1
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Kidd C, Loxton NJ, Uhlmann LR, Donovan CL. Integrating social media, body shame and psychological distress within the Elaborated Sociocultural Model. Body Image 2024; 50:101723. [PMID: 38788591 DOI: 10.1016/j.bodyim.2024.101723] [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: 09/26/2023] [Revised: 05/01/2024] [Accepted: 05/07/2024] [Indexed: 05/26/2024]
Abstract
The Elaborated Sociocultural Model proposes exposure to sociocultural appearance pressures increases women's internalisation of the thin ideal, their engagement in social comparison and body surveillance, and subsequent body dissatisfaction and disturbances in eating (Fitzsimmons-Craft et al., 2011). Although this model has received some empirical support, it is limited in that it does not currently account for social media as a contemporary source of appearance pressure, nor include additional known outcomes of thin ideal internalisation (i.e., body shame, psychological distress). The current study tested the integration of these variables within the Elaborated Sociocultural Model. Using structural equation modelling with latent variables, the extended model provided acceptable to good fit to the data in a sample of 271 female participants. A latent variable representing sociocultural appearance pressures originating from social media, traditional media, family and peers was found to significantly predict thin ideal internalisation and body image concerns. Furthermore, both social comparison and body surveillance emerged as indirect mediators of the relationship between thin ideal internalisation and body image concerns, which in turn, increased report of restrained eating and psychological distress. Aligning with previous research, this extended model offers a useful and comprehensive framework for investigating women's body image.
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Affiliation(s)
- Chloe Kidd
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.
| | - Natalie J Loxton
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia
| | - Laura R Uhlmann
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia
| | - Caroline L Donovan
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia; Griffith University Centre for Mental Health, Griffith University, Queensland, Australia
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2
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Rodgers RF, Campagna J, Hayes G, Sharma A, Runquist E, Fiuza A, Coburn-Sanderson A, Zimmerman E, Piran N. Sociocultural pressures and body related experiences during pregnancy and the postpartum period: A qualitative study. Body Image 2024; 48:101643. [PMID: 38101272 DOI: 10.1016/j.bodyim.2023.101643] [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: 04/19/2023] [Revised: 10/17/2023] [Accepted: 10/26/2023] [Indexed: 12/17/2023]
Abstract
Sociocultural pressures to pursue unrealistic appearance expectations and control body shape and weight during pregnancy and postpartum periods have been increasing. Little is known about messages from different sources that may constitute unhelpful or protective influences. The aim of this study was to qualitatively examine messages women received from the sociocultural environment during pregnancy and postpartum and their association with experiences of living in their bodies and body change behaviors. Twenty women, mean age (SD)= 31.85, (2.3) years, 95% White, 60% with a Master's degree or higher, participated in individual interviews and completed online surveys. Women described appearance pressure from multiple sources during and after pregnancy, that increased their concerns related to their weight and shape. For a small number, these concerns were associated with efforts to control weight. Others described protective influences from friends and family that promoted body attunement, functionality appreciation, and positive body image. Findings highlight the importance of sociocultural influences during the peripregnancy period yet how many women derive elements of positive body image from this period. These findings have implications for interventions to support body image among women during the peripregnancy period and positive outcomes among mothers and infants.
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Affiliation(s)
- Rachel F Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, USA; Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, France.
| | - Jenna Campagna
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, USA
| | - Gabriella Hayes
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, USA
| | - Aditi Sharma
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, USA
| | - Edwards Runquist
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, USA
| | - Angelica Fiuza
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, USA
| | | | - Emily Zimmerman
- Department of Communication Sciences & Disorders, Northeastern University, Boston, USA
| | - Niva Piran
- Department of Applied Psychology and Human Development, OISE/University of Toronto, Canada
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3
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Owen A, Cameron L, Cassidy H, Taylor J. The body image experiences of breastfeeding mothers in the UK: A qualitative exploration. J Health Psychol 2024; 29:275-288. [PMID: 37874008 DOI: 10.1177/13591053231206159] [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] [Indexed: 10/25/2023] Open
Abstract
Despite the well-documented benefits of breastfeeding, the UK has one of the lowest breastfeeding rates in the world. One of the areas that has been identified as impacting on a woman's experience of breastfeeding is body image. The aim of this study was to explore the body image experiences of breastfeeding mothers in the UK. Eighteen female participants were interviewed about their thoughts and feelings around their body image, specifically in relation to their breastfeeding. Three themes were developed following thematic analysis of the data: Breastfeeding as a functional tool, Body confidence and breastfeeding in public and Not feeling like the real me: a loss of identity. Implications of the findings are discussed, with suggestions for health promotion and ideas for encouraging a more positive body image in pregnant and breastfeeding women, with the hope of improving breastfeeding rates and experiences.
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4
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Dingemans AE, Veldhuis J, Lähde I. Motives for using social networking sites: a uses & gratifications perspective amongst people with eating disorder symptoms. J Eat Disord 2023; 11:231. [PMID: 38115114 PMCID: PMC10731897 DOI: 10.1186/s40337-023-00946-1] [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: 07/31/2023] [Accepted: 12/04/2023] [Indexed: 12/21/2023] Open
Abstract
Studies investigating motives for social networking sites (SNS) use amongst people with eating disorder (ED) symptoms are scarce. The uses and gratifications theory states that people actively select media content to gratify their individual needs and this may help to explain why individuals with eating disorder symptoms choose to expose themselves to specific media content and how they choose to respond. Some evidence exists that readiness to change may be a factor related to SNS use patterns in this population. The aim of the present study was to investigate the potential relationship between readiness to change ED cognitions/behaviors and SNS use motives in individuals with current or past ED symptoms, employing a uses and gratifications theory perspective. Participants were recruited from ED recovery websites; 103 individuals (16-55 years old) provided complete data. As hypothesized, ED symptom severity was inversely associated with readiness to change and time spent on (specific) SNS was not associated with ED symptom severity. The results of hierarchical regression analyses further suggested that if individuals felt less capable of overcoming their dysfunctional cognitions/behaviors about their body/eating (i.e., were less ready to change), they were more likely to be motivated to use SNSs for the purpose of impressing others and reputation management. The clinical implication is that high amounts of SNS use may not necessarily be harmful for people with EDs or recovering from EDs, whereas using SNSs for the purposes of impression management could potentially be related to being less ready to recover.
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Affiliation(s)
- Alexandra E Dingemans
- Rivierduinen Eating Disorders Ursula, P.O. Box 405, 2300 AK, Leiden, The Netherlands.
| | - Jolanda Veldhuis
- Department of Communication Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Irene Lähde
- Rivierduinen Eating Disorders Ursula, P.O. Box 405, 2300 AK, Leiden, The Netherlands
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5
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Kidd C, Loxton NJ, Uhlmann LR, Seeto CJ, Donovan CL. Thin Ideal Internalization Assessment (THIINA): Development and Psychometric Validation of a New Measure of Female Body Image. Body Image 2023; 46:395-405. [PMID: 37542933 DOI: 10.1016/j.bodyim.2023.07.007] [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: 01/07/2023] [Revised: 07/10/2023] [Accepted: 07/20/2023] [Indexed: 08/07/2023]
Abstract
Thin ideal internalization is widely implicated in women's body image and eating disturbances. A recently proposed multidimensional operationalization of internalization suggests the brevity and construct validity of existing questionnaires may limit the assessment of thin ideal internalization. Therefore, this research aimed to develop a new questionnaire (i.e., Thin Ideal Internalization Assessment; THIINA) to comprehensively assess thin ideal internalization. In Study 1, 301 female participants were administered the THIINA. Exploratory factor analyses revealed the 17-item THIINA had a stable 3-factor structure reflecting thin idealization, thin overvaluation, and thin behavioral drive. In Study 2, 337 female participants were administered the THIINA and validation measures. Confirmatory factor analysis confirmed stability of the 3-factor structure and findings supported convergent, discriminant, and incremental validity of the THIINA. Support for temporal stability was found within a sub-sample of participants (n = 132). The THIINA demonstrated strong psychometric properties, a stable three-factor structure representing theoretically-driven domains, and support for the creation of a composite score representing overall thin ideal internalization. These findings suggest the multidimensional operationalization and measurement of thin ideal internalization could improve theoretical and clinical understanding of the impact of thin ideal internalization on women's body image and eating.
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Affiliation(s)
- Chloe Kidd
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.
| | - Natalie J Loxton
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia
| | - Laura R Uhlmann
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia
| | - Charlie-Jean Seeto
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia
| | - Caroline L Donovan
- School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia; Griffith University Centre for Mental Health, Griffith University, Queensland, Australia
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6
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Ingram KM, Collado A, Felton JW, Yi R. A Preliminary Experimental Study of Self-Objectification and Risky Sex Behavior Among a University Sample of Cisgender Women in the U.S. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:1643-1651. [PMID: 36757517 DOI: 10.1007/s10508-022-02510-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Revised: 12/15/2022] [Accepted: 12/15/2022] [Indexed: 06/18/2023]
Abstract
Self-objectification is associated with a number of negative mental and behavioral outcomes. Though previous research has established associations between self-objectification and risky sex, no study to date has examined whether self-objectification affects propensity to engage in risky sex. The current research employed an experimental design to examine the effect of heightened self-objectification on a laboratory analog of risky sex (n = 181). We observed that when college-attending women experienced a heightened state of self-objectification, they were more likely to engage in sex without a condom and less likely to wait to use a condom with a highly desirable partner. Given the frequency of intended and unintended objectifying messages that young women face, this increase in willingness to engage in risky sex behavior represents a consequential health concern.
