1
|
Christensen Pacella KA, Chen Y, Forbush KT, Cushing CC, Swinburne Romine R. Prospectively predicting naturalistic exposure to fitspiration and thinspiration in young women with disordered eating by leveraging an ecological momentary assessment design. Eat Behav 2023; 50:101767. [PMID: 37295375 PMCID: PMC10526890 DOI: 10.1016/j.eatbeh.2023.101767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 05/23/2023] [Accepted: 05/31/2023] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Although a growing body of research has examined the impacts of ED-salient content, such as fitspiration and thinspiration, on eating disorder (ED) symptoms, there is less known about the characteristics of who may be at risk for accessing this content on Instagram. Current research is limited by cross-sectional and retrospective designs. This prospective study used ecological momentary assessment (EMA) to predict naturalistic exposure to ED-salient content on Instagram. METHODS Female university students with disordered eating (N = 171, Mage = 20.23, SD = 1.71, range = 18-25) completed a baseline session, followed by a seven-day EMA protocol, in which they reported on Instagram use and exposure to fitspiration and thinspiration. Mixed-effects logistical regressions were used to predict exposure to ED-salient content on Instagram from four principal components (e.g., behavioral ED symptoms and trait social comparison) controlling for duration of Instagram use (i.e., dose) and day of study. RESULTS Duration of use was positively associated with all types of exposure. Purging/cognitive restraint and excessive exercise/muscle building prospectively predicted access to any ED-salient content and fitspiration only. Restricting positively predicted thinspiration only access. Purging/cognitive restraint positively predicted accessing fitspiration and thinspiration (dual exposure). Day of study was negatively associated with any exposure, fitspiration only, and dual exposure. CONCLUSIONS Baseline ED behaviors were differentially associated with exposure to ED-salient Instagram content; however, duration of use was also a significant predictor. Limiting use of Instagram may be important for young women with disordered eating to reduce probability of encountering ED-salient content.
Collapse
Affiliation(s)
| | - Yiyang Chen
- Department of Psychology, University of Kansas, Lawrence, KS, United States of America
| | - Kelsie T Forbush
- Department of Psychology, University of Kansas, Lawrence, KS, United States of America
| | - Christopher C Cushing
- Department of Psychology, University of Kansas, Lawrence, KS, United States of America
| | | |
Collapse
|
2
|
Hudson TA, Ferreira LK, Amaral ACS, Ferreira MEC. Body, eating, and exercise comparison orientation measure (BEECOM): Cross-cultural adaptation and psychometric properties among Brazilian female university students. Body Image 2023; 45:323-330. [PMID: 37031616 DOI: 10.1016/j.bodyim.2023.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 03/07/2023] [Accepted: 03/22/2023] [Indexed: 04/11/2023]
Abstract
The Body, Eating, and Exercise Comparison Orientation Measure (BEECOM) is an instrument that aims to quantify behaviors related to social comparison, specifically comparisons related to the body, eating and exercise, and was originally developed using a nonclinical population of American university women. The objective of this study was to perform a cross-cultural adaptation and verify the psychometric qualities of the BEECOM for young Brazilian adult women aged 18-35 years. In the present study, the cross-cultural adaptation of the instrument was performed through its translation, back-translation and evaluation by the target population. The instrument proved to be easy to understand among young women. Then, the psychometric qualities of the instrument were evaluated using a sample of 716 women (Mage = 22.47 ± 3.10). Exploratory and confirmatory factor analysis demonstrated the presence of three factors and satisfactory adjustment indexes. The BEECOM presented an invariant measurement across white vs. nonwhite and physically active vs. non-active individuals. In addition, the instrument showed adequate reliability and convergent validity. In conclusion, the BEECOM is a useful tool to evaluate social comparison behaviors related to eating disorders and body image in young Brazilian female adults, enabling further research on these constructs and supporting the development of preventive strategies.
Collapse
Affiliation(s)
- Tassiana Aparecida Hudson
- Department of Physical Education, Federal University of Juiz de Fora, s/n José Lourenço Kelmer Street, University Campus, Juiz de Fora 36036-900, Brazil.
| | - Luana Karoline Ferreira
- Humanities Institute, Federal University of Juiz de Fora, s/n José Lourenço Kelmer Street, University Campus, Juiz de Fora 36036-900, Brazil
| | - Ana Carolina Soares Amaral
- Federal Institute of Education, Science and Technology of Southeast of Minas Gerais, 204 Monsenhor José Augusto Street, Barbacena, Minas Gerais 36205-018, Brazil
| | - Maria Elisa Caputo Ferreira
- Department of Physical Education, Federal University of Juiz de Fora, s/n José Lourenço Kelmer Street, University Campus, Juiz de Fora 36036-900, Brazil
| |
Collapse
|
3
|
Spivak-Lavi Z, Latzer Y, Katz R. The role of mothers' involvement in their daughters' self-esteem and dieting behaviors. Health Care Women Int 2023; 45:512-536. [PMID: 36947584 DOI: 10.1080/07399332.2023.2183205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 02/17/2023] [Indexed: 03/23/2023]
Abstract
This study presents an initial effort to develop disordered eating pathology (DEP) prevention program with an emphasis on maternal involvement. Disordered eating pathology representing a range of behaviors and attitudes, from negative body image to full-blown eating disorder. It appears mainly in adolescent females and related to psychological and familial factors, including maternal modeling of thinness. A sample of 118 Israeli girls (11-12) was divided into three groups: participants in the program in parallel with their mothers, participants without their mothers, and control. Participants completed self-report questionnaires. Groups were tested three times: pre-intervention, post-intervention, and follow-up. For those girls who participated in parallel with their mothers, higher self-esteem was associated with fewer pathological diet behaviors. Findings deepen understanding of the risk factors involved in the development of DEP. The main study contribution is the important role mothers play in preventing DEP among their daughters.
Collapse
Affiliation(s)
- Zohar Spivak-Lavi
- Department of Social Work, Yezreel Valley College, Emek Yezreel, Israel
| | - Yael Latzer
- Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
- Eating Disorders Institution, Psychiatric Division, Rambam Health Care Campus, Haifa, Israel
| | - Ruth Katz
- Department of Human Services, Yezreel Valley College, Emek Yezreel, Israel
| |
Collapse
|
4
|
Sebastian RM, Serier KN, Pacheco CR, VanderJagt H, Mullins CR, Jackson TA, Smith JE. Examining the individual and relational impacts of varying responses to negative body talk within college women's female friendships. Body Image 2023; 45:192-200. [PMID: 36947891 DOI: 10.1016/j.bodyim.2023.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 02/24/2023] [Accepted: 02/24/2023] [Indexed: 03/24/2023]
Abstract
Many college women make self-disparaging comments about their appearance to others. This "fat talk" (negative body talk) is a causal risk factor for body image disturbance, which in turn predicts eating disorders and depression. Research is needed to identify effective responses to negative body talk; namely, those that reduce negative body talk without shaming its initiator or damaging the relationship. The current study examined the impact of different responses to negative body talk on the likelihood of future negative body talk and on individual and relationship factors. College women (N = 160) recalled a situation using negative body talk with a female friend. Participants listened to audio recordings of four responses (Deny/Reassure, Challenge, Empathize/Reciprocate, Ignore) and rated appearance satisfaction, shame, friendship support, and likelihood of future negative body talk after each. Linear mixed models indicated that the Deny/Reassure response followed closely by the Challenge response were most beneficial for individual and relationship factors; however, participants reported being least likely to use future negative body talk after the Ignore response. Recommendations for developing promising responses to negative body talk include combining responses to balance validation (Deny/Reassure) and change (Challenge), and studying the contribution of other relationships and varying body dissatisfaction levels.
Collapse
|
5
|
Portingale J, Eddy S, Fuller-Tyszkiewicz M, Liu S, Giles S, Krug I. Tonight, I'm disordered eating: The effects of food delivery app use, loneliness, and mood on daily body dissatisfaction and disordered eating urges. Appetite 2023; 180:106310. [PMID: 36122621 DOI: 10.1016/j.appet.2022.106310] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Revised: 08/03/2022] [Accepted: 09/10/2022] [Indexed: 12/15/2022]
Abstract
With the recent proliferation of food delivery applications ('apps'; FDAs), accessing a meal is more convenient and immediate than ever. However, these apps may foster dysregulated eating behaviours, including maladaptive eating to cope with negative emotional states. Using ecological momentary assessment (EMA), the current study assessed whether FDA use at baseline predicted levels of EMA-assessed disordered eating urges and body dissatisfaction, whether negative mood and loneliness impacted disordered eating urges and body dissatisfaction at the state level, and whether the latter relationships were moderated by FDA usage frequency. Participants (N = 483; 78.7% women; 20.1% men; 1.2% other) completed a baseline questionnaire and were characterised as current FDA users (49.3%) or non-users (50.7%). Participants then completed a smartphone-facilitated investigation into their experiences of loneliness, negative mood, body dissatisfaction, and disordered eating urges, six times per day for 7-days. Across the entire sample, current FDA users at baseline reported greater EMA-assessed urges to overeat. At the state level, loneliness and negative mood predicted greater body dissatisfaction, with the latter also predicting greater urges for restrictive eating and overeating. Among current FDA users at baseline, at the state level, loneliness predicted greater body dissatisfaction, and negative mood predicted greater body dissatisfaction and urges for overeating. No moderating effects were observed for baseline FDA usage frequency. These results elucidate FDA use and daily experiences of loneliness and negative mood as factors elevating eating disorder (ED)-related risk. Further extensions of this research with nuanced measures of state FDA use are required.
