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Felig RN, Goldenberg JL. Selfie-Evaluation: A Meta-Analysis of the Relationship Between Selfie Behaviors and Self-Evaluations. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2024; 50:1227-1250. [PMID: 37021398 DOI: 10.1177/01461672231158252] [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: 04/07/2023]
Abstract
The "selfie" phenomenon shaped the past two decades, yet there is inconsistent evidence concerning the relationship between selfie behaviors and self-evaluations. This meta-analysis investigates the relationship between selfie taking, editing, and posting behavior and general and appearance-specific self-evaluations. The results reveal that selfie taking and posting are related to positive appearance-specific self-evaluations. In contrast, selfie editing is related to negative self-evaluations both generally and specific to appearance. Gender and age did not moderate these relationships, but methodological factors did, suggesting these relationships depend on factors, such as how selfie behaviors are measured and study design. We interpret these findings through the lens of prominent social psychological theories and conclude with suggestions to guide future research.
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Chea SK, Kazienga A, Oyugi EA, Menza I, Nasambu C, Ibrahim F, Abdullahi OA, Hassan AS, Abubakar A, Michielsen K, Abbeddou S. Associations between disordered eating behaviour and sexual behaviour amongst emerging adults attending a tertiary education institution in Coastal Kenya. PLoS One 2024; 19:e0301436. [PMID: 38861516 PMCID: PMC11166344 DOI: 10.1371/journal.pone.0301436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 03/16/2024] [Indexed: 06/13/2024] Open
Abstract
BACKGROUND Sexual behavior (SB) is a well-documented pathway to HIV acquisition in emerging adults and remains common amongst African emerging adults. Previous research in high-income countries indicates a correlation between disordered eating behavior (DEB) and engaging in sexual behaviors. We aimed to describe the relationship between DEB and SB amongst emerging adults attending a tertiary educational institution at the Kenyan Coast. METHODS We applied a cross-sectional design nested in a young adults' cohort study. Eligibility included sexually active emerging adults aged 18-24 years. Three DEBs (emotional, restrained and external eating) were assessed using the Dutch Eating Behavior Questionnaire and analysed using exploratory factor analysis. Seven SB indicators were assessed: non-condom use, casual sex, multiple sex partners, transactional sex, group sex, age-disparate relationship and anal sex, and grouped into low vs. high SB using latent class analysis. Logistic regression was used to assess the association between DEB and SB. RESULTS Of 273 eligible participants (female, n = 110 [40.3%]), the mean of emotional, restrained and external eating was 1.9 [0.6], 2.0 [0.6] and 3.0 [0.5] respectively. Overall, 57 (20.9%) were grouped into the latent high SB class. Emotional (Adjusted odds ratio, AOR [95% confidence interval, CI]: 1.0 [0.9-1.0], p = 0.398), restrained (AOR, 1.0 [CI: 0.9-1.1], p = 0.301) and External (AOR, 1.0 [CI: 0.8-1.2], p = 0.523) eating were not independently associated with latent high SB. CONCLUSION There was no significant association between DEB and SB in this study sample. In low- and middle-income countries like Kenya, interventions targeted at DEB among emerging adults towards controlling SB are unnecessary.