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Affiliation(s)
- Katherine M Ingram
- School of Education, University of North Carolina at Chapel Hill, 100 E Cameron Ave., Chapel Hill, NC, 27514, USA.
| | - Anahi Collado
- Renée Crown Wellness Institute- University of Colorado, Boulder, CO, USA
| | - Julia W Felton
- Division of Public Health, Michigan State University, East Lansing, MI, USA
| | - Richard Yi
- Department of Psychology, University of Kansas, Lawrence, KS, USA
- Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, KS, USA
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7
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Spivak-Lavi Z, Latzer Y, Katz R. The role of mothers' involvement in their daughters' self-esteem and dieting behaviors. Health Care Women Int 2023; 45:512-536. [PMID: 36947584 DOI: 10.1080/07399332.2023.2183205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 02/17/2023] [Indexed: 03/23/2023]
Abstract
This study presents an initial effort to develop disordered eating pathology (DEP) prevention program with an emphasis on maternal involvement. Disordered eating pathology representing a range of behaviors and attitudes, from negative body image to full-blown eating disorder. It appears mainly in adolescent females and related to psychological and familial factors, including maternal modeling of thinness. A sample of 118 Israeli girls (11-12) was divided into three groups: participants in the program in parallel with their mothers, participants without their mothers, and control. Participants completed self-report questionnaires. Groups were tested three times: pre-intervention, post-intervention, and follow-up. For those girls who participated in parallel with their mothers, higher self-esteem was associated with fewer pathological diet behaviors. Findings deepen understanding of the risk factors involved in the development of DEP. The main study contribution is the important role mothers play in preventing DEP among their daughters.
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Affiliation(s)
- Zohar Spivak-Lavi
- Department of Social Work, Yezreel Valley College, Emek Yezreel, Israel
| | - Yael Latzer
- Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
- Eating Disorders Institution, Psychiatric Division, Rambam Health Care Campus, Haifa, Israel
| | - Ruth Katz
- Department of Human Services, Yezreel Valley College, Emek Yezreel, Israel
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8
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Body image as a global mental health concern. Glob Ment Health (Camb) 2023; 10:e9. [PMID: 36861019 PMCID: PMC9970735 DOI: 10.1017/gmh.2023.2] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 12/16/2022] [Accepted: 01/24/2023] [Indexed: 03/03/2023] Open
Abstract
Body image concerns related to weight or other dimensions of appearance are now prevalent on a global scale. This paper reviews the theoretical frameworks that account for the global similarities and regional differences in rates and presentation of body image concerns, as well as reviewing the extant data. Given the harmful consequences of body image concerns in terms of mental and physical health, their global burden is high. Interventions to mitigate these concerns at the individual and systemic level are warranted.
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9
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Donovan CL, Uhlmann L. Looking at me, looking at you: The mediating roles of body surveillance and social comparison in the relationship between fit ideal internalisation and body dissatisfaction. Eat Behav 2022; 47:101678. [PMID: 36274271 DOI: 10.1016/j.eatbeh.2022.101678] [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: 02/18/2022] [Revised: 10/04/2022] [Accepted: 10/13/2022] [Indexed: 12/01/2022]
Abstract
Understanding the mechanisms through which internalisation of societal body standards lead to negative outcomes for women is important to inform prevention and treatment strategies targeting female body image issues and problematic eating and exercise behaviours. This study investigated the mediating roles of body surveillance and social comparison on the relationship between fit-ideal internalisation and a range of negative eating and body image related outcomes. Participants were 448 females, aged 16-25 years who completed self-report measures of fit-ideal internalisation, body surveillance, social comparison, body dissatisfaction, dieting, bulimic behaviours and compulsive exercise. Consistent with hypotheses, the results of parallel mediation analyses suggested that both body surveillance and social comparison mediated the relationship between fit-ideal internalisation and body dissatisfaction, dieting and bulimic behaviours. However, only social comparison was found to mediate the relationship between fit-ideal internalisation and compulsive exercise. The results suggest both body surveillance and social comparison are mechanisms by which fit internalisation detriments women's body image, making them potentially useful treatment targets for future research.
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Affiliation(s)
- Caroline L Donovan
- School of Applied Psychology, Griffith University, Queensland, Australia.
| | - Laura Uhlmann
- School of Applied Psychology, Griffith University, Queensland, Australia
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10
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Body Dissatisfaction, Eating Styles, Weight-Related Behaviors, and Health among Young Women in the United States. Nutrients 2022; 14:nu14183876. [PMID: 36145252 PMCID: PMC9505776 DOI: 10.3390/nu14183876] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 09/07/2022] [Accepted: 09/13/2022] [Indexed: 11/16/2022] Open
Abstract
Body dissatisfaction is a common condition that poses health behavior risks, such as the use of maladaptive eating styles instead of adaptive eating styles. Few studies have simultaneously examined both adaptive and maladaptive eating styles and their association with body dissatisfaction in a comprehensive manner. To address this gap, this study examined how body dissatisfaction is related to an array of adaptive and maladaptive eating styles, weight-related behaviors, and health status as well as the associations of health status, BMI, and weight-related behaviors with body dissatisfaction in 261 young adult women. Maladaptive eating styles, such as emotional eating, tended to rise in tandem with body dissatisfaction, differing significantly among body-dissatisfaction levels with medium to large effect sizes. For adaptive eating styles, as body dissatisfaction increased, compensatory restraint increased, intuitive eating declined, and mindful eating did not differ. Weight-related dietary, physical activity, and sleep behaviors did not differ by body dissatisfaction level. BMI increased and health status decreased as body dissatisfaction increased. Binary logistic regression revealed those who were body-dissatisfied had significantly lower health status, higher BMIs, and did not differ on weight-related behaviors. Study findings suggest strategies to improve health-promotion interventions aiming to increase body satisfaction.
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11
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Thompson KA, Bardone-Cone AM. Social comparison, disordered eating, and body dissatisfaction among postpartum women. Body Image 2022; 42:401-412. [PMID: 35930875 DOI: 10.1016/j.bodyim.2022.07.011] [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: 09/30/2021] [Revised: 07/12/2022] [Accepted: 07/17/2022] [Indexed: 11/16/2022]
Abstract
The postpartum period is a window of vulnerability for disordered eating. Postpartum women experience pressures to "bounce back" to their pre-pregnancy weight which may lead to social comparisons, however it is unknown what postpartum women compare (e.g., body, eating), and to whom they compare themselves (e.g., celebrities, peers). This study evaluated links between different types (what is compared) and sources (to whom do they compare) of social comparison that postpartum women engage in. Included was self-oriented comparison, a novel construct conceptualized as comparisons of one's current postpartum appearance to one's pre-pregnancy appearance. A total of 306 postpartum women who gave birth in the past year and 153 control women who had never been pregnant completed an online survey. Results demonstrated postpartum women engaged in more frequent self-oriented comparison than controls. Postpartum women compared their bodies more frequently to their pre-pregnant selves, than to other sources. Although all types and sources of comparison were positively correlated with each disordered eating construct, eating comparison and self-oriented body comparison emerged as the dominant types and sources of comparison explaining unique variance in a range of disordered eating. Results suggest social comparison factors may be critical in understanding postpartum disordered eating risk.
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Affiliation(s)
- Katherine A Thompson
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, USA.
| | - Anna M Bardone-Cone
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, USA
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12
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Pathways from sociocultural and objectification constructs to body satisfaction among women: The U.S. Body Project I. Body Image 2022; 41:195-208. [PMID: 35299008 PMCID: PMC9764838 DOI: 10.1016/j.bodyim.2022.02.001] [Citation(s) in RCA: 28] [Impact Index Per Article: 14.0] [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: 02/01/2022] [Indexed: 01/25/2023]
Abstract
Objectification theory proposes that widespread sexualization causes women to engage in surveillance of their appearance. We integrated this concept into a model with constructs from the tripartite influence model, which proposes that body dissatisfaction is a result of internalizing cultural notions of thin ideal beauty that stem from family, peer, and media appearance-related pressures. We tested this model with an online sample of 6327 adult women. Specifically, we tested whether these pressures predicted increased thin-ideal and muscular-ideal internalization, leading to greater body surveillance, and in turn lower appearance evaluation and body image quality of life. Structural equation modeling supported many aspects of the model. Family, peer, and media pressures related to higher thin-ideal internalization, which related to higher body surveillance and lower appearance evaluation. Peer and media pressures related to higher muscular-ideal internalization, which related to lower appearance evaluation. However, muscular-ideal internalization was not related to body image quality of life. An indirect relationship emerged between thin-ideal internalization and body image outcomes via body surveillance. Body mass index (BMI) moderated several of these model paths. Findings highlight the value of this integrated sociocultural model, and of BMI as an important moderating factor when examining objectification and tripartite influence models.
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13
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Frederick DA, Tylka TL, Rodgers RF, Convertino L, Pennesi JL, Parent MC, Brown TA, Compte EJ, Cook-Cottone CP, Crerand CE, Malcarne VL, Nagata JM, Perez M, Pila E, Schaefer LM, Thompson JK, Murray SB. Pathways from sociocultural and objectification constructs to body satisfaction among men: The U.S. Body Project I. Body Image 2022; 41:84-96. [PMID: 35247867 PMCID: PMC9812655 DOI: 10.1016/j.bodyim.2022.01.018] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [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: 01/28/2022] [Indexed: 01/07/2023]
Abstract
According to the tripartite influence model, body dissatisfaction is shaped by internalizing cultural appearance ideals stemming from appearance-related family, peer, and media pressures. This model was developed for women, but emerging evidence points to its relevance for men's body image. This study advanced this budding research by (a) integrating muscular-ideal internalization alongside lean-ideal internalization and body surveillance into the model, (b) examining two positive dimensions of body image as outcomes (body image quality of life and appearance evaluation), and (c) testing this model in national online sample of 5293 men. Structural equation modeling supported the model. Family, peer, and media pressures related to higher lean-ideal internalization, which related to higher body surveillance and poorer body image outcomes. Peer and media pressures related to higher muscular-ideal internalization, which related to higher body surveillance but more adaptive body image outcomes. We further examined whether model variables and paths differed based on men's body mass index (BMI). Men with higher BMIs evidenced a stronger path between body surveillance and body image outcomes. These findings highlight the usefulness of sociocultural models for understanding men's body image experiences.
