metric invariance (by allowing loadings for three items to vary) and partial scalar invariance (by freeing the intercept for one item) on the BAS-2. Between-group analyses indicated that rural participants had significantly greater body appreciation than urban participants overall. Additionally, urban men had significantly greater body appreciation than urban women, but there was no gender difference in the rural subsample. Finally, correlational analyses indicated that body appreciation was significantly associated with life satisfaction in both the rural and urban subsamples. The present results highlight the importance of further considering the phenomenology of body appreciation in rural communities.

Body image self-conscious emotions get worse throughout adolescence and relate to physical activity behavior in girls and boys

Body image is a commonly-reported factor perpetuating declines in physical activity levels during adolescence. However, the evidence is predominantly qualitative, cross-sectional, and focused on girls. Furthermore, the affective dimension of body image has been overlooked compared to the perceptual (e.g., misrepresentations of body size) and cognitive (e.g., dissatisfaction) dimensions. Affective body image includes a range of self-conscious emotions including guilt, shame, envy, embarrassment, and authentic and hubristic pride. This study examined (i) body-related self-conscious emotions over time, and (ii) associations between body-related emotions and physical activity over five years during early-to-mid adolescence. Potential gender differences were also explored. Self-report data for this study were collected once a year over 5 years as part of the MATCH study. The main analyses involved mixed-effects modeling. Participants (n = 776, 55.8% girls) initially aged 12.6 (SD = 0.6) years who provided data on at least one occasion were included in the analysis. Girls reported higher body-related guilt, shame, envy, and embarrassment than boys, and boys reported higher hubristic pride than girls. Over five years from early to mid-adolescence, body-related shame, guilt, envy, and embarrassment significantly increased for boys and girls, authentic pride did not change, and hubristic pride increased for girls only. Controlling for gender and puberty status, body-related guilt, shame, and embarrassment were negatively, and body-related authentic and hubristic pride were positively, associated with physical activity over time. Body-related envy was not significantly related to physical activity. These findings suggest that adolescents express greater negative body-related self-conscious emotions over time. Since these were negatively related to physical activity, interventions focused on reducing negative body-related emotions and enhancing positive body-related emotions may be valuable in adolescence to help curb declining physical activity.

Adolescent girls' participation in sports is associated with lower negative effects of internalization of thin body ideals on self-objectification: findings from a cross-sectional study

PURPOSE

The aim of the present study was to test a partial sociocultural model of integrated tripartite influence and objectification theories in adolescent girls and to assess the moderating role of participation in sport.

METHODS

This study is part of a larger research that involved a sample of adolescent girls and boys from the 11^th grade. In the present study, data on 842 girls were analysed. The mean age of the sample was 16.9 ± 0.5 years. The adolescent girls completed online questionnaires assessing internalization of thin body ideals, disordered eating attitudes and behaviours, and self-objectification, as well as various aspects of participation in sports. To assess the primary hypotheses, moderated mediation models were tested.

RESULTS

Self-objectification mediated associations between internalization of thin body ideals and disordered eating attitudes and behaviours in adolescent girls. Participation in an achievement sport moderated the association between internalization of thin body ideals and self-objectification, but not between the latter and disordered eating attitudes and behaviours. Internalization of thin body ideals was not significantly associated with self-objectification in girls participating in achievement sport. The association between internalization of thin body ideals and self-objectification was stronger in adolescent girls not involved in any sports activities than in leisure-time exercisers.

CONCLUSION

It is important to promote involvement in sport for all adolescent girls, since it might help them to decrease the negative effect of internalization of thin body ideals on self-objectification and to value body functions over appearance. Decreasing self-objectification and teaching about body functionality might be an effective strategy in programmes aimed at decreasing disordered eating in adolescent girls participating in achievement sport.

LEVEL OF EVIDENCE

Level of evidence V, cross-sectional descriptive study.

Unraveling the meaning of weight misperception in a sample of college students: Unaware or body satisfied?

