Development and validation of the Body and Appearance Self-Conscious Emotions Scale (BASES)

Associations between nature exposure and body image: A critical, narrative review of the evidence

Researchers, practitioners, and policy-makers are having to deal with the negative impact of body image concerns in populations globally. One cost-effective way of promoting healthier body image outcomes is through exposure to natural environments. A growing body of research has shown that spending time in, interacting with, and even just looking at natural environments can promote healthier body image outcomes. In this narrative review, I consider the different forms of evidence documenting an association between nature exposure and body image (i.e., cross-sectional and mediational, experimental and quasi-experimental, comparative, prospective, experience sampling, and qualitative research). Beyond this, I shine a critical light on the available evidence, highlighting concerns with methodological (i.e., who research has focused on and what types of natural environments have been considered), psychometric (i.e., how body image and nature exposure are measured), and conceptual issues (how the association is explained). I conclude that, although there are issues affecting the way the existing body of research is to be understood, there are reasons to be hopeful that nature exposure can be leveraged to promote healthier body image outcomes in diverse populations.

The female athletic ideal - Friend or foe? Fit, thin, and athletic body ideals and their associations with women's body image

The internalization of body ideals is a critical predictor of body image and health behaviors. Thin and athletic ideal internalization in women need to be elucidated. The aims of the current study included: (i) describing the endorsement of thin and athletic body ideals among women and (ii) examining group differences in negative and positive self-conscious emotions and body image. Participants (N = 392 women; Mage = 25.6, SD = 5.3 years) were assigned to Fit Ideal (n = 110), Thin Ideal (n = 83), Athletic Ideal (n = 55), and Low Internalization (n = 144) groups based on scores for thin and athletic internalization. Three multivariate analyses of variance were conducted to examine Body Ideal group differences on negative appearance and fitness self-conscious emotions, and positive self-conscious emotions and body image. The Athletic Ideal and Low Internalization groups generally scored lower on negative self-conscious emotions and higher on positive self-conscious emotions and body image in comparison to the Fit and Thin Ideal groups (Cohen's d =.35 to 1.15). Results suggest that differing levels of thin and athletic internalization may intersect uniquely with women's body-related self-conscious emotions and positive body image and thus may have distinct effects on women's health and behavior.

Body-related emotions and subsequent physical activity behaviour: An ecological momentary assessment

Body-related shame and guilt are theorized to be time-varying affective determinants of physical activity, yet research has predominantly relied on self-report measures of physical activity and between-person associations. To address these limitations, the present study used ecological momentary assessment to examine within- and between-person associations between body-related shame and guilt, and subsequent time spent in moderate-to-vigorous physical activity (MVPA) measured by continuously worn accelerometers. University students (n = 98; 79.6% female; mage = 19.45) were prompted 49 times over seven days to report body-related shame and guilt, and wore activPAL accelerometers to monitor movement behaviours. Higher levels of within-person body-related guilt, but not shame, were associated with increased subsequent time spent in MVPA. Contrary to existing literature, neither body-related shame nor guilt demonstrated a significant association with average levels of MVPA between individuals. These findings support theoretical propositions that body-related guilt may impact engagement in physical activity in daily life.

Body-related self-conscious emotions, self-compassion, and dietary restraint in Canadian undergraduate university students: A multilevel mediation and moderation analysis

OBJECTIVE

Self-compassion has an inverse association with dietary restraint however, the mechanisms linking self-compassion and dietary restraint are not clear. This study aimed to determine to what extent self-compassion was inversely concurrently related to dietary restraint, indirectly through body-related self-conscious emotions, and to what extent trait self-compassion moderated the concurrent within-person association between body-related self-conscious emotions and dietary restraint.

METHOD

Data was collected from 224 Canadian university students who reported on trait self-compassion at baseline and body-related shame, guilt, envy, and embarrassment, and dietary restraint biweekly between November 2020 and August 2021.

RESULTS

Results from a 2-1-1 multilevel mediation model showed that trait self-compassion was indirectly concurrently related to dietary restraint through body-related shame, guilt, envy, and embarrassment. Results from the moderation model showed that there was a significant positive concurrent within-person association between body-related shame, envy, and embarrassment, but not guilt, with dietary restraint. These relationships were not moderated by trait self-compassion.

DISCUSSION

This study adds to our understanding of the concurrent association between body-related self-conscious emotions and dietary restraint, and the mechanisms through which self-compassion is related to dietary restraint. Given body-related self-conscious emotions were related to dietary restraint at both the within-person and between-person level, both compassion-focused interventions that aim to improve general levels of body-related self-conscious emotions and interventions that aim to overcome spikes in these emotions compared with one's usual level are warranted.

PUBLIC SIGNIFICANCE STATEMENT

Negative body-related self-conscious emotions were related to higher levels of dietary restraint both across individuals and within individuals over time; and may play a mechanistic role in linking self-compassion with dietary restraint. Interventions aimed at reducing negative body-related self-conscious emotions are warranted in the prevention of eating disorder psychopathology.

Longitudinal Associations Between Body-Related Self-Conscious Emotions and Weight Control Status During Adolescence

PURPOSE

Half of adolescents are trying to change their weight and body-related self-conscious emotions may influence these intentions. We estimated associations between body-related shame, guilt, embarrassment, envy, authentic pride, and hubristic pride and weight control status (trying to maintain, lose, or gain weight) throughout adolescence in girls and boys.

METHODS

Six annual cycles of self-administered questionnaires were collected from age 12-17 in the Monitoring Activities of Teenagers to Comprehend their Habits (MATCH) study (n = 776). Average associations over all cycles were estimated with generalized estimating equations to describe the relationship between emotions (predictors) and weight control status (outcome). To explore the impact of changes in emotions on weight control status, fixed effects logistic regressions were used. Separate models were conducted for each emotion and for boys and girls.