Collapse
Affiliation(s)
- Jade Portingale
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia.
| | - Sarah Eddy
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, Geelong, VIC, Australia; Centre for Social and Early Emotional Development, Deakin University, Burwood, VIC, Australia
| | - Shanshan Liu
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Sarah Giles
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Isabel Krug
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
| |
Collapse
|
6
|
Raja N AA, Osman NA, Alqethami AM, Abd El-Fatah NK. The relationship between the high-risk disordered eating and social network navigation among Saudi college females during the COVID pandemic. Front Public Health 2022; 10:949051. [PMID: 36148353 PMCID: PMC9486004 DOI: 10.3389/fpubh.2022.949051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 08/11/2022] [Indexed: 01/21/2023] Open
Abstract
Background Disordered eating behaviors (DEBs) are complex health issues that may lead to negative physical and mental health outcomes among college students. More studies should be directed toward the screening of DEBs. This study aimed to determine the prevalence of DEBs among Saudi female university students and their association with social networking site (SNSs) usage and composite lifestyle behaviors during the unprecedented period of COVID-19. Methods This cross-sectional study included 445 females recruited using stratified random sampling. The participants self-reported demographic, social, medical, and lifestyle data and completed the validated Arabic version of the Eating Attitudes Test-26, Social Networking Sites (SNSs) Usage Questionnaire, Bergen Social Media Addiction Scale, and Body Shape Questionnaire. Results The prevalence of DEBs was 27.2% among the female students at Taif University. From the pre-pandemic period until the current time, the DEBs-risk group had a significantly higher SNS navigation rate (36.4%) than the normal group (20.4%) (X 2 = 30.015, p = 0.001). The regression analysis revealed that females with a significant body image concern, higher number of SNSs friends, and frequent visits to SNSs, and those seeking social-dependent information in relation to weight loss/dieting were more likely to develop DEBs (Overall Model: Chi-Square X 2 = 158.071, p < 0.000**). Conclusions SNSs usage and DEBs were associated during the COVID-pandemic. However, the composite lifestyle score did not demonstrate a significant association with DEBs among the female students at Taif University. Investigating the magnitude of DEBs and understanding the role of SNS are essential for preventing disordered eating among young females.
Collapse
Affiliation(s)
- Alotaibi Abdulaziz Raja N
- Department of Public Health, Directorate of Health Affairs in Taif, Ministry of Health, Riyadh, Saudi Arabia
| | - Nermin A. Osman
- Department of Biomedical Informatics and Medical Statistics, Medical Research Institute, Alexandria University, Alexandria, Egypt
| | - Abdullah Muidh Alqethami
- Department of Public Health, Directorate of Health Affairs in Taif, Ministry of Health, Riyadh, Saudi Arabia
| | - Nesrin Kamal Abd El-Fatah
- Department of Nutrition, High Institute of Public Health, Alexandria University, Alexandria, Egypt,*Correspondence: Nesrin Kamal Abd El-Fatah
| |
Collapse
|
7
|
Scherer EA, Metcalf SA, Whicker CL, Bartels SM, Grabinski M, Kim SJ, Sweeney MA, Lemley SM, Lavoie H, Xie H, Bissett PG, Dallery J, Kiernan M, Lowe MR, Onken L, Prochaska JJ, Stoeckel LE, Poldrack RA, MacKinnon DP, Marsch LA. Momentary Influences on Self-Regulation in Two Populations With Health Risk Behaviors: Adults Who Smoke and Adults Who Are Overweight and Have Binge-Eating Disorder. Front Digit Health 2022; 4:798895. [PMID: 35373179 PMCID: PMC8971561 DOI: 10.3389/fdgth.2022.798895] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 02/22/2022] [Indexed: 11/14/2022] Open
Abstract
Introduction Self-regulation has been implicated in health risk behaviors and is a target of many health behavior interventions. Despite most prior research focusing on self-regulation as an individual-level trait, we hypothesize that self-regulation is a time-varying mechanism of health and risk behavior that may be influenced by momentary contexts to a substantial degree. Because most health behaviors (e.g., eating, drinking, smoking) occur in the context of everyday activities, digital technologies may help us better understand and influence these behaviors in real time. Using a momentary self-regulation measure, the current study (which was part of a larger multi-year research project on the science of behavior change) used ecological momentary assessment (EMA) to assess if self-regulation can be engaged and manipulated on a momentary basis in naturalistic, non-laboratory settings. Methods This one-arm, open-label exploratory study prospectively collected momentary data for 14 days from 104 participants who smoked regularly and 81 participants who were overweight and had binge-eating disorder. Four times per day, participants were queried about momentary self-regulation, emotional state, and social and environmental context; recent smoking and exposure to smoking cues (smoking sample only); and recent eating, binge eating, and exposure to binge-eating cues (binge-eating sample only). This study used a novel, momentary self-regulation measure comprised of four subscales: momentary perseverance, momentary sensation seeking, momentary self-judgment, and momentary mindfulness. Participants were also instructed to engage with Laddr, a mobile application that provides evidence-based health behavior change tools via an integrated platform. The association between momentary context and momentary self-regulation was explored via mixed-effects models. Exploratory assessments of whether recent Laddr use (defined as use within 12 h of momentary responses) modified the association between momentary context and momentary self-regulation were performed via mixed-effects models. Results Participants (mean age 35.2; 78% female) in the smoking and binge-eating samples contributed a total of 3,233 and 3,481 momentary questionnaires, respectively. Momentary self-regulation subscales were associated with several momentary contexts, in the combined as well as smoking and binge-eating samples. For example, in the combined sample momentary perseverance was associated with location, positively associated with positive affect, and negatively associated with negative affect, stress, and tiredness. In the smoking sample, momentary perseverance was positively associated with momentary difficulty in accessing cigarettes, caffeine intake, and momentary restraint in smoking, and negatively associated with temptation and urge to smoke. In the binge-eating sample, momentary perseverance was positively associated with difficulty in accessing food and restraint in eating, and negatively associated with urge to binge eat. While recent Laddr use was not associated directly with momentary self-regulation subscales, it did modify several of the contextual associations, including challenging contexts. Conclusions Overall, this study provides preliminary evidence that momentary self-regulation may vary in response to differing momentary contexts in samples from two exemplar populations with risk behaviors. In addition, the Laddr application may modify some of these relationships. These findings demonstrate the possibility of measuring momentary self-regulation in a trans-diagnostic way and assessing the effects of momentary, mobile interventions in context. Health behavior change interventions may consider measuring and targeting momentary self-regulation in addition to trait-level self-regulation to better understand and improve health risk behaviors. This work will be used to inform a later stage of research focused on assessing the transdiagnostic mediating effect of momentary self-regulation on medical regimen adherence and health outcomes. Clinical Trial Registration ClinicalTrials.gov, Identifier: NCT03352713.
Collapse
Affiliation(s)
- Emily A Scherer
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States
| | - Stephen A Metcalf
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States.,Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom
| | - Cady L Whicker
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States
| | - Sophia M Bartels
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States.,Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States
| | - Michael Grabinski
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States
| | - Sunny Jung Kim
- Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA, United States.,Massey Cancer Center, Virginia Commonwealth University, Richmond, VA, United States
| | - Mary Ann Sweeney
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States
| | - Shea M Lemley
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States
| | - Hannah Lavoie
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States.,Department of Health Education and Behavior, University of Florida, Gainesville, FL, United States
| | - Haiyi Xie
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States
| | - Patrick G Bissett
- Department of Psychology, Stanford University, Stanford, CA, United States
| | - Jesse Dallery
- Department of Psychology, University of Florida, Gainesville, FL, United States
| | - Michaela Kiernan
- Stanford Prevention Research Center, Department of Medicine, Stanford University, Stanford, CA, United States
| | - Michael R Lowe
- Department of Psychological and Brain Sciences, Drexel University, Philadelphia, PA, United States
| | - Lisa Onken
- National Institute on Aging, National Institutes of Health, Bethesda, MD, United States
| | - Judith J Prochaska
- Stanford Prevention Research Center, Department of Medicine, Stanford University, Stanford, CA, United States
| | - Luke E Stoeckel
- National Institute on Aging, National Institutes of Health, Bethesda, MD, United States
| | - Russell A Poldrack
- Department of Psychology, Stanford University, Stanford, CA, United States
| | - David P MacKinnon
- Department of Psychology, Arizona State University, Tempe, AZ, United States
| | - Lisa A Marsch
- Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College, Lebanon, NH, United States
| |
Collapse
|
8
|
General and body-related self-conscious emotions predict facets of restrictive eating in undergraduate women. Eat Behav 2022; 45:101624. [PMID: 35334287 DOI: 10.1016/j.eatbeh.2022.101624] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 03/02/2022] [Accepted: 03/06/2022] [Indexed: 11/24/2022]
Abstract
It is well understood that mood intolerance is a predictor of eating disorder (ED) symptoms. However, it is unclear whether intolerance of specific emotional experiences predicts ED symptoms. The current study used an ecological momentary assessment design to assess associations between the intensity and intolerance of general and body-related self-conscious emotions and facets of restrictive eating. Participants were 151 female undergraduate students (Mage = 18.99, SD = 1.30 years) who completed six surveys per day for 10 consecutive days. Participants reported on the intensity and intolerance of general and body-related shame, guilt, envy, and embarrassment and cognitive restraint (thoughts about restrictive eating) and behavioral restriction (act of restrictive eating) facets of restrictive eating. Data were analyzed using multilevel modeling. Based on the between-person findings, participants higher on intensity and intolerance of general and body-related self-conscious emotions experienced higher levels of cognitive restraint and behavioral restriction relative to individuals with lower levels of the emotion intensity and intolerance predictors on average. Based on the within-person findings, experiencing a higher intolerance of body-related self-conscious emotions compared to one's average was particularly important when examining behavioral restriction. Experiencing a higher intolerance of body-related envy was able to predict increased behavioral restriction at the time of the next report. These findings may inform tailored treatment targets for mood intolerance and restrictive eating.
