Exploring the utility of emotional awareness and negative affect in predicting body satisfaction and body distortion

The effect of an odd-one-out visual search task on attentional bias, body size adaptation, and body dissatisfaction

Body image disturbance is a both a risk factor for, and a symptom of, many eating disorders and refers to the misperception of and dissatisfaction with one's own body. Women with high body dissatisfaction have been shown to direct more attention to low body mass index (BMI) bodies, which results in the overestimation of body size via body size adaptation. Therefore, attention may have a causal role in body image disturbance. We conducted a novel training visual search task with 142 young adult women who we trained to attend to either high or low BMI bodies. We assessed the effects of this training on attention to bodies of different sizes, body size adaptation, and body dissatisfaction. Women trained to attend to low BMI bodies decreased their perceptions of a 'normal' body size via adaptation from pre- to post-training (p < 0.001); however, women trained to attend to high BMI bodies showed no change in their perception of a 'normal' body size. We found no lasting effects of the training on attention to body size or body dissatisfaction; however, our visual search task showed poor internal consistency as a measure of attention. These findings indicate that attention to low BMI bodies may exacerbate body image disturbance in women. However, more reliable measures of attentional are required to confirm this finding.

Body Image Software Programs

The assessment of body image has evolved in recent decades through the development of various software programs. However, it is not yet known whether this technological advance has resulted in refined evidence or whether this assessment development has been extensively applied in the field. This study reviewed the body image software programs developed and applied from 2000 to 2020. Searches were systematically conducted in four scientific databases. A total of 35 articles were selected, and 13 body image software programs were identified. The main features comprising the variability of the software were the pattern of body stimuli presentation (avatars x real body x body drawings) and the procedures of body image manipulation (whole body adjustment x adjustment of separate body parts). Heterogeneity was prevalent among the studies reviewed and prevented a favorable conclusion regarding the use of software compared to other body image assessment strategies.

Validation of the body image dimensional assessment in adolescents from Spanish high school

INTRODUCTION

There are not many valid instruments to quickly and easily identify body dissatisfaction in adolescents. Most studies have used the Stunkard Rating Scale to assess body image. Nevertheless, this scale has been described as too abrupt and crude for adolescents.

AIM

Was to validate the body image dimensional assessment (BIDA) questionnaire in a sample of adolescents from Secondary schools of Spain.

METHOD

The BIDA consists of four items to answer with reference to a series of four silhouettes using a numeric scale that allows the quantification of the degree of body dissatisfaction (BD), sexual body dissatisfaction (SxBD), comparative body dissatisfaction (CBD) and the calculation of the final body dissatisfaction index (BDIndex). The sample included 2059 adolescents, 1132 males and 929 females aged 13.10 ± 0.89. Participants answered the BIDA and then their anthropometrics measurements were taken.

RESULTS

Reliability test, a convergent test and confirmatory factorial analysis were conducted to validate BIDA instrument. A single factor structure emerged from confirmatory factorial analysis; the BIDA demonstrated adequate internal consistency in adolescents: (CFI > 0.90, TLI > 0.90, α > 0.80). Significant correlations (p < 0.001) emerged between the BIDA indices and all the anthropometric measures.

CONCLUSIONS

The BIDA questionnaire is a valid and reliable instrument to evaluate body dissatisfaction in Spanish adolescents.

LEVEL OF EVIDENCE

Level V, descriptive study.

Bulimic symptoms in a sample of college women: disentangling the roles of body size, body shame and negative urgency

Purpose This study set out to disentangle the roles of body size, body shame and negative urgency on bulimic symptomatology in a sample of college women. We predicted that body shame would mediate the relationship between body size and bulimic symptomatology: with increasing body size, the greater would be the experience of body shame and, in turn, the greater the bulimic symptomatology. We also predicted that negative urgency would exacerbate this mediation pathway, and that the moderated mediation model would occur over and above current levels of depression.

METHOD

A convenience sample of 237 college women indicated their age, height and weight and then completed measures of body shame, negative urgency, depression and bulimic symptomatology. Bootstrap analysis was used to test the predicted moderation mediation model.