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Affiliation(s)
- Stevenson K. Chea
- Department of Nursing Sciences, School of Health and Human Sciences, Pwani University, Kilifi, Kenya
- Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
| | - Adama Kazienga
- Department of Translational Physiology, Infectiology and Public Health, Ghent University, Merelbeke, Belgium
| | - Eunice A. Oyugi
- Centre for Geographic Medicine Research, Kenya Medical Research Institute, Kilifi, Kenya
| | - Isaac Menza
- Centre for Geographic Medicine Research, Kenya Medical Research Institute, Kilifi, Kenya
| | - Carophine Nasambu
- Centre for Geographic Medicine Research, Kenya Medical Research Institute, Kilifi, Kenya
| | | | - Osman A. Abdullahi
- Department of Public Health, School of Health and Human Sciences, Pwani University, Kilifi, Kenya
| | - Amin S. Hassan
- Centre for Geographic Medicine Research, Kenya Medical Research Institute, Kilifi, Kenya
- Department of Public Health, School of Health and Human Sciences, Pwani University, Kilifi, Kenya
| | - Amina Abubakar
- Centre for Geographic Medicine Research, Kenya Medical Research Institute, Kilifi, Kenya
- Department of Public Health, School of Health and Human Sciences, Pwani University, Kilifi, Kenya
- Department of Psychiatry, University of Oxford, Oxford, United Kingdom
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
| | - Kristien Michielsen
- Department of Neurosciences, Institute for Family and Sexuality Studies, Faculty of Medicine, Catholic University of Leuven (KU Leven), Leven, Belgium
| | - Souheila Abbeddou
- Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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3
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Webb MD, Melough MM, Earthman CP, Katz SE, Pacanowski CR. Associations between anthropometry, body composition, and body image in athletes: a systematic review. Front Psychol 2024; 15:1372331. [PMID: 38803833 PMCID: PMC11129708 DOI: 10.3389/fpsyg.2024.1372331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 04/26/2024] [Indexed: 05/29/2024] Open
Abstract
Introduction Poor body image is a potent risk factor for disordered eating and eating disorders. Athletes are a population at increased risk for eating disorders despite reports of lower body image concerns compared to non-athletes. Body size and composition may influence an athlete's susceptibility to poor body image. Methods Five electronic databases (PubMed, Cochrane Library, PsycINFO, Web of Science, SPORTDiscus) were searched to systematically evaluate the literature regarding the association between body measures (i.e., anthropometric and body composition indicators) and body image in athletes. The systematic review was completed following PRISMA guidelines and 27 cross-sectional studies were identified for inclusion and evaluated using the Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies. Results Studies differed in methodological assessment of anthropometry or body composition (i.e., self-reported versus researcher-measured), methods for evaluating aspects of body image, geographic location, and sport type. Higher body mass index (BMI) or percent body fat (%BF) was significantly associated with greater body dissatisfaction in 16 of 22 studies (72.7%). Positive associations between body measures and aspects of negative body image were most consistently observed among studies that assessed BMI based on self-reported heights and weights, while significant associations between body composition measures (e.g., %BF, fat mass, fat-free mass) were less common. Four of seven studies assessing relationships between BMI and an aspect of positive body image reported significant inverse relationships, while three revealed insignificant associations. Discussion Overall, higher BMI and body fat were associated with body dissatisfaction among athletes. Future studies are needed to confirm these findings within focused populations and utilizing body composition methods (e.g., bioelectrical impedance techniques). Systematic review registration https://www.crd.york.ac.uk/prospero/, CRD42023446518.