Collapse
|
9
|
Stieger S, Aichinger I, Swami V. The impact of nature exposure on body image and happiness: an experience sampling study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2022; 32:870-884. [PMID: 32777941 DOI: 10.1080/09603123.2020.1803805] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Accepted: 07/28/2020] [Indexed: 06/11/2023]
Abstract
Exposure to nature is associated with improved psychological well-being and positive body image. Here, we examined whether everyday exposure to natural environments is associated with state body image outcomes (and, for comparative reasons, state happiness) using an experience sampling method. One-hundred-and-seven participants completed a 30-day experience sampling phase in which they reported their state body image (body weight, body shape, and physical appearance satisfaction), state happiness, and features of the surrounding environment (total = 6,025 responses) at three random time-points each day. Results indicated that being outdoors was associated with significantly higher state body image on all three indicators, but effect sizes were lower compared to effects on state happiness. Specific environment type was also important, with blue-spaces and wood- and grasslands, respectively, having stronger effects than other environments. These results provide evidence that everyday exposure to natural environments is associated with more positive state body image and greater happiness.
Collapse
Affiliation(s)
- Stefan Stieger
- Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Isabel Aichinger
- Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Viren Swami
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, UK
- Centre for Psychological Medicine, Perdana University, Serdang, Malaysia
| |
Collapse
|
10
|
Foster S, O'Mealey M, Farmer C, Carvallo M. The impact of snapchat usage on drunkorexia behaviors in college women. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:864-874. [PMID: 32610032 DOI: 10.1080/07448481.2020.1775609] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 04/19/2020] [Accepted: 05/22/2020] [Indexed: 06/11/2023]
Abstract
ObjectiveResearch has shown the deleterious effects of drunkorexia behaviors. The goal of this project was to examine the impact of college women's Snapchat usage on drunkorexia behavior frequencies and motives, through comparing one's body to others and internal drives for thinness.Participants636 college women (Study 1 N = 109, Study 2 N = 527) were recruited from a large research institution in the Southwestern U.S.MethodsParticipants completed an online survey regarding Snapchat usage, body comparison indices, drive for thinness, and drunkorexia behaviors and motives.ResultsFindings support the hypotheses that Snapchat usage impacts drunkorexia behaviors in general (Study 1), and specific drunkorexia motives (Study 2). These effects were mediated by an index of body comparisons and drive for thinness.ConclusionsCollege women may be at risk for drunkorexia due to their experiences on social media. Aspects of the platform may be pushing women toward disturbed eating habits.
Collapse
Affiliation(s)
- Stephen Foster
- Department of Psychology, University of Oklahoma, Norman, Oklahoma, USA
| | - Molly O'Mealey
- Department of Psychology, University of Oklahoma, Norman, Oklahoma, USA
| | - Claire Farmer
- Department of Psychology, University of Oklahoma, Norman, Oklahoma, USA
| | - Mauricio Carvallo
- Department of Psychology, University of Oklahoma, Norman, Oklahoma, USA
| |
Collapse
|
11
|
Portingale J, Fuller-Tyszkiewicz M, Liu S, Eddy S, Liu X, Giles S, Krug I. Love me Tinder: The effects of women's lifetime dating app use on daily body dissatisfaction, disordered eating urges, and negative mood. Body Image 2022; 40:310-321. [PMID: 35121567 DOI: 10.1016/j.bodyim.2022.01.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 01/13/2022] [Accepted: 01/14/2022] [Indexed: 01/31/2023]
Abstract
Dating apps may potentially serve as an environment that subjects young women to the harmful effects of appearance-related pressure. The current study assessed for the first time whether women's dating app use predicted body dissatisfaction (BD), urges to engage in disordered eating (DE), and negative mood in daily life. We also examined the unique effects of women's dating app partner preferences (i.e., seeking idealised versus non-idealised physical characteristics) on the aforementioned outcomes, and whether appearance-based rejection sensitivity (appearance-RS) moderated the effects of dating app use. Participants (N = 296; 100% women) first completed a baseline survey assessing lifetime dating app usage (i.e., current or former usage), partner preferences, and appearance-RS, followed by a 7-day smartphone-facilitated ecological investigation into momentary experiences of BD, DE urges (i.e., binge-eating/purging, dietary restraint, and exercise), and negative mood. Ninety-four women (32%) reported lifetime dating app usage, which, relative to non-use, predicted greater daily urges for binge-eating/purging and negative mood. However, appearance-RS failed to moderate these effects. Among dating app users, partner preferences were not a significant predictor of the central outcomes. These findings extend previous research by examining the unique effects of dating app use on everyday BD, DE urges, and negative mood. Replication and extension are encouraged.
Collapse
Affiliation(s)
- Jade Portingale
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia.
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, Geelong, VIC, Australia; Centre for Social and Early Emotional Development, Deakin University, Burwood, VIC, Australia
| | - Shanshan Liu
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Sarah Eddy
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Xinyue Liu
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Sarah Giles
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
| | - Isabel Krug
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, Australia
| |
Collapse
|
12
|
Roos CR, Sala M, Kober H, Vanzhula IA, Levinson CA. Mindfulness-based interventions for eating disorders: The potential to mobilize multiple associative-learning change mechanisms. Int J Eat Disord 2021; 54:1601-1607. [PMID: 34061387 DOI: 10.1002/eat.23564] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 05/25/2021] [Accepted: 05/25/2021] [Indexed: 11/10/2022]
Abstract
Mindfulness is a two-component skill that includes mindful awareness (attentional monitoring of present moment experience) and mindful acceptance (adopting an attitude of acceptance toward this experience). Although mindfulness-based interventions (MBIs) are efficacious for many conditions, there is a lack of research on MBIs for eating disorders (EDs). We propose that MBIs may be promising for EDs given their potential to mobilize not one, but multiple associative-learning change mechanisms in EDs-defined as adaptive processes of change involving one of two forms of associative-learning: Pavlovian and operant learning. We hypothesize how MBIs-via increasing either mindful awareness or mindful acceptance-may mobilize up to eight associative-learning change mechanisms, two involving Pavlovian learning, and six involving operant learning. We also elaborate on similarities and differences between MBIs and CBT approaches for EDs, as well as opportunities for synergy. Finally, we present recommendations for future research related to the development and evaluation of novel MBI interventions for EDs and the testing of mechanisms and patient-treatment matching hypotheses.
Collapse
Affiliation(s)
- Corey R Roos
- Yale University School of Medicine, New Haven, Connecticut, USA
| | - Margaret Sala
- Yeshiva University, Ferkauf Graduate School of Psychology, New York City, New York, USA
| | - Hedy Kober
- Yale University School of Medicine, New Haven, Connecticut, USA
| | - Irina A Vanzhula
- Department of Psychological & Brain Sciences, University of Louisville, Louisville, Kentucky, USA
| | - Cheri A Levinson
- Department of Psychological & Brain Sciences, University of Louisville, Louisville, Kentucky, USA
| |
Collapse
|
13
|
Willmer M, Westerberg Jacobson J, Lindberg M. An exploratory analysis of work engagement among women with and without disordered eating. BMC Womens Health 2021; 21:303. [PMID: 34407786 PMCID: PMC8371862 DOI: 10.1186/s12905-021-01429-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 07/22/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Around 10% of the female population is estimated to have a subclinical eating disorder. Many of these women are of working age. Previous research has shown associations between unhealthy eating behaviors and occupational stress or burnout. However, no previous study has explored the association between disordered eating and work engagement, a positive, fulfilling, affective-cognitive state of mind which has been positioned as the conceptual opposite of burnout. Thus, that was the aim of the present study. METHODS In this cross-sectional study, a sample of 701 Swedish women completed the 9-item Utrecht Work Engagement Scale (UWES-9) and the Eating Disorder Examination Questionnaire (EDE-Q). They were divided into a Healthy Eating (HE) and a Disordered Eating (DE) group based on their EDE-Q scores. The Mann-Whitney U test was used to test the association between disordered eating and work engagement. The Kruskal Wallis test was used to assess the associations between educational level, marital status and age group, and work engagement. RESULTS Neither the UWES scores nor the EDE-Q scores were found to have a normal distribution. Non-parametric testing showed that the DE group reported significantly lower work engagement than the HE group (p = 0.016). There were no significant associations between education, marital status or age (independent variables) and work engagement (dependent variable) (p = 0.826, 0.309, and 0.349, respectively). CONCLUSION These findings indicate that work engagement may play a role in disordered eating, and that there is a need for future research to consider the workplace environment as a potential source for altering disordered eating behaviors.
Collapse
Affiliation(s)
- Mikaela Willmer
- Department of Caring Sciences, University of Gävle, 801 76, Gävle, Sweden.
| | - Josefin Westerberg Jacobson
- Department of Caring Sciences, University of Gävle, 801 76, Gävle, Sweden
- Department of Public Health and Caring Sciences, University of Uppsala, Uppsala, Sweden
| | - Magnus Lindberg
- Department of Caring Sciences, University of Gävle, 801 76, Gävle, Sweden
| |
Collapse
|
14
|
Christensen KA, Forbush KT, Cushing CC, Lejuez CW, Fleming KK, Swinburne Romine RE. Evaluating associations between fitspiration and thinspiration content on Instagram and disordered-eating behaviors using ecological momentary assessment: A registered report. Int J Eat Disord 2021; 54:1307-1315. [PMID: 33836098 PMCID: PMC9434495 DOI: 10.1002/eat.23518] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Revised: 02/11/2021] [Accepted: 03/31/2021] [Indexed: 11/05/2022]
Abstract
INTRODUCTION Greater use of appearance-focused social media, such as Instagram, is associated with increased body dissatisfaction and eating disorder (ED) symptoms; however, questions remain about the mechanism connecting social media use to disordered-eating behaviors (DEBs). The proposed study evaluates how and for whom exposure to fitspiration or thinspiration on Instagram is associated with DEBs. METHODS We will evaluate a hypothesized pathway from Instagram use to disordered-eating mediated by negative affect. We will test how individual differences in internalized weight stigma, trait self-esteem, and trait self-comparison moderate the pathway from social media use to negative affect. We will recruit 175 undergraduate women who report engaging in DEBs on average at least once per week over the past 3 months. Participants will complete a 7-day ecological momentary assessment protocol, during which they will report their Instagram use, affect, and engagement in DEBs. RESULTS Multi-level modeling will be used to assess moderated mediation. Results from this study will provide increased specificity about how Instagram usage is linked to eating pathology and who may be most vulnerable to experiencing distress. DISCUSSION Information about negative affect from Instagram and engagement in DEBs could contribute to the development of Just-In-Time Interventions for problematic social media use.