RESULTS

The bootstrap analysis supported all predictions. Thus, with greater the increase in body size, the greater was the body shame and the more frequent bulimic symptomatology. Furthermore, negative urgency moderated the relationship between body shame and bulimic symptomatology, such that those with both higher negative urgency and body shame had more frequent bulimic symptomatology.

CONCLUSIONS

Results suggest that those college women higher in both BMI and negative urgency are likely to experience higher levels of bulimic symptoms. These women may benefit from emotion regulation interventions targeted at preventing, as well as coping effectively with, the experience of body shame.

LEVEL OF EVIDENCE

V: cross-sectional descriptive study.

The Relationship Between Assistance Satisfaction and Negative Affect in Long-Term Social Assistance Recipients in China: The Moderating Role of Self-Acceptance

Public welfare in China is less universal, comprehensive, and generous when compared with other welfare regimes, especially for individuals with occupational disease. The assistance satisfaction of Chinese pneumoconiosis patients, a typical group of long-term social assistance recipients, has been linked to diminished health and psychological well-being. Self-acceptance is theorized to promote well-being, which may buffer the negative consequences of negative emotion on assistance satisfaction. This research was conducted based on the survey data of 1,345 patients in typical mining areas of China. In addition to single-factor analysis of variance, descriptive analysis, and correlation analysis, a cluster analysis was performed to explore the profiles of participants' ratings of assistance satisfaction with five governing subjects: government, employing unit, medical institution, welfare organization, and laborer themselves. The results were as follows: (1) Social assistance satisfaction perceived by Chinese long-term social assistance recipients was at an average level, wherein self-assistance satisfaction perception was the lowest among five dimensions. (2) The overall perception of assistance satisfaction of Chinese long-term social assistance recipients was significantly correlated with educational background and household monthly income; specifically, the participants with higher levels of education and lower levels of income were more likely to have higher assistance satisfaction perception. (3) Cross analysis showed that participants with higher assistance satisfaction were mainly from the low-high group, having a lower level of negative affect, and higher level of self-acceptance. (4) The average negative affect level was above the scale midpoint (3.65) and negatively associated with each of the assistance satisfaction ratings. (5) The analysis yielded three distinct profiles—medium (19.26%), high (40%), and low (40.74%)—according to their degree of assistance satisfaction. Relative to the other profiles, low assistance satisfaction participants reported greater levels of negative affect in their daily life. However, self-acceptance moderated these effects, but no moderating effect was detected for individuals reporting greater levels of assistance satisfactory. Purpose is proved empirically a positive asset for promoting psychological adjustment in the period of receiving social assistance for Chinese long-term social assistance recipients.

Changes in body image during a 6-month lifestyle behaviour intervention in a sample of overweight and obese individuals

BACKGROUND

Individuals with long-term chronic body image dissatisfaction may experience excessive stress and negative cognitions and feelings. Changes in negative cognition about body image are often reported as outcomes of obesity treatment. In turn, body image dissatisfaction also influences behavioural adherence and success in weight loss.

OBJECTIVES

The purpose of the present study was to elucidate psychological changes during 6 months of lifestyle behaviour intervention and the association of these changes with actual weight loss.

METHODS

The study examined associations between body image dissatisfaction and obesity treatment-related variables among 33 overweight and obese adults (age = 38.9 ± 6.5 years) participating in a 6-month diet and exercise weight loss intervention. Measurements of body image dissatisfaction and anthropometric variables were taken at baseline and after 6-months.

DISCUSSION

Significant improvements were observed in all physical variables (e.g. weight, percentage of body fat mass, waist and hip circumference) after intervention. Body image dissatisfaction improved significantly over the treatment, and these changes were associated with changes in obesity indicators.

CONCLUSIONS

Changes in weight and body image probably influence each other dynamically. Results from this study support the inclusion of cognitive intervention aimed at improving body image in weight management programs.