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Affiliation(s)
- Mary D. Webb
- Department of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, Newark, DE, United States
| | - Melissa M. Melough
- Department of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, Newark, DE, United States
| | - Carrie P. Earthman
- Department of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, Newark, DE, United States
| | - Sarah E. Katz
- Research and Engagement Department, Library, Museums, and Press, University of Delaware, Newark, DE, United States
| | - Carly R. Pacanowski
- Department of Health Behavior and Nutrition Sciences, College of Health Sciences, University of Delaware, Newark, DE, United States
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4
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Blomquist KK, Ellison WD, Siddiqui S, Montgomery K. Dissemination of a dissonance-based body image promotion program for mothers and daughters in church settings: A controlled pilot study of Reclaiming Beauty. Body Image 2024; 48:101675. [PMID: 38160471 DOI: 10.1016/j.bodyim.2023.101675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 12/13/2023] [Accepted: 12/15/2023] [Indexed: 01/03/2024]
Abstract
This proof of concept, controlled pilot study expands on existing dissonance-based body image promotion programs by testing a modified version of the Body Project for 136 mothers and daughters aged 11-18 years old in church settings called Reclaiming Beauty. Mothers (n = 30) and their daughters (n = 35) who participated in Reclaiming Beauty were compared to mothers (n = 32) and daughters (n = 39) in a waitlist, assessment-only, control group on body image, eating psychopathology, and risk factor measures (thin-ideal internalization, physical appearance comparison) at pre-, post-, and 6-month-follow-up assessments. Intent-to-treat, multilevel modeling indicated that mothers and daughters in the Reclaiming Beauty group experienced significant improvement in body appreciation, body shape concerns, eating psychopathology, thin-ideal internalization, and physical appearance comparison over a six-month period compared to control participants. Changes in thin-ideal internalization and appearance comparison did not predict body image and eating psychopathology at follow-up. Baseline levels of body satisfaction did not moderate the effect of the program, except for its effect on body shape concerns. Findings provide preliminary support for delivering a dissonance-based body image promotion intervention to mothers and their daughters and the feasibility of leveraging the mother-daughter relationship as well as delivering interventions in church settings.
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Affiliation(s)
- Kerstin K Blomquist
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States.
| | - William D Ellison
- Department of Psychology, Trinity University, San Antonio, TX 78212, United States
| | - Sofia Siddiqui
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States
| | - Kate Montgomery
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States
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5
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Goh PH, Loh HY, Chung KR, Ramadas A. Body (dis)satisfaction and health screening behaviors: A systematic review of observational studies. J Health Psychol 2024; 29:137-155. [PMID: 37493189 PMCID: PMC10799541 DOI: 10.1177/13591053231189413] [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: 07/27/2023] Open
Abstract
Engagement in health-promoting behaviors has been argued to be dependent on psychological factors in addition to simply having knowledge or access to resources. We systematically reviewed the evidence for the association between body (dis)satisfaction and health screening behaviors using six electronic databases and supplementary manual searches in the current study. To be included in the review, studies had to be empirical, in any language, and examined the potential link between body (dis)satisfaction and health screening. Findings from the final 16 quantitative and 12 qualitative studies generally suggest that people who were more satisfied or less dissatisfied with their bodies were more likely to engage in health screening. This review also highlighted key gaps in the literature such as the limited studies that included men as participants and the lack of examination of the underlying mechanisms and contingencies of the relationship between body (dis)satisfaction and health screening behaviors.
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Hendricks E, Jenkinson E, Falconer L, Griffiths C. How effective are psychosocial interventions at improving body image and reducing disordered eating in adult men? A systematic review. Body Image 2023; 47:101612. [PMID: 37683303 DOI: 10.1016/j.bodyim.2023.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 08/07/2023] [Accepted: 08/15/2023] [Indexed: 09/10/2023]
Abstract
Disordered eating and body image concerns significantly impact a growing number of men. This systematic review assessed the evidence of the effectiveness of psychosocial interventions to improve body image and eating pathology in men. Searches were conducted in December 2022 in 13 databases (PsycINFO, MEDLINE, CINAHL Plus, AMED, PubMed, Scopus, Cochrane, EMBASE, ASSIA, British Nursing Index, Wiley and OpenGrey). Studies that quantitatively evaluated psychosocial interventions and reported pre-post body image or disordered eating outcomes in men aged 18 years and over were eligible. Articles including boys, uncontrolled designs, or not in English were excluded. Findings were narratively synthesised and presented according to intervention approach. Quality was assessed using EPHPP. Eight studies including six RCTs were reviewed. Five were assessed as being moderate quality and three as weak. Evidence from moderate quality studies suggested that dissonance-based interventions showed promising improvements in body image and disordered eating for up to six months post-intervention in men with and without body dissatisfaction. Evidence for media literacy and psychoeducational interventions was limited. Findings were limited by heterogeneity in outcome measures and homogeneity of participants preventing generalisability. Robust research with longer follow-ups is needed to confirm effectiveness.
