1
|
Wu W, Li D, Zhou H, Wang K, Tylka TL. Psychometric properties of a Mandarin Chinese version of the Body Appreciation Scale-2 among Chinese adolescents. Body Image 2024; 50:101739. [PMID: 38820800 DOI: 10.1016/j.bodyim.2024.101739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Revised: 05/18/2024] [Accepted: 05/21/2024] [Indexed: 06/02/2024]
Abstract
In the present study, we explored the factor structure and psychometric properties of the Mandarin Chinese BAS-2 among adolescents residing in the Chinese mainland. Exploratory factor analysis in Study 1 (N = 790; 396 girls, 394 boys) supported the unidimensionality of the Mandarin Chinese BAS-2 among Chinese adolescents. Internal consistency reliability was upheld via McDonald's omega. Convergent validity was supported by its moderate-to-strong relationships with body satisfaction, functionality satisfaction, self-esteem, life satisfaction, positive affect, and negative affect, while its small-to-moderate correlation with social desirability provided somewhat weaker discriminant validity support. Criterion-related validity was upheld by its inverse correlation with eating disorder symptomatology and positive correlation with intuitive eating. It explained unique variance in self-esteem (for girls and boys), eating disorder symptomatology (for girls), and intuitive eating (for boys) beyond age, body satisfaction, and functionality satisfaction, providing incremental validity evidence. A subsample of 134 girls and 114 boys completed the Mandarin Chinese BAS-2 again after three months, and test-retest reliability was upheld. The confirmatory factor analysis in Study 2 (N = 337; 192 girls, 145 boys) replicated the unidimensional structure and supported measurement invariance across gender. Collectively, the present study supported the unidimensionality, reliability, and validity of the Mandarin Chinese BAS-2's scores among Chinese adolescents.
Collapse
Affiliation(s)
- Wanyu Wu
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Dan Li
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Hanyu Zhou
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Affiliated Mental Health Center (ECNU), School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
| | - Kui Wang
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.
| | - Tracy L Tylka
- Department of Psychology, The Ohio State University, Columbus and Marion Campuses, Marion, OH, United States
| |
Collapse
|
2
|
Brichacek AL, Neill JT, Murray K, Rieger E, Watsford C. The distinct affect regulation functions of body image flexibility and inflexibility: A prospective study in adolescents and emerging adults. Body Image 2024; 50:101726. [PMID: 38810389 DOI: 10.1016/j.bodyim.2024.101726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 04/19/2024] [Accepted: 05/10/2024] [Indexed: 05/31/2024]
Abstract
Body image flexibility and inflexibility are alternative ways of responding to body image threats. Affect regulation offers a framework for understanding how these responses impact health outcomes; however, research in young people is limited. This prospective study tested two potential affect regulation functions in adolescents and emerging adults (N = 351, 66.7% female) via online surveys completed five months apart. Specifically, body image flexibility and inflexibility were tested as (a) direct predictors of adaptive (body appreciation, intuitive eating) and maladaptive (muscle-building strategies, disordered eating) outcomes, and (b) moderators of the indirect effect of a social comparison threat via body appreciation. Results from hierarchical linear and conditional process models showed that body image flexibility and inflexibility served distinct affect regulation functions. Whereas body image inflexibility directly predicted adaptive and maladaptive body- and eating-related outcomes, body image flexibility protected against the negative effects of social comparison on intuitive eating via body appreciation. Findings suggest that adolescents and emerging adults could benefit from learning body image flexibility skills and reducing inflexibility to promote positive body image and prevent body- and eating-related disturbances. Future research should investigate how body image flexibility and inflexibility relate to other established threats and outcomes in diverse demographic groups.
Collapse
Affiliation(s)
- Anna L Brichacek
- Discipline of Psychology, Faculty of Health, University of Canberra, Australia.
| | - James T Neill
- Discipline of Psychology, Faculty of Health, University of Canberra, Australia
| | - Kristen Murray
- School of Medicine and Psychology, ANU College of Health and Medicine, Australian National University, Australia
| | - Elizabeth Rieger
- School of Medicine and Psychology, ANU College of Health and Medicine, Australian National University, Australia
| | - Clare Watsford
- Discipline of Psychology, Faculty of Health, University of Canberra, Australia
| |
Collapse
|
3
|
Riddervold S, Haug E, Kristensen SM. Sports participation, body appreciation and life satisfaction in Norwegian adolescents: A moderated mediation analysis. Scand J Public Health 2024; 52:704-710. [PMID: 37403364 DOI: 10.1177/14034948231184525] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/06/2023]
Abstract
AIMS Life satisfaction is an important aspect of quality of life and plays an essential role in optimal developmental adaption in adolescence. This study investigated whether being active in organised leisure sports is associated with a higher level of life satisfaction among adolescents, both directly and indirectly, through increased body appreciation. Whether gender moderates the mentioned associations will also be examined. METHODS The study was cross-sectional and based on a sample of 541 participants (44% females) between 16 and 19 years of age (Mage=16.89 years, SD=0.46). A moderated mediation model was examined using SPSS v27 and the PROCESS macro. RESULTS Boys had higher life satisfaction and body appreciation levels than girls did. There was no direct effect of organised leisure sports participation on life satisfaction. However, there was a positive association between organised leisure sports participation and life satisfaction through increased body appreciation. No gender differences were observed for the direct association between sports participation and life satisfaction or the indirect associations between sports participation and life satisfaction through body appreciation. CONCLUSIONS Our findings support that body appreciation is a mediator for the association between organised leisure sports participation and life satisfaction for both boys and girls. Longitudinal studies should be conducted to further examine if causal relationships exist.
Collapse
Affiliation(s)
- Sofie Riddervold
- Department of Health Promotion and Development, Faculty of Psychology, University of Bergen, Norway
| | - Ellen Haug
- Department of Health Promotion and Development, Faculty of Psychology, University of Bergen, Norway
- Department of Teacher Education, NLA University College, Norway
| | | |
Collapse
|
4
|
Torres S, Vieira AI, Vieira FM, Miller KM, Guerra MP, Lencastre L, Reis AC, Timóteo S, Nunes P, Barbosa MR. A Comprehensive Study of Positive Body Image as a Predictor of Psychological Well-Being in Anorexia Nervosa. Nutrients 2024; 16:1787. [PMID: 38892718 PMCID: PMC11174434 DOI: 10.3390/nu16111787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2024] [Revised: 05/31/2024] [Accepted: 06/04/2024] [Indexed: 06/21/2024] Open
Abstract
Recent data suggest a close association between positive body image (PBI) and eating disorder recovery. Nevertheless, the specific mechanisms through which PBI may facilitate recovery from anorexia nervosa (AN) remain unknown. To advance understanding of these mechanisms, this study examined core indices of PBI within AN, exploring its association with emotion regulation and well-being outcomes. Data were collected from 159 female participants, 64 with AN diagnosis and 95 healthy controls (HCs), who completed measures of PBI (body appreciation, functionality appreciation, and body responsiveness), emotion regulation, and psychological well-being (depression, anxiety, stress, and psychological quality of life). The AN group reported lower levels of PBI and psychological well-being, along with greater difficulties in regulating emotions, relative to HCs. PBI variables significantly predicted emotion regulation and psychological well-being in AN, accounting for 36% to 72% of the variance, with body appreciation emerging as the strongest predictor. These findings lend credence to the view that PBI can serve as a catalyst for psychological health. We hypothesize that enhancing PBI can improve interoceptive awareness, which is crucial for emotion regulation and reducing maladaptive food-related coping. Emphasizing a mind-body connection in lifestyle could be a relevant element to consider for both treating and preventing AN.
Collapse
Affiliation(s)
- Sandra Torres
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.M.V.); (M.P.G.); (L.L.); (M.R.B.)
- Center for Psychology at the University of Porto (CPUP), University of Porto, 4200-135 Porto, Portugal;
| | - Ana Isabel Vieira
- Center for Psychology at the University of Porto (CPUP), University of Porto, 4200-135 Porto, Portugal;
| | - Filipa Mucha Vieira
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.M.V.); (M.P.G.); (L.L.); (M.R.B.)
- Center for Psychology at the University of Porto (CPUP), University of Porto, 4200-135 Porto, Portugal;
| | - Kylee M. Miller
- Child Development and Rehabilitation Center (CDRC), Institute on Development & Disability, Oregon Health & Science University, Portland, OR 97403, USA;
| | - Marina Prista Guerra
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.M.V.); (M.P.G.); (L.L.); (M.R.B.)
- Center for Psychology at the University of Porto (CPUP), University of Porto, 4200-135 Porto, Portugal;
| | - Leonor Lencastre
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.M.V.); (M.P.G.); (L.L.); (M.R.B.)
- Center for Psychology at the University of Porto (CPUP), University of Porto, 4200-135 Porto, Portugal;
| | - Ana Catarina Reis
- Department of Psychiatry, Centro Hospitalar de São João, 4200-319 Porto, Portugal; (A.C.R.); (S.T.); (P.N.)
| | - Sertório Timóteo
- Department of Psychiatry, Centro Hospitalar de São João, 4200-319 Porto, Portugal; (A.C.R.); (S.T.); (P.N.)
| | - Patrícia Nunes
- Department of Psychiatry, Centro Hospitalar de São João, 4200-319 Porto, Portugal; (A.C.R.); (S.T.); (P.N.)
| | - Maria Raquel Barbosa
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal; (F.M.V.); (M.P.G.); (L.L.); (M.R.B.)
- Center for Psychology at the University of Porto (CPUP), University of Porto, 4200-135 Porto, Portugal;
| |
Collapse
|
5
|
Wodarz R, Rogowska AM. The Moderating Effect of Body Appreciation on the Relationship between Self-Esteem and Life Satisfaction. Eur J Investig Health Psychol Educ 2024; 14:870-887. [PMID: 38667811 PMCID: PMC11049024 DOI: 10.3390/ejihpe14040056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2023] [Revised: 03/22/2024] [Accepted: 03/25/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND Although positive associations between life satisfaction, self-esteem, and body image have previously been established, differences in these variables by gender and age have yielded mixed results. Moreover, little is known about the interplay between self-esteem and body appreciation on life satisfaction. This study aims to investigate the moderating effect of body appreciation on the relationship between self-esteem and life satisfaction, considering disparities between females and males and also between emerging adults (before the age of thirty) and older adults. METHODS A cross-sectional online survey was performed in Poland with a sample of 449 adults aged between 18 and 75 (M = 30.41, SD = 12.72), including 68% of women. The survey included the Satisfaction With Life Scale (SWLS), Rosenberg Self-Esteem Scale (RSES), and Body Appreciation Scale (BAS-2). RESULTS Men scored higher than women in terms of life satisfaction and self-esteem, while older participants (age > 30) scored higher than younger individuals (age ≤ 30) in terms of life satisfaction, self-esteem, and body appreciation. The study confirmed positive and moderate correlations between life satisfaction, self-esteem, and body appreciation. The interactive effect of self-esteem and body appreciation on life satisfaction was also found by controlling for age and gender. CONCLUSIONS Some intervention programs focused on increasing levels of self-esteem and body appreciation should be implemented, especially among women and emerging adults, to improve their well-being.
Collapse
|
6
|
Blomquist KK, Ellison WD, Siddiqui S, Montgomery K. Dissemination of a dissonance-based body image promotion program for mothers and daughters in church settings: A controlled pilot study of Reclaiming Beauty. Body Image 2024; 48:101675. [PMID: 38160471 DOI: 10.1016/j.bodyim.2023.101675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 12/13/2023] [Accepted: 12/15/2023] [Indexed: 01/03/2024]
Abstract
This proof of concept, controlled pilot study expands on existing dissonance-based body image promotion programs by testing a modified version of the Body Project for 136 mothers and daughters aged 11-18 years old in church settings called Reclaiming Beauty. Mothers (n = 30) and their daughters (n = 35) who participated in Reclaiming Beauty were compared to mothers (n = 32) and daughters (n = 39) in a waitlist, assessment-only, control group on body image, eating psychopathology, and risk factor measures (thin-ideal internalization, physical appearance comparison) at pre-, post-, and 6-month-follow-up assessments. Intent-to-treat, multilevel modeling indicated that mothers and daughters in the Reclaiming Beauty group experienced significant improvement in body appreciation, body shape concerns, eating psychopathology, thin-ideal internalization, and physical appearance comparison over a six-month period compared to control participants. Changes in thin-ideal internalization and appearance comparison did not predict body image and eating psychopathology at follow-up. Baseline levels of body satisfaction did not moderate the effect of the program, except for its effect on body shape concerns. Findings provide preliminary support for delivering a dissonance-based body image promotion intervention to mothers and their daughters and the feasibility of leveraging the mother-daughter relationship as well as delivering interventions in church settings.
Collapse
Affiliation(s)
- Kerstin K Blomquist
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States.
| | - William D Ellison
- Department of Psychology, Trinity University, San Antonio, TX 78212, United States
| | - Sofia Siddiqui
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States
| | - Kate Montgomery
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States
| |
Collapse
|
7
|
Babbott KM, Consedine NS, Roberts M. Your Body Is Your Home: The feasibility of an intuitive eating intervention for early adolescents. Int J Eat Disord 2024; 57:727-739. [PMID: 38379127 DOI: 10.1002/eat.24163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Revised: 01/25/2024] [Accepted: 01/25/2024] [Indexed: 02/22/2024]
Abstract
OBJECTIVE Intuitive eating (IE) is an emerging health promotion framework which has shown promise in the prevention and early intervention of disordered eating (DE) behavior in adults. This study sought to extend this work by assessing the feasibility and preliminary efficacy of a 5-week IE intervention, "Your Body is Your Home," delivered in school classrooms for early adolescents aged 11-13. METHODS The present study utilized a quasi-experimental design. Eligibility criteria were defined a priori and published in a registered protocol. Four classrooms (n = 128 student participants) were recruited into two streams, and self-report questionnaires were administered at pre-test, post-test, and 4-week follow-up. The questionnaires included the Intuitive Eating Scale for Early Adolescents (IES-2-EA), the Body Appreciation Scale (BAS-2), and the WHO Wellbeing Index (WHO-5). Linear mixed models were used to conduct preliminary efficacy testing. RESULTS The results indicate that a brief classroom-based IE intervention is feasible and acceptable for both students and teaching staff; retention, fidelity, and attendance targets were achieved. Students and teachers rated all five sessions of the intervention as a highly feasible method of health promotion. Further, preliminary efficacy data suggest IE interventions aimed at early adolescents may be a feasible way of improving certain aspects of IE (p < .001) in male and female participants, and body appreciation (p < .001) in male participants. DISCUSSION The study provides preliminary support for the implementation and evaluation of an IE intervention as part of school-based health promotion and offers preliminary effect size estimates for a larger-scale randomized trial. PUBLIC SIGNIFICANCE Existing evidence suggests that IE may be a useful framework through which relationships with food and the body can be improved. The present study seeks to extend this work by adapting the framework for early adolescents (among whom the framework is not well understood) and examining feasibility, acceptability, and preliminary changes to several health and well-being metrics following a 5-week school-based intervention.