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Affiliation(s)
- David A. Frederick
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA,Corresponding authors. (D.A. Frederick), (T.L. Tylka)
| | - Tracy L. Tylka
- Department of Psychology, The Ohio State University, Columbus, OH, USA,Corresponding authors. (D.A. Frederick), (T.L. Tylka)
| | - Rachel F. Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, MA, USA
| | - Lexie Convertino
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
| | - Jamie-Lee Pennesi
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | - Michael C. Parent
- Department of Educational Psychology, University of Texas at Austin, Austin, TX, USA
| | - Tiffany A. Brown
- Department of Psychiatry, University of California, San Diego, San Diego, CA, USA
| | - Emilio J. Compte
- School of Psychology, Adolfo Ibáñez University, Santiago, Chile,Research Department, Comenzar de Nuevo Treatment Center, Monterrey, Mexico
| | - Catherine P. Cook-Cottone
- Department of Counseling, School, and Educational Psychology, University at Buffalo, State University of New York, Buffalo, NY, USA
| | - Canice E. Crerand
- Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA
| | | | - Jason M. Nagata
- Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA
| | - Marisol Perez
- Department of Psychology, Arizona State University, Tempe, AZ, USA
| | - Eva Pila
- School of Kinesiology, Western University, London, ON, Canada
| | | | | | - Stuart B. Murray
- Department of Psychiatry & Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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14
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Frederick DA, Hazzard VM, Schaefer LM, Rodgers RF, Gordon AR, Tylka TL, Pennesi JL, Convertino L, Parent MC, Brown TA, Compte EJ, Cook-Cottone CP, Crerand CE, Malcarne VL, Nagata JM, Perez M, Pila E, Thompson JK, Murray SB. Sexual orientation differences in pathways from sociocultural and objectification constructs to body satisfaction: The U.S. Body Project I. Body Image 2022; 41:181-194. [PMID: 35272100 PMCID: PMC9812653 DOI: 10.1016/j.bodyim.2022.02.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 12/15/2021] [Accepted: 02/01/2022] [Indexed: 01/07/2023]
Abstract
Objectification theory and the tripartite influence model provide useful frameworks for understanding the body image experiences of men and women. However, there is little systematic investigation of how sexual orientation moderates the links between these constructs and body image satisfaction. It has been hypothesized, for example, that the associations of surveillance (i.e., monitoring of one's appearance due to objectification by others) would be strongest for groups targeted by the male gaze (e.g., gay men, lesbian women, and bisexual men and women). Here we proposed an integrated sociocultural model and examined these pathways in multigroup structural equation models in a national sample of heterosexual, bisexual, and lesbian women (ns = 5395; 598; 213, respectively), and heterosexual, bisexual, and gay men (4869; 194; and 194, respectively) aged 18-65 years. Sexual orientation moderated some of these pathways. The most consistent pattern was that appearance pressures were internalized to a greater extent among bisexual participants. The pathways to poorer body image were generally similar among heterosexual and gay/lesbian men and women. These findings highlight the importance of examining sexual orientation-specific influences on body image across diverse groups, as well as the commonalities in the experiences of men and women across sexual orientations.
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Affiliation(s)
- David A. Frederick
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA,Corresponding authors. (D.A. Frederick), (V.M. Hazzard)
| | - Vivienne M. Hazzard
- Sanford Center for Bio-behavioral Research, Fargo, ND, USA,Corresponding authors. (D.A. Frederick), (V.M. Hazzard)
| | | | - Rachel F. Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, MA, USA
| | - Allegra R. Gordon
- Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA,Division of Adolescent/Young Adult Medicine, Boston Children’s Hospital, Boston, MA, USA,Department of Pediatrics, Harvard Medical School, Boston, MA, USA
| | - Tracy L. Tylka
- Department of Psychology, The Ohio State University, Columbus, OH, USA
| | - Jamie-Lee Pennesi
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | - Lexie Convertino
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
| | - Michael C. Parent
- Department of Educational Psychology, University of Texas at Austin, Austin, TX, USA
| | - Tiffany A. Brown
- Department of Psychiatry, University of California, San Diego, San Diego, CA, USA
| | - Emilio J. Compte
- School of Psychology, Adolfo Ibáñez University, Santiago, Chile,Research Department, Comenzar de Nuevo Treatment Center, Monterrey, Mexico
| | - Catherine P. Cook-Cottone
- Department of Counseling, School, and Educational Psychology, University at Buffalo, State University of New York, Buffalo, NY, USA
| | - Canice E. Crerand
- Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA
| | | | - Jason M. Nagata
- Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA
| | - Marisol Perez
- Department of Psychology, Arizona State University, Tempe AZ, USA
| | - Eva Pila
- School of Kinesiology, Western University, London, ON, Canada
| | | | - Stuart B. Murray
- Department of Psychiatry & Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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15
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Drtilová H, Šmahel D, Šmahelová M. Advantages and Disadvantages of Internet Use: The Perspective of Women with Eating Disorders Experience. HEALTH COMMUNICATION 2022; 37:791-801. [PMID: 33432827 DOI: 10.1080/10410236.2020.1868076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Even though the internet is a common source of information and treatment for people with eating disorder (ED) experience, the motives for illness-related searches have rarely been investigated beyond the perceived negatives. This study explores how women with ED experience reflect upon the advantages and disadvantages of their ED-related internet use. We expand the framework of the Uses and Gratifications Theory (U&G) into the context of users with ED experience through 30 semi-structured interviews with women with ED experience, aged 16 to 28, who live in the Czech Republic. Thematic analysis revealed four themes related to the pros and cons of their internet usage: ED-related Information Content; Internet Features Important to Users; Body Image; and Social Interaction. The results challenge the binary view of ED-related internet use and question some presumptions of U&G Theory within the specific context of users with ED experience.
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Affiliation(s)
- Hana Drtilová
- Interdisciplinary Research Team on Internet and Society, Masaryk University
| | - David Šmahel
- Interdisciplinary Research Team on Internet and Society, Masaryk University
| | - Martina Šmahelová
- Interdisciplinary Research Team on Internet and Society, Masaryk University
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16
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Frederick DA, Schaefer LM, Hazzard VM, Rodgers RF, Tylka TL, Ong LQ, Pennesi JL, Convertino L, Parent MC, Brown TA, Compte EJ, Cook-Cottone CP, Crerand CE, Malcarne VL, Nagata JM, Perez M, Pila E, Thompson JK, Murray SB. Racial identity differences in pathways from sociocultural and objectification constructs to body satisfaction: The U.S. Body Project I. Body Image 2022; 41:140-155. [PMID: 35255272 PMCID: PMC9812654 DOI: 10.1016/j.bodyim.2022.01.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [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: 01/28/2022] [Indexed: 01/07/2023]
Abstract
Racial minority men and women face a wide variety of appearance-related pressures, including ones connected to their cultural backgrounds and phenotypic features associated with their identity. These body image concerns exist within a larger context, wherein racial minorities face pressures from multiple cultures or subcultures simultaneously to achieve unrealistic appearance ideals. However, limited research has investigated racial differences in the relationships between theorized sociocultural risk factors and body image in large samples. This study tests pathways from an integrated sociocultural model drawing on objectification theory and the tripartite influence model to three key body image outcomes: appearance evaluation, body image quality of life, and face image satisfaction. These pathways were tested using multigroup structural equation modeling in a national sample of White, Black, Hispanic, and Asian men and women (ns = 205-4797 per group). Although many hypothesized associations were similar in strength across groups, race moderated some of the pathways between sociocultural pressures (media, peer, family), internalization of appearance ideals (thin-ideal, muscular/athletic), appearance surveillance, and body image outcomes. Findings support the likely role of both shared and specific risk factors for body image outcomes, suggesting avenues for tailoring adapted interventions in order to target culturally-salient risk factors.
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Affiliation(s)
- David A. Frederick
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA,Corresponding authors. (D.A. Frederick), (V.M. Hazzard)
| | | | - Vivienne M. Hazzard
- Sanford Center for Bio-behavioral Research, Fargo, ND, USA,Corresponding authors. (D.A. Frederick), (V.M. Hazzard)
| | - Rachel F. Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, MA, USA
| | - Tracy L. Tylka
- Department of Psychology, The Ohio State University, Columbus, OH, USA
| | - Lydia Q. Ong
- Department of Psychology, Chapman University, Orange, CA, USA
| | - Jamie-Lee Pennesi
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | - Lexie Convertino
- San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
| | - Michael C. Parent
- Department of Educational Psychology, University of Texas at Austin, Austin, TX, USA
| | - Tiffany A. Brown
- Department of Psychiatry, University of California, San Diego, CA, USA
| | - Emilio J. Compte
- School of Psychology, Adolfo Ibáñez University, Santiago, Chile,Research Department, Comenzar de Nuevo Treatment Center, Monterrey, Mexico
| | - Catherine P. Cook-Cottone
- Department of Counseling, School, and Educational Psychology, University at Buffalo, State University of New York, Buffalo, NY, USA
| | - Canice E. Crerand
- Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA
| | | | - Jason M. Nagata
- Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA
| | - Marisol Perez
- Department of Psychology, Arizona State University, Tempe, AZ, USA
| | - Eva Pila
- School of Kinesiology, Western University, London, ON, Canada
| | | | - Stuart B. Murray
- Department of Psychiatry & Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
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17
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Jarman HK, McLean SA, Griffiths S, Teague SJ, Rodgers RF, Paxton SJ, Austen E, Harris E, Steward T, Shatte A, Khanh-Dao Le L, Anwar T, Mihalopoulos C, Parker AG, Yager Z, Fuller-Tyszkiewicz M. Critical measurement issues in the assessment of social media influence on body image. Body Image 2022; 40:225-236. [PMID: 35032949 DOI: 10.1016/j.bodyim.2021.12.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 12/16/2021] [Indexed: 02/06/2023]
Abstract
Progress towards understanding how social media impacts body image hinges on the use of appropriate measurement tools and methodologies. This review provides an overview of common (qualitative, self-report survey, lab-based experiments) and emerging (momentary assessment, computational) methodological approaches to the exploration of the impact of social media on body image. The potential of these methodologies is detailed, with examples illustrating current use as well as opportunities for expansion. A key theme from our review is that each methodology has provided insights for the body image research field, yet is insufficient in isolation to fully capture the nuance and complexity of social media experiences. Thus, in consideration of gaps in methodology, we emphasise the need for big picture thinking that leverages and combines the strengths of each of these methodologies to yield a more comprehensive, nuanced, and robust picture of the positive and negative impacts of social media.