RESULTS

On average, boys and girls with higher scores for negative emotions (shame, guilt, embarrassment and, exclusively among girls, envy) had higher odds of trying to lose weight. Higher scores for positive emotions (authentic and hubristic pride) were associated with lower odds of trying to lose weight among girls. Higher scores for authentic pride were associated with trying to gain weight among boys. Girls with increases in any of the negative emotions presented higher odds of trying to lose weight. Girls with increases in hubristic pride had increased odds of trying to maintain weight.

DISCUSSION

Body-related self-conscious emotions may be promising healthy-weight intervention targets as they represent important predictors of weight control status, particularly in girls.

Body-related shame disrupts attentional focus over time in adolescence

INTRODUCTION

Body-related shame is a negative self-conscious emotion that is heightened during adolescence and is associated with several adverse outcomes. Of particular interest, and informed by Objectification Theory, body-related shame may impact attentional focus because the experience of this intense emotion may limit cognitive resources required to effectively engage in tasks. The purpose of the present study was to examine the association between body-related shame and attentional focus over time during adolescence.

METHODS

Adolescents (n = 160; Mage  ± SD = 16.05 ± 0.98; 80% self-identifying girls) completed an online survey in 2022 at baseline (Time 1) and 3 months later (Time 2). Stepwise regression was used to test the association between body-related shame and attentional focus, with weight perception included as a covariate.

RESULTS

The regression model demonstrated that higher body-related shame predicted poorer attentional focus 3 months later (β = -0.44, p < .001), after controlling for weight perception (14% variance explained in attention).

CONCLUSIONS

Findings support and extend theoretical tenets by highlighting the potential importance of targeting body-related shame to reduce the negative impact on attentional focus among adolescents.

Psychometric properties of the Pride in Eating Pathology Scale in a Spanish population

BACKGROUND

In its relation to eating disorders, pride is one of the self-conscious emotions least analyzed, and requires valid and reliable instruments for its measurement. This study aimed to examine the factor structure and the psychometric properties of the Pride in Eating Pathology Scale (PEP-S), in the Spanish general population, as well as between-sex differences in PEP-S scores.

METHODS

Of the 1483 participants aged 18 to 34 (M = 21.99; SD = 3.09), 954 were women (65.2%) and the majority were university students (78.8%). Psychometric properties of the scale were tested in a cross-sectional design using cross-validation, i.e., exploratory and confirmatory factor analysis, and estimation of invariance (sex).

RESULTS

The four-factor structure found was similar to the original scale with invariance across sex and internal consistency (ordinal alpha .99) and stability (.85). Evidence of convergent validity and differences between sexes were found. Specifically, women scored higher on all the factors, including the healthier sense of pride.

CONCLUSIONS

The PEP-S scale is an instrument with evidence of validity and reliability in the Spanish population. Although it still has to be tested in a clinical population, it constitutes a promising instrument for the evaluation of the self-conscious emotion, pride.

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

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

The relationship between body mass index and food preoccupation in women: A moderated mediation of body-related self-conscious emotions and self-esteem

OBJECTIVE

Individuals who are preoccupied with food are more likely to develop maladaptive eating behaviours and eating disorders. Thus, it is advisable to investigate the factors that increase vulnerability to food preoccupation (FP) to prevent its harmful impact on physical and mental health. Our objective in this study was to investigate the relationship between body mass index (BMI) and FP in Polish women (N = 407) and examine a possible pathway through body-related shame and body-related guilt and self-esteem.

METHOD

Participants completed an abbreviated version of the Eating Attitudes Test-26, the Body and Appearance Self-Conscious Emotions Scale, and the Rosenberg Self-Esteem Scale.

RESULTS

The findings demonstrated a positive indirect effect of BMI on FP through body-related shame and body-related guilt. However, this effect was moderated by self-esteem only for body-related shame; namely, in women with a low or average level of self-esteem, higher BMI was related to higher body-related shame, which, in turn, was associated with higher levels of FP. These associations were not observed in women with a high level of self-esteem.

DISCUSSION

Body-related shame may help explain the relationship between BMI and FP. Moreover, self-esteem serves as a protective factor against body-related shame related to higher BMI and, as a result, against FP.

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

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

The Body and Appearance Self-Conscious Emotions Scale (BASES): A comprehensive examination of its factorial validity, with recommendations for researchers

The 16-item Body and Appearance Self-Conscious Emotions Scale (BASES) is widely used to assess the discrete emotions of guilt, shame, authentic pride, and hubristic pride. However, recent work has questioned the factorial validity of the BASES (i.e., the extent to which it truly assesses a discrete set of self-conscious emotions). In the present study, we re-assessed the factorial validity of the BASES using confirmatory factor analysis (CFA) and exploratory structural equation modelling (ESEM). An online sample of adults from the United Kingdom (N = 637) were asked to complete the BASES. Our analyses indicated that the original 4-factor CFA model had adequate fit but resulted in very high latent correlations between similarly valenced facets (Guilt/Shame and Authentic/Hubristic Pride, respectively). An alternative 2-factor CFA model (combining Guilt-Shame and Authentic-Hubristic Pride) had a less-than-ideal fit. Conversely, 4-factor and 2-factor ESEM solutions both resulted in a superior fit to the data than their CFA counterparts, and in reduced estimates of factor correlations. Both of these ESEM solutions were also fully invariant across gender. These results have important theoretical and practical implications for our understanding of body and appearance-related self-conscious emotions and how this construct is currently measured.