Collapse
Affiliation(s)
- Katie M Babbott
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
| | - Nathan S Consedine
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
| | - Marion Roberts
- General Practice & Primary Healthcare, University of Auckland, Auckland, New Zealand
| |
Collapse
|
8
|
Sundgot-Borgen C, Wisting L, Sundgot-Borgen J, Steenbuch K, Skrede JV, Nilsen K, Stice E, Mathisen TF. The "Young Athlete Body Project"-A pilot study evaluating the acceptability of and results from an eating disorder prevention program for adolescent athletes. Int J Eat Disord 2024; 57:568-580. [PMID: 38238966 DOI: 10.1002/eat.24140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 01/04/2024] [Accepted: 01/04/2024] [Indexed: 03/17/2024]
Abstract
BACKGROUND The high frequency of eating disorders (EDs) in sports speaks of a need for early-stage preventive measures. OBJECTIVES This study evaluated the acceptability of an age, sex, and sports adapted version of the "Body Project" and changes in mental health symptoms. METHODS This noncontrolled pilot study included a class of athletes from 18 sports (N = 73, 13-14 years) at a sport-specialized junior high school in six small-group workshops. We interviewed 34 athletes on program acceptability, and all athletes responded to questionnaires at pretest, posttest, and 6-month follow-up including the Body Appreciation Scale 2-Children, Social Attitudes towards Appearance Questionnaire-4 revised, Eating Disorder Examination Questionnaire Short form-12 modified, and questions about body appearance pressure (BAP). RESULTS Athletes found the program acceptable and beneficial, but some missed physically oriented activities or did not identify with the focus, particularly boys. There were acceptable levels in mental health constructs before the workshops. There were temporary changes in the percentage of boys experiencing "BAP in society" by -14.8% points (95% CI: -.6 to .0, p = .04), % in total group experiencing "BAP at school" by +11% points (95% CI: .0-.2, p = .05), thinness idealization by girls (g = .6, p = .002) and total group (g = .4, p = .006), and muscularity idealization by boys (g = .3, p = .05) and total group (g = .23, p = .04). DISCUSSION Athletes experienced benefits from the Young Athlete Body Project. Seeing stabilization in outcomes may mean a dampening of the otherwise expected worsening in body appreciation and ED symptoms over time. PUBLIC SIGNIFICANCE Adolescent athletes are at risk for developing EDs. Due to lack of prevention programs for this group, we adapted and evaluated a well-documented effective program, the Body Project, to fit male and female athletes <15 years. The athletes accepted the program and experienced participation benefits, with stronger acceptance among girls. Our promising findings encourage larger scaled randomized controlled trials to further evaluate a refined version this program among very young athletes.
Collapse
Affiliation(s)
- Christine Sundgot-Borgen
- Division of Mental Health and Addiction, Regional Department for Eating Disorders, Oslo University Hospital, Oslo, Norway
| | - Line Wisting
- Division of Mental Health and Addiction, Regional Department for Eating Disorders, Oslo University Hospital, Oslo, Norway
| | | | - Karoline Steenbuch
- Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway
| | - Jenny Vik Skrede
- Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway
| | - Karoline Nilsen
- Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway
| | - Eric Stice
- Department of Psychiatry and Behavioural Sciences, Stanford University, Stanford, California, USA
| | | |
Collapse
|
9
|
Laxdal A, Torstveit MK, Ryman Augustsson S, Ausland Å, Bjärsholm D, Kjær JB, Larsson M, Linner S, Melin A, Radovan F, Solstad BE. FIDES Athlete Development Programme: project background and study protocol of an embedded multiple case study. BMJ Open Sport Exerc Med 2024; 10:e001898. [PMID: 38347857 PMCID: PMC10860039 DOI: 10.1136/bmjsem-2024-001898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/25/2024] [Indexed: 02/15/2024] Open
Abstract
Most sports science research revolves around male subjects. As a result, most of the knowledge and practices within sports are male-centric. Failing to take the biological, psychological and social (biopsychosocial) particularities of females into account is believed to hinder optimal sports participation, development and performance, with potential negative effects on the health and well-being of females. To close the knowledge gap and alleviate these issues, we aim to develop and evaluate a 12-video educational intervention that addresses female-specific subject matter: the FIDES Athlete Development Programme. The study is designed as an embedded multiple case study where at least 1320 Swedish female athletes aged 13-16 will participate, in addition to their parents and their coaches. The girls will be recruited through their sports clubs, with half being exposed to the FIDES Athlete Development Programme and the other half serving as control cases. The primary outcomes are well-being and sporting experience. To further increase our understanding of the intervention and its implications, interviews and focus group interviews with a reference group of girls and focus group interviews with a randomly selected subsample of coaches and parents will also be performed. The project is approved by the Swedish ethics committee (number: 2023-05264-01) and will be carried out in compliance with the Declaration of Helsinki. Results from the project will be published open access in peer-reviewed journals, at national and international conferences, in mass media, and a PhD thesis. The anonymised data will be made openly available in a data repository.
Collapse
Affiliation(s)
- Aron Laxdal
- Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
| | | | | | - Ådne Ausland
- Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
| | - Daniel Bjärsholm
- Department of Sport Science, Linnaeus University, Kalmar, Sweden
| | | | - Mariah Larsson
- Department of Sport Science, Linnaeus University, Kalmar, Sweden
| | - Susanne Linner
- Department of Sport Science, Linnaeus University, Kalmar, Sweden
| | - Anna Melin
- Department of Sport Science, Linnaeus University, Kalmar, Sweden
| | - Felicia Radovan
- Department of Sport Science, Linnaeus University, Kalmar, Sweden
| | - Bård Erlend Solstad
- Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway
| |
Collapse
|
10
|
Torres S, Vieira AI, Vieira FM, Lencastre L, Guerra MP, Miller KM, Barbosa MR. Psychometric analysis of the body responsiveness questionnaire in the Portuguese population. Sci Rep 2023; 13:22997. [PMID: 38151515 PMCID: PMC10752900 DOI: 10.1038/s41598-023-50530-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 12/20/2023] [Indexed: 12/29/2023] Open
Abstract
Body responsiveness refers to the tendency to be attuned to the body's needs and use interoceptive information to guide behavior. Despite its potential beneficial effect on the development of positive body image, this construct is currently understudied. To boost research in this area, we examined the factor structure, gender invariance, and psychometric properties of a Portuguese translation of the Body Responsiveness Questionnaire (BRQ). A total of 650 men and women (aged 18-80 years) completed the Portuguese BRQ. To assess its convergent validity, participants also completed measures of body appreciation, emotion regulation, depression symptoms, and psychological quality of life. Exploratory factor analysis indicated a two-factor structure of the BRQ, which was upheld using confirmatory factor analysis: "Importance of Interoceptive Awareness" (ω = .85-.87) and "Perceived Connection" between body and mind (ω = .71-.74). BRQ scores had partial scalar invariance across gender, and no significant gender differences. Convergent and known-groups validity was supported. Participants with overweight/obesity (vs. normal weight) and middle-aged adults (vs. young adults) assigned higher importance to body signals to guide behavior. The Portuguese version of the BRQ is a psychometrically sound measure of body responsiveness and it may contribute to a comprehensive assessment of positive body image to guide intervention.
Collapse
Affiliation(s)
- Sandra Torres
- Faculty of Psychology and Education Sciences, University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal.
- Center for Psychology at the University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal.
| | - Ana Isabel Vieira
- Faculty of Psychology and Education Sciences, University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
- Center for Psychology at the University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
| | - Filipa Mucha Vieira
- Faculty of Psychology and Education Sciences, University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
- Center for Psychology at the University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
| | - Leonor Lencastre
- Faculty of Psychology and Education Sciences, University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
- Center for Psychology at the University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
| | - Marina Prista Guerra
- Faculty of Psychology and Education Sciences, University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
- Center for Psychology at the University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
| | - Kylee M Miller
- Institute on Development & Disability, Child Development and Rehabilitation Center (CDRC), Oregon Health and Science University, 901 E. 18th Ave, Eugene, OR, 97403, USA
| | - Maria Raquel Barbosa
- Faculty of Psychology and Education Sciences, University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
- Center for Psychology at the University of Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
| |
Collapse
|
11
|
Babbott KM, Tylka T, van der Werf B, Consedine NS, Roberts M. Intuitive Eating Scale-2-EA: Psychometric properties and factor structure of the adapted IES-2 for early adolescents. Eat Behav 2023; 51:101813. [PMID: 37741083 DOI: 10.1016/j.eatbeh.2023.101813] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 09/06/2023] [Accepted: 09/11/2023] [Indexed: 09/25/2023]
Abstract
PURPOSE Intuitive Eating (IE) is an approach to eating characterised by attunement to intrinsic cues, and using those cues to guide behaviours related to food and eating. Tylka and Kroon Van Diest's (2008) Intuitive Eating Scale (IES-2) is well-validated in adults, but not yet among early adolescents. The current study was designed to adapt and validate a version suited for use in early adolescence (IES-2-EA). METHODS Data collected from two independent samples of adolescents aged 11 to 13 (N = 471) were structurally examined using exploratory factor analysis (EFA), with a subsequent confirmatory factor analysis (CFA) to confirm hypothesised model fit. Relationships between scores on the IES-2-EA and validated measures of actual-ideal body size discrepancy, body appreciation, interoceptive awareness, and psychological distress were also examined. RESULTS The adapted 17-item IES-2-EA had a three-factor structure with several key differences from the original version developed for adults. Moderate-to-strong correlations were found between scores on the IES-2-EA, body appreciation, interoceptive awareness, actual-ideal body size discrepancy, and psychological distress in the first sample of adolescents (n = 245). Secondary CFA showed good model fit in the second sample of adolescents (n = 226). CONCLUSION The IES-2-EA is well-suited to measure intuitive eating behaviour among early adolescents. The 17 items reflect a three-component structure similar to that seen in adults completing the IES-2. These early data suggest the adapted IES-2-EA has evidence of reliability and validity; it may be an effective measure for research and clinical use.
Collapse
Affiliation(s)
- Katie M Babbott
- General Practice & Primary Healthcare, University of Auckland, New Zealand.
| | - Tracy Tylka
- Department of Psychology, The Ohio State University, USA.
| | - Bert van der Werf
- Department of Epidemiology and Biostatistics, University of Auckland, New Zealand.
| | - Nathan S Consedine
- Department of Psychological Medicine, University of Auckland, New Zealand.
| | - Marion Roberts
- General Practice & Primary Healthcare, University of Auckland, New Zealand.
| |
Collapse
|
12
|
Babbott KM, Consedine NS, Roberts M. Eating behaviour, body image, and mental health: updated estimates of adolescent health, well-being, and positive functioning in Aotearoa New Zealand. J Prim Health Care 2023; 15:297-307. [PMID: 38112698 DOI: 10.1071/hc23048] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 07/24/2023] [Indexed: 12/21/2023] Open
Abstract
Introduction Body image dissatisfaction and its associated challenges have been related to poorer health outcomes among adolescents worldwide, including disordered eating behaviour, depression, and anxiety. However, current prevalence estimates of these issues in Aotearoa New Zealand or, relatedly, the estimates of positive attitudes and behaviours, such as intuitive eating and body appreciation are dated. Aim The primary aim of this paper was to provide updated estimates for a variety of constructs related to eating behaviours and body image, sourced from a diverse range of early adolescent participants. Methods For this report, a brief online survey was advertised to adolescents throughout Aotearoa New Zealand (n = 893) via school and community noticeboards. Results Approximately one-in-three male participants and one-in-two female participants reported body image dissatisfaction. One in four participants reported clinically significant symptoms of depression and anxiety. Discussion Given such issues, there is clearly still much progress to be made in advancing positive health among early adolescents. Identifying potentially protective constructs such as intuitive eating and body appreciation may offer guidance into the best targets for prevention and early intervention.
Collapse
Affiliation(s)
- Katie M Babbott
- General Practice & Primary Healthcare, University of Auckland, Auckland, New Zealand. ; and Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
| | - Nathan S Consedine
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
| | - Marion Roberts
- General Practice & Primary Healthcare, University of Auckland, Auckland, New Zealand
| |
Collapse
|
13
|
Mahon C, Hamburger D, Webb JB, Yager Z, Howard E, Booth A, Fitzgerald A. Protocol of a cluster randomised trial of BodyKind: a school-based body image programme for adolescents. BMC Public Health 2023; 23:2246. [PMID: 37964252 PMCID: PMC10647142 DOI: 10.1186/s12889-023-17002-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 10/16/2023] [Indexed: 11/16/2023] Open
Abstract
BACKGROUND Poor body image is prevalent among adolescents and associated with several negative outcomes for their physical and psychological health. There is a pressing need to address this growing public health concern, yet there are few evidence-informed universal programmes for older adolescents that address contemporary body image concerns (i.e., social media). BodyKind is a four lesson, school-based, teacher led, universal body image programme that incorporates empirically supported principles of cognitive dissonance, self-compassion, compassion for others and social activism, to support positive body image development. Building on previous pilot trials in the USA, this paper outlines the protocol for a cluster randomised control trial (cRCT) and implementation evaluation of the BodyKind programme which was culturally adapted for the Irish cultural context. METHODS We aim to recruit 600 students aged 15-17 years in Transition Year (4th year) across 26 second-level schools in Ireland. Using minimisation, schools will be randomly assigned to receive BodyKind (intervention condition, n=300) or classes as usual (waitlist control, n=300). Teachers in intervention groups will receive training and deliver the programme to students over four weeks, at a rate of one lesson per week. Primary outcomes of body appreciation, body dissatisfaction and psychological wellbeing and secondary outcomes of self-compassion, compassion for others, body ideal internalisation, social justice motives and appearance-based social media use will be assessed at pre-, post- and 2 month follow up. Mediation and moderation analyses will be conducted to identify how and for whom the intervention works best. An implementation evaluation will assess the quality of programme implementation across schools and how this may influence intervention outcomes. Waitlist control schools will receive the programme after the 2-month follow up. CONCLUSION This study will be the first to implement a cRCT and an implementation evaluation to assess the impact of this multicomponent school-based body image programme designed to support healthy body image development. If shown to be effective, BodyKind will have the potential to improve adolescent body image and wellbeing and inform efforts to implement sustainable and scalable programmes in schools. TRIAL REGISTRATION The trial was retrospectively registered on 10/10/2023 on ClinicalTrials.gov NCT06076993 .
Collapse
Affiliation(s)
- Ciara Mahon
- School of Psychology, University College Dublin (UCD), Newman Building, Belfield, Dublin 4, Ireland.
| | | | - Jennifer B Webb
- Department of Psychological Science, Health Psychology Ph.D. Program, University of North Carolina at Charlotte (UNC Charlotte), Charlotte, USA
| | - Zali Yager
- Embrace Collective NFP, Adelaide, Australia
| | - Emma Howard
- School of Computer Science and Statistics, Trinity College Dublin, Dublin, Ireland
| | - Ailbhe Booth
- School of Psychology, University College Dublin (UCD), Newman Building, Belfield, Dublin 4, Ireland
- Jigsaw, The National Centre for Youth Mental Health, Dublin, Ireland
| | - Amanda Fitzgerald
- School of Psychology, University College Dublin (UCD), Newman Building, Belfield, Dublin 4, Ireland
| |
Collapse
|
14
|
Kvardova N, Lacko D, Machackova H. The validity of the Czech version of Body Appreciation Scale-2 for adolescents. J Eat Disord 2023; 11:176. [PMID: 37798665 PMCID: PMC10557209 DOI: 10.1186/s40337-023-00897-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Accepted: 09/20/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND Understanding the formation of body image is critical for the prevention and treatment of eating disorders, especially in adolescence, when body image develops significantly. One of the important facets of body image is body appreciation, which consists of positive feelings and attitudes towards the body regardless of its perceived "flaws". To measure body appreciation, Body Appreciation Scale-2 (Tylka and Wood-Barcalow in Body Image 12:53-67, 2015a), a unidimensional 10-item measure, has been developed and routinely used in body image research. The current study examined the validity (i.e., factor structure, gender and age invariance, associations with other constructs) of the Czech version of Body Appreciation Scale-2 for adolescents. METHODS The study used two large samples of Czech adolescents, aged 13-18 (N1 = 613, M = 15.5, 52% girls; N2 = 1,530, M = 15.4, 50% girls). The data were collected in August 2021 (N1) and November 2020 (N2) through an online survey. For the data analysis, we used confirmatory factor analysis (CFA), multi-group confirmatory factor analysis (MG-CFA), and Structural Equation Modeling (SEM). RESULTS Our findings supported the proposed unidimensional factor structure and the gender (i.e., girls, boys) and age (i.e., 13-15, 16-18) scalar invariance of the Czech version of Body Appreciation Scale-2. The data also showed the expected positive correlations with body satisfaction and self-esteem, and negative correlations with media-ideal internalization, appearance schematicity, and depression. Furthermore, we discovered that body appreciation was more strongly connected to media-ideal internalization and depression for girls than boys. CONCLUSIONS The present study provided robust evidence that supports the validity of the Czech version of Body Appreciation Scale-2 and its usability for the assessment of body appreciation in Czech adolescents. We also proposed future directions for the research on body appreciation based on the explored gender differences.