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Affiliation(s)
- Hannah K Jarman
- School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria, Australia; Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, Australia.
| | - Siân A McLean
- The Bouverie Centre, School of Psychology & Public Health, La Trobe University, Melbourne, Australia
| | - Scott Griffiths
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Samantha J Teague
- School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria, Australia; Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, Australia
| | - Rachel F Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, USA; Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier, France
| | - Susan J Paxton
- School of Psychology & Public Health, La Trobe University, Melbourne, Australia
| | - Emma Austen
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Emily Harris
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Trevor Steward
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Adrian Shatte
- School of Engineering, Information Technology & Physical Sciences, Federation University, Melbourne, Australia
| | - Long Khanh-Dao Le
- Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Australia
| | - Tarique Anwar
- Department of Computing Technologies, Swinburne University of Technology, Melbourne, Australia
| | - Cathrine Mihalopoulos
- Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Australia
| | - Alexandra G Parker
- Institute for Health and Sport, Victoria University, Melbourne, Australia; Orygen and Centre for Youth Mental Health, University of Melbourne, Australia
| | - Zali Yager
- Institute for Health and Sport, Victoria University, Melbourne, Australia
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, 1 Gheringhap Street, Geelong, Victoria, Australia; Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Burwood, Australia
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18
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Davies AE, Burnette CB, Ravyts SG, Mazzeo SE. A randomized control trial of Expand Your Horizon: An intervention for women with weight bias internalization. Body Image 2022; 40:138-145. [PMID: 34954448 PMCID: PMC8891047 DOI: 10.1016/j.bodyim.2021.12.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 12/13/2021] [Accepted: 12/14/2021] [Indexed: 01/06/2023]
Abstract
Weight bias internalization (WBI) is associated with a myriad of negative health outcomes, but there are few effective treatments that address this concern. This randomized controlled trial examined the preliminary effectiveness of a previously developed body gratitude journaling intervention (i.e., Expand Your Horizon) compared with an active control writing condition (i.e., expressive writing) in emerging adult women with WBI. Participants (N = 135) completed baseline measures and were then randomized to either Expand Your Horizon (n = 72) or the active control condition (n = 63). Participants in both conditions completed three writing tasks over one week. Assessments occurred at baseline, post-test, and follow-up (one-week). Participants in both conditions experienced improvements in WBI, functionality appreciation, and self-compassion at follow-up, though improvements were greater in the Expand Your Horizon condition. Further, participants in the Expand Your Horizon had greater improvement in healthcare stress at follow-up. In sum, Expand Your Horizon appeared accessible and demonstrated preliminary effectiveness in a sample of emerging adult women with WBI. Avenues for future research include evaluating this intervention in more diverse populations with a longer follow-up.
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Affiliation(s)
- Alexandria E Davies
- Department of Psychology, Virginia Commonwealth University, P.O. Box 842018, Richmond, VA 23284-2018, USA.
| | - C Blair Burnette
- Department of Public Health, University of Minnesota, Minneapolis, MN 55454, USA
| | - Scott G Ravyts
- Department of Psychology, Virginia Commonwealth University, P.O. Box 842018, Richmond, VA 23284-2018, USA
| | - Suzanne E Mazzeo
- Department of Psychology, Virginia Commonwealth University, P.O. Box 842018, Richmond, VA 23284-2018, USA
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19
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Sandgren SS, Haycraft E, Arcelus J, Plateau CR. Evaluating a motivational and psycho-educational self-help intervention for athletes with mild eating disorder symptoms: A mixed methods feasibility study. EUROPEAN EATING DISORDERS REVIEW 2022; 30:250-266. [PMID: 35170147 PMCID: PMC9304319 DOI: 10.1002/erv.2891] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 12/20/2021] [Accepted: 02/01/2022] [Indexed: 11/25/2022]
Abstract
Objective The primary aim was to assess the feasibility of undertaking a study evaluating the novel Motivational and Psycho‐Educational Self‐Help Programme for Athletes with Mild Eating Disorder Symptoms (MOPED‐A). A mixed‐methods approach was adopted to explore the feasibility of recruiting and retaining participants, and to evaluate the acceptability of measures, procedures and the intervention. A secondary aim was to explore the potential efficacy of MOPED‐A in reducing athletes' eating disorder symptoms. Method Thirty‐five athletes were recruited. Participation involved completing MOPED‐A over a 6‐week period and completing self‐report measures at baseline (T1), post‐intervention (T2) and 4‐week follow‐up (T3). A subsample (n = 15) completed an interview at T2. Results Retention was good throughout the study (n = 28; 80%). Quantitative and qualitative feedback suggested the format, delivery, content and dosage of MOPED‐A were acceptable. Athletes valued that the intervention was tailored to them, and this facilitated both participation and completion. Over a third of participants reported disclosing their eating difficulties and deciding to seek further support. Large reductions in eating disorder symptoms were detected at T2 and sustained at T3. Conclusions The MOPED‐A intervention can be feasibly implemented, is acceptable to participants, and demonstrates potential for reducing symptoms in athletes. A larger, controlled trial is warranted. Participant recruitment to the study was feasible, and an acceptable proportion of participants were retained throughout the study. This is the first study to show that the format and delivery of a self‐help intervention is acceptable to athletes with mild eating disorder symptoms, and that athletes valued the intervention being tailored to them which facilitated participation and completion. The intervention demonstrates potential for reducing athletes' eating disorder symptoms.
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Affiliation(s)
- Sebastian S Sandgren
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.,Department of Education and Sports Science, University of Stavanger, Stavanger, Norway
| | - Emma Haycraft
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Jon Arcelus
- School of Medicine, Institute of Mental Health, University of Nottingham, Nottingham, UK.,Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
| | - Carolyn R Plateau
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
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20
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Do Personal Factors Make Women and Men more Susceptible to Self-Objectification and the Development of Dysfunctional Eating Attitudes? CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-020-00622-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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21
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Goel NJ, Thomas B, Boutté RL, Kaur B, Mazzeo SE. Body Image and Eating Disorders Among South Asian American Women: What Are We Missing? QUALITATIVE HEALTH RESEARCH 2021; 31:2512-2527. [PMID: 34382899 DOI: 10.1177/10497323211036896] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This study used focus group methodology to examine South Asian (SA) American women's conceptualizations of eating disorders (EDs) and body dissatisfaction, and their perspectives regarding cultural influences on these conditions. Using a qualitative descriptive approach, seven focus groups were conducted (N = 54, mean age = 20.11 years, SD = 2.52). Themes (n = 15) were organized according to the amended objectification theory framework. Women described experiences of cultural stressors specifically related to living in the United States, and weight stigma from multiple sources, especially older women (e.g., mothers, relatives, and aunties). Participants also experienced pressures to achieve competing body and appearance ideals ("thin" and "healthy"). In addition, they reported pressures to possess light skin, dark black hair, minimal body hair, and marry young, and noted these pressures negatively impacted their body esteem. Findings indicate that a combination of "traditional" and culturally-influenced factors are important to consider when conceptualizing eating pathology and body image in young SA American women.
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Affiliation(s)
- Neha J Goel
- Virginia Commonwealth University, Richmond, Virginia, USA
| | - Brogan Thomas
- Virginia Commonwealth University, Richmond, Virginia, USA
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22
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Rodgers RF, Paxton SJ, Wertheim EH. #Take idealized bodies out of the picture: A scoping review of social media content aiming to protect and promote positive body image. Body Image 2021; 38:10-36. [PMID: 33798800 DOI: 10.1016/j.bodyim.2021.03.009] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 03/14/2021] [Accepted: 03/17/2021] [Indexed: 02/07/2023]
Abstract
Much evidence has highlighted detrimental effects of social media on body image, and attention has turned towards identifying content that could support and promote positive body image. This study aimed to conduct a scoping review of the emerging evidence focused on social media content that might support positive body image. A total of n = 35 studies (21 experimental) examining social media were identified along with n = 11 studies not specifically focusing on social media but with clear implications. Overall, findings suggest that images that do not portray individuals are most helpful for body image, as well as those portraying appearances diverging from appearance ideals. Our review also identifies types of social media content that have so far not been found to protect body image, and those not sufficiently evaluated. Regarding textual captions and comments, the most promising avenue involves highlighting the contrived and unrealistic nature of social media content. However, empirical data are limited and not robust. Body acceptance-related statements have so far not been found to be helpful for body image, and findings regarding the usefulness of using social marketing strategies (such as hashtags) to identify content that may be more realistic is nascent and conflicted.