The Body Esteem Scale for Adults and Adolescents: Translation, adaptation and psychometric validation among Brazilian adolescents

A lack of rigorously validated body image measures for use among adolescents is hampering research in Brazil. This study aimed to validate a Brazilian Portuguese version of the Body Esteem Scale for Adults and Adolescents (BESAA; Mendelson et al., 2001). The BESAA was forward and back translated from English into Brazilian Portuguese before examining its factor structure, reliability, and validity among 475 adolescents (50.3% girls) aged 13 - 18 years (M_age = 15.35) from various regions across Brazil. Exploratory factor analysis identified an 18-item three-factor solution, with Appearance-Positive, Appearance-Negative, and Weight subscales. The removal of five problematic items led to a psychometrically robust model, invariant across gender and age, and was verified using confirmatory factor analysis. Test re-test reliability and internal consistency were good-to-excellent across all three factors (Cronbach's a =0.85,.88, and.89). Concurrent validity was established through significant correlations with body dissatisfaction. Convergent validity was demonstrated via significant correlations with positive and negative affect. This Brazilian Portuguese version of the BESAA is a valid, reliable, and psychometrically robust measure of body image suitable for administration among adolescents in Brazil.

Short forms of the Body Appreciation Scale-2 (BAS-2SF): Item selection and psychometric evaluation

The 10-item Body Appreciation Scale-2 (BAS-2; Tylka & Wood-Barcalow, 2015) is a widely used contemporary measure of positive body image that assesses one's love for, acceptance and appreciation of, and respect for their body. Given the need for abbreviated measures to reduce participant burden and study cost, we aimed to generate a short form of the BAS-2 (BAS-2SF). Two versions of the BAS-2SF emerged: a 3-item version derived deductively from theory (items selected based on their unique contribution to the body appreciation construct), and a 2-item version generated empirically (items selected based on a genetic algorithm approach). Psychometric evidence was garnered across five studies, totaling 3114 participants. Both BAS-2SF versions correlated highly (rs = .93-.97) with the original 10-item BAS-2 and demonstrated internally consistent and stable scores. Factor analyses revealed high item-factor loadings, unidimensionality, and gender invariance of the 3-item BAS-2SF. Correlations with construct validity measures, as well as model pathways, were similar between both BAS-2SF versions and the 10-item BAS-2. BAS-2SF versions also evidenced incremental validity. Both BAS-2SF versions retain the psychometric integrity of the BAS-2 and are recommended for use; however, the 3-item BAS-2SF is an ideal option for researchers who wish to estimate a body appreciation latent factor.

General and body-related self-conscious emotions predict facets of restrictive eating in undergraduate women

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 (M_age = 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.

Testing the Associations Between Body Image, Social Support, and Physical Activity Among Adolescents and Young Adults Diagnosed With Cancer

Physical activity (PA) is important for managing the side effects and long-term outcomes of cancer treatment, yet many adolescents and young adults diagnosed with cancer (AYAs) are not meeting PA guidelines. Body image and social support are two factors that can influence PA behavior and require further attention in this population. The purpose of this study was to examine the associations between body image, social support, and PA among AYAs. An online cross-sectional survey administered through the Research Electronic Data Capture platform was used to assess self-reported body image (body-related self-conscious emotions of appearance and fitness shame, guilt, authentic pride, and hubristic pride), social support (general and cancer-specific), and PA (mild, moderate-to-vigorous, and resistance exercise) in AYAs (N = 119; M age = 34.5 ± 5.5 years). Based on findings from path analyses, body image and social support were directly associated with PA (R 2 = 0.09-0.33). Social support was also directly associated with body image. However, there were no indirect effects. These findings provide preliminary support for the influential role of appearance and fitness body-related emotions and cancer-specific social support on PA. The results have important implications for the development of targeted strategies aimed at improving body image (e.g., cognitive dissonance and compassion-focused interventions) and social support (e.g., facilitating the provision of cancer-specific support), with the overall goal of increasing AYAs' PA.

Emotion profiles among adolescent female athletes: Associations with flourishing

Many girls who participate in sport struggle to negotiate the complex relationship between their desired appearance and maintaining a physique that facilitates performance. As a result, these athletes experience a range of emotions about their bodies that impact their psychological well-being. We examined appearance- and fitness-related emotions using latent profile analysis among 507 adolescent girls involved in organized sport and examined differences in flourishing across the resulting profiles. Four emotion profiles were identified: (i) Frequent Pride, (ii) Occasional Fitness Pride, (iii) Occasional Pride, Rare Guilt/Shame, and (iv) Occasional Emotions. Participants in the Occasional Emotions profile reported the lowest flourishing scores compared to every other profile while those in the Frequent Pride profile reported the highest levels of flourishing. There were no differences in flourishing between those in the Occasional Fitness Pride profile and those in the Occasional Pride, Rare Guilt/Shame profile. Our results demonstrate how subsets of athletes may characteristically experience distinct combinations of emotions that are differentially associated with flourishing. Increasing experiences of body-related pride while mitigating experiences of guilt and shame appear to be important contributors to flourishing. However, experiences of pride may do little to buffer against reductions in flourishing when guilt and shame are experienced.

Psychometric properties of a Bahasa Malaysia (Malay) translation of the Body and Appearance Self-Conscious Emotions Scale (BASES): An assessment using exploratory structural equation modelling

The Body and Appearance Self-Conscious Emotions Scale (BASES) measures self-conscious emotions in relation to the body and appearance. While scores have been shown to support a hypothesised 4-factor model consisting of facets of shame, guilt, authentic pride, and hubristic pride, previous studies are limited in their sole reliance on confirmatory factor analysis. Here, we assessed the psychometric properties of a novel Bahasa Malaysia translation of the BASES using an exploratory structural equation modelling (ESEM) framework. Malaysian adults (N = 1049) completed the BASES along with measures of body appreciation, psychological well-being, and secure non-striving. The results of exploratory factor analysis and ESEM in separate split-half subsamples supported a 2-dimensional model consisting of Shame-Guilt and Authentic-Hubristic Pride. This 2-dimensional model was broadly invariant across ethnicity, gender, and age, had adequate internal consistency, and evidenced adequate construct validity in relation to the Authenthic-Hubristic Pride subscale. We interpret our findings as consistent with the view that cultural factors shape the way in which body and appearance-related self-conscious emotions are manifested. Our results also highlight the importance of considering alternative conceptualisations of body and appearance-related self-conscious emotions, which previous studies may have obscured through their reliance on confirmatory factor analyses.