Collapse
Affiliation(s)
- Nikol Kvardova
- Interdisciplinary Research Team on Internet and Society, Faculty of Social Studies, Masaryk University, Jostova 10, 60200, Brno, Czech Republic.
| | - David Lacko
- Interdisciplinary Research Team on Internet and Society, Faculty of Social Studies, Masaryk University, Jostova 10, 60200, Brno, Czech Republic
| | - Hana Machackova
- Interdisciplinary Research Team on Internet and Society, Faculty of Social Studies, Masaryk University, Jostova 10, 60200, Brno, Czech Republic
| |
Collapse
|
15
|
Fekih-Romdhane F, Azzi V, Malaeb D, Sarray El Dine A, Obeid S, Hallit S. Psychometric properties of an Arabic translation of the body appreciation scale (BAS-2) and its short forms (BAS-2SF) in a community sample of Lebanese adults. J Eat Disord 2023; 11:160. [PMID: 37723503 PMCID: PMC10506330 DOI: 10.1186/s40337-023-00885-x] [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: 05/04/2023] [Accepted: 09/09/2023] [Indexed: 09/20/2023] Open
Abstract
OBJECTIVES The present study sought to examine the factor structure, reliability, validity and gender invariance of the Arabic Body Appreciation Scale (BAS-2), and its two short forms (the 3-item and 2-item BAS-2SF) among community Lebanese Arabic-speaking adults. METHODS We carried-out an online cross-sectional survey. The 10-item BAS-2, the functionality appreciation scale and the Eating Attitudes Test-26 were completed by 826 Lebanese community adults (57.9% females, aged 25.42 ± 8.44 years). RESULTS The Arabic 10-item, 3-item and 2-item BAS-2 converged on a one-factor solution, and demonstrated high internal consistency (McDonald's ω value of .92, .88, and .86 respectively). All indices suggested that configural, metric, and scalar invariance was supported across gender. The 3-item and 2-item BAS-2SF were highly correlated with the original BAS-2 (r > 0.9). Higher 10-item, 3-item and 2-item BAS-2 scores correlated significantly and strongly with more positive eating attitudes and greater functionality appreciation, and higher 10-item BAS-2 scores correlated positively and weakly with BMI, supporting convergent validity. CONCLUSION The present work contributes to the literature by providing a psychometrically sound Arabic-translation of the BAS-2 and short-forms, benefitting both researchers and clinicians.
Collapse
Affiliation(s)
- Feten Fekih-Romdhane
- The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry “Ibn Omrane”, Razi Hospital, 2010 Manouba, Tunisia
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Vanessa Azzi
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
| | - Diana Malaeb
- College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates
| | - Abir Sarray El Dine
- Department of Biomedical Sciences, School of Arts and Sciences, Lebanese International University, Beirut, Lebanon
| | - Sahar Obeid
- School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
- Psychology Department, College of Humanities, Effat University, Jeddah, Saudi Arabia
- Applied Science Research Center, Applied Science Private University, Amman, Jordan
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| |
Collapse
|
16
|
Ren Y, Barnhart WR, Cui T, Song J, Tang C, Cui S, He J. Exploring the longitudinal association between body dissatisfaction and body appreciation in Chinese adolescents: A four-wave, random intercept cross-lagged panel model. Body Image 2023; 46:32-40. [PMID: 37196387 DOI: 10.1016/j.bodyim.2023.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 04/28/2023] [Accepted: 04/30/2023] [Indexed: 05/19/2023]
Abstract
Although ample research evidence exists regarding the negative association between body dissatisfaction and body appreciation, the longitudinal association between these two constructs remains unclear, especially for adolescents. Thus, this study investigated the longitudinal association between body dissatisfaction and body appreciation and potential gender differences in this relationship in Chinese adolescents using four-wave longitudinal data. A sample of 2566 adolescents (54.10% girls) were included. A Random Intercept Cross-Lagged Panel Model (RI-CLPM) was conducted separately for boys and girls after controlling for baseline age and BMI z-scores. Results at the within-person level showed that for boys, body dissatisfaction at each wave negatively predicted body appreciation at the following wave, and body appreciation at Wave 2 and Wave 3 negatively predicted body dissatisfaction at Wave 3 and Wave 4. For girls, at the within-person level, body dissatisfaction at Wave 1 and Wave 2 negatively predicted body appreciation at Wave 2 and Wave 3, and body appreciation at Wave 3 negatively predicted body dissatisfaction at Wave 4. However, no gender differences in the RI-CLPM were found. The current findings enrich positive and negative body image research by providing evidence for the reciprocal relationships between body dissatisfaction and body appreciation in Chinese adolescents.
Collapse
Affiliation(s)
- Yaoxiang Ren
- School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, Guangdong, China
| | - Wesley R Barnhart
- Department of Psychology, Bowling Green State University, Bowling Green, OH, USA
| | - Tianxiang Cui
- Department of Psychology, University of Macau, Taipa, Macau, China
| | - Jianwen Song
- Department of Educational Psychology, Baylor University, Waco, TX, USA
| | - Chanyuan Tang
- School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, Guangdong, China
| | - Shuqi Cui
- School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, Guangdong, China
| | - Jinbo He
- School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen, Guangdong, China
| |
Collapse
|
17
|
Swami V, Tran US, Stieger S, Aavik T, Ranjbar HA, Adebayo SO, Afhami R, Ahmed O, Aimé A, Akel M, Halbusi HA, Alexias G, Ali KF, Alp-Dal N, Alsalhani AB, Álvares-Solas S, Amaral ACS, Andrianto S, Aspden T, Argyrides M, Aruta JJBR, Atkin S, Ayandele O, Baceviciene M, Bahbouh R, Ballesio A, Barron D, Bellard A, Bender SS, Beydağ KD, Birovljević G, Blackburn MÈ, Borja-Alvarez T, Borowiec J, Bozogáňová M, Bratland-Sanda S, Browning MHEM, Brytek-Matera A, Burakova M, Çakır-Koçak Y, Camacho P, Camilleri VE, Cazzato V, Cerea S, Chaiwutikornwanich A, Chaleeraktrakoon T, Chambers T, Chen QW, Chen X, Chien CL, Chobthamkit P, Choompunuch B, Compte EJ, Corrigan J, Cosmas G, Cowden RG, Czepczor-Bernat K, Czub M, da Silva WR, Dadfar M, Dalley SE, Dany L, Datu JAD, Berbert de Carvalho PH, Coelho GLDH, De Jesus AOS, Debbabi SH, Dhakal S, Di Bernardo F, Dimitrova DD, Dion J, Dixson B, Donofrio SM, Drysch M, Du H, Dzhambov AM, El-Jor C, Enea V, Eskin M, Farbod F, Farrugia L, Fian L, Fisher ML, Folwarczny M, Frederick DA, Fuller-Tyszkiewicz M, Furnham A, García AA, Geller S, Ghisi M, Ghorbani A, Martinez MAG, Gradidge S, Graf S, Grano C, Gyene G, Hallit S, Hamdan M, Handelzalts JE, Hanel PHP, Hawks SR, Hekmati I, Helmy M, Hill T, Hina F, Holenweger G, Hřebíčková M, Ijabadeniyi OA, Imam A, İnce B, Irrazabal N, Jankauskiene R, Jiang DY, Jiménez-Borja M, Jiménez-Borja V, Johnson EM, Jovanović V, Jović M, Jović M, Junqueira ACP, Kahle LM, Kantanista A, Karakiraz A, Karkin AN, Kasten E, Khatib S, Khieowan N, Kimong PJ, Kiropoulos L, Knittel J, Kohli N, Koprivnik M, Kospakov A, Król-Zielińska M, Krug I, Kuan G, Kueh YC, Kujan O, Kukić M, Kumar S, Kumar V, Lamba N, Lauri MA, Laus MF, LeBlanc LA, Lee HJ, Lipowska M, Lipowski M, Lombardo C, Lukács A, Maïano C, Malik S, Manjary M, Baldó LM, Martinez-Banfi M, Massar K, Matera C, McAnirlin O, Mebarak MR, Mechri A, Meireles JFF, Mesko N, Mills J, Miyairi M, Modi R, Modrzejewska A, Modrzejewska J, Mulgrew KE, Myers TA, Namatame H, Nassani MZ, Nerini A, Neto F, Neto J, Neves AN, Ng SK, Nithiya D, O J, Obeid S, Oda-Montecinos C, Olapegba PO, Olonisakin TT, Omar SS, Örlygsdóttir B, Özsoy E, Otterbring T, Pahl S, Panasiti MS, Park Y, Patwary MM, Pethö T, Petrova N, Pietschnig J, Pourmahmoud S, Prabhu VG, Poštuvan V, Prokop P, Ramseyer Winter VL, Razmus M, Ru T, Rupar M, Sahlan RN, Hassan MS, Šalov A, Sapkota S, Sarfo JO, Sawamiya Y, Schaefer K, Schulte-Mecklenbeck M, Seekis V, Selvi K, Sharifi M, Shrivastava A, Siddique RF, Sigurdsson V, Silkane V, Šimunić A, Singh G, Slezáčková A, Sundgot-Borgen C, Ten Hoor G, Tevichapong P, Tipandjan A, Todd J, Togas C, Tonini F, Tovar-Castro JC, Trangsrud LKJ, Tripathi P, Tudorel O, Tylka TL, Uyzbayeva A, Vally Z, Vanags E, Vega LD, Vicente-Arruebarrena A, Vidal-Mollón J, Vilar R, Villegas H, Vintilă M, Wallner C, White MP, Whitebridge S, Windhager S, Wong KY, Yau EK, Yamamiya Y, Yeung VWL, Zanetti MC, Zawisza M, Zeeni N, Zvaríková M, Voracek M. Body appreciation around the world: Measurement invariance of the Body Appreciation Scale-2 (BAS-2) across 65 nations, 40 languages, gender identities, and age. Body Image 2023; 46:449-466. [PMID: 37582318 DOI: 10.1016/j.bodyim.2023.07.010] [Citation(s) in RCA: 21] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 07/27/2023] [Accepted: 07/31/2023] [Indexed: 08/17/2023]
Abstract
The Body Appreciation Scale-2 (BAS-2) is a widely used measure of a core facet of the positive body image construct. However, extant research concerning measurement invariance of the BAS-2 across a large number of nations remains limited. Here, we utilised the Body Image in Nature (BINS) dataset - with data collected between 2020 and 2022 - to assess measurement invariance of the BAS-2 across 65 nations, 40 languages, gender identities, and age groups. Multi-group confirmatory factor analysis indicated that full scalar invariance was upheld across all nations, languages, gender identities, and age groups, suggesting that the unidimensional BAS-2 model has widespread applicability. There were large differences across nations and languages in latent body appreciation, while differences across gender identities and age groups were negligible-to-small. Additionally, greater body appreciation was significantly associated with higher life satisfaction, being single (versus being married or in a committed relationship), and greater rurality (versus urbanicity). Across a subset of nations where nation-level data were available, greater body appreciation was also significantly associated with greater cultural distance from the United States and greater relative income inequality. These findings suggest that the BAS-2 likely captures a near-universal conceptualisation of the body appreciation construct, which should facilitate further cross-cultural research.
Collapse
Affiliation(s)
- Viren Swami
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom; Centre for Psychological Medicine, Perdana University, Kuala Lumpur, Malaysia.