Collapse
Affiliation(s)
| | - Kelsie T. Forbush
- Department of Psychology, University of Kansas, Lawrence, KS 66045 USA
| | - Christopher C. Cushing
- Department of Psychology, University of Kansas, Lawrence, KS 66045 USA,Department of Applied Behavioral Science, University of Kansas, Lawrence, KS 66045 USA
| | - Carl W. Lejuez
- Department of Psychological Sciences, University of Connecticut, Storrs, CT 06269 USA
| | - Kandace K. Fleming
- Research Design and Analysis Unit, Lifespan Institute, University of Kansas, Lawrence, KS 66045 USA
| | | |
Collapse
|
15
|
Hill EM, Nolan MT. Examining eating disorder-related social comparison orientation and body dissatisfaction in the relationship between fit ideal internalization and drunkorexia engagement. Eat Behav 2021; 41:101480. [PMID: 33631489 DOI: 10.1016/j.eatbeh.2021.101480] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 01/31/2021] [Accepted: 02/05/2021] [Indexed: 01/04/2023]
Abstract
The aim of the present study was to examine the relationship between fit ideal internalization and drunkorexia engagement in women. Specifically, in line with the Tripartite Influence Model, we examined the indirect effect of fit ideal internalization on drunkorexia through eating disorder-related social comparison orientation and body dissatisfaction. Data were collected from two samples of women-college undergraduate students (n = 198) and women recruited through Amazon Mechanical Turk (n = 324)-in order to test the model across the two groups. All participants completed the consent forms and then questionnaires via Qualtrics between March and June 2020. The results suggest that fit ideal internalization, body dissatisfaction, and eating disorder-related social comparison orientation are linked to drunkorexia. More specifically, multigroup path analyses indicated that there was an indirect effect of fit ideal internalization on drunkorexia via eating disorder-related social comparison orientation but not through body dissatisfaction. In examining the role of different types of eating disorder-related social comparison orientation (body, eating, exercise) in the model, more nuanced patterns emerged across the samples. Future research examining potential mediators and moderators of the relationship between eating disorder-related social comparison orientation and drunkorexia would be beneficial in expanding this area of study.
Collapse
Affiliation(s)
- Erin M Hill
- Department of Psychology, West Chester University, West Chester, PA 19383, United States of America.
| | - Megan T Nolan
- Department of Psychology, West Chester University, West Chester, PA 19383, United States of America
| |
Collapse
|
16
|
MacIntyre RI, Heron KE, Crosby RD, Engel SG, Wonderlich SA, Mason TB. Measurement of the influences of social processes in appetite using ecological momentary assessment. Appetite 2021; 161:105126. [PMID: 33515621 DOI: 10.1016/j.appet.2021.105126] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 11/23/2020] [Accepted: 01/11/2021] [Indexed: 11/16/2022]
Abstract
Obesity and eating disorders are serious health concerns that both involve dysregulated eating patterns, including binge eating and emotional eating. Though social processes and appetite dysregulation have been shown to predict dysregulated eating separately, limited research has examined the potential link between social processes and appetite in daily life. The purpose of the present study was to examine the association between naturally occurring social processes previously linked with dysregulated eating and appetite using ecological momentary assessment (EMA). Thirty women with binge-eating pathology completed five semi-random EMA surveys a day for 14 days. The EMA surveys included measures of social processes that occurred between surveys (i.e., interpersonal problems, body social comparisons, social media use, and external pressures for thinness) and assessments of appetite at time of survey. Multilevel analyses revealed that each social process approximately 2-h prior positively predicted appetite. Further, using lagged analyses, all of the social processes approximately 4-h prior, aside from social media use, predicted appetite. Our findings suggest that social processes are important in predicting appetite among women with binge-eating pathology. Future extensions of this research that include measures of dysregulated eating are needed.
Collapse
Affiliation(s)
- Rachel I MacIntyre
- The Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA.
| | - Kristin E Heron
- The Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA; Department of Psychology, Old Dominion University, Norfolk, VA, USA
| | - Ross D Crosby
- Center for Biobehavioral Research, Sanford Health, Fargo, ND, USA
| | - Scott G Engel
- Center for Biobehavioral Research, Sanford Health, Fargo, ND, USA
| | | | - Tyler B Mason
- Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA
| |
Collapse
|
17
|
Sahlan RN, Saunders JF, Fitzsimmons-Craft EE. Body-, eating-, and exercise-related social comparison behavior and disordered eating in college women in the U.S. and Iran: A cross-cultural comparison. Eat Behav 2021; 40:101451. [PMID: 33246301 PMCID: PMC7978496 DOI: 10.1016/j.eatbeh.2020.101451] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 11/10/2020] [Accepted: 11/15/2020] [Indexed: 12/26/2022]
Abstract
Wearing of the hijab is associated with lower eating disorder (ED) attitudes and behaviors in women. However, this potential buffering role of the hijab has been questioned in countries, such as Iran, where its wearing is compulsory. Further, cross-cultural comparisons between disordered eating behaviors and correlates in Iranian and U.S. women are lacking. This study examines social-cognitive correlates of disordered eating in U.S. and Iranian women, comparing rates of ED- related social comparison and eating pathology. College women in the U.S. (n = 180) and Iran (n = 384) completed the Body, Eating, and Exercise Comparison Orientation Measure (BEECOM) and the Eating Disorder Examination-Questionnaire (EDE-Q) in one session. One-way analyses of covariance and partial correlations were used to test the mean differences and inter-correlations between the variables among U.S. and Iranian women. U.S. women endorsed higher BEECOM scores and higher levels of overvaluation of weight and shape and dietary restraint compared to Iranians. Most BEECOM subscales and disordered eating symptoms were inter-correlated in each culture. The tendency to engage in exercise comparison was not significantly correlated with excessive exercise for U.S. women. Correlations between variables were stronger for U.S. women compared to Iranian women. While the ED-related social comparison levels were higher for U.S. women, the typical Western patterns of social comparison and disordered eating extend to Iranian women. Eating disorder-related social comparison is a recommended clinical target in both Eastern and Western cultures.
Collapse
Affiliation(s)
- Reza N. Sahlan
- Department of Clinical Psychology, Iran University of Medical Sciences, Tehran, Iran
| | - Jessica F. Saunders
- Department of Psychological Science, Georgia College and State University, Milledgeville, GA, USA
| | | |
Collapse
|
18
|
Mason TB, Smith KE, Crosby RD, Engel SG, Wonderlich SA. Examination of momentary maintenance factors and eating disorder behaviors and cognitions using ecological momentary assessment. Eat Disord 2021; 29:42-55. [PMID: 31081472 PMCID: PMC6842669 DOI: 10.1080/10640266.2019.1613847] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
The integrative cognitive-affective therapy (ICAT) momentary maintenance model proposes a number of situational factors that precipitate eating disorder (ED) behaviors and cognitions. The current study examines momentary situational triggers in relation to a broad range of ED symptoms in a diagnostically heterogeneous sample of individuals with ED psychopathology. In the current study, 30 women with binge eating pathology completed a 14-day ecological momentary assessment (EMA) protocol during which they responded to five random signals throughout the day. During signaled assessments, participants completed measures of self-criticism, interpersonal problems, self-regulation of binge eating, appearance concerns, and cognitive and behavioral ED symptoms. Multilevel models were used to examine prospective associations between hypothesized ICAT maintenance factors and ED symptoms. Within-subjects self-criticism prospectively predicted vomiting, restriction, preoccupation with thoughts of food, and urges to eat. Within-subjects interpersonal problems prospectively predicted vomiting, and within-subjects appearance concerns prospectively predicted preoccupation with thoughts of food. There were no significant predictors of binge eating. These results provide some support for hypothesized momentary situational triggers of ED symptoms in the momentary maintenance model of ICAT using naturalistic, momentary assessment. Specifically, it may be particularly useful for interventions such as ICAT to address momentary self-criticism when targeting a range of ED symptoms.
Collapse
Affiliation(s)
- Tyler B Mason
- Department of Preventive Medicine, University of Southern California , Los Angeles, CA, US
| | - Kathryn E Smith
- Department of Biobehavioral Research, Sanford Health , Fargo, North Dakota, US.,Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences , Fargo, North Dakota, US
| | - Ross D Crosby
- Department of Biobehavioral Research, Sanford Health , Fargo, North Dakota, US.,Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences , Fargo, North Dakota, US
| | - Scott G Engel
- Department of Biobehavioral Research, Sanford Health , Fargo, North Dakota, US.,Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences , Fargo, North Dakota, US
| | - Stephen A Wonderlich
- Department of Biobehavioral Research, Sanford Health , Fargo, North Dakota, US.,Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences , Fargo, North Dakota, US
| |
Collapse
|
19
|
Mikhail ME. Affect Dysregulation in Context: Implications and Future Directions of Experience Sampling Research on Affect Regulation Models of Loss of Control Eating. Front Psychiatry 2021; 12:747854. [PMID: 34646178 PMCID: PMC8502879 DOI: 10.3389/fpsyt.2021.747854] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 09/01/2021] [Indexed: 01/04/2023] Open
Abstract
Loss of control eating is a core, transdiagnostic eating disorder symptom associated with psychological distress, functional impairment, and reduced quality of life. However, the factors that contribute to persistent loss of control eating despite negative consequences are not fully understood. Understanding the mechanisms that maintain loss of control eating is crucial to advance treatments that interrupt these processes. Affect regulation models of loss of control eating hypothesize that negative emotions trigger loss of control eating, and that loss of control eating is negatively reinforced because it temporarily decreases negative affect. Several variations on this basic affect regulation model have been proposed, including theories suggesting that negative affect decreases during loss of control eating rather than afterwards (escape theory), and that loss of control eating replaces one negative emotion with another that is less aversive (trade-off theory). Experience sampling designs that measure negative affect and eating behavior multiple times per day are optimally suited to examining the nuanced predictions of these affect regulation models in people's everyday lives. This paper critically reviews experience sampling studies examining associations between negative affect and loss of control eating, and discusses the implications for different affect regulation models of loss of control eating. The review concludes by proposing an expanded affect-focused model of loss of control eating that incorporates trait-level individual differences and momentary biological and environmental variables to guide future research. Clinical implications and recommendations are discussed.