Development and validation of the mirror image comfort and avoidance scale (MICAS)

PURPOSE

The purpose of this study was to develop an instrument to measure the experience of viewing one's reflection in the mirror for use in rehabilitation, nursing, psychology, and in research studies designed to improve the mirror-viewing experience for those who have suffered psychological or bodily trauma. A secondary purpose was to explore demographic differences in each subscale of the instrument.

METHODS

The developed items went through content expert validation, exploratory and confirmatory factor analyses, and internal consistency reliability testing.

RESULTS

Using an exploratory factor analysis (n = 137) and a confirmatory factor analysis (n = 142), we validated a 17-item instrument for two distinct populations: veterans (n = 108) and individuals with upper and lower limb loss (n = 210). The mirror viewing comfort subscale (9 items; α = 0.90) and the mirror avoidance subscale (8 items, α = 0.94) were deemed reliable. Strong, significant correlations between pre-and post-comfort scores (r = 0.81, p < 0.001), as well as pre-and post-avoidance scores (r = 0.94, p < 0.001) provide evidence of test-retest reliability. Demographic differences were noted in the subscales.

CONCLUSIONS

This instrument contributes to a greater understanding of the experience of mirror-viewing in clinical practice. In interventional research studies to improve the mirror-viewing experience, this instrument can act as a manipulation check or outcome measure.Implications for rehabilitationIndividuals who suffer actual or perceived body disfigurement due to surgery or trauma may suffer mirror discomfort or mirror trauma when viewing their bodies in a mirror. This reaction is due to a pre-frontal cortex neurological disruption and autonomic nervous system fright/flight or faint. Psychological disorders (e.g., devastation, shame, self-revulsion, decreased body image) may ensue.Falls have occurred due to mirror trauma due to an autonomic nervous system disturbance (faint) and may result in ongoing mirror avoidance. When mirrors are needed for incision visualization, mirror avoidance has led to severe surgical site infections.Although there were many scales available in the literature to measure several aspects of the effects of actual or perceived body disfigurement, there were no scales that measured the mirror-viewing experience.Clinicians and researchers can use the Mirror Comfort and Avoidance Scale (MICAS) to assess mirror comfort and avoidance.

Internalized weight stigma and the relationship between weight perception and negative body-related self-conscious emotions

Individuals who perceive themselves as "overweight" experience higher negative body-related self-conscious emotions than those who do not. Theoretical and empirical evidence suggests internalized weight stigma may be an important mediator of the relationship between weight perception and self-conscious emotions. Overcoming common measurement limitations and sampling limitations, the present study investigated whether gender moderates the associations among weight perceptions, internalized weight stigma, and negative body-related self-conscious emotions in 104 young adults (64 % women). Individuals who perceived themselves as too heavy (52 %) experienced higher body-related shame and guilt compared to those who perceived themselves as about right. Internalized weight stigma mediated these associations in women but not men, such that perceiving oneself as too heavy was associated with higher internalized weight stigma, which was associated with higher body-related shame and guilt in women. Results underscore the importance of internalized weight stigma as a potential target for intervention among women of diverse weight statuses who are prone to experiencing body-related shame and guilt.

Body functionality: A review of the literature

Body functionality describes everything that the body is able to do, across diverse domains (e.g., bodily senses, creative endeavours). Nearly a decade ago, leading scholars identified research on body functionality as a priority for the body image field. The field has responded, as shown by the recent rise of body functionality research. We considered this an opportune time to (a) define body functionality (what it is and is not); (b) present theoretical frameworks of body functionality; (c) articulate first-generation and current measures relating to body functionality; (d) offer functionality-focused body image interventions that can improve appreciation for one's body functionality (and body image more broadly); (e) summarise additional areas of research related to body functionality and positive body image; and (f) provide considerations and directions for future research and interventions incorporating body functionality. Research has underscored body functionality as a valuable construct with respect to positive body image and well-being, particularly when individuals appreciate what their bodies can do and conceptualise their body functionality holistically. Yet, the experience of body functionality is nuanced across social identities. Overall, the field has greatly advanced knowledge about body functionality, and we are excited to see the next generation of research that emerges.

Body and appearance-related self-conscious emotions and exercise addiction in Brazilian adolescents: A person-centred study

The present study aimed to identify profiles of adolescents based upon body and appearance-related self-conscious emotions, and to examine whether these profiles differed from each other in terms of their exercise addiction (EA) symptoms. A sample of 703 Brazilian adolescents (41% girls) completed a self-report questionnaire. The results from a two-step cluster analysis identified four profiles: prideful (19.5%), low self-consciousness (31.7%), moderately high self-consciousness (29.2%), and shameful-guilty (19.6%). The prideful profile was characterized by a greater presence of boys, as well as by higher frequency/intensity levels of exercise than the remaining groups. The shameful-guilty profile was characterized by a greater presence of girls and by higher levels of BMI compared to the remaining groups. Regarding EA symptoms, the results from the ANCOVA/MANCOVA analyses revealed that the prideful profile showed (i) higher salience and tolerance levels than the low-level balanced self-consciousness profile, and (ii) higher salience and lower conflict compared to the shameful-guilty profile. Additionally, the moderately high self-consciousness profile showed (i) higher salience and tolerance levels than the low self-consciousness profile, and (ii) higher salience levels than the shameful-guilty profile. Identifying subgroups on the basis of body appearance-related self-conscious emotions contributes to explaining different EA symptoms in adolescents.