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Affiliation(s)
- Emma Hendricks
- School of Social Sciences, University of the West of England, Bristol BS16 1QY, UK.
| | - Elizabeth Jenkinson
- School of Social Sciences, University of the West of England, Bristol BS16 1QY, UK
| | - Laura Falconer
- School of Social Sciences, University of the West of England, Bristol BS16 1QY, UK
| | - Catrin Griffiths
- Faculty of Medicine, Health and Life Science, Swansea University, Swansea SA1 8EN, UK
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7
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Petrie TA, Moore EW. Body satisfaction and disordered eating among male collegiate athletes: From point-prevalence to prediction. Eat Behav 2023; 50:101783. [PMID: 37523790 DOI: 10.1016/j.eatbeh.2023.101783] [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: 04/03/2023] [Revised: 07/02/2023] [Accepted: 07/19/2023] [Indexed: 08/02/2023]
Abstract
Body satisfaction (BS) predicts lower levels of eating disorders and disordered eating behaviors (ED/DE) among female athletes, though recent research suggests similar effects for male athletes. However, research on male athletes' BS and ED/DE is limited, particularly in relation to times of transition, such as occurred in the months immediately following COVID-19 being recognized as a global pandemic. In this study, we surveyed 1975 male collegiate athletes in April/May 2020 to assess their body satisfaction and ED/DE symptomatology to determine prevalence and prediction between the two. First, we determined athletes' ED classification: 18.5 % (clinical) and 4.7 % (subclinical). Second, although 60 % to 70 % of the athletes reported satisfaction across five body dimensions, they were significantly more satisfied with their body muscularity and least with their leanness and thinness. Third, through hierarchical regression, athletes' body satisfaction significantly explained their ED/DE symptomatology, explaining 34 % of the variance. Of the five BS dimensions, satisfaction with body size/shape (β = -0.19), current weight (β = -0.22), and thinness (β = -0.25) were associated significantly with lower DE. Our results add to the limited research that has demonstrated that during times of transition, such as when athletes retire from sport or experience a global health pandemic, female and male athletes' report more body image concerns and DE symptoms. Further, our results indicate that satisfaction is perceived as multidimensional by male athletes, and that specific dimensions (e.g., weight, thinness) are more strongly associated with disturbances in eating.
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Affiliation(s)
- Trent A Petrie
- University of North Texas, Department of Psychology, P.O. Box 311580, Denton, TX 76203, USA.
| | - E Whitney Moore
- East Carolina University, College of Health and Human Performance, 238 Rivers West, Greenville, NC 27858-4353, USA
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House T, Graham K, Ellis B, Bould H, Attwood AS, Stephen ID, Brooks KR, Penton-Voak IS. Is body dissatisfaction related to an attentional bias towards low weight bodies in non-clinical samples of women? A systematic review and meta-analysis. Body Image 2023; 44:103-119. [PMID: 36563472 DOI: 10.1016/j.bodyim.2022.12.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 12/07/2022] [Accepted: 12/08/2022] [Indexed: 12/24/2022]
Abstract
Body dissatisfaction is defined as the negative subjective evaluation of one's body and is considered a risk factor for, and symptom of, eating disorders. Some studies show women with high body dissatisfaction display an attentional bias towards low weight bodies; however, this finding is not consistent, and results are yet to be systematically synthesised. We conducted a qualitative and quantitative synthesis of cross-sectional studies investigating the relationship between body dissatisfaction and attentional bias to low weight bodies in non-clinical samples of women. We searched PubMed, Scopus, Web of Science, PsycINFO, ProQuest, and OpenGrey for studies up until September 2022. We identified 34 eligible studies involving a total of 2857 women. A meta-analysis of 26 studies (75 effects) found some evidence from gaze tracking studies for a positive association between body dissatisfaction and attentional bias to low weight bodies. We found no evidence for an association from studies measuring attention using the dot probe task, electroencephalogram (EEG) recording, or the modified spatial cueing task. The results together provide partial support for the positive association between body dissatisfaction and attentional bias to low weight bodies in women. These findings can be used to inform future attentional bias research.