Collapse
Affiliation(s)
- Megan E Mikhail
- Department of Psychology, Michigan State University, East Lansing, MI, United States
| |
Collapse
|
20
|
Garn AC, Simonton KL. Young Adults' Short-Term Trajectories of Moderate Physical Activity: Relations With Self-Evaluation Processes. Front Psychol 2020; 11:2079. [PMID: 33071839 PMCID: PMC7533557 DOI: 10.3389/fpsyg.2020.02079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 07/28/2020] [Indexed: 11/13/2022] Open
Abstract
Young adults face numerous barriers that can undermine their engagement in healthy behaviors. For example, young adults on average experience disproportionally large declines in physical activity (PA) participation compared to other demographic groups. Self-evaluation processes may help explain these declines. This study investigated young adults’ weekly trajectories of moderate physical activity, exploring self-evaluation processes, including self-efficacy and shame as time-varying covariates. A total of 71 young adults (Mage = 21.25, SD = 1.18; 55% male) reported moderate physical activity, exercise self-efficacy, and anticipated shame toward exercise once a week for 5 weeks. Latent growth curve models showed that a linear slope fit these data better than alternative models. Parameters of the linear model revealed that these young adults reported engaging in 40 min of moderate PA approximately 3 days per week. However, there were physical activity differences in initial levels and rates of change. Exercise self-efficacy consistently predicted physical activity in a positive direction and with a small-to-medium magnitude. Anticipated shame was an inconsistent predictor of physical activity, showing a negative direction and small magnitude at time one and on average across the 5 weeks. These findings highlight considerable variability in young adults’ short-term trajectories of physical activity and underscore both positive and negative processes of exercise related self-evaluations. Future physical activity interventions targeting young adults should incorporate strategies that enhance self-efficacy (e.g., mastery experiences) and reduce feelings of shame (e.g., attribution training).
Collapse
Affiliation(s)
- Alex C Garn
- School of Kinesiology, Louisiana State University, Baton Rouge, LA, United States
| | - Kelly L Simonton
- School of Health Studies, University of Memphis, Memphis, TN, United States
| |
Collapse
|
21
|
Relative associations of body image avoidance constructs with eating disorder pathology in a large college student sample. Body Image 2020; 34:242-248. [PMID: 32717626 DOI: 10.1016/j.bodyim.2020.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Revised: 07/06/2020] [Accepted: 07/06/2020] [Indexed: 11/22/2022]
Abstract
Models of eating disorder development point to the significant role body image avoidance plays in the development and perpetuation of eating disorder pathology (EDP), highlighting the importance of continued conceptual development. For example, approaches to assessing and conceptualizing body image avoidance vary in the extent to which they emphasize topography (i.e., common forms of avoidance), or their function (i.e., the conditions under which they occur). This study considered four body image avoidance constructs and their relative incremental contribution to predicting concurrent EDP in a college student population (N = 1228). Participants self-reported both the form and function of body image avoidance, including specific behaviors, appearance fixing and avoidant coping, and body image flexibility. A measure of the form of body image avoidance emerged as the best predictor of EDP, both in terms of consistently predicting aspects of disordered eating and in terms of accounting for the largest proportions of unique variance. Body image flexibility also contributed significantly to the prediction of cognitive and emotional aspects of concurrent EDP above and beyond self-report of common forms of avoidance only. Both form and function may be important when assessing and intervening on body image avoidance to prevent EDP.
Collapse
|
22
|
Sahlan RN, Saunders JF, Fitzsimmons-Craft EE, Taravatrooy F. The validity and reliability of the Farsi version of the Body, Eating, and Exercise Comparison Orientation Measure (F-BEECOM) among Iranian male and female students. Body Image 2020; 34:72-84. [PMID: 32531756 PMCID: PMC8015361 DOI: 10.1016/j.bodyim.2020.05.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Revised: 05/09/2020] [Accepted: 05/09/2020] [Indexed: 11/21/2022]
Abstract
Body-, eating-, and exercise-related social comparison tendencies are implicated in body dissatisfaction and disordered eating among Western women. To date, no published study examines eating- and exercise-related comparisons in a male or non-Western sample. The current series of studies fills these gaps in the literature by translating and validating the existing measure of these comparisons (the 18-item Body, Eating, and Exercise Comparison Orientation Measure [BEECOM]) in samples of Iranian men and women. In Studies 1 and 2, female (n = 284) and male (n = 302) participants completed the translated Farsi BEECOM. Scores were analyzed by exploratory factor analyses (EFA) revealing two different three factor, 15-item scale structures for men and women. In Studies 3 and 4, participants (female n = 384; male n = 253) completed measures of social comparison and psychological functioning in one session. These data were analyzed using confirmatory factor analyses (CFA) and Pearson correlations. Each CFA yielded adequately fitting models. Results support the use of two different 15-item Farsi BEECOM measures with women and men and highlight unique gender differences in social comparison tendencies. The resulting F-BEECOM demonstrates strong psychometric properties and will be a useful research tool in Iranian women and men.
Collapse
Affiliation(s)
- Reza N Sahlan
- Department of Clinical Psychology, Iran University of Medical Sciences, Tehran, Iran
| | | | | | - Fatemeh Taravatrooy
- Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
| |
Collapse
|
23
|
Hirsch KE, Blomquist KK. Community-Based Prevention Programs for Disordered Eating and Obesity: Updates and Current Limitations. Curr Obes Rep 2020; 9:81-97. [PMID: 32445131 DOI: 10.1007/s13679-020-00373-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
PURPOSE OF REVIEW To review the status of community-based disordered eating and obesity prevention programs from 2014 to 2019. RECENT FINDINGS In the last 5 years, prevention programs have found success in intervening with children and parental figures in wellness centers, physical activity centers, childcare centers, workplaces, online, and over-the-phone through directly reducing disordered eating and obesity or by targeting risk factors of disordered eating and obesity. Community-based prevention programs for disordered eating and programs targeting both disordered eating and obesity were scarce, highlighting the critical need for the development of these programs. Qualities of the most effective programs were those in which parents and children were educated on physical activity and nutrition via multiple group-based sessions. Limitations of current prevention programs include few programs targeting high-risk populations, a dearth of trained community members serving as facilitators, inconsistent reporting of adherence rates, and few direct measurements of disordered eating and obesity, as well as few long-term follow-ups, precluding the evaluation of sustained effectiveness.
Collapse
Affiliation(s)
- Katherine E Hirsch
- Department of Kinesiology, University of Windsor, 401 Sunset Avenue, Windsor, Ontario, N9B 3P4, Canada
| | - Kerstin K Blomquist
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC, 29613, USA.
| |
Collapse
|
24
|
Examination of the Relationship Between Attentional Biases and Body Dissatisfaction: An Eye-Tracking Study. COGNITIVE THERAPY AND RESEARCH 2020. [DOI: 10.1007/s10608-020-10084-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
25
|
Arigo D, Pasko K, Mogle JA. Daily Relations between Social Perceptions and Physical Activity among College Women. PSYCHOLOGY OF SPORT AND EXERCISE 2020; 47:101528. [PMID: 32831642 PMCID: PMC7440681 DOI: 10.1016/j.psychsport.2019.04.018] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVES There is a need to develop more effective physical activity (PA) promotion programs for college women. Theory and evidence suggest that perceptions of the social environment play a role in college women's PA, though little is known about how these perceptions are associated with PA at the day level. The goal of this study was to examine relations between changes in college women's daily social perceptions and objectively assessed PA over seven days. DESIGN Daily diary method. METHOD College women (n = 80, M Age = 20, M BMI = 23.1 kg/m2) wore Fitbit wristbands and completed daily self-reports of (1) the quantity and perceived intensity of their social interactions (positive/negative), and (2) the occurrence of social comparisons (based on appearance/health/status) for seven days. RESULTS Multilevel models showed daily variability in predictors and outcomes (ps < 0.0001), as well as relations between within-person changes in social perceptions and PA. Increases in negative interactions (particularly those with friends) were consistently associated with decreases in daily PA, whereas increases in positive interactions showed limited relations (srs = -0.22-0.34). Days with health comparisons were days with greater PA for women who had stronger overall interest in comparisons, but were days with less PA for women with weaker overall interest (srs = 0.22-0.33). PA did not differ between days with vs. without appearance comparisons. CONCLUSIONS Social perceptions show meaningful day-to-day variability and relations with college women's daily PA, and specific associations may be useful for improving tailored interventions for college women.
Collapse
Affiliation(s)
- Danielle Arigo
- Department of Psychology, The University of Scranton, 800 Linden Street, Scranton, PA 18510
| | - Kristen Pasko
- Department of Psychology, Rowan University, 201 Mullica Hill Road, Glassboro, NJ 08028
| | - Jacqueline A. Mogle
- College of Nursing, Pennsylvania State University, 307D Nursing Sciences Building, University Park, PA 16802
| |
Collapse
|
26
|
Siegel JA, Huellemann KL, Hillier CC, Campbell L. The protective role of self-compassion for women's positive body image: an open replication and extension. Body Image 2020; 32:136-144. [PMID: 31887640 DOI: 10.1016/j.bodyim.2019.12.003] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 12/17/2019] [Accepted: 12/18/2019] [Indexed: 01/28/2023]
Abstract
The development and maintenance of positive body image in women may be disrupted by sociocultural appearance-related pressures. Therefore, it is critical to explore factors that may safeguard women's positive body image. A recent study by Homan and Tylka (2015) found that in a large sample (N = 263) of female MTurk workers and university-aged women, both appearance-contingent self-worth and body-based social comparisons were linked to less positive body image, but these links were attenuated in the face of high self-compassion. This research, an independent direct replication of the original study, supported the original findings. In a new, larger sample (N = 363 female-identified MTurk workers), signals were detected that were similar in size and magnitude to the original study. Specifically, while appearance-contingent self-worth and body-based social comparisons were negatively linked to body appreciation, those who endorsed higher levels of self-compassion reported a more positive body image, even in the presence of these potential threats. Findings are extended to eating- and exercise-based social comparisons. All materials, including the replication protocol, data management plan, dataset, SPSS syntax, and output are publicly available on the Open Science Framework at: https://osf.io/r274y/. Implications for research and practice are discussed.