Demystifying the mirror taboo: A neurocognitive model of viewing self in the mirror

Research has consistently demonstrated that viewing one's body in a mirror after an amputation or other perceived or visible body disfigurements can be a traumatic experience. Mirror viewing or mirroring is a taboo subject, which may be the reason this trauma has not been previously detected or acknowledged. Traumatic mirror viewing may lead to mirror discomfort, mirror avoidance, and a host of psychosocial concerns, including post-traumatic stress. As mirroring is complex, four qualitative mirror viewing studies, embodiment concepts, polyvagal theory, and memory theories were used to develop a model. In this article, foundational knowledge that led to the development of the model is shared. A neurocognitive model of mirror viewing is offered together with implications for nursing research, practice, and education.

Taking it apart and putting it back together again: Using Item Pool Visualisation to summarise complex data patterns in (positive) body image research

Issues of construct commonality and distinguishability in body image research are typically addressed using structural equal models, but such methods can sometimes present problems of interpretation when data patterns are complex. One recent-developed tool that could help in summarising complex data patterns is Item Pool Visualisation (IPV), an illustrative method that locates item pools from within the same dataset and illustrates these in the form of single or nested radar charts. Here, we demonstrate the utility of IPV in visualising data patterns vis-à-vis positive body image. Five-hundred-and-one adults from the United Kingdom completed seven widely-used measures of positive body image and data were subjected IPV. Results demonstrated that, of the included measures, the Body Appreciation Scale-2 provided the closest and most precise measurement of a core positive body image construct. The Functionality Appreciation Scale and the Authentic Pride subscale of the Body and Appearance Self-Conscious Emotions Scale tapped more distal aspects. Our results also highlight possible limitations with the use of several other instruments as measures of positive body image. We discuss implications for research aimed at better understanding the nature of positive body image and interpreting complex data patterns in body image research more generally.

Fitness-Related Self-Conscious Emotions and Risk for Exercise Addiction: Examining the Mediating Role of Passion

Fitness-related self-conscious emotions (SCEs) have been proposed as antecedents of exercise addiction (EA). However, the potential mechanisms underlying such a relationship remain unexplored. The present study examined the relationship between fitness-related SCEs and risk of EA, as well as the mediating role of passion for exercise. A total of 296 male runners (M = 40.35 years, SD = 10.69) completed a survey assessing weekly exercise frequency/hours, fitness-related SCEs, passion for exercise, and the risk of EA. The relationships between the study variables were examined using structural equation modeling. After controlling for age and weekly exercise frequency/hours, fitness-related SCEs of shame, guilt, and hubristic pride were positively associated with risk of EA. However, while guilt had direct effects on risk of EA, shame and hubristic pride showed indirect effects via obsessive passion. The results of the study are discussed, and some practical implications and future research directions are presented.

Body-related embarrassment: The overlooked self-conscious emotion

Embarrassment is an understudied self-conscious emotion both experienced globally and in the context of the body. Drawing from affective body image tenets, this investigation aimed to better understand body-related embarrassment in a final sample of 187 adolescent and young adult males and females. A thematic content analysis was used to analyze self-report narratives from a relived emotion task and participants completed a self-report survey about the social environmental features of the emotional experience. Seven first-order themes and twenty-two second order themes were identified. Contexts for experiences of body-related embarrassment primarily included school, swimming pool/beach, sport and non-sport change rooms, and other sport or physical activity settings. Body-related embarrassment most often occurred when five or more individuals were present. Antecedents included fear of or actual negative evaluation, social comparisons, body exposure, and inadequacy compared to an internal standard. Outcomes included affective states and cognitive (e.g., avoidance) and behavioral (e.g., appearance management) outcomes. Compared to females, males reported less self-consciousness and were less likely to experience embarrassment around the other gender. Understanding the elicitation and experience of different emotions such as body-related embarrassment can guide theory and practice and may help to develop specific and unique interventions to address differing emotions.

Changes in body-related self-conscious emotions over time among youth female athletes

The current study explored change in body-related self-conscious emotions (e.g., shame, guilt, authentic pride, hubristic pride) over three years, and tested body surveillance, age, weight status, years in sport, and competitive status as baseline predictors of change. Adolescent females engaged in organized sport (N = 518 at baseline, M_age = 14.02, SD = 1.38 years) completed a self-report survey once a year for three years (n = 293 and n = 215 in Years 2 and 3, respectively). Based on the unconditional latent growth model, body-related shame and guilt increased over time, and authentic and hubristic pride decreased over time. There was substantial between-person variability in the intercepts for all emotions and slopes for shame, guilt, and hubristic pride. In the conditional parallel process latent growth model, body surveillance predicted shallower change in shame and guilt over time. Female athletes high in body surveillance also reported higher body-related shame and guilt and lower authentic and hubristic pride at baseline. These findings highlight the importance of studying changes in self-conscious emotions over time in sport, and demonstrate that body surveillance may be an important factor to explore in interventions early in development.

Examining the associations between the Big Five personality traits and body self-conscious emotions

This study examined the relationships between the Big Five personality traits and body-related self-conscious emotions in a sex-balanced sample of Spanish undergraduates (N = 748). After controlling for sex, age, and weight discrepancy, neuroticism (positive for shame and guilt), extraversion (negative for shame and positive for pride), conscientiousness (negative for shame and positive for pride), and openness (negative for shame and guilt) emerged as significant cross-sectional predictors of body-related self-conscious emotions. No moderation effect by sex was observed. The explained variance ranged from 10% (hubristic pride) to 26% (shame). Young adults possessing greater than ideally assumed body weight, high levels of neuroticism, and low levels of extraversion, conscientiousness, and openness may be especially vulnerable to body-image disturbances.