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Affiliation(s)
- T House
- School of Psychological Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Australia; School of Psychological Science, University of Bristol, United Kingdom.
| | - K Graham
- Cumbria Northumberland Tyne and Wear NHS Foundation Trust, United Kingdom
| | - B Ellis
- EPSRC CDT in Digital Health and Care, University of Bristol, United Kingdom
| | - H Bould
- Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, United Kingdom; Gloucestershire Health and Care NHS Foundation Trust, Centre for Academic Mental Health, University of Bristol, United Kingdom; MRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, United Kingdom
| | - A S Attwood
- School of Psychological Science, University of Bristol, United Kingdom; MRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, United Kingdom
| | - I D Stephen
- NTU Psychology, Nottingham Trent University, Nottingham, United Kingdom
| | - K R Brooks
- School of Psychological Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Australia
| | - I S Penton-Voak
- School of Psychological Science, University of Bristol, United Kingdom; National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, United Kingdom
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9
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Cusack KW, Petrie TA, Moore EWG. Self-compassion, body satisfaction, and disordered eating symptoms in male collegiate athletes: A longitudinal analysis. Body Image 2022; 43:134-142. [PMID: 36115327 DOI: 10.1016/j.bodyim.2022.08.016] [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: 03/31/2022] [Revised: 08/25/2022] [Accepted: 08/25/2022] [Indexed: 11/25/2022]
Abstract
Male athletes are a subpopulation at risk for developing eating disorders and disordered eating concerns, primarily due to the presence of socioculturally-based factors, including body dissatisfaction. Self-compassion may alleviate this risk by improving body satisfaction. To date, no study has examined longitudinally self-compassion's effect on body satisfaction and, ultimately, disordered eating in male athletes. Across two time points separated by four months, we assessed self-compassion, body satisfaction, and disordered eating in 454 male collegiate athletes. Through cross-lagged, panel analysis, after controlling for the Time 1 scores, we determined that: (a) Time 1 self-compassion was neither directly related to Time 2 body satisfaction (β = 0.02, p = .755), nor indirectly to Time 2 disordered eating (β = -0.002, 95% BCaCI [-0.028, 0.014]), and (b) Time 1 body satisfaction directly predicted Time 2 disordered eating (β = -0.12, p < 0.05). Our findings extend past research, demonstrating that body satisfaction is a primary antecedent to disordered eating among male athletes. However, the proposed effects of self-compassion on the body satisfaction to disordered eating relationship were not supported and may be dependent on gender and athlete status.
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Affiliation(s)
- Kaleb W Cusack
- Department of Psychology, University of North Texas, Denton, TX, United States
| | - Trent A Petrie
- Department of Psychology, University of North Texas, Denton, TX, United States.