Collapse
|
27
|
Arigo D, Mogle JA, Brown MM, Pasko K, Travers L, Sweeder L, Smyth JM. Methods to Assess Social Comparison Processes Within Persons in Daily Life: A Scoping Review. Front Psychol 2020; 10:2909. [PMID: 32038352 PMCID: PMC6987244 DOI: 10.3389/fpsyg.2019.02909] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2019] [Accepted: 12/09/2019] [Indexed: 02/03/2023] Open
Abstract
Self-evaluations relative to others (i.e., social comparisons) have well-established implications for health and well-being, and are typically assessed via global, retrospective self-report. Yet, comparison is inherently a dynamic, within-person process; comparisons occur at different times, on a range of dimensions, with consequences that can vary by context. Global, retrospective assessment forces aggregation across contexts and reduces ecological validity, limiting its utility for informing a nuanced understanding of comparisons in daily life. Research across social and clinical psychology has implemented methods to assess comparisons naturalistically, involving intensive, repeated assessments of comparison occurrence, characteristics, and consequences in everyday life (via ecological momentary assessment or daily diaries). Although promising, this work to date lacks an overarching conceptual framework for guiding decisions about assessment design and implementation. To address this gap, the aims of this scoping review were: (1) to summarize available literature on within-person naturalistic assessment of social comparison, and (2) to provide a set of key considerations to inform future social comparison research using within-person naturalistic assessment. Searches in PubMed, PsycInfo, and CINAHL identified relevant articles published before June 2019. Articles were included if they described at least 3 comparison assessments within each participant, taken in the natural environment, and spaced no more than ~24 h apart (i.e., repeated momentary or daily assessment). In articles meeting these criteria (33 unique studies across 36 published papers), we summarized aspects of the comparison assessment, including recording methods, direction (e.g., upward, downward), target (e.g., friend, stranger), and dimension (e.g., status, appearance). Most studies assessed appearance comparisons (vs. other comparison dimensions) and collected information in response to signals (rather than initiated by participants). However, there was considerable heterogeneity in the number of assessments, assessment periods, recording modalities, and comparison predictors and outcomes assessed. Findings broadly establish heterogeneity in the aspects of comparison considered critical for within-person naturalistic assessment. We describe key decision points for future work to help advance within-person naturalistic assessment methods and improve the utility of such approaches to inform research, theory, and intervention.
Collapse
Affiliation(s)
- Danielle Arigo
- Department of Psychology, Rowan University, Glassboro, NJ, United States
| | - Jacqueline A. Mogle
- Prevention Research Center, Pennsylvania State University, State College, PA, United States
| | - Megan M. Brown
- Department of Psychology, Rowan University, Glassboro, NJ, United States
| | - Kristen Pasko
- Department of Psychology, Rowan University, Glassboro, NJ, United States
| | - Laura Travers
- Department of Psychology, Rowan University, Glassboro, NJ, United States
| | - Logan Sweeder
- Department of Nursing, Pennsylvania State University, State College, PA, United States
| | - Joshua M. Smyth
- Departments of Biobehavioral Health and Medicine, Pennsylvania State University, State College, PA, United States
| |
Collapse
|
28
|
Tan W, Holt N, Krug I, Ling M, Klettke B, Linardon J, Baxter K, Hemmings S, Howard D, Hughes E, Rivelli-Rojas I, Fuller-Tyszkiewicz M. Trait body image flexibility as a predictor of body image states in everyday life of young Australian women. Body Image 2019; 30:212-220. [PMID: 31377478 DOI: 10.1016/j.bodyim.2019.07.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 07/17/2019] [Accepted: 07/17/2019] [Indexed: 10/26/2022]
Abstract
The present study evaluated whether individuals with varying levels of trait body image flexibility differ in the severity, variability, and correlates of state body dissatisfaction experienced in their daily lives. One hundred and forty-seven women completed a baseline measure of trait body image flexibility, followed by a 7-day ecological momentary assessment phase in which participants self-reported state body dissatisfaction, disordered eating behavior, drive for thinness, and appearance comparisons at 10 semi-random intervals daily. Higher trait body image flexibility predicted lower average scores, less frequent reporting of high state body dissatisfaction, and less variability in their state body dissatisfaction ratings. Individuals with higher trait body image flexibility were also less likely to engage in a range of behaviors and cognitions previously shown to produce body dissatisfaction, including upward appearance comparisons, drive for thinness, binge eating, and dieting. However, few of these state-based relationships involving body dissatisfaction and these related behaviors and cognitions were moderated by trait body image flexibility. Overall, this pattern of findings suggests that body image flexible individuals may have less negative body image because they are less inclined to engage in behaviors and cognitions in their daily lives that encourage negative body image.
Collapse
Affiliation(s)
- Weixi Tan
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia
| | - Naomi Holt
- School of Psychology, Deakin University, Geelong, Victoria, 3220, Australia
| | - Isabel Krug
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia
| | - Mathew Ling
- School of Psychology, Deakin University, Geelong, Victoria, 3220, Australia
| | - Bianca Klettke
- School of Psychology, Deakin University, Geelong, Victoria, 3220, Australia
| | - Jake Linardon
- School of Psychology, Deakin University, Geelong, Victoria, 3220, Australia
| | - Kimberley Baxter
- School of Psychology, Deakin University, Geelong, Victoria, 3220, Australia
| | - Shelley Hemmings
- School of Psychology, Deakin University, Geelong, Victoria, 3220, Australia
| | - Dominika Howard
- School of Psychology, Deakin University, Geelong, Victoria, 3220, Australia
| | - Erin Hughes
- School of Psychology, Deakin University, Geelong, Victoria, 3220, Australia
| | | | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, Geelong, Victoria, 3220, Australia; Center for Social and Early Emotional Development, Deakin University, Burwood, Victoria, 3125, Australia.
| |
Collapse
|
29
|
Schmidt CK, Raque‐Bogdan TL, Hollern EA. Self‐Compassion, Affect, and Body Image in College Women. JOURNAL OF COLLEGE COUNSELING 2019. [DOI: 10.1002/jocc.12127] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | | | - Emily A. Hollern
- Psychology DepartmentTowson University
- Now at UNYQ in Charlotte North Carolina
| |
Collapse
|
30
|
Saunders JF, Eaton AA, Fitzsimmons-Craft EE. Body-, Eating-, and Exercise-Related Comparisons During Eating Disorder Recovery and Validation of the BEECOM-R. PSYCHOLOGY OF WOMEN QUARTERLY 2019. [DOI: 10.1177/0361684319851718] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Social comparison tendencies are strongly associated with body dissatisfaction and disordered eating. In the current study, we quantitatively examined the structure and predictive value of these constructs during eating disorder recovery. We revised an existing measure of body-, eating-, and exercise-related social comparisons, the Body, Eating, and Exercise Comparison Orientation Measure (BEECOM), to improve psychometric properties. We also assessed the psychometric properties of the shortened Body, Eating, and Exercise Comparison Orientation Measure-Revised (BEECOM-R) in a comparison sample, resulting in an abbreviated measure suitable for recovering, clinical, and non-clinical samples. Finally, we used the revised measure to examine the additive influence of body-, eating-, and exercise-related comparisons on shape and weight dissatisfaction and disordered eating cognitions among 150 women (ages of 18–35 years) in self-identified recovery. Results suggest that body-, eating-, and exercise-related social comparisons all continue to correlate with body dissatisfaction and disordered eating during recovery. A minority of participants reported these comparisons to be helpful during the recovery process. We recommend social comparison as a clinical target for most women seeking support for eating pathology. Additional online materials for this article are available on PWQ’s website at http://journals.sagepub.com/doi/suppl/ 10.1177/0361684319851718
Collapse
Affiliation(s)
- Jessica F. Saunders
- Women’s Research Institute of Nevada, University of Nevada Las Vegas, Las Vegas, NV, USA
| | - Asia A. Eaton
- Department of Psychology, Florida International University, Miami, FL, USA
| | - Ellen E. Fitzsimmons-Craft
- Department of Psychiatry, Washington University School of Medicine, Washington University in Saint Louis, Saint Louis, MO, USA
| |
Collapse
|
31
|
Saunders JF, Eaton AA. Social comparisons in eating disorder recovery: Using PhotoVoice to capture the sociocultural influences on women's recovery. Int J Eat Disord 2018; 51:1361-1366. [PMID: 30480834 DOI: 10.1002/eat.22978] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Revised: 08/10/2018] [Accepted: 08/11/2018] [Indexed: 11/08/2022]
Abstract
OBJECTIVE This qualitative study draws on a photo-elicitation method ("PhotoVoice") and semistructured interviews to examine the role of social comparison during the eating disorder (ED) recovery process. METHOD Thirty U.S. women in self-defined recovery, ages 18-35, used photography to capture personally meaningful social and cultural influences on their recovery, including factors supporting, and hindering their recovery process. Participants then shared these photographs with the research team, and described them in detail. RESULTS Photographs and interviews were examined for social comparisons using thematic analysis, and two broad categories emerged: recovery-promoting and recovery-hindering comparisons. Across the 30 interviews, participants reported 143 recovery hindering comparisons and 100 recovery promoting comparisons. The vast majority of comparisons involved friends and media personalities, and took place in vivo or on social media platforms. The presence of "upward" and "downward" food and body comparisons that both support and hinder recovery suggests that social comparisons during the recovery process are more nuanced than previously known. DISCUSSION The classically ascribed uses of comparison in social comparison theory do not appear to hold for women in ED recovery. Comparisons should be encouraged in treatment and interventions if and only if the comparisons are meant to support the recovery process.