Weight misperception has been seen as a threat to public health. We aimed to understand the meaning of weight misperception by examining associations of weight perception with body satisfaction and body awareness along with healthy ideals and culturally normative body ideals. Undergraduates with higher weights at a Mid-South University (n = 166) completed survey measures that included: weight status perception ("How do you think of yourself in terms of weight?"), self-reported weight and height (used to indicate awareness), current and ideal body size using Figure Rating Scales (FRS), three measures of body satisfaction (difference between current and ideal figures on FRS, Appearance Evaluation subscale of the Multidimensional Body Self-Relations Questionnaire, Body Dissatisfaction subscale of the Eating Disorder Inventory-3). Height and weight were also measured. Thirty percent (n = 49) of participants perceived themselves as 'healthy' weight and 70 % (n = 117) perceived themselves as above healthy weight. In bivariate analyses, there were no significant differences in identification of healthy or culturally normative body ideals by weight perception group. A series of logistic regression models were run to examine associations between weight perception and both BMI awareness and body satisfaction. In unadjusted and adjusted models, increased body satisfaction was associated with reduced odds of perceiving oneself above healthy weight (OR: 0.25, p < 0.001); BMI awareness was not associated with weight misperception. Findings suggest that weight misperception reflects body satisfaction, and not a lack of awareness of body weight/size, definitions of healthy bodies, or culturally normative body ideals. "Correcting" individuals who perceive their bodies as about right has the potential to cause great harm and should be eliminated as a public health goal.

Aboriginal and/or Torres Strait Islander women's body image: A qualitative study

Aboriginal and/or Torres Strait Islander peoples refer to the traditional owners of Australia and have the oldest continuing culture in the world. Body image has scarcely been investigated among adult Aboriginal and/or Torres Strait Islander (Indigenous) women, despite evidence that racism and colourism broadly contribute to adverse psychological outcomes for this population. Therefore, we conducted a qualitative study investigating Indigenous womens' body image with specific focus on racism, colourism, and cultural identity. Sixteen Indigenous women completed individual interviews or took part in group yarns - a culturally sanctioned method of information sharing. A reflexive thematic analysis generated three themes: (i) Dominant beauty ideals in Australia exclude Indigenous women and are informed by colonisation and stereotypes of what Indigenous women "should" look like, (ii) Variations in Indigenous women's identities and appearances influences the types of discrimination that they receive and impacts their sense of belonging, and (iii) A change journey occurs over time towards body acceptance which is informed by changes in understandings of body image and cultural identity. Broadly, participants described racism and colourism as negatively impacting their body image. Importantly, developing a strong cultural identity mitigated these impacts by facilitating both a sense of belonging and body acceptance - highlighting a potential protective factor.

“Why don’t I look like her?” How adolescent girls view social media and its connection to body image

Background

Adolescent girls appear more vulnerable to experiencing mental health difficulties from social media use than boys. The presence of sexualized images online is thought to contribute, through increasing body dissatisfaction among adolescent girls. Sexual objectification through images may reinforce to adolescent girls that their value is based on their appearance. This study explored how sexualized images typically found on social media might influence adolescent girls’ mental health, in positive and/or negative ways.

Methods

In-depth interviews were conducted with girls aged 14–17 years (n = 24) in Perth, Western Australia. Data were analyzed using thematic analysis.

Results

Participants identified body image as a major concern, reporting negative appearance comparisons when viewing images on social media. Appearance comparisons were perceived to exacerbate adolescent girls’ appearance-based concerns. Comparisons also influenced adolescent girls’ efforts to change their appearance and seek validation on social media. The importance of awareness and education from a younger age about social media and its influence on body image was emphasized, as was the need for strategies to promote positive body image and counteract negative body image.

Conclusion

The findings of this study have important implications for professionals working with adolescent girls and for the development of health promotion programs addressing social media use and body image concerns.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12905-022-01845-4.