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Affiliation(s)
- Rachel F Rodgers
- APPEAR, Department of Applied Psychology, Northeastern University, Boston, MA, USA; Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU, Montpellier, France.
| | - Susan J Paxton
- School of Psychology and Public Health, La Trobe University, Bundoora (Melbourne), VIC, Australia
| | - Eleanor H Wertheim
- School of Psychology and Public Health, La Trobe University, Bundoora (Melbourne), VIC, Australia
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23
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Bruchmann K, Osa ML, Wong K, Baerg L. Construal level moderates a local dominance effect of appearance comparisons in undergraduate women. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2021. [DOI: 10.1111/jasp.12819] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Kathryn Bruchmann
- Department of Psychology Santa Clara University Santa Clara California USA
| | - Maggie L. Osa
- Prevention Science Institute University of Oregon Eugene Oregon USA
| | - Kahana Wong
- Department of Psychology Santa Clara University Santa Clara California USA
| | - Lindsay Baerg
- Department of Psychology Santa Clara University Santa Clara California USA
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24
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Romano KA, Heron KE. Examining Race and Gender Differences in Associations Among Body Appreciation, Eudaimonic Psychological Well-Being, and Intuitive Eating and Exercising. Am J Health Promot 2021; 36:117-128. [PMID: 34350774 DOI: 10.1177/08901171211036910] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE The present study examined race and gender differences among positive psychological constructs, and adaptive eating and exercise behaviors. DESIGN Cross-sectional. SETTING Online. SAMPLE College students (N = 1,228; Mage = 22.27, SD = 5.83). MEASURES Participants completed measures assessing positive body image, eudaimonic psychological well-being, and health behaviors. ANALYSES Multi-group structural equation modeling was used to examine whether White versus Black race and, separately, woman versus man gender identity moderated associations among body appreciation, eudaimonic psychological well-being, and intuitive eating and intuitive exercising. RESULTS Results generally indicated that greater body appreciation was associated with greater eudaimonic psychological well-being (βs = 0.48, 0.56) and, in turn, intuitive eating (βs = -0.20, 0.25) and intuitive exercising (βs = -0.06, 0.23). However, notable variations in this pattern of results were identified based on the facet of intuitive eating and exercising under investigation, and participants' racial identities. For example, greater eudaimonic psychological well-being strictly mediated a positive association between body appreciation and reliance on hunger and satiety cues intuitive eating behaviors among participants who identified as Black (95%CI: 0.01, 0.12), but not White (95%CI: -0.08, 0.04). CONCLUSIONS Although the present findings warrant replication using longitudinal designs due to the cross-sectional nature of the present study, these findings suggest that increasing adults' eudaimonic psychological well-being may help improve health-promoting eating and exercise behaviors, and should be assessed as a mechanism of change in future clinical research.
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Affiliation(s)
- Kelly A Romano
- 169177The Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA
| | - Kristin E Heron
- 169177The Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA.,6042Old Dominion University, Norfolk, VA, USA
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25
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Macintyre RI, Heron KE, Dawson CA, Filipkowski KB, Arigo D. Does Assessment Alter Responses? An Examination of Measurement Reactivity in an Ecological Momentary Assessment of Body Comparisons. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2021. [DOI: 10.1521/jscp.2021.40.4.304] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Introduction: Body comparisons have been implicated in body dissatisfaction and eating disorder development. Ecological momentary assessment (EMA) has been used to capture body comparisons in everyday life; however, the potential for measurement reactivity this approach has on EMA responses has yet to be examined. The present study systematically evaluated measurement reactivity in EMA of body comparisons. Methods: Undergraduate women (N = 75) completed four surveys daily for 11 days; Days 1–4 did not include comparison assessments and Days 5–11 did. Changes were examined in related EMA measures between these time periods and individual difference measures pre- and post-EMA. Results: A within-person MANOVA showed no significant change in the individual difference measures. Multilevel analyses revealed that participants reported fewer comparisons as day of study increased. When they completed EMA with versus without comparison items, they reported fewer occasions of loss of control while eating and less pleasant social company at time of assessment. Discussion: Findings suggest limited concern for reactivity in this approach, though researchers examining body comparisons, loss of control eating, and perceptions of social company should be cautious when interpreting their findings and consider examining reactivity directly. Future research on body comparisons should also consider using run-in periods to improve data quality.
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Affiliation(s)
- Rachel I. Macintyre
- The Virginia Consortium Program in Clinical Psychology Old Dominion University
| | - Kristin E. Heron
- The Virginia Consortium Program in Clinical Psychology Old Dominion University
| | - Charlotte A. Dawson
- The Virginia Consortium Program in Clinical Psychology Old Dominion University
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26
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Yoon S, Nevins CM, Liu CH, Chen JA, Pinder-Amaker SL. Clinical profiles of college student patients in a psychiatric hospital. J Psychiatr Res 2021; 140:289-294. [PMID: 34126422 DOI: 10.1016/j.jpsychires.2021.05.069] [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: 02/06/2021] [Revised: 04/27/2021] [Accepted: 05/29/2021] [Indexed: 11/16/2022]
Abstract
College students represent a significant portion of patients in a psychiatric hospital. However, limited previous research has examined the clinical profiles of this unique population, especially across both inpatient and outpatient settings. To better understand college student mental health, the current study explored the potentially heterogeneous groups of students admitted to inpatient or treated in outpatient units in a large psychiatric hospital. Latent profile analysis (LPA) was used to identify latent clusters based on mental health-related struggles, measured by the Counseling Center Assessment of Psychological Symptoms-34, a measure specifically designed to assess college students. LPA results identified five underlying clusters: 1) negative affect (NA); 2) NA/alcohol struggles; 3) NA/eating concerns; 4) general distress; and 5) low clinical scores. Students who reported comorbid alcohol-related struggles or eating concerns with negative affect showed the greatest overall distress. The NA/alcohol struggles group was more likely to be inpatient than outpatient. Notably, the NA/eating concerns group, one of the most distressed groups, did not significantly predict higher levels of care, indicating that outpatient students may struggle as greatly as inpatient students. The current study provides new insights into the clinical profiles of the important, yet traditionally understudied, population of college students in both inpatient and outpatient psychiatric hospital settings. Future research on college student patients is imperative to better understand college student mental health from both hospital and university perspectives.
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Affiliation(s)
- Sunkyung Yoon
- College Mental Health Program, McLean Hospital, 115 Mill St, Belmont, MA, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, USA.
| | - Caitlin M Nevins
- College Mental Health Program, McLean Hospital, 115 Mill St, Belmont, MA, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, USA.
| | - Cindy H Liu
- Harvard Medical School, 25 Shattuck St, Boston, MA, USA; Brigham and Women's Hospital, 75 Francis St, Boston, MA, USA.
| | - Justin A Chen
- Harvard Medical School, 25 Shattuck St, Boston, MA, USA; Massachusetts General Hospital, 55 Fruit St, Boston, MA, USA.
| | - Stephanie L Pinder-Amaker
- College Mental Health Program, McLean Hospital, 115 Mill St, Belmont, MA, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, USA.
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27
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Mahon C, Hevey D. Processing Body Image on Social Media: Gender Differences in Adolescent Boys' and Girls' Agency and Active Coping. Front Psychol 2021; 12:626763. [PMID: 34093311 PMCID: PMC8175666 DOI: 10.3389/fpsyg.2021.626763] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 04/19/2021] [Indexed: 01/18/2023] Open
Abstract
Although scholars continue to debate the influence of social media on body image, increased social media use, especially engaging in appearance-related behaviors may be a potential risk factor for body dissatisfaction in adolescents. Little research has investigated how adolescents process appearance-related content and the potential strategies they use to protect body image perceptions on social media. To investigate coping strategies used by adolescents, four qualitative focus groups were conducted with 29 adolescents (23 girls) aged 15–16 years (M = 15.31, SD = 0.47) in mixed-gender Irish secondary schools. Thematic analysis revealed that adolescents employed many different behavioral strategies such as avoiding negative content and selecting positive content. Cognitive processing strategies such as critically evaluating body-related content, psychologically distancing from and positively reframing challenging content were also used, although less frequently. Boys appeared to exhibit greater positive agency over their bodies and social media use and tended to use more active coping styles than girls. Efforts to promote body image on social media such as body positive pages and exposing artificial social media content were considered limited in their effectiveness.
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Affiliation(s)
- Ciara Mahon
- School of Psychology, Trinity College Dublin, Dublin, Ireland
| | - David Hevey
- School of Psychology, Trinity College Dublin, Dublin, Ireland
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28
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Genis M, de Klerk W, Malan L. Psychosocial functions of eating behaviour among South African female university students: An exploratory study. JOURNAL OF PSYCHOLOGY IN AFRICA 2021. [DOI: 10.1080/14330237.2021.1927338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Monique Genis
- School of Psychosocial Health, Community Psychosocial Research (COMPRES), North-West University, Potchefstroom, South Africa
| | - Werner de Klerk
- School of Psychosocial Health, Community Psychosocial Research (COMPRES), North-West University, Potchefstroom, South Africa
| | - Lelanie Malan
- School of Psychosocial Health, Community Psychosocial Research (COMPRES), North-West University, Potchefstroom, South Africa
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29
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Wu F, Ma Y, Zhang Z. "I Found a More Attractive Deepfaked Self": The Self-Enhancement Effect in Deepfake Video Exposure. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2021; 24:173-181. [PMID: 33646043 DOI: 10.1089/cyber.2020.0173] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
With the introduction of deepfake technology, which enables digital face-swapping between two individuals, young women are no longer passive viewers of attractive celebrities, but are able to become part of the perfect images. This study used the ZAO app as the apparatus to investigate the impact of viewing the self-celebrity deepfaked videos (SCDV) on young female users' appearance self-evaluation (i.e., body image and state appearance self-esteem). A sample of 128 young women 18-31 years of age was randomly assigned to view either 10 SCDV or 10 purely celebrity videos (PCV). All videos were sourced from the ZAO app. Results showed that participants in the SCDV condition perceived themselves as more physically attractive, experienced greater satisfaction with their own facial features, and reported marginally higher state appearance self-esteem than those in the PCV condition, whereas body shape satisfaction did not differ between the conditions. In addition, SCDV exposure increased perceived overall physical attractiveness and facial features satisfaction, but did not impact body shape satisfaction, whereas PCV exposure decreased facial features satisfaction, but did not impact perceived overall physical attractiveness or body shape satisfaction. "Attractive possible self" (APS) perception positively mediated the effect of SCDV exposure on perceived overall physical attractiveness, facial features satisfaction, body shape satisfaction, and state appearance self-esteem, while state appearance comparison only negatively mediated the effect of SCDV exposure on facial features satisfaction. This study reveals the potential of deepfake technology as an intervention technique for body image disturbances.