Collapse
Affiliation(s)
- Jessica F Saunders
- Department of Psychology, Florida International University, Miami, FL, USA
| | - Asia A Eaton
- Department of Psychology, Florida International University, Miami, FL, USA
| |
Collapse
|
32
|
Bachner-Melman R, Zontag-Oren E, Zohar AH, Sher H. Lives on the Line: The Online Lives of Girls and Women With and Without a Lifetime Eating Disorder Diagnosis. Front Psychol 2018; 9:2128. [PMID: 30443238 PMCID: PMC6221959 DOI: 10.3389/fpsyg.2018.02128] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Accepted: 10/15/2018] [Indexed: 12/15/2022] Open
Abstract
This study aimed to compare the scope, internet use patterns, and degree of online need satisfaction of girls and women with and without a lifetime eating disorder (ED) diagnosis. Participants were 122 females aged 12-30, 53 with a lifetime ED diagnosis recruited via a hospital-based treatment program, and 69 age-matched controls recruited via normative social media sites. Participants completed questionnaires assessing disordered eating, body image, positive and negative affect, general distress, and life satisfaction, and completed an online survey about the scope of their internet use, the frequency of watching and posting pictures and videos, online friendships and social comparison, fulfillment of needs online, and mood after internet use. All questionnaire scores differed significantly between groups in the expected directions. Whereas overall, ED and control groups spent similar amounts of time online (6.21, SD = 5.13), they spent this time differently. ED participants reported devoting 56.7% of their online time to eating, weight and body image, versus 29.1% for controls, and spent significantly more time than controls on forums and blogs (t = -5.3, p < 0.0001, Cohen's d = 0.87). They also engaged more often in social comparison (t = 3.6, p < 0.005, Cohen's d = 0.65), had a higher online-offline friend ratio (t = 3.7, p < 0.0001, Cohen's d = 0.65), and more online friends with ED (t = 5.4, p < 0.0001, Cohen's d = 0.89). In comparison to controls, ED participants reported that their use of forums and blogs gave them more eating- and weight-related advice, and a greater sense of belonging, social support, and safety resulting from anonymity, with effect sizes of 0.63-0.96. However, they also reported more negative affect after posting online. Most online behaviors and patterns correlated positively with measures of symptomatology and negatively with measures of psychological health, in both groups. Internet use was rarely addressed in therapy. Professionals, families and friends should help people with disordered eating and EDs to broaden the scope of their internet use. They should invest less in food- and weight-related forums/blogs, expand their "real life" social lives and develop their interpersonal skills, so that their legitimate needs can be satisfied face-to-face, rather than virtually. Clinicians should address the online lives of their ED clients in therapy.
Collapse
Affiliation(s)
| | - Einat Zontag-Oren
- Clinical Psychology Graduate Program, Ruppin Academic Center, Emek Hefer, Israel
| | - Ada H. Zohar
- Clinical Psychology Graduate Program, Ruppin Academic Center, Emek Hefer, Israel
| | - Helene Sher
- Eating Disorder Unit, Child and Adolescent Psychiatry, Soroka University Medical Center, Beersheba, Israel
| |
Collapse
|
33
|
Turel T, Jameson M, Gitimu P, Rowlands Z, Mincher J, Pohle-Krauza R. Disordered eating: Influence of body image, sociocultural attitudes, appearance anxiety and depression - a focus on college males and a gender comparison. COGENT PSYCHOLOGY 2018. [DOI: 10.1080/23311908.2018.1483062] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
|
34
|
Thøgersen-Ntoumani C, Ntoumanis N, Carey R, Dodos L, Quested E, Chatzisarantis N. A diary study of appearance social comparisons and need frustration in young women. PERSONALITY AND INDIVIDUAL DIFFERENCES 2018. [DOI: 10.1016/j.paid.2017.10.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
35
|
Cardi V, Tchanturia K, Treasure J. Premorbid and Illness-related Social Difficulties in Eating Disorders: An Overview of the Literature and Treatment Developments. Curr Neuropharmacol 2018; 16:1122-1130. [PMID: 29345581 PMCID: PMC6187758 DOI: 10.2174/1570159x16666180118100028] [Citation(s) in RCA: 56] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Revised: 12/06/2017] [Accepted: 01/11/2018] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Social difficulties in eating disorders can manifest as predisposing traits and premorbid difficulties, and/or as consequences of the illness. OBJECTIVE The aim of this paper is to briefly review the evidence of social problems in people with eating disorders and to consider the literature on treatments that target these features. METHOD A narrative review of the literature was conducted. RESULTS People with eating disorders often manifest traits, such as shyness, increased tendency to submissiveness and social comparison, and problems with peer relationships before illness onset. Further social difficulties occur as the illness develops, including impaired social cognition and increased threat sensitivity. All relationships with family, peers and therapists are compromised by these effects. Thus, social difficulties are both risk and maintaining factors of eating disorders and are suitable targets for interventions. Several forms of generic treatments (e.g. interpersonal psychotherapy, cognitive analytic therapy, focal psychodynamic therapy) have an interpersonal focus and show some efficacy. Guided self-management based on the cognitive interpersonal model of the illness directed to both individuals and support persons has been found to improve outcomes for all parties. Adjunctive treatments that focus on specific social difficulties, such as cognitive remediation and emotion skills training and cognitive bias modification have been shown to have a promising role. CONCLUSION More work is needed to establish whether these approaches can improve on the rather disappointing outcomes that are attained by currently used treatments for eating disorders.
Collapse
Affiliation(s)
- Valentina Cardi
- Section of Eating Disorders, King’s College London, Institute of Psychiatry, Psychological Medicine, 103 Denmark Hill, LondonSE5 8AF, UK
| | - Kate Tchanturia
- Section of Eating Disorders, King’s College London, Institute of Psychiatry, Psychological Medicine, 103 Denmark Hill, LondonSE5 8AF, UK
| | - Janet Treasure
- Section of Eating Disorders, King’s College London, Institute of Psychiatry, Psychological Medicine, 103 Denmark Hill, LondonSE5 8AF, UK
| |
Collapse
|
36
|
Treasure J, Cardi V. Anorexia Nervosa, Theory and Treatment: Where Are We 35 Years on from Hilde Bruch's Foundation Lecture? EUROPEAN EATING DISORDERS REVIEW 2017; 25:139-147. [PMID: 28402069 DOI: 10.1002/erv.2511] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Revised: 02/13/2017] [Accepted: 02/14/2017] [Indexed: 12/13/2022]
Abstract
Hilde Bruch's foundation lecture in 1982 is a milestone from which to survey current theory and treatment for anorexia nervosa. Bruch described problems in body perception, emotion processing and interpersonal relationships as core theoretical aspects of the illness and built her theory of psychopathology on these aspects, as well as on animal studies on attachment. She also noted that many psychological problems result as consequence of starvation. In the first part of this paper, we parse Bruch's clinical descriptions into elements of psychopathology (disturbances in body perception, attachment, emotion expression, perception and regulation, social comparison, interpersonal, and family and therapeutic relationships), in order to assemble and update the theoretical evidence for a model of the illness. In the second part, we describe and extend her description of three core targets of treatment: family relationships, patient's inner confusion and nutritional restoration. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
Collapse
Affiliation(s)
- Janet Treasure
- Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, UK
| | - Valentina Cardi
- Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, UK
| |
Collapse
|
37
|
Drutschinin K, Fuller-Tyszkiewicz M, Paoli TD, Lewis V, Krug I. The Daily Frequency, Type, and Effects of Appearance Comparisons on Disordered Eating. PSYCHOLOGY OF WOMEN QUARTERLY 2017. [DOI: 10.1177/0361684317732001] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Using experience sampling methodology, we examined the effects of frequency and occurrence of appearance-based comparisons on disordered eating behaviors (binge eating, restrictive behaviors, and weight-related exercise). A total of 161 Australian women (aged 18–48) completed a baseline measure of eating pathology. An iPhone application prompted participants 6 times daily for 7 days to self-report on appearance comparisons and disordered eating behaviors since the last assessment. We hypothesized that contemporaneously reported occurrences of both upward and downward appearance comparisons, when compared to noncomparison situations, and frequency of upward comparisons would predict disordered eating behaviors. In prospective (lagged) analyses, only upward comparisons (relative to noncomparison situations) significantly predicted the likelihood of disordered eating outcomes. Trait eating pathology had a direct effect on each disordered eating variable and also moderated the influence of upward appearance comparisons (relative to noncomparison assessments) on binge-eating episodes. The lack of a differentiated effect between contemporaneously reported occurrences of upward and downward comparisons suggests that both forms of comparison increase the likelihood of disordered eating. Women may benefit from preventive programs that focus on the detrimental consequences of appearance comparisons on disordered eating; such programs may equip women with strategies to help reduce the frequency of these comparisons.