Understanding body image perceptions of former female athletes: A qualitative analysis

Female athletes and non-athletes alike are affected by a variety of cultural factors and social comparisons that influence how they evaluate their own bodies. For female athletes, the self-evaluative process is distinctly complicated during and after their retirement transition. Grounded in social comparison theory, this study uses a phenomenological approach with semi-structured interviews. The sample consists of 20 post career NCAA female athletes. Questions focused on obtaining a more holistic understanding of their lived experiences, influences on their perceptions of body image, and how they cope and adapt in the post-retirement phase. Data were coded iteratively using thematic analysis. Findings reveal distinct challenges to this population of women from a variety of factors at the individual level (i.e., insecurities, learning through lived experience, performance empowerment, pregnancy and childbirth), institutional/community level (i.e., network outside of athletics, role of coaches, external validation), and socio-cultural level (i.e., marketed body ideals, evolution of marketing, social pressures). The data inform theoretical and practical implications to help proactively assist athletes in healthy transitions, especially in adult life stages. We argue those in positions of power have not only the potential, but also a moral obligation to cultivate supportive structures for athletes during and after their careers.

Understanding the role of positive body image during digital interventions for eating disorders: Secondary analyses of a randomized controlled trial

Despite growing interest in the possible link between positive body image and eating disorder (ED) symptoms, little is known about what role this adaptive construct plays in ED treatment. This study investigated whether: (1) interventions principally designed to target ED psychopathology also lead to improvements in positive body image indices (i.e., body appreciation, functionality appreciation, and body image flexibility); (2) changes in ED symptoms correlate with changes in positive body image, both concurrently and prospectively; and (3) baseline positive body image levels moderate the degree of symptom improvement. Secondary analyses from a randomized controlled trial on digital interventions for EDs (n=600) were conducted. Intervention participants reported greater increases in the three positive body image constructs than the control group (ds=0.15-0.41). Greater pre-post reductions in ED psychopathology and binge eating were associated with greater pre-post improvements in positive body image indices. However, earlier reductions in ED psychopathology and binge eating did not predict later improvements in positive body image at follow-up. None of the positive body image constructs at baseline moderated degree of symptom change. Standard ED interventions can cultivate a more positive body image, although this is not explained by earlier symptom reduction. Understanding the mechanisms through which ED interventions enhance positive body image is needed.

The Role of Body Shame and Age on Appearance-Based Exercise and Positive Body Image in Women from Poland: Preliminary Results of a Cluster Analysis

The aim of this study has been to analyse whether body shame and age may play a role in appearance-based exercise and positive body image in Women from Poland. It was assumed that women with high body shame and at the stage of young adulthood have significantly greater levels of appearance-based exercise and lower positive body image than those with a low level of body shame and at the stage of middle adulthood. The final sample included 234 Polish women (age: M = 31.58, SD = 13.93; body mass index: M = 23.45, SD = 4.72). Participants completed: the Objectified Body Consciousness Scale (OBCS), the Exercise Appearance Motivations Scale (EAMS), the Body Appreciation Scale-2 (BAS-2) and a socio-demographic survey. The cluster analysis technique indicated four distinct clusters: (a) Cluster 1 (N = 83): high body shame and young adulthood; (b) Cluster 2 (N = 29): high body shame and middle adulthood; (c) Cluster 3 (N = 88): low body shame and young adulthood; (d) Cluster 4 (N = 34): low body shame and middle adulthood. The outcomes partially support the hypothesis, as higher levels of almost all subscales related to appearance-based exercise (EAMS: "muscularity", "societal pressures", "shape/weight concerns", "avoidance/shame") and lower positive body image (BAS-2) were observed in women with high body shame and at the stage of young adulthood compared with women with a low level of body shame and at the stage of middle adulthood. These results indicate that both body shame and age may contribute to the intensity of appearance-based exercise and positive body image deterioration. Clarity on this issue is essential to ensure that an appropriate preventive activity and interventions are made which will be able to take into account the specific sociocultural context in Poland.