An exploration of the associations between facets of interoceptive awareness and body image in adolescents

Previous research suggests that lower interoceptive awareness is associated with more negative body image during adolescence. However, studies have not distinguished between adaptive and maladaptive modes of attention toward interoceptive signals, and relationships between interoceptive awareness and positive body image remain unexplored. To address these issues, a sample of 265 British adolescents (140 girls, 125 boys) aged 13-16 years completed measures of interoceptive awareness, body appreciation, functionality appreciation, body pride, body shame, and body surveillance. Correlational analyses broadly indicated that greater interoceptive awareness was significantly associated with more positive body image. Multiple regressions revealed significant predictive relationships between interoceptive awareness and all facets of body image in both girls and boys, except body surveillance, which was not statistically significant for girls. At the univariate level, the interoceptive awareness facets of Attention Regulation, Body Listening, Self-Regulation, and Trusting emerged as significant predictors for at least one facet of positive body image, whilst the Noticing and Emotional Awareness facets did not. These findings broadly align with previous research with adults, which has indicated that the way interoceptive stimuli are appraised and responded to might be more closely associated with facets of body image than the tendency to notice interoceptive stimuli.

Examination of Actual and Ideal Body-Related Characteristics and Body-Related Pride in Adult Males

Body image concerns are becoming more prevalent in males. Discrepancies between actual and ideal body muscularity and thinness have been studied from a pathological perspective whereby perceiving the body as discrepant from an internalized ideal is associated with body dissatisfaction, negative emotions, and harmful body-altering behaviors. It is unclear if agreement among actual and ideal self-perceptions is associated with positive emotion in males. The present study examined the associations between actual and ideal congruence and discrepancies in muscularity and thinness, and two facets of pride (i.e., authentic and hubristic pride) in male adults. Participants (n = 294; M_age = 34.80 years; M_BMI = 27.31 kg/m²) completed a cross-sectional self-report survey. Results from polynomial regressions indicated that actual and ideal self-perceptions of muscularity and thinness were significant predictors of both authentic (R² = .37 and .20) and hubristic pride (R² = .33 and .19), respectively. Response surface values demonstrated that extremely high or low scores that were congruent for muscularity (a₂ = .35 and .40) and thinness (a₂ = .18 and .18) perceptions were associated with higher reports of authentic and hubristic pride. These findings demonstrated that congruence in actual and ideal self-perceptions contribute to feelings of pride, suggesting interventions that promote actual and ideal self-perception congruence may be important for fostering positive emotional experiences in males.

Body and appearance self-conscious emotions in Canada and Poland

Due to the growing interest in studies on health-related variables from an international perspective, the current study addresses the issue of body-related emotions in two countries from two continents, namely, North America and Europe. Using data from Canadian and Polish samples, we investigated the cross-cultural measurement invariance of the Body and Appearance Self-Conscious Emotions Scale across countries and examined differences in these emotions between Canada and Poland. Partial scalar invariance indicated that the scale functions equivalently in Canadian and Polish samples, with only one invariant item in the Guilt subscale. Compared to the Polish, Canadians reported lower body and appearance authentic and hubristic pride. Participants from the two countries did not differ significantly in shame.

Examining the relationship between fitness-related self-conscious emotions, disordered eating symptoms, and morbid exercise behavior: An exploratory study

BACKGROUND AND AIMS

Theoretical models of morbid exercise behavior (MEB) suggest that it may emerge as a result of complex interactions between a range of psychosocial factors. However, in spite of fitness-related self-conscious emotions involving such factors, their relationship with the risk of MEB has never been investigated. Consequently, this study had two objectives. First, to explore the relationship that fitness-related self-conscious emotions have with (a) symptoms reflecting MEB as assessed by the Exercise Addiction Inventory (EAI) and the Exercise Dependence Scale-Revised (EDS-R) and (b) exercise frequency. Second, to examine whether these relationships might vary according to disordered eating symptoms.

METHODS

A sample of 646 undergraduate students (59% males; M_age = 21.25; SD_age = 2.94) completed a self-reported questionnaire.

RESULTS

After controlling for age, sex, and disordered eating symptoms, it was found that shame, hubristic pride, and authentic pride positively explained MEB; for their part, guilt (negatively) and authentic pride (positively) explained exercise frequency. The positive relationships between pride and MEB were weaker (in the case of the hubristic facet) or stronger (in the case of the authentic facet) under higher levels of disordered eating symptoms. The independent variables explained 29% (EAI), 28% (EDS-R), and 27% (exercise frequency) of the variance in dependent variables.

DISCUSSION

Tempering fitness-related emotions of shame, guilt, hubristic pride, and authentic pride may contribute to healthier exercise behavior.

The factor structure and psychometric properties of an Arabic-translated version of the Body Appreciation Scale-2

PURPOSE

The conduct of body image studies with Arab populations is hindered by a lack of psychometrically sound assessment measures. We examined the psychometric properties of an Arabic translation of the most frequently employed measure of body appreciation, the Body Appreciation Scale-2 (BAS-2).

DESIGN AND METHODS

A sample of college-aged women from the United Arab Emirates (UAE) (n = 256) completed the Arabic BAS-2, and measures of aesthetic and functional body image, authentic body pride, and self-reported body mass index (BMI).

RESULTS

Exploratory factor analysis revealed that the Arabic BAS-2 had a one-dimensional factor structure. BAS-2 scores were positively correlated with body image and body pride, but not with BMI.

PRACTICE IMPLICATIONS

A psychometrically sound BAS-2 may now facilitate the conduct of cross-cultural work that includes the Arabic-speaking population, an often-neglected ethnic group in most body image studies.

Body appreciation and body-related pride in normal-weight and overweight/obese individuals: Does romantic relationship matter?

PURPOSE

The study investigated body appreciation and body-related pride in normal-weight and overweight/obese individuals. A question of whether romantic relationship differentiates body image in these groups was also asked.

DESIGN AND METHODS

Measures of body appreciation, body-related pride, self-esteem, and positive affect were administered in a sample of 344 subjects.