Collapse
Affiliation(s)
- Katherine Drutschinin
- Melbourne School of Psychological Sciences, University of Melbourne, Victoria, Australia
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, Geelong, Victoria, Australia
- Center for Social and Early Emotional Development, Deakin University, Geelong, Victoria, Australia
| | - Tara De Paoli
- Melbourne School of Psychological Sciences, University of Melbourne, Victoria, Australia
| | | | - Isabel Krug
- Melbourne School of Psychological Sciences, University of Melbourne, Victoria, Australia
| |
Collapse
|
38
|
Fitzsimmons-Craft EE. Eating disorder-related social comparison in college women's everyday lives. Int J Eat Disord 2017; 50:893-905. [PMID: 28474420 PMCID: PMC5538923 DOI: 10.1002/eat.22725] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Revised: 04/17/2017] [Accepted: 04/17/2017] [Indexed: 11/06/2022]
Abstract
OBJECTIVE This study examined: frequency of upward and downward body, eating, and exercise comparisons; context in which these comparisons occur; and body, eating, and exercise comparison direction as predictors of concurrent body dissatisfaction and disordered eating thoughts, urges, and behaviors in college women's everyday lives using ecological momentary assessment (EMA). METHOD Participants were 232 college women who completed a two-week EMA protocol, using their personal electronic devices to answer questions three times per day. RESULTS First, body, eating, and exercise comparisons were common. Second, when these comparisons were made, they were typically upward. Third, body comparisons were most oftentimes made about weight and shape and eating comparisons about healthiness and amount of food. Exercise comparisons were made on a wider variety of dimensions. Fourth, most body and eating comparisons were made with strangers and close friends, respectively, while exercise comparisons were made with a variety of individuals. Upward comparisons were usually made with acquaintances and strangers. Fifth, results shed light on where college women compare themselves. Sixth, upward comparisons were found to have negative consequences, and downward comparisons were generally not found to have a buffering effect on eating pathology. DISCUSSION Results suggest targeting not only body but also eating and exercise comparisons in intervention. Also, prevention/intervention approaches should not promote engagement in downward comparisons, as they were not found to be protective and were even harmful at times. Clinicians should be attuned to the categories on which, with whom, and where college women are most likely to compare.
Collapse
|
39
|
Fardouly J, Pinkus RT, Vartanian LR. The impact of appearance comparisons made through social media, traditional media, and in person in women's everyday lives. Body Image 2017; 20:31-39. [PMID: 27907812 DOI: 10.1016/j.bodyim.2016.11.002] [Citation(s) in RCA: 179] [Impact Index Per Article: 25.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2016] [Revised: 11/04/2016] [Accepted: 11/08/2016] [Indexed: 01/09/2023]
Abstract
Appearance comparisons are an important sociocultural factor influencing women's body image. These comparisons can occur in different contexts (e.g., through magazines, social media, in person). However, little is known about the frequency and outcome of appearance comparisons made in different contexts in women's everyday lives. Using Ecological Momentary Assessment methods, female undergraduate students (n=146) completed a brief online survey at random times every day for 5 days. They reported the frequency, direction (upward, lateral, downward), and context of appearance comparisons, and also reported their appearance satisfaction, mood, and diet and exercise thoughts and behaviors. Upward appearance comparisons were the most common across all contexts. Upward comparisons through social media were associated with more negative outcomes on all measures (except diet and exercise behavior) than comparisons made in person, and with more negative mood than comparisons in any other context. These findings highlight the importance of the appearance comparison context.
Collapse
Affiliation(s)
- Jasmine Fardouly
- School of Psychology, UNSW Australia, Sydney, New South Wales 2052, Australia.
| | - Rebecca T Pinkus
- School of Psychology, University of Sydney, Sydney, New South Wales 2006, Australia.
| | - Lenny R Vartanian
- School of Psychology, UNSW Australia, Sydney, New South Wales 2052, Australia.
| |
Collapse
|
40
|
Sauchelli S, Arcelus J, Granero R, Jiménez-Murcia S, Agüera Z, Del Pino-Gutiérrez A, Fernández-Aranda F. Dimensions of Compulsive Exercise across Eating Disorder Diagnostic Subtypes and the Validation of the Spanish Version of the Compulsive Exercise Test. Front Psychol 2016; 7:1852. [PMID: 27933021 PMCID: PMC5121244 DOI: 10.3389/fpsyg.2016.01852] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Accepted: 11/09/2016] [Indexed: 01/06/2023] Open
Abstract
Objectives: Compulsive exercise in eating disorders has been traditionally considered as a behavior that serves the purpose of weight/shape control. More recently, it has been postulated that there may be other factors that drive the compulsive need to exercise. This has led to the development of the Compulsive Exercise Test (CET); a self-reported questionnaire that aims to explore the cognitive-behavioral underpinnings of compulsive exercise from a multi-faceted perspective. The objectives of this study were threefold: (1) to validate the Spanish version of the CET; (2) to compare eating disorder diagnostic subtypes and a healthy control group in terms of the factors that drive compulsive exercise as defined by the CET; (3) to explore how the dimensions evaluated in the CET are associated with eating disorder symptoms and general psychopathology. Methods: The CET was administered to a total of 157 patients with an eating disorder [40 anorexia nervosa, 56 bulimia nervosa (BN), and 61 eating disorder not-otherwise-specified (EDNOS)] and 128 healthy weight/eating controls. Patients were assessed via a semi-structured interview to reach a DSM-IV-TR diagnosis. Additionally, all participants completed the Symptom Checklist-90-Revised (SCL-90R) and the Eating Disorders Inventory-2 (EDI-2). Results: Confirmatory factor analysis demonstrated adequate goodness-of-fit to the original five-factor model of the CET. BN and EDNOS patients scored higher in the avoidance and rule-driven behavior, weight control, and total CET scales in comparison to the healthy controls, and higher across all scales apart from the exercise rigidity scale compared to the anorexia nervosa patients. Mean scores of the anorexia nervosa patients did not differ to those of the control participants, except for the mood improvement scale where the anorexia nervosa patients obtained a lower mean score. Mean scores between the BN and EDNOS patients were equivalent. The CET scales avoidance and rule-driven behavior, weight of control and total CET scores were positively correlated with the clinical assessment measures of the SCL-90R and EDI-2. Conclusion: Compulsive exercise is a multidimensional construct and the factors driving compulsive exercise differ according to the eating disorder diagnostic subtype. This should be taken into account when addressing compulsive exercise during the treatment of eating disorders.
Collapse
Affiliation(s)
- Sarah Sauchelli
- Department of Psychiatry, University Hospital of Bellvitge - Bellvitge Biomedical Research InstituteBarcelona, Spain; Centro de Investigación Biomédica en Red de la Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIMadrid, Spain
| | - Jon Arcelus
- Institute of Mental Health, Faculty of Medicine & Health Sciences, University of NottinghamNottingham, UK; Leicester Eating Disorder Service, Leicester Glenfield HospitalLeicester, UK
| | - Roser Granero
- Centro de Investigación Biomédica en Red de la Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIMadrid, Spain; Department of Psychobiology and Methodology, Autonomous University of BarcelonaBarcelona, Spain
| | - Susana Jiménez-Murcia
- Department of Psychiatry, University Hospital of Bellvitge - Bellvitge Biomedical Research InstituteBarcelona, Spain; Centro de Investigación Biomédica en Red de la Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIMadrid, Spain; Department of Clinical Sciences, School of Medicine, University of BarcelonaBarcelona, Spain
| | - Zaida Agüera
- Department of Psychiatry, University Hospital of Bellvitge - Bellvitge Biomedical Research InstituteBarcelona, Spain; Centro de Investigación Biomédica en Red de la Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIMadrid, Spain
| | - Amparo Del Pino-Gutiérrez
- Department of Psychiatry, University Hospital of Bellvitge - Bellvitge Biomedical Research InstituteBarcelona, Spain; Nursing Department of Mental Health, Public Health, Maternal and Child Health, The Nursing School of the University of BarcelonaBarcelona, Spain
| | - Fernando Fernández-Aranda
- Department of Psychiatry, University Hospital of Bellvitge - Bellvitge Biomedical Research InstituteBarcelona, Spain; Centro de Investigación Biomédica en Red de la Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIMadrid, Spain; Department of Clinical Sciences, School of Medicine, University of BarcelonaBarcelona, Spain
| |
Collapse
|
41
|
McLean SA, Wertheim EH, Marques MD, Paxton SJ. Dismantling prevention: Comparison of outcomes following media literacy and appearance comparison modules in a randomised controlled trial. J Health Psychol 2016; 24:761-776. [DOI: 10.1177/1359105316678668] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
A dismantling study of body dissatisfaction prevention was conducted. Adolescent girls ( N = 260) were randomly allocated to a media literacy (Happy Being Me – Media Literacy) or appearance comparison (Happy Being Me – Appearance Comparison) intervention or healthy eating behaviour control (Happy Being Me – Healthy Eating Behaviour) condition. In the Happy Being Me – Appearance Comparison condition, improvements from baseline to post-programme and follow-up for upward appearance comparison and fear of negative appearance evaluation were observed. In the Happy Being Me – Media Literacy condition, improvements were observed from baseline to post-programme for upward appearance comparison and realism scepticism. Findings were similar in a high-risk subsample and overall are moderately supportive of appearance comparison-based interventions, but less supportive of a stand-alone media literacy intervention.
Collapse
|
42
|
Arigo D, Cavanaugh J. Social Perceptions Predict Change in Women's Mental Health and Health-Related Quality of Life During the First Semester of College. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2016. [DOI: 10.1521/jscp.2016.35.8.643] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
|
43
|
Gitimu PN, Jameson MM, Turel T, Pohle-Krauza R, Mincher J, Rowlands Z, Elias J. Appearance issues, depression, and disordered eating among college females. COGENT PSYCHOLOGY 2016. [DOI: 10.1080/23311908.2016.1196512] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- Priscilla N. Gitimu
- Human Ecology Department, Youngstown State University (YSU), One University Plaza, Youngstown, OH 44555, USA
| | - Molly M. Jameson
- School of Psychological Sciences, University of Northern Colorado, Greeley, CO 80639, USA
| | - Tacibaht Turel
- Human Ecology Department, Youngstown State University (YSU), One University Plaza, Youngstown, OH 44555, USA
| | - Rachel Pohle-Krauza
- Human Ecology Department, Youngstown State University (YSU), One University Plaza, Youngstown, OH 44555, USA
| | - Jeanine Mincher
- Human Ecology Department, Youngstown State University (YSU), One University Plaza, Youngstown, OH 44555, USA
| | - Zara Rowlands
- Human Ecology Department, Youngstown State University (YSU), One University Plaza, Youngstown, OH 44555, USA
| | - Janice Elias
- Human Ecology Department, Youngstown State University (YSU), One University Plaza, Youngstown, OH 44555, USA
| |
Collapse
|