Trait-Based Emotional Intelligence, Body Image Dissatisfaction, and HRQoL in Children

BACKGROUND

Body image dissatisfaction (BID) is related to an increased risk for various health issues including descreased health-related quality of life (HRQoL), the development of problematic eating behaviors and obesity. Previous research indicates that emotional intelligence is one important factor related to BID in adults. Whether this is the case in children, remains yet unknown. Taking this into consideration, the aim of this study was to explore the relationship between BID and trait-based emotion intelligence (TEI) as well as HRQoL in female and male primary school children.

MATERIALS AND METHODS

TEI and BID were assessed via self-reports as well as HRQoL via parental reports in a large sample of 991 primary school children (429 girls) within the "Baden Württemberg Study", which evaluated the effectiveness of the health prevention programm "Join the Healthy Boat" in Southwestern Germany.

RESULTS

Our findings demonstrated the interrelation between higher levels of TEI and lower levels of BID among girls and boys. Positive associations were found between better HRQoL, better intrapersonal and stress management abilites (subscales of TEI) and lower BID, as reflected by parental and self-reports.

CONCLUSIONS

Our results reveal an interconnectivity between TEI, BID, and better HRQoL in female and male primary school children. Although the observed correlations were rather small, they nervertheless support the idea that TEI consists a key-factor for the self-regulation of health-related behavior. Prevention programs could benefit from including processes, that sough to improve aspects of emotional intelligence such as intrapersonal, interpersonal abilities, and adaptability, as an effort of preventing problematic habits or lifestyles that could lead to disordered eating behaviors as well as to obesity in middle childhood.

Body dissatisfaction predicts inflammatory status in asymptomatic healthy individuals

Body dissatisfaction may play some role in the pathophysiology of chronic diseases. This study examined relations between body dissatisfaction and circulating levels of inflammatory biomarkers C-reactive protein, tumour necrosis factor-α, interleukin-6 and anti-inflammatory adiponectin, and to explore positive changes in relevant lifestyle behaviour after these associations. A total of 33 asymptomatic overweight men and women were evaluated at the baseline and after a 6-month lifestyle behaviour intervention. Body dissatisfaction emerged as an important predictor of pro- and anti-inflammatory biomarkers and may promote the production of inflammatory cytokines by reducing the level of anti-inflammatory and increasing the level of pro-inflammatory cytokine production.

Impact of negative cognitions about body image on inflammatory status in relation to health

OBJECTIVE

Evidence suggests that body dissatisfaction may relate to biological processes and that negative cognitions can influence physical health through the complex pathways linking psychological and biological factors.

DESIGN

The present study investigates the relationships between body image satisfaction, inflammation (cytokine levels), aerobic fitness level and obesity in 96 middle-aged men and women (48 normal and 48 overweight). All participants underwent measurements of body satisfaction, body composition, serological measurements of inflammation and aerobic capabilities assessment.

RESULTS

Body image dissatisfaction uniquely predicted inflammation biomarkers, C-reactive protein and tumour necrosis factor-α, even when controlled for obesity indicators. Thus, body image dissatisfaction is strongly linked to inflammation processes and may promote the increase in cytokines, representing a relative metabolic risk, independent of most traditional risk factors, such as gender, body mass index and intra-abdominal (waist to hip ratio) adiposity.

CONCLUSION

Results highlight the fact that person's negative cognitions need to be considered in psychologically based interventions and strategies in treatment of obesity, including strategies for health promotion. Results contribute to the knowledge base of the complex pathways in the association between psychological factors and physical illness and some important attempts were made to explain the psychological pathways linking cognitions with inflammation.

Emotional awareness, gender, and peculiar body-related beliefs

Research has broadly established that emotional disturbances are associated with body image disturbances. This is the first study to examine links between facets of emotional awareness and peculiar body-related beliefs (PBB), or beliefs about an imagined or slight defect in one's appearance or bodily functioning. In a sample of college students (n=216), we found that low emotional clarity (the extent to which the type and source of emotions are understood) was associated with higher PBB in both women and men, and the relation between emotional clarity and PBB was further moderated by attention to emotions (the extent to which emotions are attended to) and gender. Men with low attention to emotions and women with high attention to emotions both experienced higher levels of PBB if they also reported low levels of emotional clarity. This interactive effect was not attributable to shared variance with body mass index, neuroticism or affect intensity.