FINDINGS

Participants with normal weight reported higher body appreciation and body-related pride. The analysis revealed that there were no differences in body image between normal-weight and overweight/obese individuals who were in a romantic relationship.

PRACTICE IMPLICATIONS

The study provides a better understanding of factors related to an individual's body image.

Multiple dimensions of interoceptive awareness are associated with facets of body image in British adults

Previous research has identified a relationship between interoception and body image, where lower interoceptive awareness (IA) is associated with negative body image. However, relationships between facets of interoception and positive body image remain unexplored, and men and older adults remain underrepresented. To overcome these limitations, we assessed relationships between multiple dimensions of interoceptive awareness (IA) and multiple facets of body image in community adults. An online sample of 646 British adults (447 women) aged 18-76 years completed the Multidimensional Assessment of Interoceptive Awareness (MAIA), the Body Appreciation Scale-2, the Functionality Appreciation Scale, the Authentic Pride subscale from the Body and Appearance Self-Conscious Emotions Scale, and the Appearance Orientation and Overweight Preoccupation subscales from the Multidimensional Body-Self Relations Questionnaire. Hierarchical regressions revealed significant predictive relationships between IA and all five facets of body image after controlling for sex, body mass index, and age. In the final models, the MAIA subscales emerged as significant predictors for at least one facet of body image, with the exception of the MAIA Body Listening subscale. These findings extend previous work by demonstrating significant relationships between IA and previously unexplored facets of body image, which may hold promise for practitioner-based interventions.

Factor structure, validity, and reliability of a Persian version of the Body and Appearance Self-conscious Emotions Scale

This study examined the psychometric properties of a Persian translation of the Body and Appearance Self-conscious Emotions Scale. A total of 393 university students from Iran completed the Body and Appearance Self-conscious Emotions Scale, along with measures of depression, self-esteem, affect, body appreciation, physical self-perceptions, personality, obsessive-compulsive disorder, and body dysmorphic disorder. Confirmatory factor analysis indicated that the four-factor structure had adequate fit. Further analyses indicated that the Body and Appearance Self-conscious Emotions Scale scores evidenced internal consistency, convergent validity, and test–retest reliability. These results suggest that scores on the Persian version of the Body and Appearance Self-conscious Emotions Scale show evidence of reliability and validity in the Iranian population and can be used in the field of research and treatment.

Affective auditory stimulus database: An expanded version of the International Affective Digitized Sounds (IADS-E)

Using appropriate stimuli to evoke emotions is especially important for researching emotion. Psychologists have provided several standardized affective stimulus databases-such as the International Affective Picture System (IAPS) and the Nencki Affective Picture System (NAPS) as visual stimulus databases, as well as the International Affective Digitized Sounds (IADS) and the Montreal Affective Voices as auditory stimulus databases for emotional experiments. However, considering the limitations of the existing auditory stimulus database studies, research using auditory stimuli is relatively limited compared with the studies using visual stimuli. First, the number of sample sounds is limited, making it difficult to equate across emotional conditions and semantic categories. Second, some artificially created materials (music or human voice) may fail to accurately drive the intended emotional processes. Our principal aim was to expand existing auditory affective sample database to sufficiently cover natural sounds. We asked 207 participants to rate 935 sounds (including the sounds from the IADS-2) using the Self-Assessment Manikin (SAM) and three basic-emotion rating scales. The results showed that emotions in sounds can be distinguished on the affective rating scales, and the stability of the evaluations of sounds revealed that we have successfully provided a larger corpus of natural, emotionally evocative auditory stimuli, covering a wide range of semantic categories. Our expanded, standardized sound sample database may promote a wide range of research in auditory systems and the possible interactions with other sensory modalities, encouraging direct reliable comparisons of outcomes from different researchers in the field of psychology.

Psychometric properties of the body and appearance self-conscious emotions scale in Brazilian adolescents

This study examined the psychometric properties of the Body and Appearance Self-Conscious Emotions Scale in Brazilian adolescents. A sample of 827 adolescents (55% boys) filled out a questionnaire comprising the Body and Appearance Self-Conscious Emotions Scale and instruments assessing social physique anxiety, positive/negative affect, and self-esteem. After removing one item originally proposed for the guilt factor (Item 7), the results supported a 4-factor structure that was invariant across gender and weight status. Evidence supporting the internal consistency, temporal stability, and convergent validity of the Body and Appearance Self-Conscious Emotions Scale cores were also obtained. These results support the Body and Appearance Self-Conscious Emotions Scale as a psychometrically robust instrument to assess body and appearance self-conscious emotions in Brazilian adolescents.

Body pride and physical activity: Differential associations between fitness- and appearance-related pride in young adult Canadians

Body-related pride has been associated with health behaviors such as physical activity; however, researchers have overlooked distinctions between different domains of pride (appearance/fitness) and the two facets of pride (authentic/hubristic). The objective of the present research was to examine relationships between fitness- and appearance-related authentic and hubristic pride and physical activity. In Study 1, participants (N = 115) completed measures of fitness-related pride and participation in moderate-to-vigorous physical activity (MVPA). Both authentic and hubristic pride were positively associated with MVPA. In Study 2, participants (N = 173) completed measures of appearance-related pride and MVPA. Neither facet of pride predicted engagement in MVPA. In Study 3, participants (N = 401) completed measures of both fitness-related pride and appearance-related pride as well as MVPA. Authentic and hubristic fitness-related pride were associated with MVPA, while appearance-related hubristic pride was negatively associated with MVPA. Results support the adaptive nature of pride in motivating engagement in health behaviors when it is experienced around the body's functionality rather than appearance.