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Affiliation(s)
- Fuzhong Wu
- School of Journalism and Communication, Tsinghua University, Beijing, China
| | - Yueran Ma
- School of Journalism and Communication, Tsinghua University, Beijing, China
| | - Zheng Zhang
- School of Journalism and Communication, Tsinghua University, Beijing, China
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MacIntyre RI, Heron KE, Crosby RD, Engel SG, Wonderlich SA, Mason TB. Measurement of the influences of social processes in appetite using ecological momentary assessment. Appetite 2021; 161:105126. [PMID: 33515621 DOI: 10.1016/j.appet.2021.105126] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 11/23/2020] [Accepted: 01/11/2021] [Indexed: 11/16/2022]
Abstract
Obesity and eating disorders are serious health concerns that both involve dysregulated eating patterns, including binge eating and emotional eating. Though social processes and appetite dysregulation have been shown to predict dysregulated eating separately, limited research has examined the potential link between social processes and appetite in daily life. The purpose of the present study was to examine the association between naturally occurring social processes previously linked with dysregulated eating and appetite using ecological momentary assessment (EMA). Thirty women with binge-eating pathology completed five semi-random EMA surveys a day for 14 days. The EMA surveys included measures of social processes that occurred between surveys (i.e., interpersonal problems, body social comparisons, social media use, and external pressures for thinness) and assessments of appetite at time of survey. Multilevel analyses revealed that each social process approximately 2-h prior positively predicted appetite. Further, using lagged analyses, all of the social processes approximately 4-h prior, aside from social media use, predicted appetite. Our findings suggest that social processes are important in predicting appetite among women with binge-eating pathology. Future extensions of this research that include measures of dysregulated eating are needed.
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Affiliation(s)
- Rachel I MacIntyre
- The Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA.
| | - Kristin E Heron
- The Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA; Department of Psychology, Old Dominion University, Norfolk, VA, USA
| | - Ross D Crosby
- Center for Biobehavioral Research, Sanford Health, Fargo, ND, USA
| | - Scott G Engel
- Center for Biobehavioral Research, Sanford Health, Fargo, ND, USA
| | | | - Tyler B Mason
- Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA
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Tavakoli M, Hasanpoor-Azghady SB, Farahani LA. Predictors of mothers' postpartum body dissatisfaction based on demographic and fertility factors. BMC Pregnancy Childbirth 2021; 21:8. [PMID: 33402110 PMCID: PMC7784021 DOI: 10.1186/s12884-020-03501-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 12/16/2020] [Indexed: 12/18/2022] Open
Abstract
Background There are fundamental and rapid changes in body shape during pregnancy, some of which persist for an extended time after delivery and may cause dissatisfaction with body shape. Therefore, we conducted this study to determine predictors of body dissatisfaction at six months postpartum based on demographic and fertility factors. Methods This cross-sectional study was conducted on 300 women who referred to seven health centers affiliated with Iran University of Medical Sciences, Tehran, Iran. The sampling was multistage and we collected data from a demographic and fertility questionnaire and Cooper’s Body Shape Questionnaire (BSQ-34). The independent t-test, Mann-Whitney U test, chi-square test, one-way ANOVA, Kruskal-Wallis, Pearson correlation coefficient, and multiple linear regression were used for data analysis. The level of significance was set at P < 0.05. Results The mean age of participating women was 29.77 (standard deviation: 5.9) years. Body dissatisfaction had a statistically significant association with variables such as body mass index (BMI) at six months postpartum, gestational age, the receipt of information about body shape, spouse’s views on the shape of a woman’s body, and mode of delivery. These variables predicted 34% of body dissatisfaction based on multiple linear regression. Conclusion Postpartum body dissatisfaction is related to a several variables. Paying attention to these variables will help to plan and improve postpartum counseling and educational programs.
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Affiliation(s)
- Mehrri Tavakoli
- Department of Midwifery and Reproductive, Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Rashid Yasemi st., Valiasr St, Tehran, 1996713883, Iran
| | - Seyedeh Batool Hasanpoor-Azghady
- Department of Midwifery and Reproductive, Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Rashid Yasemi st., Valiasr St, Tehran, 1996713883, Iran.
| | - Leila Amiri Farahani
- Department of Midwifery and Reproductive, Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Rashid Yasemi st., Valiasr St, Tehran, 1996713883, Iran
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Sahlan RN, Saunders JF, Fitzsimmons-Craft EE. Body-, eating-, and exercise-related social comparison behavior and disordered eating in college women in the U.S. and Iran: A cross-cultural comparison. Eat Behav 2021; 40:101451. [PMID: 33246301 PMCID: PMC7978496 DOI: 10.1016/j.eatbeh.2020.101451] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 11/10/2020] [Accepted: 11/15/2020] [Indexed: 12/26/2022]
Abstract
Wearing of the hijab is associated with lower eating disorder (ED) attitudes and behaviors in women. However, this potential buffering role of the hijab has been questioned in countries, such as Iran, where its wearing is compulsory. Further, cross-cultural comparisons between disordered eating behaviors and correlates in Iranian and U.S. women are lacking. This study examines social-cognitive correlates of disordered eating in U.S. and Iranian women, comparing rates of ED- related social comparison and eating pathology. College women in the U.S. (n = 180) and Iran (n = 384) completed the Body, Eating, and Exercise Comparison Orientation Measure (BEECOM) and the Eating Disorder Examination-Questionnaire (EDE-Q) in one session. One-way analyses of covariance and partial correlations were used to test the mean differences and inter-correlations between the variables among U.S. and Iranian women. U.S. women endorsed higher BEECOM scores and higher levels of overvaluation of weight and shape and dietary restraint compared to Iranians. Most BEECOM subscales and disordered eating symptoms were inter-correlated in each culture. The tendency to engage in exercise comparison was not significantly correlated with excessive exercise for U.S. women. Correlations between variables were stronger for U.S. women compared to Iranian women. While the ED-related social comparison levels were higher for U.S. women, the typical Western patterns of social comparison and disordered eating extend to Iranian women. Eating disorder-related social comparison is a recommended clinical target in both Eastern and Western cultures.
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Affiliation(s)
- Reza N. Sahlan
- Department of Clinical Psychology, Iran University of Medical Sciences, Tehran, Iran
| | - Jessica F. Saunders
- Department of Psychological Science, Georgia College and State University, Milledgeville, GA, USA
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An application of psychosocial frameworks for eating disorder risk during the postpartum period: A review and future directions. Arch Womens Ment Health 2020; 23:625-633. [PMID: 32613296 DOI: 10.1007/s00737-020-01049-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 06/23/2020] [Indexed: 02/06/2023]
Abstract
The postpartum period may be a particular window of vulnerability for eating disorder symptoms given changes to body shape and weight that women experience. However, no quantitative studies have identified risk factors for postpartum eating disorder symptoms, and current psychosocial frameworks of risk may be missing key elements unique to this period. This manuscript reviews existing quantitative and qualitative literature regarding the developmental trajectory of eating disorder symptoms during the perinatal period and proposes an application of three psychosocial models of eating disorder risk (objectification theory, the tripartite influence model of body image and eating disturbances, and social comparison theory) to the postpartum period. Drawing on quantitative and qualitative literature, this paper identifies novel postpartum-specific factors that should be included for consideration in psychosocial models (e.g., self-oriented body comparison and pressure to achieve a prepregnancy weight and shape). This review is the first to theorize potential postpartum-specific risk factors for postpartum eating disorder symptoms. Prior models of eating disorder risk omit key psychosocial factors that are unique to the postpartum period. Other limitations of prior research relate to measurement and methodology. This critical window of vulnerability has been largely ignored in the quantitative literature and necessitates further research.
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Burnette CB, Mazzeo SE. An uncontrolled pilot feasibility trial of an intuitive eating intervention for college women with disordered eating delivered through group and guided self-help modalities. Int J Eat Disord 2020; 53:1405-1417. [PMID: 32476164 DOI: 10.1002/eat.23319] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 05/17/2020] [Accepted: 05/17/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVE College women engage in high rates of disordered eating behaviors (DEBs), and most do not receive treatment. Campuses lack resources to meet this need, thus accessible and affordable treatment options are important. Intuitive eating (IE) is gaining mainstream interest, but intervention research is scarce, with no known clinical trials in college women. This uncontrolled pilot trial examined the feasibility, acceptability, and preliminary efficacy of an eight-week IE intervention delivered through two potentially accessible and affordable modalities: group and guided self-help (GSH). METHOD Racially and ethnically diverse college women (N = 71; <50% White) were recruited from a large public Mid-Atlantic university and randomized to group (n = 40) or GSH (n = 31). Assessments occurred at 0 (pre-test), 8 (post-test), and 16 weeks (follow-up). Group participants attended eight weekly 1.5-hour sessions. GSH participants engaged in self-study and had eight weekly 20-minute phone calls. RESULTS Both conditions demonstrated feasibility, with superior retention and attendance in GSH. Over 90% of those attending at least one session in either condition were retained through follow-up. Both conditions were highly acceptable, and produced medium to large reductions in DEBs, body dissatisfaction, and weight-bias internalization, and improvements in body appreciation, IE, and satisfaction with life from pre- to post-test, which were maintained at follow-up. DISCUSSION Results of this pilot are encouraging and support the development of a larger randomized controlled trial. Avenues for refinement include strategies to improve feasibility of the group condition, and conducting longer-term follow-up to examine maintenance of effects and the intervention's eating disorder prevention potential.