| | - Ulrich S Tran
- Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Stefan Stieger
- Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Toivo Aavik
- Institute of Psychology, University of Tartu, Tartu, Estonia
| | | | | | - Reza Afhami
- Department of Art Studies, Tarbiat Modares University, Tehran, Iran
| | - Oli Ahmed
- Department of Psychology, University of Chittagong, Chattogram, Bangladesh
| | - Annie Aimé
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Saint-Jérôme, Canada
| | - Marwan Akel
- INSPECT-LB: National Institute of Public Health, Clinical Epidemiology, and Toxicology, Beirut, Lebanon; School of Pharmacy, Lebanese International University, Beirut, Lebanon
| | - Hussam Al Halbusi
- Department of Management, Ahmed Bin Mohammad Military College, Doha, Qatar
| | - George Alexias
- Faculty of Psychology, Panteion University of Social and Political Sciences, Athens, Greece
| | - Khawla F Ali
- Royal College of Surgeons Ireland-Bahrain, Adliya, Bahrain
| | - Nursel Alp-Dal
- Department of Midwifery, Faculty of Health Sciences, Munzur University, Tunceli, Turkiya
| | - Anas B Alsalhani
- Department of Oral Medicine and Diagnostic Sciences, Vision College of Dentistry and Nursing, Vision Colleges, Riyadh, Saudi Arabia
| | - Sara Álvares-Solas
- Facultad de Ciencias de la Vida, Universidad Regional Amazónica Ikiam, Muyuna, Ecuador
| | | | - Sonny Andrianto
- Department of Psychology, Universitas Islam Indonesia, Yogyakarta, Indonesia
| | - Trefor Aspden
- Department of Psychology, Aberystwyth University, Ceredigion, United Kingdom
| | - Marios Argyrides
- Department of Psychology, Neapolis University Pafos, Paphos, Cyprus
| | | | - Stephen Atkin
- Royal College of Surgeons Ireland-Bahrain, Adliya, Bahrain
| | - Olusola Ayandele
- Department of General Studies, The Polytechnic, Ibadan, Nigeria; Department of Psychology, University of Ibadan, Ibadan, Nigeria
| | - Migle Baceviciene
- Health Research and Innovation Science Centre, Faculty of Health Sciences, Klaipeda University, Klaipeda, Lithuania
| | - Radvan Bahbouh
- Department of Psychology, Faculty of Arts, Charles University, Prague, Czechia
| | - Andrea Ballesio
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - David Barron
- School of Social Sciences, Heriot-Watt University Malaysia, Putrajaya, Malaysia
| | - Ashleigh Bellard
- School of Psychology, Faculty of Health, Liverpool John Moores University, Liverpool, United Kingdom
| | | | - Kerime Derya Beydağ
- Department of Nursing, Faculty of Health Sciences, Istanbul Gedik University, Istanbul, Turkiye
| | - Gorana Birovljević
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Rijeka, Rijeka, Croatia
| | | | - Teresita Borja-Alvarez
- Colegio de Ciencias Sociales y Humanidades, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Joanna Borowiec
- Department of Physical Education and Lifelong Sports, Poznań University of Physical Education, Poznań, Poland
| | - Miroslava Bozogáňová
- Institute of Social Sciences of the Centre of Social and Psychological Sciences, Košice, Slovakia; Faculty of Humanities and Natural Sciences, Institute of Pedagogy, Andragogy, and Psychology, University of Prešov, Prešov, Slovakia
| | - Solfrid Bratland-Sanda
- Department of Sports, Physical Education and Outdoor Studies, University of South-Eastern Norway, Bø, Telemark, Norway
| | - Matthew H E M Browning
- Department of Parks, Recreation and Tourism Management, Clemson University, Clemson, United States of America
| | | | - Marina Burakova
- Laboratory of Social Psychology, Aix-Marseille University, Aix-en-Provence, France
| | - Yeliz Çakır-Koçak
- Department of Midwifery, Faculty of Health Sciences, Bartın University, Bartın, Turkiye
| | | | | | - Valentina Cazzato
- School of Psychology, Faculty of Health, Liverpool John Moores University, Liverpool, United Kingdom
| | - Silvia Cerea
- Department of General Psychology, University of Padova, Padova, Italy; Department of Biomedical Sciences, University of Padova, Padova, Italy
| | | | - Trawin Chaleeraktrakoon
- Department of Psychology, Faculty of Liberal Arts, Thammasat University, Pathumthani, Thailand
| | - Tim Chambers
- School of Psychology, Deakin University, Geelong, Australia
| | - Qing-Wei Chen
- Lab of Light and Physio-Psychological Health, National Center for International Research on Green Optoelectrics, South China Normal University, Guangzhou, China; Guangdong Provincial Key Laboratory of Optical Information Materials and Technology & Institute of Electronic Paper Displays, South China Academy of Advanced Optoelectronics, South China Normal University, Guangzhou, China
| | - Xin Chen
- Department of Psychology, Graduate School of Arts and Science, New York University, New York, United States of America
| | - Chin-Lung Chien
- Department of Psychology, Soochow University, Taipei, Taiwan
| | | | - Bovornpot Choompunuch
- Department of Educational Psychology and Guidance, Faculty of Education, Mahasarakham University, Maha Sarakham, Thailand
| | - Emilio J Compte
- School of Psychology, Universidad Adolfo Ibáñez, Penalolen, Chile; Comenzar de Nuevo Treatment Center, Monterrey, Mexico
| | - Jennifer Corrigan
- School of Applied Psychology, University College Cork, Cork, Ireland
| | - Getrude Cosmas
- Faculty of Psychology and Education, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
| | - Richard G Cowden
- Human Flourishing Program, Harvard University, Cambridge, United States of America
| | - Kamila Czepczor-Bernat
- Department of Pediatrics, Pediatric Obesity and Metabolic Bone Diseases, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
| | - Marcin Czub
- Institute of Psychology, University of Wrocław, Wrocław, Poland
| | - Wanderson Roberto da Silva
- Graduate Program in Food, Nutrition, and Food Engineering, São Paulo State University, São Paulo, Brazil
| | - Mahboubeh Dadfar
- Department of Addiction, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran
| | - Simon E Dalley
- Department of Psychology, University of Groningen, Groningen, The Netherlands
| | - Lionel Dany
- Laboratory of Social Psychology, Aix-Marseille University, Aix-en-Provence, France
| | - Jesus Alfonso D Datu
- Teacher Education and Learning Leadership Academic Unit, Faculty of Education. The University of Hong Kong, Hong Kong, China
| | - Pedro Henrique Berbert de Carvalho
- Body Image and Eating Disorders Research Group, Federal University of Juiz de Fora, Juiz de Fora, Brazil; Institute of Psychiatry, University of São Paulo, São Paulo, Brazil
| | | | | | | | - Sandesh Dhakal
- Central Department of Psychology, Tribhuvan University, Kathmandu, Nepal
| | | | - Donka D Dimitrova
- Department of Health Management and Healthcare Economics, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Jacinthe Dion
- Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières, Canada
| | - Barnaby Dixson
- School of Health, University of the Sunshine Coast, Moreton Bay, Australia
| | - Stacey M Donofrio
- Department of Psychology, University of Groningen, Groningen, The Netherlands
| | - Marius Drysch
- Department of Plastic and Hand Surgery, BG University Hospital Bergmannsheil Bochum, Ruhr University Bochum, Bochum, Germany
| | - Hongfei Du
- Institute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University, Zhuhai, China
| | - Angel M Dzhambov
- Department of Hygiene, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Claire El-Jor
- Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon
| | - Violeta Enea
- Department of Psychology, Alexandru Ioan Cuza University, Iași, Romania
| | - Mehmet Eskin
- Department of Psychology, Koc University, Istanbul, Turkiye
| | - Farinaz Farbod
- Department of Textile and Fashion Design, Alzahra University, Tehran, Iran
| | | | - Leonie Fian
- Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | | | - Michał Folwarczny
- Discipline of Marketing, J.E. Cairnes School of Business & Economics, University of Galway, Galway, Ireland
| | - David A Frederick
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, United States of America
| | | | - Adrian Furnham
- Department of Leadership and Organizational Behaviour, Norwegian Business School, Oslo, Norway
| | | | - Shulamit Geller
- School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv-Yafo, Israel
| | - Marta Ghisi
- Department of General Psychology, University of Padova, Padova, Italy; Unità Operativa Complessa (UOC) Hospital Psychology, Padova University Hospital, Padova, Italy
| | - Alireza Ghorbani
- Department of Social Sciences, Payam Noor University, Tehran, Iran
| | | | - Sarah Gradidge
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom
| | - Sylvie Graf
- Institute of Psychology, Czech Academy of Sciences, Prague, Czechia
| | - Caterina Grano
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Gyöngyvér Gyene
- Doctoral School of Psychology, Eötvös Loránd University, Budapest, Hungary
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon; Applied Science Research Center, Applied Science Private University, Amman 11931, Jordan
| | - Motasem Hamdan
- Faculty of Public Health, Al-Quds University, East Jerusalem, Palestine
| | - Jonathan E Handelzalts
- School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv-Yafo, Israel; Department of Psychiatry, University of Michigan, Ann Arbor, United States of America
| | - Paul H P Hanel
- Department of Psychology, University of Essex, Colchester, United Kingdom
| | - Steven R Hawks
- Department of Kinesiology and Health Science, Utah State University, Logan, UnitedStates of America
| | - Issa Hekmati
- Department of Psychology, Faculty of Human Science, University of Maragheh, Maragheh, Iran
| | - Mai Helmy
- Department of Psychology, College of Education, Sultan Qaboos University, Muscat, Oman; Department of Psychology, Faculty of Arts, Menoufia University, Shebin el Kom, Egypt
| | - Tetiana Hill
- Hertfordshire Business School, University of Hertfordshire, Hatfield, United Kingdom
| | - Farah Hina
- Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom
| | | | | | | | - Asma Imam
- Faculty of Public Health, Al-Quds University, East Jerusalem, Palestine
| | - Başak İnce
- Centre for Research in Eating and Weight Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom
| | - Natalia Irrazabal
- Faculty of Social Sciences, University of Palermo, Buenos Aires, Argentina
| | - Rasa Jankauskiene
- Health Research and Innovation Science Centre, Faculty of Health Sciences, Klaipeda University, Klaipeda, Lithuania
| | - Ding-Yu Jiang
- Department of Psychology, National Chung Cheng University, Chia Yi, Taiwan
| | - Micaela Jiménez-Borja
- Colegio de Ciencias Sociales y Humanidades, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Verónica Jiménez-Borja
- Colegio de Comunicación y Artes Contemporáneas, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Evan M Johnson
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, United States of America
| | - Veljko Jovanović
- Department of Psychology, University of Novi Sad, Novi Sad, Serbia
| | - Marija Jović
- Faculty of Organizational Sciences, University of Belgrade, Belgrade, Serbia
| | - Marko Jović
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Alessandra Costa Pereira Junqueira
- Department of Psychology, University of São Paulo, Ribeirão Preto, Brazil; Department of Nutrition, University of Ribeirão Preto, Ribeirão Preto, Brazil
| | - Lisa-Marie Kahle
- Faculty of Life Sciences, Medical School Hamburg, Hamburg, Germany
| | - Adam Kantanista
- Department of Physical Education and Lifelong Sports, Poznań University of Physical Education, Poznań, Poland
| | - Ahmet Karakiraz
- Sakarya Business School, Sakarya University, Sakarya, Turkiye
| | | | - Erich Kasten
- Faculty of Life Sciences, Medical School Hamburg, Hamburg, Germany
| | - Salam Khatib
- Faculty of Health Professions, Al-Quds University, East Jerusalem, Palestine
| | - Nuannut Khieowan
- Asian Studies Department, Faculty of International Studies, Prince of Songkla University Phuket Campus, Phuket, Thailand
| | | | - Litza Kiropoulos
- School of Psychological Sciences, University of Melbourne, Melbourne, Australia
| | - Joshua Knittel
- Department of Consumer Behavior, University of Bern, Bern, Switzerland
| | - Neena Kohli
- Department of Psychology, University of Allahabad, Prayagraj, India
| | - Mirjam Koprivnik
- Institute of Anton Martin Slomsek, Primary School Montessori, Maribor, Slovenia
| | - Aituar Kospakov
- Department of Sociology and Social Work, Al-Farabi Kazakh National University, Almaty, Kazakhstan; Department of General Education Disciplines, Astana IT University, Astana, Kazakhstan
| | - Magdalena Król-Zielińska
- Department of Physical Education and Lifelong Sports, Poznań University of Physical Education, Poznań, Poland
| | - Isabel Krug
- School of Psychological Sciences, University of Melbourne, Melbourne, Australia
| | - Garry Kuan
- Exercise and Sport Sciences, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Yee Cheng Kueh
- Biostatics and Research Methods Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Omar Kujan
- Oral Diagnostics and Surgical Sciences, UWA Dental School, The University of Western Australia, Nedlands, Australia
| | - Miljana Kukić
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Rijeka, Rijeka, Croatia
| | - Sanjay Kumar
- Department of Psychology, D.A.V. College, Muzaffarnagar, India
| | - Vipul Kumar
- Department of Psychology, Kashi Naresh Government Post-Graduate College, Gyanpur, India
| | - Nishtha Lamba
- Department of Psychology, Middlesex University Dubai, Dubai, United Arab Emirates
| | | | - Maria Fernanda Laus
- Department of Psychology, University of São Paulo, Ribeirão Preto, Brazil; Department of Nutrition, University of Ribeirão Preto, Ribeirão Preto, Brazil
| | | | - Hyejoo J Lee
- Department of Counselling Psychology and Social Welfare, Handong Global University, Pohang, South Korea
| | | | - Mariusz Lipowski
- Faculty of Social and Humanities, University WSB Merito, Gdansk, Poland
| | | | - Andrea Lukács
- Faculty of Health Care, University of Miskolc, Miskolc, Hungary
| | - Christophe Maïano
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Saint-Jérôme, Canada; Cyberpsychology Laboratory, Department of Psychoeducation and Psychology, Université du Québec en Outaouais (UQO), Saint-Jérôme, Canada
| | - Sadia Malik
- Department of Psychology, University of Sargodha, Sargodha, Pakistan
| | - Mandar Manjary
- Department of Psychology, D.A.V. College, Muzaffarnagar, India; M.M.D. Public School, Brahmpuri, Muzaffarnagar, India
| | - Lidia Márquez Baldó
- Department of Research Methods and Diagnosis in Education, University of València, València, Spain
| | - Martha Martinez-Banfi
- Faculty of Legal and Social Sciences, Simón Bolívar University, Barranquilla, Colombia; Life Science Research Centre, Simón Bolívar University, Barranquilla, Colombia
| | - Karlijn Massar
- Department of Work and Social Psychology, Maastricht University, Maastricht, the Netherlands
| | - Camila Matera
- Department of Education, Languages, Intercultures, Literatures, and Psychology, University of Florence, Florence, Italy
| | - Olivia McAnirlin
- Department of Parks, Recreation and Tourism Management, Clemson University, Clemson, United States of America
| | | | - Anwar Mechri
- Faculty of Medicine of Monastir, Eya Medical Centre, Monastir, Tunisia
| | | | - Norbert Mesko
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | | | - Maya Miyairi
- Department of Health Sciences, DePaul University, Chicago, United States of America
| | - Ritu Modi
- Department of Psychology, University of Allahabad, Prayagraj, India
| | - Adriana Modrzejewska
- Department of Psychology, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland
| | | | - Kate E Mulgrew
- School of Health, University of the Sunshine Coast, Moreton Bay, Australia
| | - Taryn A Myers
- Department of Psychology, Virginia Wesleyan University, Virginia Beach, United States of America
| | - Hikari Namatame
- Faculty of Human Sciences, University of Tsukuba, Tsukuba, Japan
| | - Mohammad Zakaria Nassani
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
| | - Amanda Nerini
- Department of Education, Languages, Intercultures, Literatures, and Psychology, University of Florence, Florence, Italy
| | - Félix Neto
- Department of Psychology, University of Porto, Porto, Portugal
| | - Joana Neto
- Research Center in Business Sciences and Tourism of Consuelo Vieira da Costa Foundation (CICET-FCVC), Porto, Portugal
| | - Angela Noguiera Neves
- Division of Research, Physical Education College of the Brazilian Army, Rio de Janeiro, Brazil
| | - Siu-Kuen Ng
- Physical Education Unit, Chinese University of Hong Kong, Hong Kong, China
| | - Devi Nithiya
- Department of Physiology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India
| | - Jiaqing O
- Department of Psychology, Aberystwyth University, Ceredigion, United Kingdom
| | - Sahar Obeid
- Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon
| | | | | | | | - Salma Samir Omar
- Department of Dermatology, Venereology, and Andrology, Alexandria University, Alexandria, Egypt
| | | | - Emrah Özsoy
- Sakarya Business School, Sakarya University, Sakarya, Turkiye
| | | | - Sabine Pahl
- Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Maria Serena Panasiti
- Santa Lucia Foundation, Scientific Institute for Research and Healthcare, Rome, Italy
| | - Yonguk Park
- Department of Psychology, Yonsei University, Seoul, South Korea
| | - Muhammad Mainuddin Patwary
- Environment and Sustainability Research Initiative, Khulna, Bangladesh; Environmental Science Discipline, Life Science School, Khulna University, Khulna, Bangladesh
| | - Tatiana Pethö
- Department of Managerial Psychology, The University of Presov, Presov, Slovakia
| | - Nadezhda Petrova
- Department of Human Anatomy, Histology and Embryology, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Jakob Pietschnig
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | | | | | - Vita Poštuvan
- Slovene Centre for Suicide Research, Andrej Marusic Institute, University of Primorska, Koper, Slovenia; Department of Psychology FAMNIT, University of Primorska, Koper, Slovenia
| | - Pavol Prokop
- Department of Environmental Ecology and Landscape Management, Faculty of Natural Sciences, Comenius University in Bratislava, Bratislava, Slovakia; Institute of Zoology, Slovak Academy of Sciences, Bratislava, Slovakia
| | | | - Magdalena Razmus
- Institute of Psychology, Marie Curie-Skłodowska University, Lublin, Poland
| | - Taotao Ru
- Lab of Light and Physio-Psychological Health, National Center for International Research on Green Optoelectrics, South China Normal University, Guangzhou, China; Guangdong Provincial Key Laboratory of Optical Information Materials and Technology & Institute of Electronic Paper Displays, South China Academy of Advanced Optoelectronics, South China Normal University, Guangzhou, China
| | - Mirjana Rupar
- Institute of Psychology, Czech Academy of Sciences, Prague, Czechia; Institute of Psychology, Jagiellonian University, Kraków, Poland
| | - Reza N Sahlan
- Department of Counseling, School, and Educational Psychology, Graduate School of Education, University at Buffalo-SUNY, Buffalo, United States of America
| | | | - Anđela Šalov
- Department of Psychology, University of Zadar, Zadar, Croatia
| | - Saphal Sapkota
- KOSHISH-National Mental Health Self-Help Organization, Kusunti, Lalitpur, Nepal
| | - Jacob Owusu Sarfo
- Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana
| | - Yoko Sawamiya
- Faculty of Human Sciences, University of Tsukuba, Tsukuba, Japan
| | - Katrin Schaefer
- Department of Evolutionary Anthropology, University of Vienna, Vienna, Austria; Human Evolution and Archaeological Sciences, University of Vienna, Vienna, Austria