Enriching sociocultural perspectives on the effects of idealized body norms: Integrating shame, positive body image, and self-compassion

Body image is an integral aspect of the psychology of the self. Idealized body images are ubiquitous in both traditional media forms (e.g., magazines, television) and social media (e.g., Facebook, Instagram). The classic sociocultural model of body image (i.e., the Tripartite Influence Model) emphasizes pathways between idealized body norms, appearance comparisons, internalization of body ideals, and body dissatisfaction and its outcomes. We summarize the model and identify some issues to be addressed in future work, particularly in light of the immense popularity of social media. We review three topics that are not included in the sociocultural model but that provide a more complete picture of the influence of societal body norms on body image: (1) body shame, (2) positive body image, and (3) self-compassion. Research on the nature, assessment, and relevance of these constructs is reviewed in detail. In terms of clinical applications of these areas of research for individuals at risk of body dissatisfaction, we suggest assessing for and targeting body shame, cultivating facets of positive body image, and teaching strategies for developing self-compassion.

Efficacy of the Mental Health App "Intellect" to Improve Body Image and Self-compassion in Young Adults: A Randomized Controlled Trial With a 4-Week Follow-up

BACKGROUND

Body image concerns are prevalent among young adults, who may be vulnerable to developing body image concerns because of particular risk factors associated with this life period. With technological advancements, digital mobile health (mHealth) apps are cost-effective and scalable interventions. Thus, mHealth apps can be explored as a form of prevention effort to alleviate body image concerns in young adults.

OBJECTIVE

In this randomized controlled trial, we examined the effectiveness of a self-guided mHealth app in improving body image and self-compassion in a sample of university students.

METHODS

Participants (N=310) were randomized to a 9-day self-guided body image and self-compassion mHealth app (n=149) and to an active waitlist control group (n=161), where they completed a similarly structured 9-day program on cooperation. Both programs consisted of content learning and activities such as quizzes, with the number and length of activities matched for both programs. Measures were obtained at baseline, upon completion of the programs (after the intervention), and at 4-week follow-up.

RESULTS

The intervention group for female participants reported significant reduction in body dissatisfaction (P<.001) and improvements in body appreciation (P<.001) and self-compassion (P=.001) compared with the active waitlist control group after the intervention. Similarly, for male participants after the intervention, a significant reduction was found in the intervention group in body dissatisfaction (P<.001) after the intervention as well as improvements in body appreciation (P=.02) and self-compassion (P=.047). The effects were maintained at 4-week follow-up for female participants on body dissatisfaction (P<.001), body appreciation (P<.001), and self-compassion (P=.02) but not for male participants. On body image risk factors, significant reductions were found for female participants after the intervention for thin-ideal internalization (P<.001), peer pressure (P=.002), and media pressure (P<.001) after the intervention, while the effects were only maintained for thin-ideal internalization (P=.008) and media pressure (P=.01) at 4-week follow-up, compared with the active waitlist control group. As for male participants, no intervention effects were found both after the intervention and at follow-up for all body image risk factors of muscularity internalization, peer pressure, and media pressure. Both apps were acceptable and participants engaged equally across the intervention and active waitlist control groups, as indicated on a measure of app engagement (P=.76).

CONCLUSIONS

This study provides preliminary evidence for a self-guided mHealth app in improving body image concerns and self-compassion in young adult university students. Future studies should include longer follow-ups, and examine its effects with the wider populations of young adults.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04977973; https://clinicaltrials.gov/ct2/show/NCT04977973.

Face yourself: The social neuroscience of mirror gazing

In philosophical and psychological accounts alike, it has been claimed that mirror gazing is like looking at ourselves as others. Social neuroscience and social psychology offer support for this view by showing that we use similar brain and cognitive mechanisms during perception of both others’ and our own face. I analyse these premises to investigate the factors affecting the perception of one’s own mirror image. I analyse mechanisms and processes involved in face perception, mimicry, and emotion recognition, and defend the following argument: because perception of others’ face is affected by our feelings toward them, it is likely that feelings toward ourselves affect our responses to the mirror image. One implication is that negative self-feelings can affect mirror gazing instantiating a vicious cycle where the negative emotional response reflects a previously acquired attitude toward oneself. I conclude by discussing implications of this view for psychology and social studies.