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Affiliation(s)
- C Blair Burnette
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Suzanne E Mazzeo
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
- Departments of Psychology & Pediatrics, Virginia Commonwealth University, Richmond, Virginia, USA
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Sahlan RN, Saunders JF, Fitzsimmons-Craft EE, Taravatrooy F. The validity and reliability of the Farsi version of the Body, Eating, and Exercise Comparison Orientation Measure (F-BEECOM) among Iranian male and female students. Body Image 2020; 34:72-84. [PMID: 32531756 PMCID: PMC8015361 DOI: 10.1016/j.bodyim.2020.05.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Revised: 05/09/2020] [Accepted: 05/09/2020] [Indexed: 11/21/2022]
Abstract
Body-, eating-, and exercise-related social comparison tendencies are implicated in body dissatisfaction and disordered eating among Western women. To date, no published study examines eating- and exercise-related comparisons in a male or non-Western sample. The current series of studies fills these gaps in the literature by translating and validating the existing measure of these comparisons (the 18-item Body, Eating, and Exercise Comparison Orientation Measure [BEECOM]) in samples of Iranian men and women. In Studies 1 and 2, female (n = 284) and male (n = 302) participants completed the translated Farsi BEECOM. Scores were analyzed by exploratory factor analyses (EFA) revealing two different three factor, 15-item scale structures for men and women. In Studies 3 and 4, participants (female n = 384; male n = 253) completed measures of social comparison and psychological functioning in one session. These data were analyzed using confirmatory factor analyses (CFA) and Pearson correlations. Each CFA yielded adequately fitting models. Results support the use of two different 15-item Farsi BEECOM measures with women and men and highlight unique gender differences in social comparison tendencies. The resulting F-BEECOM demonstrates strong psychometric properties and will be a useful research tool in Iranian women and men.
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Affiliation(s)
- Reza N Sahlan
- Department of Clinical Psychology, Iran University of Medical Sciences, Tehran, Iran
| | | | | | - Fatemeh Taravatrooy
- Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
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36
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The Deliberate Denial of Disordered Eating Behaviors Scale: Development and Initial Validation in Young Women with Subclinical Disordered Eating. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2020. [DOI: 10.1007/s10862-020-09819-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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MacIntyre RI, Heron KE, Braitman AL, Arigo D. An Ecological Momentary Assessment of Self-improvement and Self-evaluation Body Comparisons: Associations with College Women's Body Dissatisfaction and Exercise. Body Image 2020; 33:264-277. [PMID: 32473545 PMCID: PMC7871329 DOI: 10.1016/j.bodyim.2020.04.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 04/07/2020] [Accepted: 04/10/2020] [Indexed: 01/27/2023]
Abstract
Upward body comparisons are prevalent among college women and associated with body dissatisfaction and disordered eating. However, less is known about distinguishing features of the comparisons themselves as they occur in daily life. The primary purpose of the present study was to examine whether two types of upward body comparisons previously studied experimentally (self-improvement and self-evaluation) are differentially associated with body- and exercise-related outcomes in real-life settings using ecological momentary assessment (EMA). Undergraduate women (N = 74) between 18-25 years (Mage = 20.4, SD = 1.63) completed five surveys on smartphones daily for seven days. EMA measures assessed body comparisons, body dissatisfaction, and exercise cognitions and behaviors. Baseline body dissatisfaction, comparison tendency, and exercise behavior were examined as moderators. Multilevel analyses revealed that both self-improvement and self-evaluation were associated with greater exercise thoughts (ps < .05), but not with changes in body dissatisfaction (ps> .05). Moderator analyses revealed differences between the two types and their associations with outcomes for select subgroups. For example, self-improvement comparisons were associated with fewer exercise thoughts among participants with high baseline exercise behaviors (p < .01). Further research is needed to understand the differences between self-improvement and self-evaluation and the potential protective mechanisms of self-improvement.
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Affiliation(s)
- Rachel I. MacIntyre
- The Virginia Consortium Program in Clinical Psychology, 555 Park Avenue, Norfolk, VA 23504, USA,Corresponding author at: Department of Psychology, Old Dominion University, 250 Mills Godwin Building, Norfolk, VA 23529, USA. (R I. MacIntyre)
| | - Kristin E. Heron
- The Virginia Consortium Program in Clinical Psychology, 555 Park Avenue, Norfolk, VA 23504, USA,Department of Psychology, Old Dominion University, 250 Mills Godwin Building, Norfolk, VA 23529, USA
| | - Abby L. Braitman
- The Virginia Consortium Program in Clinical Psychology, 555 Park Avenue, Norfolk, VA 23504, USA,Department of Psychology, Old Dominion University, 250 Mills Godwin Building, Norfolk, VA 23529, USA
| | - Danielle Arigo
- Department of Psychology, Rowan University, 201 Mullica Hill Road, Glassboro, NJ, 08028, USA
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Community norms for the Eating Disorder Examination Questionnaire (EDE-Q) among transgender men and women. Eat Behav 2020; 37:101381. [PMID: 32416588 PMCID: PMC7447532 DOI: 10.1016/j.eatbeh.2020.101381] [Citation(s) in RCA: 52] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Revised: 03/24/2020] [Accepted: 03/24/2020] [Indexed: 11/21/2022]
Abstract
Transgender men and women may be at risk for eating disorders, but prior community norms of the Eating Disorders Examination Questionnaire (EDE-Q) are based on presumed cisgender men and woman and have not intentionally included transgender people. The objective of this study was to develop community norms for eating disorder attitudes and disordered eating behaviors in transgender men and women using the EDE-Q. Participants were 312 transgender men and 172 transgender women participants in The PRIDE Study, an existing cohort study of sexual and gender minority people. We present mean scores, standard deviations, and percentile ranks for the Global score and four subscale scores of the EDE-Q in transgender men and women. Transgender men and women reported any occurrence (≥1/week) of dietary restraint (25.0% and 27.9%), objective binge episodes (11.2% and 12.8%), excessive exercise (8.0% and 8.1%), self-induced vomiting (1.6% and 1.7%), and laxative misuse (.3% and .6%), respectively. Compared to a prior study of presumed cisgender men 18-26 years (Lavender, De Young, & Anderson, 2010), our age-matched subsample of transgender men reported lower rates of objective binge episodes and excessive exercise. Compared to a prior study of presumed cisgender women 18-42 years (Mond, Hay, Rodgers, & Owen, 2006), we found that an age-matched sample of transgender women reported higher rates of dietary restraint but lower rates of excessive exercise. These norms should aid clinicians in applying and researchers in investigating and interpreting the EDE-Q scores of transgender men and women.
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Sen CKN, Gurleyik D, Psouni E. The Role of Physical Activity on Parental Rejection and Body Image Perceptions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2176. [PMID: 32218210 PMCID: PMC7177358 DOI: 10.3390/ijerph17072176] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 03/20/2020] [Accepted: 03/20/2020] [Indexed: 11/16/2022]
Abstract
The present study investigated the potential moderating role of physical activity on the relationship between parental rejection and poor body image perceptions. Late adolescents and young adults from Turkey (N = 373; 256 females/117 males) reported their memories of upbringing (Egna Minnen Beträffande Uppfostran/EMBU) related to both their mother and father, respectively, levels of physical activity (International Physical Activity Questionnaires/IPAQ), and body image perception (Body Cathexis Scale/body dissatisfaction and Social Physique Anxiety Scale/SPAS). EMBU mother and father rejection scores were combined and dichotomized, placing participants into high and low rejection groups. Multiple analysis of covariance, controlling for gender and body mass index, showed that high parental rejection was associated with poorer overall body image perception (η2 = 0.09; η2Body Dissatisfaction = 0.09; η2SPAS = 0.04), whereas higher physical activity was linked to better body image perception η2 = 0.02; η2Body Dissatisfaction = 0.04; η2SPAS = 0.03). While level of physical activity did not mediate the negative relationship between parental rejection on body image perceptions, very physically active individuals recalling high parental rejection displayed body image perceptions similar to participants with low parental rejection. Thus, although higher parental rejection is related to poorer body image perception, interventions targeting regular physical activity may help buffer against these negative effects.
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Affiliation(s)
- Celia K. Naivar Sen
- Department of Psychology, Ozyegin University, Istanbul 34794, Turkey; (C.K.N.S.); (D.G.)
| | - Duygu Gurleyik
- Department of Psychology, Ozyegin University, Istanbul 34794, Turkey; (C.K.N.S.); (D.G.)
| | - Elia Psouni
- Department of Psychology, Lund University, Lund SE-22100, Sweden
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Prospective changes in disordered eating and body dissatisfaction across women's first year of college: The relative contributions of sociocultural and college adjustment risk factors. Eat Behav 2020; 36:101357. [PMID: 31785454 DOI: 10.1016/j.eatbeh.2019.101357] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2019] [Revised: 11/19/2019] [Accepted: 11/20/2019] [Indexed: 11/23/2022]
Abstract
Sociocultural models have consistently been used to explain the etiology of disordered eating (DE) and body dissatisfaction (BD) among female college students, but less is known about how college adjustment factors, such as missing friends from home and stress about academic performance, relate to the progression of female students' DE and BD during the transition into college. The present study examined changes in DE thoughts and BD during the first year of college by merging the college adjustment and DE fields to evaluate the comparative impact of the two areas of research. Female undergraduates (N = 119) reported on DE risk factors, college adjustment factors, DE thoughts, and BD during their first (Time 1) and second (Time 2) semesters of college. Hierarchical regressions controlling for Time 1 outcome variables found that perceived stress at Time 1 enhanced the prediction of increases in DE severity beyond DE risk factors alone, suggesting that efforts targeted at making the transition to college easier may assist in decreasing DE severity for young women.