| | - Michael Schulte-Mecklenbeck
- Department of Consumer Behavior, University of Bern, Bern, Switzerland; Max Planck Institute for Human Development, Berlin, Germany
| | - Veya Seekis
- School of Applied Psychology, Griffith University, Gold Coast, Australia
| | - Kerim Selvi
- Department of Psychology, Eskişehir Osmangazi University, Eskişehir, Turkiye
| | - Mehdi Sharifi
- Department of Psychology, Islamic Azad University, Bandar Gaz, Iran
| | - Anita Shrivastava
- Department of Psychology, Middlesex University Dubai, Dubai, United Arab Emirates
| | | | - Valdimar Sigurdsson
- Department of Business Administration, Reykjavik University, Reykjavik, Iceland
| | - Vineta Silkane
- Faculty of Social Sciences, Vidzeme University of Applied Sciences, Valmiera, Latvia
| | - Ana Šimunić
- Department of Psychology, University of Zadar, Zadar, Croatia
| | - Govind Singh
- Department of Psychology, University of Allahabad, Prayagraj, India
| | - Alena Slezáčková
- Department of Medical Psychology and Psychosomatics, Faculty of Medicine, Masaryk University, Brno, Czechia
| | | | - Gill Ten Hoor
- Department of Work and Social Psychology, Maastricht University, Maastricht, the Netherlands
| | - Passagorn Tevichapong
- Department of Psychology, Faculty of Humanities, Chiang Mai University, Chiang Mai, Thailand
| | - Arun Tipandjan
- International Centre for Psychological Counselling and Social Research, Puducherry, India
| | - Jennifer Todd
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom; Centre for Psychological Medicine, Perdana University, Kuala Lumpur, Malaysia
| | - Constantinos Togas
- Faculty of Psychology, Panteion University of Social and Political Sciences, Athens, Greece
| | - Fernando Tonini
- Faculty of Social Sciences, University of Palermo, Buenos Aires, Argentina
| | | | - Lise Katrine Jepsen Trangsrud
- Department of Sports, Physical Education and Outdoor Studies, University of South-Eastern Norway, Bø, Telemark, Norway
| | - Pankaj Tripathi
- Department of Psychology, University of Allahabad, Prayagraj, India
| | - Otilia Tudorel
- Department of Psychology, West University of Timişoara, Timişoara, Romania
| | - Tracy L Tylka
- Department of Psychology, The Ohio State University, Columbus, United States of America
| | - Anar Uyzbayeva
- Department of General Education Disciplines, Astana IT University, Astana, Kazakhstan
| | - Zahir Vally
- Department of Clinical Psychology, United Arab Emirates University, Al Ain, United Arab Emirates
| | - Edmunds Vanags
- Faculty of Education, Psychology, and Art, University of Latvia, Rīga, Latvia
| | - Luis Diego Vega
- Vice-rectory for Teaching, Research, and Extension, Universida Latina de Costa Rica, San José, Costa Rica
| | | | - Jose Vidal-Mollón
- Department of Research Methods and Diagnosis in Education, University of València, València, Spain
| | - Roosevelt Vilar
- Department of Psychology, Massey University, Auckland, New Zealand
| | - Hyxia Villegas
- Vice-rectory for Teaching, Research, and Extension, Universida Latina de Costa Rica, San José, Costa Rica
| | - Mona Vintilă
- Department of Psychology, West University of Timişoara, Timişoara, Romania
| | - Christoph Wallner
- Department of Plastic and Hand Surgery, BG University Hospital Bergmannsheil Bochum, Ruhr University Bochum, Bochum, Germany
| | - Mathew P White
- Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| | | | - Sonja Windhager
- Department of Evolutionary Anthropology, University of Vienna, Vienna, Austria; Human Evolution and Archaeological Sciences, University of Vienna, Vienna, Austria
| | - Kah Yan Wong
- School of Psychology, University of Nottingham Malaysia, Semenyih, Malaysia
| | - Eric Kenson Yau
- Department of Psychology, Lingnan University, Hong Kong, China
| | - Yuko Yamamiya
- Department of Undergraduate Studies, Temple University, Japan Campus, Tokyo, Japan
| | - Victoria Wai Lan Yeung
- Department of Psychology, Lingnan University, Hong Kong, China; Wofoo Joseph Lee Consulting and Counselling Psychology Research Centre, Lingnan University, Hong Kong, China
| | | | - Magdalena Zawisza
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, United Kingdom
| | - Nadine Zeeni
- Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon
| | - Martina Zvaríková
- Department of Environmental Ecology and Landscape Management, Faculty of Natural Sciences, Comenius University in Bratislava, Bratislava, Slovakia
| | - Martin Voracek
- Department of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria
| |
Collapse
|
18
|
Manana B, El-Jor C, Abi Kharma J, Zeeni N. Effectiveness of a text-messaging intervention on intuitive eating: a randomised controlled trial. Public Health Nutr 2023; 26:1576-1584. [PMID: 37165660 PMCID: PMC10410380 DOI: 10.1017/s1368980023000939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Revised: 03/18/2023] [Accepted: 04/27/2023] [Indexed: 05/12/2023]
Abstract
Intuitive eating (IE) is a concept based on mind-body integration of instinct, emotion and rational thought, to improve eating behaviours, physical and mental health. Several attempts were developed to teach IE principles including text-messaging interventions given that they are easy to implement and low cost. OBJECTIVE The present study aimed to assess the effectiveness of a 5-week text message-based IE intervention on IE, while correcting for perceived stress (PS) and self-compassion (SC). DESIGN A randomised controlled trial. SETTING Online, in Lebanon. PARTICIPANTS Adults (n 195) were randomised into one of three groups: the active IE group receiving IE-related messages with a practice exercise, the passive IE group receiving only IE-related messages and the control group receiving general health-related tips. Ten messages were delivered over 5 weeks. Two follow-ups were made: directly post-intervention and 7 weeks later. Baseline data and follow-ups included demographics, nutrition-related variables and measures of IE, SC and PS. RESULTS Results indicated improvements in IE scores in the two intervention groups (P = 0·05), with the passive IE group showing the most improvement. Also, a significant improvement in SC (Λ = 0·88, F (2, 63) = 4·40, P = 0·01) and reduction in PS (Λ = 0·86, F (2, 63) = 5·21, P = 0·008) were observed in the active IE group. CONCLUSION Text-messaging interventions might be efficient in enhancing IE. Results shed light on the need for further large-scale interventions that use visual aids and provide practical guidance to teach IE, while further characterising the relation between IE, SC and stress.
Collapse
Affiliation(s)
- Batoul Manana
- Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, 36-Byblos, Lebanon
| | - Claire El-Jor
- Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, 36-Byblos, Lebanon
| | - Joelle Abi Kharma
- Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, 36-Byblos, Lebanon
| | - Nadine Zeeni
- Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, 36-Byblos, Lebanon
| |
Collapse
|
19
|
Further evaluation of the psychometric properties of the German version of the Body Appreciation Scale-2 (BAS-2): Cross-validation, measurement invariance, and population-based norms. Body Image 2023; 45:105-116. [PMID: 36867965 DOI: 10.1016/j.bodyim.2023.02.004] [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: 07/06/2022] [Revised: 02/13/2023] [Accepted: 02/13/2023] [Indexed: 03/05/2023]
Abstract
Using a representative sample of the German general population (N = 2509, 16-74 years), this work aimed to cross-validate the modified one-factor model recently reported for the German Body Appreciation Scale 2 (BAS-2). We also examined measurement invariance across gender, tested differential item functioning across age and BMI, systematically evaluated subgroup differences, and provided norms according to subgroups. Overall, the BAS-2 demonstrates good internal consistency. Cross-validation supported the generalizability of the modified one-factor model. Multi-group confirmatory factor analyses supported full scalar invariance across gender; comparisons revealed higher scores among men compared to women with a small effect size. Age (only women) and BMI (both genders) significantly predicted latent BAS-2 scores. Of note, differential item functioning for age and BMI was observed. Concerning manifest group differences, we found a significant main effect of weight status: Individuals with obesity reported the lowest body appreciation levels, while individuals with underweight/ normal weight reported highest levels. Our findings suggest that the German BAS-2 has good psychometric properties and is suitable for examining body appreciation across gender among German women and men. Moreover, norm values enable future usage of the scale in health and clinical research by providing reference data for interpretation.
Collapse
|
20
|
Azevedo A, Azevedo ÂS. Implications of Socio-Cultural Pressure for a Thin Body Image on Avoidance of Social Interaction and on Corrective, Compensatory or Compulsive Shopping Behaviour. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3567. [PMID: 36834261 PMCID: PMC9959199 DOI: 10.3390/ijerph20043567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/12/2023] [Accepted: 02/15/2023] [Indexed: 06/18/2023]
Abstract
This paper aims to discuss the implications of body talk and socio-cultural pressure for the internalisation of a thin body image in purchase decisions, shopping habits and other outcomes of body dissatisfaction, in particular the proneness to avoid human/social interaction in retail contexts and proneness to engage in corrective, compensatory or compulsive shopping behaviour. This paper conducted an online questionnaire that measured the following constructs: body mass index; Socio-cultural Attitudes Towards Appearance Scale-4 (SATAQ-4), Body Appreciation Scale (BAS-2), Acceptance of Cosmetic Surgery Scale (ACSS), Compulsive Buying Follow-up Scale (CBFS), proneness to avoid social interaction in retail contexts, and the intention to purchase a list of products and services as a compensation for body dissatisfaction. A structural equations model supported the hypotheses proposing the influence of BAS-2 and SATAQ-4 (the internalisation of thin/athletic body and the social comparison induced by family, peers and media) upon the outcomes of social-interaction avoidance, ACSS and CBFS. Nevertheless, BAS-2 only influences social-interaction avoidance. This paper provides several recommendations to brand managers highlighting the social responsibility role of brand advertising in enhancing positive body appreciation, mitigating the psychological damage caused by socio-cultural pressure and preventing the stigmatisation bias against obese people.
Collapse
Affiliation(s)
- António Azevedo
- Lab2PT, Landscape, Heritage and Territory Laboratory Research Unit, School of Economics and Management, University of Minho, 4710-057 Braga, Portugal
| | - Ângela Sá Azevedo
- Faculty of Philosophy and Social Sciences, Centre for Philosophical and Humanistic Studies, Universidade Católica Portuguesa, 4710-297 Braga, Portugal
| |
Collapse
|
21
|
Validation of the Body Appreciation Scale-2 in cisgender, heterosexual and sexual and gender minority adolescents and sexuality-related correlates. Body Image 2022; 43:193-204. [PMID: 36154978 DOI: 10.1016/j.bodyim.2022.09.001] [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: 02/11/2022] [Revised: 09/05/2022] [Accepted: 09/06/2022] [Indexed: 01/25/2023]
Abstract
Body dissatisfaction has received considerable scientific attention, while research about positive body image has been neglected, particularly among adolescents. The aims of the present study were to examine (1) the factor structure of the Body Appreciation Scale-2 (BAS-2) in a large sample of cisgender, heterosexual and sexual and gender minority adolescents, (2) measurement invariance across language, gender and sexual orientation-based groups, (3) convergent validity with sexuality-related outcomes and (4) one-year temporal stability. Results of a confirmatory analysis among 2419 adolescents (Mage=14.6 years, SD=0.62; 52.6% girls) corroborated the proposed one-dimensional factor structure of the scale. The BAS-2 demonstrated adequate reliability and one-year temporal stability. The scale was partially invariant across gender and fully invariant across language and cisgender heterosexual and sexual and gender minority adolescents. Boys (cis and trans) had higher levels of body appreciation than girls (cis and trans), while no significant differences were observed between heterosexual and sexual minority adolescents. The BAS-2 correlated positively with sexual satisfaction and sexual body-esteem as well as negatively with sexual distress. Our findings support the validity and reliability of the BAS-2 in French and English for measuring body appreciation in adolescents.
Collapse
|
22
|
Mills JS, Minister C, Samson L. Enriching sociocultural perspectives on the effects of idealized body norms: Integrating shame, positive body image, and self-compassion. Front Psychol 2022; 13:983534. [PMID: 36506975 PMCID: PMC9732395 DOI: 10.3389/fpsyg.2022.983534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 11/07/2022] [Indexed: 11/27/2022] Open
Abstract
Body image is an integral aspect of the psychology of the self. Idealized body images are ubiquitous in both traditional media forms (e.g., magazines, television) and social media (e.g., Facebook, Instagram). The classic sociocultural model of body image (i.e., the Tripartite Influence Model) emphasizes pathways between idealized body norms, appearance comparisons, internalization of body ideals, and body dissatisfaction and its outcomes. We summarize the model and identify some issues to be addressed in future work, particularly in light of the immense popularity of social media. We review three topics that are not included in the sociocultural model but that provide a more complete picture of the influence of societal body norms on body image: (1) body shame, (2) positive body image, and (3) self-compassion. Research on the nature, assessment, and relevance of these constructs is reviewed in detail. In terms of clinical applications of these areas of research for individuals at risk of body dissatisfaction, we suggest assessing for and targeting body shame, cultivating facets of positive body image, and teaching strategies for developing self-compassion.
Collapse
|
23
|
An International Study of Correlates of Women's Positive Body Image. Eur J Investig Health Psychol Educ 2022; 12:1521-1534. [PMID: 36286091 PMCID: PMC9601667 DOI: 10.3390/ejihpe12100107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 09/19/2022] [Accepted: 10/11/2022] [Indexed: 11/06/2022] Open
Abstract
Positive body image (PBI) has received attention in the recent research literature. Despite this, its role in daily functioning in different cultural contexts, particularly its potential relationship with academic outcomes, is still lacking. This study aimed to offer an international perspective on the association between PBI and body mass index (BMI), perceived academic achievement, and educational aspirations, as well as the mediating role of self-esteem. A cross-national study was conducted in eight European countries with a total of 2653 female university students. Participants completed an online survey measuring PBI (conceptualized as body appreciation), self-esteem, perceived academic achievement and aspirations, and body mass index (BMI). Results revealed differences in PBI between countries (low magnitude). PBI correlated negatively with BMI in all national groups (low-to-moderate magnitude). Mediation analysis showed that self-esteem mediated the association between PBI and academic variables. Findings from this study suggest that building students’ self-esteem and PBI can be a suitable way to boost academic success.
Collapse
|
24
|
Mathisen TF, Sundgot-Borgen C, Anstensrud B, Sundgot-Borgen J. Intervention in professional dance students to increase mental health- and nutrition literacy: A controlled trial with follow up. Front Sports Act Living 2022; 4:727048. [PMID: 36213449 PMCID: PMC9532567 DOI: 10.3389/fspor.2022.727048] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 08/22/2022] [Indexed: 11/13/2022] Open
Abstract
IntroductionThere is a need to change the culture within the art of dance, as it has been associated with injuries and mental health consequences. This study evaluates an intervention designed to increase mental health literacy, enhance nutritional knowledge, reduce symptoms and effects of low energy availability, and strengthen understanding of sports nutrition and recovery strategies, in dance students of mixed genders.Material and methodsA total of 125 dance students received three workshops, with 39 arts and crafts students serving as references. The results were evaluated by the Eating Disorder Examination questionnaire, the Low Energy Availability in Females questionnaire, the Hopkins Symptom Check List, and questions on mental health literacy, sports nutrition, and recovery knowledge.ResultsDance students achieved sustained improvements in mental health and nutrition knowledge and temporary improvements in driven exercise (i.e., performing exercise because of a compulsive drive). No other benefits were identified from the intervention.ConclusionOur findings indicate the need for an ongoing education program to reduce the occurrence and development of negative mental health outcomes and low energy availability in professional dance students. Such approaches may not only improve the mental health of dance students but also potentially prevent the high frequency of injuries.
Collapse
Affiliation(s)
- Therese Fostervold Mathisen
- Department of Health, Welfare and Organisation, Østfold University College, Fredrikstad, Norway
- *Correspondence: Therese Fostervold Mathisen
| | - Christine Sundgot-Borgen
- Division of Mental Health and Addiction, Regional Department for Eating Disorders, Oslo University Hospital, Oslo, Norway
| | | | | |
Collapse
|
25
|
Portuguese version of the Body Appreciation Scale-2 for Children (BAS-2C): Psychometric evaluation and measurement of invariance across sex. Body Image 2022; 42:419-426. [PMID: 35944392 DOI: 10.1016/j.bodyim.2022.07.018] [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: 02/21/2022] [Revised: 06/19/2022] [Accepted: 07/27/2022] [Indexed: 11/23/2022]
Abstract
Body appreciation, a central aspect of positive body image, recently started to capture the attention of the scientific community as a potential determinant of well-being. However, little is known about onset and early identification in both males and females, as studies on this subject in childhood are still scarce, due in part to a dearth of validated instruments. Therefore, the main purpose of this study is to examine the psychometric properties and sex invariance of a Portuguese version of the Body Appreciation Scale-2 for Children (BAS-2C; Halliwell et al., 2017). We also explored the relationship between the BAS-2C and body mass index z-scores (BMIz). Participants were 328 children, ages 9-to-11 years (50.9% girls). Confirmatory factor analysis indicated that the one-dimensional factor structure had adequate fit, but sex invariance was not supported. Differential item functioning analysis revealed that boys and girls respond differently to item #9, which assesses body comfort. BAS-2C scores evidenced internal consistency and convergent validity with quality of life, healthy eating habits, and body size dissatisfaction. BMIz showed a low ability to predict body appreciation. This study brings support for the use of the BAS-2C in Portuguese-speaking children, but caution is warranted in comparing BAS-2C scores across sexes.