Psychometric evaluation and sex invariance of the Spanish version of the Body and Appearance Self-Conscious Emotions Scale

This study examined the psychometric properties of a Spanish translation of the Body and Appearance Self-Conscious Emotions Scale (BASES; Castonguay et al., 2014) in a sample of university Spanish students. A total of 815 participants enrolled in two public universities located in Almería and Elche, Spain, completed the BASES along with measures of social physique anxiety and positive/negative affect. Exploratory and confirmatory factor analyses showed that one item failed to load clearly on the hypothesized factor (guilt). Once it was removed, results supported the hypothesized four-factor structure. Evidence of invariance of the four-factor structure across sex was obtained. Scores on the BASES showed adequate internal consistency and acceptable convergent validity. Compared to men, women reported significantly higher body and appearance-related guilt and shame, and significant lower authentic and hubristic pride. Preliminary evidence supporting the validity and reliability of the Spanish translation of the BASES is provided.

Body checking is associated with weight- and body-related shame and weight- and body-related guilt among men and women

This study examined whether body checking was a correlate of weight- and body-related shame and guilt for men and women. Participants were 537 adults (386 women) between the ages of 17 and 74 (M_age=28.29, SD=14.63). Preliminary analyses showed women reported significantly more body-checking (p<.001), weight- and body-related shame (p<.001), and weight- and body-related guilt (p<.001) than men. In sex-stratified hierarchical linear regression models, body checking was significantly and positively associated with weight- and body-related shame (R²=.29 and .43, p<.001) and weight- and body-related guilt (R²=.34 and .45, p<.001) for men and women, respectively. Based on these findings, body checking is associated with negative weight- and body-related self-conscious emotions. Intervention and prevention efforts aimed at reducing negative weight- and body-related self-conscious emotions should consider focusing on body checking for adult men and women.

Evaluating the psychometric properties of the Polish version of the Body Appreciation Scale-2

This study aimed to investigate the factor structure and psychometric properties of a Polish version of the Body Appreciation Scale-2 (BAS-2; Tylka & Wood-Barcalow, 2015). Data were collected from 721 individuals residing in various regions of Poland. There were two subsamples (n=336, age M=34.95, SD=10.83; and n=385, age M=35.38, SD=10.83). Both principal-axis and confirmatory factor analyses supported the one-dimensional structure of BAS-2 scores. Moreover, full scalar invariance of the BAS-2 in Poland across sex was demonstrated. Scores on the Polish BAS-2 had adequate internal consistency. Convergent validity was demonstrated through significant correlations between BAS-2 scores and variables related to body image (body and appearance self-conscious emotions), well-being (self-esteem, positive affect, and positive orientation), and body mass index. These results indicate that the Polish BAS-2 is an appropriate and psychometrically-sound measure of body appreciation.

Positive body image is positively associated with hedonic (emotional) and eudaimonic (psychological and social) well-being in British adults

Studies examining associations between positive body image and well-being have used a limited array of measures of each construct. To rectify this, we asked an online sample of 1148 U.K. adults to complete a range of measures of positive body image (body appreciation, body image flexibility, body pride, body acceptance from others) and a multi-dimensional measure of well-being (emotional, psychological, and social). Results showed that, once the effects of age and body mass index (BMI) had been accounted for, body appreciation significantly predicted all dimensions of well-being. Other positive body image measures emerged as significant predictors, but patterns of associations were mixed across sex and well-being dimension. Additional analyses showed that women had significantly lower scores than men on most body image measures, and that BMI was negatively associated with all body image measures. These results have implications for the promotion of well-being, which we discuss.

Associations Between Positive Body Image, Sexual Liberalism, and Unconventional Sexual Practices in U.S. Adults

While studies have documented robust relationships between body image and sexual health outcomes, few studies have looked beyond sexual functioning in women. Here, we hypothesized that more positive body image would be associated with greater sexual liberalism and more positive attitudes toward unconventional sexual practices. An online sample of 151 women and 164 men from the U.S. completed measures of sexual liberalism, attitudes toward unconventional sexual practices, and indices of positive body image (i.e., body appreciation, body acceptance by others, body image flexibility, and body pride), and provided their demographic details. Regression analyses indicated that, once the effects of sexual orientation, relationship status, age, and body mass index had been accounted for, higher body appreciation was significantly associated with greater sexual liberalism in women and men. Furthermore, higher body appreciation and body image flexibility were significantly associated with more positive attitudes toward unconventional sexual practices in women and men. These results may have implications for scholars working from a sex-positive perspective, particularly in terms of understanding the role body image plays in sexual attitudes and behaviors.

Sketching people: Prospective investigations of the impact of life drawing on body image

Three studies were conducted to establish the extent to which life drawing is effective at promoting positive body image. Study 1 (N=84 women) showed that life drawing had a positive impact on state body image, but only if artists observed a human model and not non-human objects. Study 2 (N=61 women, 61 men) showed that life drawing had a positive impact on state body image for women and men, irrespective of whether artists observed a sex-congruent or -incongruent model. Study 3 (N=23) showed that participating in weekly life drawing sessions for a 6-week period resulted in significantly elevated trait positive body image (body appreciation and body pride) and embodiment, and in reduced social physique anxiety; however, the intervention had no significant impact on negative body image (drive for thinness or muscularity). These results highlight the potential of life drawing for promoting positive body experiences.

Self-esteem moderates the associations between body-related self-conscious emotions and depressive symptoms

The objectives of this study were to describe the cross-sectional associations between body-related self-conscious emotions and depressive symptoms in young adults and examine self-esteem as a moderator of these associations. Data from a population-based sample of 811 young adults were analyzed using hierarchical multivariate linear regression analysis. Body-related shame ( β = .26) and guilt ( β = .25) were positively related to frequency of depressive symptoms. Self-esteem was negatively related to frequency of depressive symptoms ( β = −.46). Self-esteem moderated the association between body-related guilt and frequency of depressive symptoms. These findings suggest promoting self-esteem may help to reduce the negative effects of body-related guilt on depressive symptoms.