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Wang X, Liu Y, She Y, Gao X. Neural correlates of appearance-based social comparison: The modulating effects of body dissatisfaction and person perspective. Biol Psychol 2019; 144:74-84. [DOI: 10.1016/j.biopsycho.2019.03.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Revised: 03/11/2019] [Accepted: 03/14/2019] [Indexed: 10/27/2022]
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Howard LM, Heron KE, Cramer RJ. Denial of disordered eating behaviors, suicide, and non-suicidal self-injury in young women. DEATH STUDIES 2019; 44:338-346. [PMID: 30628858 DOI: 10.1080/07481187.2018.1561556] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This study assessed the unique explanatory power of denial of disordered eating in understanding non-suicidal self-injury (NSSI) and suicidality. Undergraduate women (N = 360) completed an online survey about NSSI, suicide risk, disordered eating behaviors, and denial of disordered eating. Denial of disordered eating was associated with NSSI and suicidality above and beyond engagement in disordered eating alone and demographic covariates. This study provided support that denial of disordered eating behaviors assists in understanding risk for NSSI and suicidality. Campus programing might include psychoeducation about the negative consequences of denial and emphasize the importance of disclosure to trusted confidants.
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Affiliation(s)
- Lindsay M Howard
- The Virginia Consortium Program in Clinical Psychology, Norfolk, Virginia, USA
| | - Kristin E Heron
- The Virginia Consortium Program in Clinical Psychology, Norfolk, Virginia, USA
- Old Dominion University, Norfolk, Virginia, USA
| | - Robert J Cramer
- The Virginia Consortium Program in Clinical Psychology, Norfolk, Virginia, USA
- Old Dominion University, Norfolk, Virginia, USA
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44
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Bardone-Cone AM, Thompson KA, Miller AJ. The self and eating disorders. J Pers 2018; 88:59-75. [PMID: 30506587 DOI: 10.1111/jopy.12448] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2018] [Revised: 11/13/2018] [Accepted: 11/21/2018] [Indexed: 12/22/2022]
Abstract
In our review, we focus on self-related constructs in the context of eating disorders with four aims. First, we examine a variety of self-related constructs that have been theoretically and empirically linked to the development and course of eating disorders. In addition to the more well-researched constructs of self-esteem and self-efficacy, we also report on findings related to selflessness, contingent self-worth, self-objectification, ego-syntonicity, self-concept clarity, self-compassion, social comparison, self-oriented perfectionism/self-criticism, and narcissism. Second, we discuss self-related constructs that may be especially relevant to comorbidities common among those with eating disorders. Third, we review intervention and prevention programs where self-related constructs play a prominent role. Lastly, we share future research directions regarding self-related constructs and eating disorders that we believe will advance a deeper understanding of the role of the self in the eating disorders.
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Affiliation(s)
- Anna M Bardone-Cone
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Katherine A Thompson
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
| | - Alexandra J Miller
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
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Rousseau A, Eggermont S. Tween Television and Peers: Reinforcing Social Agents in Early Adolescents' Body Surveillance and Self-Objectification. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2018; 28:807-823. [PMID: 29171676 DOI: 10.1111/jora.12367] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Sociocultural models of body image posit that the media and peers play a role in early adolescents' body dissatisfaction. Introducing a sociocultural perspective on youth sexualization, the present three-wave panel study (N = 968, Mage = 11.30) sought to examine the role of tween television and peer appearance conversations in early adolescents' body surveillance and self-objectification over time. Special attention was given to the mediating role of media internalization in these relationships. The results showed evidence for a reciprocal interaction between media internalization and peer appearance conversations and identified this reciprocal interaction as the underlying mechanism linking tween television exposure to higher levels of body surveillance and self-objectification 1 year later. Implications for body image and media literacy programs are discussed.
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Mazzurega M, Marisa J, Zampini M, Pavani F. Thinner than yourself: self-serving bias in body size estimation. PSYCHOLOGICAL RESEARCH 2018; 84:932-949. [PMID: 30467818 DOI: 10.1007/s00426-018-1119-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Accepted: 11/07/2018] [Indexed: 11/30/2022]
Abstract
The self-serving bias is the tendency to consider oneself in unrealistically positive terms. This phenomenon has been documented for body attractiveness, but it remains unclear to what extent it can also emerge for own body size perception. In the present study, we examined this issue in healthy young adults (45 females and 40 males), using two body size estimation (BSE) measures and taking into account inter-individual differences in eating disorder risk. Participants observed pictures of avatars, built from whole body photos of themselves or an unknown other matched for gender. Avatars were parametrically distorted along the thinness-heaviness dimension, and individualised by adding the head of the self or the other. In the first BSE task, participants indicated in each trial whether the seen avatar was thinner or fatter than themselves (or the other). In the second BSE task, participants chose the best representative body size for self and other from a set of avatars. Greater underestimation for self than other body size emerged in both tasks, comparably for women and men. Thinner bodies were also judged as more attractive, in line with standard of beauty in modern western society. Notably, this self-serving bias in BSE was stronger in people with low eating disorder risk. In sum, positive attitudes towards the self can extend to body size estimation in young adults, making own body size closer to the ideal body. We propose that this bias could play an adaptive role in preserving a positive body image.
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Affiliation(s)
- Mara Mazzurega
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Corso Bettini 31, 38068, Rovereto (Trento), Italy.
| | - Jlenia Marisa
- Department of Psychology and Cognitive Science, University of Trento, Rovereto (Trento), Italy
| | - Massimiliano Zampini
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Corso Bettini 31, 38068, Rovereto (Trento), Italy
- Department of Psychology and Cognitive Science, University of Trento, Rovereto (Trento), Italy
| | - Francesco Pavani
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Corso Bettini 31, 38068, Rovereto (Trento), Italy
- Department of Psychology and Cognitive Science, University of Trento, Rovereto (Trento), Italy
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Skead NK, Rogers SL, Doraisamy J. Looking beyond the mirror: Psychological distress; disordered eating, weight and shape concerns; and maladaptive eating habits in lawyers and law students. INTERNATIONAL JOURNAL OF LAW AND PSYCHIATRY 2018; 61:90-102. [PMID: 30219481 DOI: 10.1016/j.ijlp.2018.06.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 05/18/2018] [Accepted: 06/10/2018] [Indexed: 06/08/2023]
Abstract
Research indicates that, in comparison to professionals and University students in other disciplines, lawyers and law students may be at greater risk of experiencing high levels of psychological distress. There is also a large body of literature supporting an association between stress, anxiety and depression and unhealthy eating. This article reports on the results of a study of Australian legal professionals and law students that evidence a positive association between psychological distress; disordered eating, weight and shape concerns; and maladaptive eating habits in lawyers and law students. Additionally, this study confirms a positive link between frequency of exercise and subjective physical well-being, that in turn is associated with enhanced emotional well-being. Based on the results of this study, we suggest simple yet effective strategies law firms and law schools might adopt to support the mental health of their staff and students.
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Affiliation(s)
- Natalie K Skead
- School of Law, University of Western Australia, 35 Stirling Hwy, Crawley, Western Australia 6009, Australia.
| | - Shane L Rogers
- School of Psychology and Social Science, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia.
| | - Jerome Doraisamy
- School of Law, University of Western Australia, 35 Stirling Hwy, Crawley, Western Australia 6009, Australia.
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Abstract
PURPOSE OF REVIEW Eating disorders are recognized to occur across ethnic and racial groups. The aim of the present review was to examine recent advances in the understanding of the development, presentation, and intervention approaches specific to eating disorders among ethnic and racial minority groups. RECENT FINDINGS An increasing number of measures have been found to be useful tools for assessing eating disorder risk and symptoms among ethnic and racial minority populations. In addition, further evidence has emerged supporting the relationship between higher levels of eating disorder symptoms and acculturation stress, as well as investment in appearance ideals. In contrast, the relationship between ethnic identity and eating disorder symptoms is less consistent, although several studies suggest that positive ethnic identity may be protective. Finally, increasing efforts have been made to develop and implement culturally sensitive interventions by tailoring evidence-supported treatments. Our understanding of and capacity to treat eating disorders among ethnic and racial minority groups continues to improve. However, further research is needed, particularly among neglected groups, such a smaller ethnic and racial groups, males, and intersecting minority statuses.
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49
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Abstract
Internalization of cultural standards of attractiveness and subscription to gender-based discourses are significant predictors of disordered eating attitudes in fully sighted women. Yet, whether these variables predict the disordered eating attitudes of women who are legally blind is underexplored. In the current study, we examined how internalization of White European cultural standards of attractiveness and subscription to gender-based discourses (body surveillance and self-silencing) and body shame predicted the disordered eating attitudes of 80, primarily White, heterosexual, Australian women who are legally blind. Participants completed an online survey comprising existing validated measures of all variables. A path analysis was performed using the Hayes PROCESS approach. As predicted, in women living with vision impairment, body surveillance, self-silencing, and shame fully mediated the relation between internalization of cultural standards of attractiveness and disordered eating attitudes. Results showed that in much the same way as sighted women, women living with vision impairment are susceptible to internalizing harmful messages related to socio-cultural standards of attractiveness. We provide further support for including subscription to gender-based discourses in research on women’s body-image disturbances. Data will be available for other researchers from the author via email. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/page/pwq/suppl/index
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Affiliation(s)
- Alexandra Page
- Discipline of Psychological Sciences, Australian College of Applied Psychology, Sydney, New South Wales, Australia
| | - Fiona Ann Papps
- Discipline of Psychological Sciences, Australian College of Applied Psychology, Sydney, New South Wales, Australia
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50
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Carrotte E, Anderson J. Risk Factor or Protective Feature? The Roles of Grandiose and Hypersensitive Narcissism in Explaining the Relationship between Self-Objectification and Body Image Concerns. SEX ROLES 2018. [DOI: 10.1007/s11199-018-0948-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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