Collapse
|
26
|
Lee M. Factor structure and psychometric properties of a Korean translation of the Body Appreciation Scale-2. Body Image 2022; 42:11-24. [PMID: 35617824 DOI: 10.1016/j.bodyim.2022.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Revised: 05/11/2022] [Accepted: 05/11/2022] [Indexed: 11/17/2022]
Abstract
The applicability of the Body Appreciation Scale-2 (BAS-2) in a Korean context is still unexplored, even though awareness of the importance of a positive body image has increased in South Korea. The current study examined the factor structure and psychometric properties of a Korean translation of the BAS-2, specifically to (1) translate and culturally adapt the BAS-2 to Korea, (2) confirm its unidimensional construct, and (3) identify its associations with body image and psychological outcomes across sex with a Korean sample. Data from 839 Korean adult men (n = 415) and women (n = 424) were randomly split into two subsamples. Using the exploratory factor analysis to confirmatory factor analysis strategy, the current study showed support for one factor structure of a Korean translation of the BAS-2. Scalar measurement invariance was found between men and women. Further analyses revealed construct validity through associations with measures of muscularity and body fat dissatisfaction (for men), internalization (for women), and appearance evaluation, as well as incremental validity through hierarchical regression analyses predicting life satisfaction and self-esteem. The Korean BAS-2 presented good internal consistency and test-retest reliability. The Korean BAS-2 is a reliable and valid measure, allowing for cross-cultural comparisons of body appreciation.
Collapse
Affiliation(s)
- Minsun Lee
- Dept. of Fashion Design, Konkuk University Glocal Campus, 268 Chungwon-daero, Chungju, Chungcheongbuk-do 27478, South Korea.
| |
Collapse
|
27
|
Ma J, Wang K, Tylka TL. Psychometric properties of a Mandarin Chinese version of the Body Appreciation Scale-2 with residents from Chinese mainland. Body Image 2022; 42:110-119. [PMID: 35691102 DOI: 10.1016/j.bodyim.2022.05.007] [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: 12/12/2021] [Revised: 05/19/2022] [Accepted: 05/20/2022] [Indexed: 11/15/2022]
Abstract
The current study aimed to translate the Body Appreciation Scale-2 (BAS-2) into Mandarin Chinese and explore its psychometric properties with college students from the Chinese mainland. In Study 1 (N = 840, 415 women, 425 men), an exploratory factor analysis upheld the unidimensional factor structure of the Mandarin Chinese BAS-2, and McDonald's omega supported the internal consistency reliability of its scores. Evidence of construct validity of the Mandarin Chinese BAS-2 was also accrued via its positive correlations with self-esteem, self-compassion, and body satisfaction as well as negative correlations with BMI, weight discrepancy, negative affect, and body surveillance. Its negative correlation with eating disorder symptomatology and negligible correlation with impression management supported its criterion-related validity and discriminant validity, respectively. Additionally, the Mandarin Chinese BAS-2 contributed unique variance in eating disorder symptomatology and self-esteem beyond the variance explained by BMI and other body satisfaction measures, providing evidence of incremental validity. Study 2 (N = 522, 322 women, 230 men) confirmed its unidimensional factor structure, upheld the internal consistency and stability of its scores over a 3-month period, and supported its measurement invariance between women and men. Taken together, these findings support the cross-cultural validity of the Mandarin Chinese BAS-2 on the Chinse mainland.
Collapse
Affiliation(s)
- Jinghua Ma
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Kui Wang
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China; Child Healthcare Department, Jiangyou Second Hospital, Sichan, China.
| | - Tracy L Tylka
- Department of Psychology, The Ohio State University, Columbus and Marion Campuses, Marion, OH, United States
| |
Collapse
|
28
|
Guest E, Zucchelli F, Costa B, Bhatia R, Halliwell E, Harcourt D. A systematic review of interventions aiming to promote positive body image in children and adolescents. Body Image 2022; 42:58-74. [PMID: 35679652 DOI: 10.1016/j.bodyim.2022.04.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 08/25/2021] [Accepted: 11/09/2021] [Indexed: 11/17/2022]
Abstract
Evidence shows interventions can improve positive body image in adult women. This systematic review examined the evidence of efficacy of interventions that aimed to increase positive body image in children and young people aged under 18 years. The authors followed PRISMA guidelines for the review. Searches of CINAHL Plus, Medline, PsychINFO, Wiley Online Library, SCOPUS and grey literature were conducted up to February 2021 and identified 4171 papers. Thirteen studies evaluating 12 interventions, designed for children/adolescents aged 9-18 years, were eligible and evaluated using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool. The studies evaluated body appreciation, body-esteem, and embodiment. Studies using cognitive dissonance, peer support, and psychoeducation had evidence of improving body appreciation and body-esteem in adolescent girls. However, evidence of efficacy for younger children and boys was lacking and the studies ranged in methodological quality. Further research should rigorously evaluate positive body image interventions using second-generation measures that assess specific components of positive body image and consider how to promote positive body image in young children and boys.
Collapse
Affiliation(s)
- Ella Guest
- Centre for Appearance Research, University of the West of England (UWE), Bristol, UK.
| | - Fabio Zucchelli
- Centre for Appearance Research, University of the West of England (UWE), Bristol, UK
| | - Bruna Costa
- Centre for Appearance Research, University of the West of England (UWE), Bristol, UK
| | - Radhika Bhatia
- Centre for Appearance Research, University of the West of England (UWE), Bristol, UK
| | - Emma Halliwell
- Centre for Appearance Research, University of the West of England (UWE), Bristol, UK
| | - Diana Harcourt
- Centre for Appearance Research, University of the West of England (UWE), Bristol, UK
| |
Collapse
|
29
|
Hazzard VM, Schaefer LM, Thompson JK, Murray SB, Frederick DA. Measurement invariance of body image measures by age, gender, sexual orientation, race, weight status, and age: The U.S. Body Project I. Body Image 2022; 41:97-108. [PMID: 35247868 PMCID: PMC9167237 DOI: 10.1016/j.bodyim.2022.01.015] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 12/14/2021] [Accepted: 01/26/2022] [Indexed: 01/26/2023]
Abstract
Despite growing interest in comparing body image experiences across diverse groups, limited work has examined whether body image measures operate similarly across different populations, raising important questions about the appropriateness of comparing scale means across demographic groups. This study employed measurement invariance testing to evaluate whether such comparisons are appropriate with existing body image measures. Specifically, multi-group confirmatory factor analysis was conducted using a community sample of 11,620 men and women to test increasing levels of invariance (configural, metric, scalar) across five key demographic variables (age group, gender, sexual orientation, race, weight status) for five commonly used body image measures (the Sociocultural Attitudes Towards Appearance Questionnaire-4, the Body Surveillance subscale of the Objectified Body Consciousness Scale, the Appearance Evaluation and Overweight Preoccupation subscales of the Multidimensional Body-Self Relations Questionnaire, and the Body Image Quality of Life Inventory). Results provided evidence of scalar (i.e., strong) invariance for all five measures across age, gender, sexual orientation, race, and weight status groups, indicating that the latent factors captured by these measures have the same meaning across demographic groups. Findings therefore support the comparison of scale/subscale means across multiple demographic groups for these body image measures.
Collapse
Affiliation(s)
| | | | | | - Stuart B. Murray
- Department of Psychiatry & Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - David A. Frederick
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA
| |
Collapse
|
30
|
Behrend N, Warschburger P. Validation of a German version of the Body Appreciation Scale-2 (BAS-2). Body Image 2022; 41:216-224. [PMID: 35279465 DOI: 10.1016/j.bodyim.2022.01.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 01/26/2022] [Accepted: 01/28/2022] [Indexed: 12/23/2022]
Abstract
The Body Appreciation Scale-2 (BAS-2) is the most current measure of body appreciation, a central facet of positive body image. This work aimed to examine the factor structure and psychometric properties of a German version. In Study 1 (N = 659; Mage = 27.19, SD = 8.57), exploratory factor analysis (EFA) revealed that the German BAS-2 has a one-dimensional factor structure in women and men, showing cross-gender factor similarity. In Study 2 (N = 472; Mage = 30.08, SD = 12.35), confirmatory factor analysis (CFA) further supported the original scale's one-dimensional factor structure after freeing correlated errors. The German BAS-2 also showed partial scalar invariance across gender, with women and men not differing significantly in latent mean scores. As predicted, we found convergent relationships with measures of self-esteem, intuitive eating, and variables associated with negative body image (i.e., weight- and shape concerns, drive for thinness). Correlations with BMI were small and in an inverse direction. Incremental validity was demonstrated by predicting self-esteem and intuitive eating over and above measures of negative body image. Additionally, the German BAS-2 showed internal consistency and 2-week test-retest reliability. Overall, our results suggest that the German BAS-2 is a psychometrically sound instrument.
Collapse
Affiliation(s)
- Nicole Behrend
- Department of Psychology, Counseling Psychology, University of Potsdam, Karl-Liebknecht-Str. 24-25, 14476 Potsdam, Germany
| | - Petra Warschburger
- Department of Psychology, Counseling Psychology, University of Potsdam, Karl-Liebknecht-Str. 24-25, 14476 Potsdam, Germany.
| |
Collapse
|
31
|
Tylka TL, Linardon J, Wood-Barcalow NL, Daníelsdóttir S, Fuller-Tyszkiewicz M. Short forms of the Body Appreciation Scale-2 (BAS-2SF): Item selection and psychometric evaluation. Body Image 2022; 41:308-330. [PMID: 35427857 DOI: 10.1016/j.bodyim.2022.04.001] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 03/23/2022] [Accepted: 04/01/2022] [Indexed: 12/16/2022]
Abstract
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.
Collapse
Affiliation(s)
- Tracy L Tylka
- Department of Psychology, The Ohio State University, Columbus and Marion Campuses, United States.
| | - Jake Linardon
- School of Psychology, Deakin University, United States
| | | | | | | |
Collapse
|
32
|
Jankauskiene R, Baceviciene M. Media Pressures, Internalization of Appearance Ideals and Disordered Eating among Adolescent Girls and Boys: Testing the Moderating Role of Body Appreciation. Nutrients 2022; 14:nu14112227. [PMID: 35684028 PMCID: PMC9182577 DOI: 10.3390/nu14112227] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/19/2022] [Accepted: 05/24/2022] [Indexed: 12/30/2022] Open
Abstract
The aim of the present study was to test the moderating role of body appreciation in the mediation model of media pressures, internalization of appearance ideals, and disordered eating in adolescents. One thousand four hundred and twelve Lithuanian adolescents (40.4% were boys, age range: 15-18 years) participated in the cross-sectional study. The mean age of the sample was 16.9 (SD (standard deviation) = 0.5) for girls and 17.0 (SD = 0.4) for boys. Adolescents completed a questionnaire consisting of measures of body appreciation (Body Appreciation Scale-2 (BAS-2)), disordered eating (Eating Disorder Examination Questionnaire 6 (EDE-Q 6)), attitudes towards sociocultural pressures towards appearance (Sociocultural Attitudes towards Appearance Questionnaire 4 (SATAQ-4)), and time browsing internet for leisure purposes. To assess the primary hypotheses, moderated mediation models were tested separately in boys and girls. In girls, body appreciation moderated associations between media pressures and internalization of thin body ideals and between internalization of thin appearance ideals and disordered eating. In boys, body appreciation moderated only the association between media pressures and disordered eating. The effect of media pressures on disordered eating was the highest in boys with the lowest body appreciation. Body appreciation protects adolescent girls from internalization of thin appearance ideals in the presence of media pressures and from disordered eating in the case of internalization of thin body appearance ideals. In boys, body appreciation provides a protective effect from media pressures towards appearance to disordered eating behaviors. The findings of the present study could inform intervention programs that aim to prevent disordered eating, strengthen positive body image, and promote healthy eating in adolescent girls and boys. Specific programs might be beneficial in preventing disordered eating in boys with low body appreciation.
Collapse
Affiliation(s)
- Rasa Jankauskiene
- Institute of Sport Science and Innovations, Lithuanian Sports University, 44221 Kaunas, Lithuania;
| | - Migle Baceviciene
- Department of Physical and Social Education, Lithuanian Sports University, 44221 Kaunas, Lithuania
- Correspondence: ; Tel.: +370-690-09878
| |
Collapse
|
33
|
Marta-Simões J, Tylka TL, Ferreira C. Adolescent girls' body appreciation: influences of compassion and social safeness, and association with disordered eating. Eat Weight Disord 2022; 27:1359-1366. [PMID: 34302279 DOI: 10.1007/s40519-021-01274-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 07/16/2021] [Indexed: 10/20/2022] Open
Abstract
PURPOSE Adolescence has been stated as a period in which body image and eating difficulties' have its greatest expression, especially in females. Nonetheless, protective factors, such as body appreciation and compassion, are not thoroughly studied in this developmental stage. The current study hypothesized that competences for self-compassion and receiving others' compassion associate positively with social safeness, and the three variables with body appreciation. Moreover, the association between body appreciation and disordered eating was analysed. A sample of Portuguese female adolescents was used. METHODS 205 participants, aged between 12 and 18, completed a set of self-report measures in the school context. Data were explored via descriptive, correlational and path analysis. RESULTS Path analysis indicated that self-compassion and receiving compassion from others associate positively with feelings of social safeness which, in turn, associate with higher body appreciation. All the variables in study associated indirectly and negatively with disordered eating, and body appreciation presented a direct and negative association with disordered eating. CONCLUSION Findings of the current study may suggest the pertinence of developing programs for female adolescents that include the cultivation of compassionate and affiliative skills to promote positive body image and to prevent or intervene with disordered eating symptoms, with potential effects on overall well-being and mental health. LEVEL OF EVIDENCE Cross-sectional descriptive study, Level V.
Collapse
Affiliation(s)
- Joana Marta-Simões
- Centre for Research in Neuropsychology and Cognitive and Behavioural Intervention, University of Coimbra, Coimbra, Portugal.
| | - Tracy L Tylka
- Department of Psychology, The Ohio State University, Columbus, USA
| | - Cláudia Ferreira
- Centre for Research in Neuropsychology and Cognitive and Behavioural Intervention, University of Coimbra, Coimbra, Portugal
| |
Collapse
|
34
|
Simões JM, Tylka TL, Ferreira C. Early memories of warmth and safeness, and current social safeness: Longitudinal contributions for girls’ body appreciation. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03075-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
35
|
Implementation of the Modern Immersive Learning Model CPLM. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12063090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The digitalization of industrial processes is being driven forward worldwide. In parallel, the education system must also be transformed. Currently, education does not follow the opportunities and development of technologies. We can ask ourselves how we can integrate technologies into a traditional learning process or how we can adapt the learning process to these technologies. We focused on robotics education in secondary vocational education. The paper contains research results from a modern learning model that addresses student problem-solving using cyber–physical systems. We proposed a reference model for industrial robotics education in the 21st century based on an innovative cyber-physical didactic model (CPLM). We conducted procedure time measurements, questionnaire evaluations, and EEG evaluations. We could use VR to influence the improvement of spatial and visual memory. The more intense representation of the given information influences multiple centers in the brain and, thus, the formation of multiple neural connections. We can influence knowledge, learning more effectively with short-term training in the virtual world than with classical learning methods. From the studied resources, we can conclude that the newer approach to teaching robotics is not yet available in this form. The emerging modern technologies and the possibility of developing training in this area should be investigated further.
Collapse
|
36
|
Soulliard ZA, Vander Wal JS. Measurement invariance and psychometric properties of three positive body image measures among cisgender sexual minority and heterosexual women. Body Image 2022; 40:146-157. [PMID: 34959130 DOI: 10.1016/j.bodyim.2021.12.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 12/06/2021] [Accepted: 12/09/2021] [Indexed: 01/06/2023]
Abstract
Positive body image is a multidimensional construct consisting of various facets including body appreciation, body image flexibility, and functionality appreciation measured via the Body Appreciation Scale-2 (BAS-2), Body Image-Acceptance and Action Questionnaire-5 (BI-AAQ-5), and Functionality Appreciation Scale (FAS), respectively. Research has supported the unidimensional factor structure of these measures; however, invariance testing based on sexual identity has yet to be conducted. The study's primary aim was to assess the measurement invariance of the BAS-2, BI-AAQ-5, and FAS between sexual minority and heterosexual women. The secondary aim was to assess the psychometric properties of each positive body image measure among each sample. Participants were predominantly White, cisgender women who identified as a sexual minority (n = 310) or heterosexual (n = 360) and completed online questionnaires of positive body image, eating behaviors, and mental and physical health. Results supported invariance with no differences in BAS-2 or BI-AAQ-5 scores. A significant difference with a small effect size was found in FAS scores, with sexual minority women reporting lower FAS scores. Findings supported the BI-AAQ-5 and FAS's incremental validity on perceived mental health. Overall, results suggest that the BAS-2, BI-AAQ-5, and FAS scores can be compared among women of varying sexual identities.
Collapse
Affiliation(s)
- Zachary A Soulliard
- Yale School of Public Health, Department of Social and Behavioral Sciences, 220 E. 23rd Street, Suite 405, New York, NY 10010, USA.
| | - Jillon S Vander Wal
- Saint Louis University, Department of Psychology, 3700 Lindell Blvd, St. Louis, MO 63108, USA.
| |
Collapse
|
37
|
Swami V, Tran US, Stieger S, Voracek M. Developing a model linking self-reported nature exposure and positive body image: A study protocol for the body image in nature survey (BINS). Body Image 2022; 40:50-57. [PMID: 34844138 DOI: 10.1016/j.bodyim.2021.11.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 11/15/2021] [Accepted: 11/17/2021] [Indexed: 01/07/2023]
Abstract
Exposure to natural environments has been shown to be associated with more positive body image, but much of the existing research is limited to Western European nations and little is known about the robustness of these associations in other national contexts. In this protocol paper, we present a conceptual model of the direct and indirect associations (i.e., via self-compassion, connectedness to nature, and restorative experiences in nature) between nature exposure and body appreciation. This model brings together conceptualisations from existing research, but also extends it in a number of important ways. The model will be tested through the Body Image in Nature Survey (BINS), a researcher-crowdsourced project involving researchers in multiple nations worldwide. Data collection began in December 2020 and is expected to be completed in February 2022. Data will be analysed to examine the extent to which our conceptual model is robust across nations, as well as other sociodemographic characteristics. We will also determine the extent to which key variables included in our survey are invariant across nations and associated with cultural, socioeconomic, and gender-related factors. The BINS will likely have important implications for the development of nature-based interventions to promote healthier body appreciation in diverse national contexts.
Collapse
Affiliation(s)
- Viren Swami
- School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, Malaysia; Centre for Psychological Medicine, Perdana University, Kuala Lumpur, Malaysia.
| | - Ulrich S Tran
- Department of Cognition, Emotion, and Methods in Psychology, School of Psychology, University of Vienna, Vienna, Austria
| | - Stefan Stieger
- Department of Psychology and Psychodynamics, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Martin Voracek
- Department of Cognition, Emotion, and Methods in Psychology, School of Psychology, University of Vienna, Vienna, Austria
| |
Collapse
|
38
|
Ramalho SM, Saint-Maurice PF, Félix S, Conceição E. Intuitive eating Scale-2: Factor structure and associations with disordered eating, impulsivity and quality of life in adolescents with overweight/obesity. Eat Behav 2022; 44:101593. [PMID: 34954449 DOI: 10.1016/j.eatbeh.2021.101593] [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: 02/09/2021] [Revised: 09/18/2021] [Accepted: 12/08/2021] [Indexed: 11/03/2022]
Abstract
OBJECTIVE The Intuitive Eating Scale-2 (IES-2) has been shown to be a valid tool to assess the capability of eating in reaction to natural hunger/satiety cues. However, its factor structure seems to differ in function of cultural/socioeconomic backgrounds, and its psychometric properties among the adolescents with overweight/obesity (BMI-for-age percentile >85th) have not been examined yet. Thus, this study aims to 1) investigating the factorial structure/psychometric properties of IES-2 in adolescents with overweight/obesity; and 2) exploring the associations between impulsivity, quality of life disordered and intuitive eating. METHODS A total of 202 Portuguese adolescents (124 girls; 78 boys; 12-19 years) under weight-loss treatment with a mean BMI z-score of 2.41 (SD = 0.75) participated in this study. The IES-2 factor structure was explored by confirmatory factor analysis and bifactor models. Test-retest reliability analyses were performed over 6 months (n = 41) and associations between the variables under study were explored. RESULTS Confirmatory factor analyses with posthoc modifications resulted in a bifactor model with acceptable fit supporting one general factor (intuitive eating) and three specific factors (IES-2 subscales). The "Unconditional Permission to Eat" subscale could not be replicated in this sample. Test-retest reliability analyses suggested good temporal stability. Intuitive eating scores were negatively associated with grazing eating behavior and impulsivity (negative urgency) and positively linked to quality of life. CONCLUSIONS An adjusted version of IES-2 can be an appropriate measure for assessing intuitive eating levels in adolescents with overweight/obesity. Research on intuitive eating has the potential to enhance pediatric weight-loss interventions.
Collapse
Affiliation(s)
- Sofia M Ramalho
- Psychotherapy and Psychopathology Research Unit - Psychology Research Centre, School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal.
| | - Pedro F Saint-Maurice
- National Institutes of Health, National Cancer Institute, 9609 Medical Center Drive, Room- 6E572, Rockville, MD 20850, United States of America.
| | - Sílvia Félix
- Psychotherapy and Psychopathology Research Unit - Psychology Research Centre, School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal.
| | - Eva Conceição
- Psychotherapy and Psychopathology Research Unit - Psychology Research Centre, School of Psychology, University of Minho, Campus Gualtar, 4710-057 Braga, Portugal.
| |
Collapse
|
39
|
Matos R, Lencastre L, Rocha V, Torres S, Vieira F, Barbosa MR, Ascenção J, Guerra MP. Quality of life in patients with inflammatory bowel disease: the role of positive psychological factors. Health Psychol Behav Med 2021; 9:989-1005. [PMID: 34868738 PMCID: PMC8635588 DOI: 10.1080/21642850.2021.2007098] [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: 04/29/2021] [Accepted: 11/11/2021] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVE To identify differences in quality of life (QoL) of patients with inflammatory bowel disease (IBD) between diagnosis (Crohn's Disease and Ulcerative Colitis), gender (male and female), treatment condition (with and without surgery), and attachment styles (secure, preoccupied, and disconnected); to examine associations between QoL, sociodemographic, clinical, and positive psychological variables; to determine whether sociodemographic, clinical, and positive psychological variables predict QoL. METHOD The sample included 70 participants diagnosed with IBD (Mage = 43.37 years, SD = 12.81), of whom 71.4% were females and 67.1% had Crohn's Disease. Positive psychological variables (meaning in life, positive body image, and attachment styles), sociodemographic (age, education, gender) and clinical variables (diagnosis, disease duration, surgery) were assessed as independent variables. QoL was the dependent variable, analyzed through four domains (physical, psychological, social, environment). RESULTS Participants with a secure attachment style reported higher QoL (physical, psychological, and social) than participants with a preoccupied attachment style. Strong positive correlations were found between positive psychological variables and QoL. Body appreciation was a significant predictor of three QoL domains (physical, psychological, and environment). Meaning in life made a unique contribution to the social QoL regression model, and it was also a significant predictor of psychological QoL. Body acceptance by others was a significant predictor of physical QoL, whereas disease duration and education predicted environment QoL. Attachment styles did not predict any QoL domain. CONCLUSION The most significant predictors of QoL in patients with IBD were body appreciation and meaning in life. Body acceptance by others and body appreciation were the main predictors of physical QoL. Psychological interventions for patients who suffer from IBD should address body appreciation and meaning in life.
Collapse
Affiliation(s)
- Rafaela Matos
- Faculdade de Psicologia e de Ciências da Educação da Universidade do Porto, Porto, Portugal
| | | | - Vânia Rocha
- Centro de Psicologia da Universidade do Porto, Porto, Portugal
| | - Sandra Torres
- Centro de Psicologia da Universidade do Porto, Porto, Portugal
| | - Filipa Vieira
- Centro de Psicologia da Universidade do Porto, Porto, Portugal
| | | | - Jorge Ascenção
- Associação Portuguesa de Doença Inflamatória do Intestino, Porto, Portugal
| | | |
Collapse
|
40
|
Urke HB, Holsen I, Larsen T. Positive Youth Development and Mental Well-Being in Late Adolescence: The Role of Body Appreciation. Findings From a Prospective Study in Norway. Front Psychol 2021; 12:696198. [PMID: 34497559 PMCID: PMC8419256 DOI: 10.3389/fpsyg.2021.696198] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 07/23/2021] [Indexed: 02/02/2023] Open
Abstract
Although a vulnerable period, adolescence is a time of great potential for healthy development. Understanding factors that contribute to mental well-being in this period is of great importance to facilitate for healthy development. During the adolescence period the body goes through rapid and considerable changes, and the focus on body appearance and perfection is substantial at societal, media, and peer level. In this study, we investigated the association between dimensions characterizing positive youth development, and mental well-being among Norwegian adolescents 16-17 years 1 year later, and whether this association was mediated by degree of body appreciation. We further tested whether the indirect and direct paths between positive youth development dimensions and mental well-being were moderated by gender. We used data from the first and second follow-up of the control arm of the COMPLETE study, a cluster randomized controlled trial in upper secondary schools in Norway. Findings showed that positive youth development in grade 1, as measured by both a combined global PYD and the dimensions competence, and connection were significantly associated with mental well-being in grade 2 in models adjusted for mental well-being in grade 1, gender and perceived family affluence. Also, body appreciation in grade 1 significantly predicted mental well-being in grade 2 in models including each of global PYD, competence, connection, character, and caring dimensions. Contrary to our hypothesis, no mediating effects of body appreciation were observed, and no moderation of indirect effects by gender were observed.
Collapse
Affiliation(s)
- Helga Bjørnøy Urke
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Ingrid Holsen
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Torill Larsen
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| |
Collapse
|
41
|
Maes C, Trekels J, Tylka TL, Vandenbosch L. The Positive Body Image among Adolescents Scale (PBIAS): Conceptualization, development, and psychometric evaluation among adolescents from Belgium. Body Image 2021; 38:270-288. [PMID: 34044200 DOI: 10.1016/j.bodyim.2021.05.004] [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: 12/08/2020] [Revised: 04/29/2021] [Accepted: 05/06/2021] [Indexed: 12/14/2022]
Abstract
In this study, we aimed to offer a conceptualization of positive body image during adolescence and psychometrically examine a new scale developed to measure this conceptualization. A literature review on positive body image and adolescence was conducted, which shaped the development of the Positive Body Image among Adolescents Scale (PBIAS). In Study 1, four focus groups (totaling 14 adolescents) from Belgium explored the content, clarity, and applicability of the PBIAS items. In Study 2, an exploratory factor analysis (N = 565; Mage = 14.9, 63.8 % girls) revealed 4 factors: body self-appreciation, body other-appreciation, resilience against media body ideals, and resilience against negative appearance feedback. This 4-factor structure was confirmed in Study 3 (N = 718; Mage = 15.2, 50.4 % girls), and gender invariance was upheld. The test-retest reliability of the PBIAS scores was partially supported in Study 4 (N = 309, Mage = 15.3, 66.3 % girls). Across studies, internal consistency was supported and construct validity (convergent and incremental) evidence was garnered. Further, the PBIAS was translated from Dutch to English to offer researchers an option for collecting data in English-speaking countries. Overall, the PBIAS is a brief measure with psychometric support that assesses four dimensions of adolescent positive body image.
Collapse
Affiliation(s)
- Chelly Maes
- School for Mass Communication Research, Faculty of Social Sciences, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium.
| | - Jolien Trekels
- School for Mass Communication Research, Faculty of Social Sciences, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium.
| | - Tracy L Tylka
- Department of Psychology, The Ohio State University, 170F Morrill Hall 1465 Mt. Vernon Avenue, Marion, OH, 43302, USA.
| | - Laura Vandenbosch
- School for Mass Communication Research, Faculty of Social Sciences, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium.
| |
Collapse
|
42
|
Zarate D, Marmara J, Potoczny C, Hosking W, Stavropoulos V. Body Appreciation Scale (BAS-2): measurement invariance across genders and item response theory examination. BMC Psychol 2021; 9:114. [PMID: 34330338 PMCID: PMC8325197 DOI: 10.1186/s40359-021-00609-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 07/07/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The present study considers a measure of positive body image, the Body Appreciation Scale-2, which assesses acceptance and/or favourable opinions towards the body (BAS-2). Potential variations of the psychometric properties of the scale across males and females, as well as across its different items invite for further investigation. The present study contributes to this area of knowledge via the employment of gender Measurement Invariance (MI) and Item Response Theory (IRT) analyses. METHODS A group of 386 adults from Australia, Canada, New Zealand, Ireland, the United Kingdom, and the United States of America (USA) were assessed online (N = 394, 54.8% men, 43.1% women, Mage = 27.48; SD = 5.57). RESULTS MI analyses observed invariance across males and females at the configural level, and non-invariance at the metric level. Further, the graded response model employed to observe IRT properties indicated that all items demonstrated, although variable, strong discrimination capacity. CONCLUSIONS The items showed increased reliability for latent levels of ∓ 2 SD from the mean level of Body Appreciation (BA). Gender comparisons based on BAS-2 should be cautiously interpreted for selected items, due to demonstrating different metric scales and same scores indicating different severity. The BAS-2 may also not perform well for clinically low and high BA levels. Thus, it should optimally be accompanied by clinical interviews for formal assessment in such cases.
Collapse
Affiliation(s)
| | | | | | - Warwick Hosking
- Victoria University, Melbourne, Australia.,Institute for Health and Sport, Victoria University, Melbourne, Australia
| | - Vasileios Stavropoulos
- Victoria University, Melbourne, Australia.,Institute for Health and Sport, Victoria University, Melbourne, Australia.,Department of Psychology, University of Athens, Athens, Greece
| |
Collapse
|
43
|
Linardon J, Tylka TL, Fuller-Tyszkiewicz M. Intuitive eating and its psychological correlates: A meta-analysis. Int J Eat Disord 2021; 54:1073-1098. [PMID: 33786858 DOI: 10.1002/eat.23509] [Citation(s) in RCA: 92] [Impact Index Per Article: 30.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 03/16/2021] [Accepted: 03/17/2021] [Indexed: 12/17/2022]
Abstract
OBJECTIVE Intuitive eating is an adaptive style of eating that has generated significant research attention. Theoretically, intuitive eating is a core construct that features prominently in the Acceptance Model of Intuitive Eating, a framework that explains how positive environmental influences can foster intuitive eating practices via body appreciation. Empirically, intuitive eating has been connected to a broad range of adaptive mental health indices. At present, a quantitative synthesis of intuitive eating and its correlates has yet to be conducted. This was the objective of the current meta-analysis. METHOD Ninety-seven studies (89% cross-sectional) were included. Random effects meta-analyses were conducted on 23 psychological correlates, divided into three clusters: eating behavior and body image disturbances, positive body image and other adaptive factors, and general psychopathology. Meta-analytic path analyses were also computed to test the validity of the Acceptance Model. RESULTS Intuitive eating was inversely associated with multiple indices of eating pathology, body image disturbances, and psychopathology (rs = -.23 to -.58). Intuitive eating was positively associated with numerous positive psychological constructs, such as positive body image, self-esteem, and wellbeing (rs = .20 to .58). Men reported higher levels of intuitive eating than women (d = 0.39), with differences being largest in Caucasian samples. Meta-analytic path analyses strongly supported the hypothesized pathways specified in the Acceptance Model of Intuitive Eating. CONCLUSIONS There is a strong evidence base for intuitive eating's connection to numerous adaptive psychological constructs. Attention should now shift toward prospective and experimental designs so that the temporal nature of these relationships can be identified.
Collapse
Affiliation(s)
- Jake Linardon
- School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Tracy L Tylka
- Department of Psychology, The Ohio State University, Columbus, Ohio, USA
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, Geelong, Victoria, Australia.,Center for Social and Early Emotional Development, Deakin University, Burwood, Victoria, Australia
| |
Collapse
|
44
|
Escoto Ponce de León MDC, Cervantes-Luna BS, Camacho Ruiz EJ. Cross-validation of the body appreciation scale-2: invariance across sex, body mass index, and age in Mexican adolescents. Eat Weight Disord 2021; 26:1187-1194. [PMID: 33026603 DOI: 10.1007/s40519-020-01022-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 09/16/2020] [Indexed: 01/13/2023] Open
Abstract
Cross-validation is a useful strategy to address problems associated with the post hoc model fitting. The aim of this study was to cross-validate the BAS-2, in two samples (Calibration and Validation Samples), using an invariance testing strategy. 1127 Mexican adolescents (508 males and 619 females), aged 11-19 years (M = 15.41, SD = 2.30), allocated in two samples (n1 = 672; n2 = 455) completed the Mexican version of the BAS-2, along with other body image-related instruments. The cross-validation supported the generalizability of the one-factor respecified model of the BAS-2. The measure was invariant across body mass index and age, but not across sex. Internal consistency and test-retest reliability (a three-week period between each test) was excellent. In support of the validity of the BAS-2, it was positively associated with scores on body esteem, but negatively with body mass index, drive for thinness, and body dissatisfaction. Normal-weight and young adolescents groups showed higher body appreciation than excess-weight and late adolescents groups, respectively. Considering these findings, it is reasonable to conclude that the BAS-2 is a reliable and valid instrument to assess body appreciation in Mexican adolescents. LEVEL OF EVIDENCE: Level V, cross-sectional, descriptive study.
Collapse
Affiliation(s)
| | - Brenda Sarahi Cervantes-Luna
- Department of Psychology, Centro Universitario UAEM Ecatepec, Universidad Autónoma de Estado de México, Ecatepec, Mexico
| | - Esteban Jaime Camacho Ruiz
- Health Education Department and Health Sociology Master Program, Centro Universitario Nezahualcóyotl, Universidad Autónoma de Estado de México, Nezahualcoyotl, Mexico
| |
Collapse
|
45
|
Jankauskiene R, Baceviciene M. Testing modified gender-moderated exercise and self-esteem (EXSEM) model of positive body image in adolescents. J Health Psychol 2021; 27:1805-1818. [PMID: 33863249 DOI: 10.1177/13591053211009287] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
The most acceptable model explaining the associations between physical exercise and self-esteem is the exercise and self-esteem model (EXSEM). The present cross-sectional study tested the mediating role of body appreciation and physical fitness perception in the associations between physical activity and self-esteem in modified EXSEM. Overall, 1412 Lithuanian adolescents (40.2% were boys, mean age 17.0 (SD = 0.5) years) completed online questionnaires. The study was implemented in 2019 from October to December. Perceived physical fitness and body appreciation mediated the associations in the EXSEM. Physical fitness perception was directly associated with the self-esteem of girls, but not boys. Gender moderated EXSEM associations in body appreciation and perceived physical fitness showed stronger mediation effects for the adolescent girls compared to boys. Increasing physical activity, positive body image and perception of physical fitness might help to foster mental health, especially in girls.
Collapse
|
46
|
Sundgot-Borgen C, Sundgot-Borgen J, Bratland-Sanda S, Kolle E, Torstveit MK, Svantorp-Tveiten KME, Mathisen TF. Body appreciation and body appearance pressure in Norwegian university students comparing exercise science students and other students. BMC Public Health 2021; 21:532. [PMID: 33740918 PMCID: PMC7977603 DOI: 10.1186/s12889-021-10550-0] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 03/03/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Body image is considered a core issue for public health and associates with university students' overall health. Due to positive associations between exercise and body image, it has been suggested that students within an exercise science program might be more body appreciative compared to other students. On the other hand, the strong societal idealization of the athletic body may expose them to a pressure of having a specific body appearance, which may result in unfavorable health consequences. Nevertheless, studies investigating these hypotheses are lacking. We therefore aimed to explore the level and associations of body appreciation, body appearance pressure, body image related mental health constructs, physical activity, and exercise, in Norwegian university exercise science and non-health reference students. METHOD Male and female exercise science students (n = 517) and reference students (n = 476), from nine large universities in Norway took part in this cross-sectional study. Participants responded to the Body appreciation scale-2, a self-developed questionnaire on body appearance pressure, Physical Appearance Comparison Scale-Revised, Sociocultural attitudes towards appearance questionnaire-4R, Rosenberg Self-Esteem Scale, Satisfaction with Life Scale, and questions about physical activity and exercise. Between group differences were analyzed using student independent t-test and ANCOVA for parametric data and Chi-square test for categorical data, and associations were evaluated by Person's correlation. P-values ≤0.05 were defined as significant. RESULTS Female exercise science students had higher scores on body appreciation compared to reference students. No group difference was found in males. A high percentage of students reported experiencing body appearance pressure, with 69 and 85% among male and female exercise science students, and 57 and 83% among male and female reference students. Fitness centers were the settings where most respondents experienced body appearance pressure. Body appreciation was strongly associated with favorable scores on body image related mental health constructs, while personally experienced body appearance pressure associated with destructive scores on the same constructs. CONCLUSION Body appearance pressure is an issue among university students regardless of study program. Actions to promote body appreciation and prevent body appearance pressure may include an implementation of media literacy, body functionality, and exercise as topics within the education program to safeguard students' health and well-being. CLINICAL TRIAL REGISTRY No. NCT04256967 .
Collapse
Affiliation(s)
- Christine Sundgot-Borgen
- grid.412285.80000 0000 8567 2092Norwegian School of Sport Sciences, Department of Sports Medicine, Sognsveien 220, N-0806 Oslo, Norway
- grid.55325.340000 0004 0389 8485Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Postbox 4956 Nydalen, 0424 Oslo, Norway
| | - Jorunn Sundgot-Borgen
- grid.412285.80000 0000 8567 2092Norwegian School of Sport Sciences, Department of Sports Medicine, Sognsveien 220, N-0806 Oslo, Norway
| | - Solfrid Bratland-Sanda
- Department of Sports, Physical Education and Outdoor Studies, University of Southeast Norway, P.O. Box 235, N-3603 Kongsberg, Norway
| | - Elin Kolle
- grid.412285.80000 0000 8567 2092Norwegian School of Sport Sciences, Department of Sports Medicine, Sognsveien 220, N-0806 Oslo, Norway
| | - Monica Klungland Torstveit
- grid.23048.3d0000 0004 0417 6230University of Agder, Faculty of Health and Sport Sciences, Postbox 422, 4604 Kristiansand, Norway
| | - Kethe M. E. Svantorp-Tveiten
- grid.412285.80000 0000 8567 2092Norwegian School of Sport Sciences, Department of Sports Medicine, Sognsveien 220, N-0806 Oslo, Norway
| | - Therese Fostervold Mathisen
- grid.446040.20000 0001 1940 9648Østfold University College, Department of Health and Welfare, PO 700, 1757 Halden, Norway
| |
Collapse
|
47
|
Khalaf A, Al Hashmi I, Al Omari O. The Relationship between Body Appreciation and Self-Esteem and Associated Factors among Omani University Students: An Online Cross-Sectional Survey. J Obes 2021; 2021:5523184. [PMID: 34258056 PMCID: PMC8249135 DOI: 10.1155/2021/5523184] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Revised: 06/14/2021] [Accepted: 06/15/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Given the rapid pace of globalization and the fact that the Sultanate of Oman is experiencing a significant impact of social media on specifying appearance norms among youth in the country, research into positive body images and self-esteem among young individuals has become a national priority. Whilst body image has been well studied across cultures, both positive body image and the relationship between positive body image and self-esteem among Omani youth have been neglected. The aim of the study was to investigate the relationship between positive body image and self-esteem and associated sociodemographic factors among Omani university students based on gender. METHODS This cross-sectional study used an online survey consisting of the two questionnaires that are Body Appreciation Scale-2 and Rosenberg's Self-Esteem Scale. A total of 237 students were recruited from Sultan Qaboos University's different colleges. RESULTS The results indicated that positive body image has a significant relationship with an individual's self-esteem (β = 0.122, t = 2.197, p=0.038), Cumulative Grade Point Average (cGPA) (β = 0.140, t = 2.306, p=0.022), body mass index (BMI) (β = -0.414, t = -6.930, p < 0.001), monthly household income (β = -0.129, t = 2.467, p=0.029), and the number of social media accounts (≥2, β = -0.132, t = -2.232, p=0.027). In addition, an individual's self-esteem was significantly associated with an individual's cGPA (β = 0.231, t = 3.592, p < 0.001) and mothers' educational level (β = -0.130, t = -2.065, p=0.040) besides body appreciation (β = 0.160, t = 2.491, p=0.013). CONCLUSIONS The findings of this study shed light on the current status of positive body image among university students of Oman. In light of the new knowledge, we propose health interventions that include strategies such as involvement of family, to maintain and/or promote positive body image perceptions among young individuals and subsequently promote healthy appreciation of the physical appearance and self-esteem.
Collapse
Affiliation(s)
- Atika Khalaf
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
- College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Iman Al Hashmi
- College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Omar Al Omari
- College of Nursing, Sultan Qaboos University, Muscat, Oman
- School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia
| |
Collapse
|
48
|
Mathisen TF, Aambø J, Bratland-Sanda S, Sundgot-Borgen C, Svantorp-Tveiten K, Sundgot-Borgen J. Body Figure Idealization and Body Appearance Pressure in Fitness Instructors. Front Psychol 2020; 11:585901. [PMID: 33424701 PMCID: PMC7793892 DOI: 10.3389/fpsyg.2020.585901] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 11/20/2020] [Indexed: 12/23/2022] Open
Abstract
PURPOSE The fitness centers are settings for health promotion, yet may serve as a stage for counterproductive figure idealization. Such idealization may take the form of a drive toward the thin, the muscular, or lean body figure ideal, which all hold the potential to impel an experience of body appearance pressure (BAP) and body dissatisfaction. The aim of this study was to explore figure idealization, body dissatisfaction, and experience of BAP in fitness instructors. MATERIALS AND METHODS Fitness instructors, 70 (23%) males and 236 (77%) females, were recruited through their facility chief executive officer and social media for a digital survey on mental health. Results are presented for body appreciation (BAS-2), body dissatisfaction (EDI-BD), drive for muscularity (DM), drive for leanness (DLS), questions on BAP, symptoms of eating disorders (EDE-q), and history of weight regulation and eating disorders (EDs). RESULTS Attempts to gain body weight were reported by 17% of females and 53% of males, whereas ∼76% of males and females, respectively, reported to have attempted weight reduction. Reasons for body weight manipulation were predominantly appearance related, and 10-20% reported disordered eating behavior. Mean BAS-2 and EDI-BD were acceptable, but 28% of females were above clinical cutoff in EDI-BD, and mean DLS were high in both sexes. In total, 8% of females were above clinical cutoff in EDE-q, which corresponded well with the self-reported ED. Approximately 90% of the sample perceived BAP to be a societal issue and reported predominantly customers and colleagues to be the cause of their personal experience of BAP. Fewer than 50% knew of any actions taken by their employer to reduce BAP. There were few differences according to profession or educational level. CONCLUSION Fitness instructors report BAP to affect them negatively, which may put them at risk of impaired mental health. Educational level did not protect against figure idealization and BAP. To care for their employees and to optimize their position as a public health promoter, the fitness industry should target BAP in health promotion programs.
Collapse
Affiliation(s)
| | - Jenny Aambø
- Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway
| | - Solfrid Bratland-Sanda
- Department of Sports, Physical Education and Outdoor Studies, University of South-Eastern Norway, Bø, Norway
| | - Christine Sundgot-Borgen
- Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
| | | | | |
Collapse
|
49
|
Sundgot-Borgen C, Stenling A, Rosenvinge JH, Pettersen G, Friborg O, Sundgot-Borgen J, Kolle E, Torstveit MK, Svantorp-Tveiten KME, Bratland-Sanda S. The Norwegian healthy body image intervention promotes positive embodiment through improved self-esteem. Body Image 2020; 35:84-95. [PMID: 33022483 DOI: 10.1016/j.bodyim.2020.08.014] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 08/28/2020] [Accepted: 08/28/2020] [Indexed: 12/20/2022]
Abstract
We examined both direct and indirect effects of the Healthy Body Image (HBI) intervention on positive embodiment among Norwegian high school students. In total, 2446 12th grade boys (43 %) and girls (mean age 16.8 years) from 30 schools participated in a cluster-randomized controlled study with the HBI intervention and a control condition as the study arms. We tested mediation models using path analysis and found that among several hypothesized mediators, only self-esteem mediated a positive intervention effect on positive embodiment for both boys and girls. A direct effect of the intervention on positive embodiment was only found in girls. The study provides novel findings indicating that health promotion interventions to address a positive embodiment should focus on enhancing adolescent's self-esteem. Serial mediation modeling might reveal more complex explanations of change mechanisms and could further evolve current knowledge.
Collapse
Affiliation(s)
- Christine Sundgot-Borgen
- Norwegian School of Sport Sciences, Department of Sports Medicine, Sognsveien 220, N-0806 Oslo, Norway.
| | | | - Jan H Rosenvinge
- UiT -The Arctic University of Norway, Faculty of Health Sciences Department of Psychology, 9037 Tromsø, Norway.
| | - Gunn Pettersen
- UiT -The Arctic University of Norway, Faculty of Health Sciences Department of Health and Caring Sciences, N- 9037 Tromsø, Norway.
| | - Oddgeir Friborg
- UiT -The Arctic University of Norway, Faculty of Health Sciences Department of Psychology, 9037 Tromsø, Norway.
| | - Jorunn Sundgot-Borgen
- Norwegian School of Sport Sciences, Department of Sports Medicine, Sognsveien 220, N-0806 Oslo, Norway.
| | - Elin Kolle
- Norwegian School of Sport Sciences, Department of Sports Medicine, Sognsveien 220, N-0806 Oslo, Norway.
| | | | | | - Solfrid Bratland-Sanda
- University College of Southeast Norway, Department of Sports, Physical Education and Outdoor Studies, P.O. Box 235, N-3603 Kongsberg, Norway.
| |
Collapse
|
50
|
Marta-Simões J, Tylka TL, Ferreira C. Potential contributing roles of early affiliative memories, social safeness and body appreciation to adolescents' well-being. J Health Psychol 2020; 27:445-455. [PMID: 32945186 DOI: 10.1177/1359105320953463] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Interpersonal and body image-related factors have been associated with adolescents' well-being. Since data on positive body image in adolescence and its relationship with well-being remain scarce, the present study explored the roles of early affiliative memories, social safeness, and body appreciation in adolescents' well-being. Path analysis' results showed that social safeness and body appreciation mediated the relationship between early affiliative memories and physical, psychological and school environment well-being. This suggests that not only early affiliative memories are important for adolescents' well-being but also current feelings of social belonging and body appreciation. Future longitudinal studies should further confirm these results.
Collapse
|