| | - E Whitney G Moore
- Department of Kinesiology, College of Health & Human Performance, East Carolina University, Greenville, NC, United States
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10
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Liberman TJ, Burke NL. The development and validation of the Conscious Objectification Questionnaire. Int J Eat Disord 2022; 55:1162-1168. [PMID: 35723870 DOI: 10.1002/eat.23759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 05/22/2022] [Accepted: 05/22/2022] [Indexed: 11/05/2022]
Abstract
OBJECTIVE Self-objectification is linked to disordered eating (DE) behaviors in women. However, the awareness of objectification by the self and others, not just the objectifying experiences themselves, may be differentially related to DE. The proposed study examines the development and validity of the Conscious Objectification Questionnaire (COQ), which seeks to evaluate awareness of objectification by others and intentional self-objectification. METHOD In Study 1, 24 participants who identify as women (≥18 years) will provide qualitative feedback on COQ items, and survey items will be updated based on participant feedback. In Study 2, separate participants will complete the COQ and questionnaires assessing DE, self-objectification, and mental health correlates. Exploratory factor analyses will be conducted on the COQ, and reliability and convergent and divergent validity will be assessed. RESULTS Results will clarify whether the COQ is a reliable and valid instrument that measures the distinct construct of awareness of objectification. DISCUSSION If proven psychometrically sound, the COQ may be useful for future research on the link between awareness of objectification and disordered eating. PUBLIC SIGNIFICANCE The novel Conscious Objectification Questionnaire (COQ) assesses the degree to which women recognize and act upon being objectified. The COQ will be reviewed by self-objectification experts and pilot participants before being psychometrically evaluated with data from a larger sample. The COQ is expected to differentially relate to disordered eating above and beyond existing self-objectification measures and accurately represent the distinct construct of conscious awareness of societal and self-objectification.
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Affiliation(s)
- Tamar J Liberman
- Department of Psychology, Fordham University, Bronx, New York, USA
| | - Natasha L Burke
- Department of Psychology, Fordham University, Bronx, New York, USA
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11
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Harriger JA, Pfund GN. Looking beyond zoom fatigue: The relationship between video chatting and appearance satisfaction in men and women. Int J Eat Disord 2022; 55:923-932. [PMID: 35506428 DOI: 10.1002/eat.23722] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 04/13/2022] [Accepted: 04/15/2022] [Indexed: 12/15/2022]
Abstract
OBJECTIVE The COVID-19 pandemic led to a transition to the utilization of video chatting services as the main form of communication for work, family, and friends. However, the repercussions of this change are not fully known, and issues regarding appearance satisfaction are particularly salient. The purpose of the current study was to examine the relationship between video chatting and appearance satisfaction in a sample of men and women. METHOD The current study utilizes cross-sectional data from 618 participants (Age: M = 33.2; 54.1% women) to evaluate whether average video chat usage predicts appearance satisfaction, and whether this association is dependent upon appearance comparison or self-objectification. RESULTS Results indicated that individuals who spent more time video chatting reported higher appearance satisfaction. Additionally, appearance comparison and self-objectification were not significant moderators, and the association between video chat usage and appearance satisfaction did not differ based on gender. Usage of the touch-up feature, gallery view, and amount of time spent looking at oneself were associated with appearance comparisons, while adjusting lighting and camera angles and amount of time spent looking at oneself were associated with self-objectification. DISCUSSION The results may indicate that while overall time spent video chatting may be associated with lower appearance concerns, examination of the usage of specific features on video chatting platforms may be important to assess in the future. PUBLIC SIGNIFICANCE This study demonstrates that overall time spent video chatting may be associated with lower appearance concerns. The usage, however, of specific features on video chatting platforms, such as touch-up feature, gallery view, and amount of time spent looking at oneself were associated with appearance comparisons. Additionally, adjusting lighting and camera angles, and amount of time spent looking at oneself are associated with self-objectification.
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Affiliation(s)
- Jennifer A Harriger
- Department of Social Science, Pepperdine University, Malibu, California, USA
| | - Gabrielle N Pfund
- Department of Psychological & Brain Sciences, University of Washington in St. Louis, Saint Louis, Missouri, USA
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12
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An Exploratory Investigation of the Body Image and Health Behavior Transition in Retiring Intercollegiate Athletes. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2022. [DOI: 10.1123/jcsp.2021-0086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Because an athletes’ body is central to their identity, it is important to consider the ramifications of retirement from sport on their well-being. Using a single-group pre–post test design, the purpose of this exploratory study was to expand on the current state of knowledge regarding the body image and health behavior transition of retired intercollegiate athletes. Ten athletes from three institutions completed demographic and health behavior questions, the Body-Image Ideals Questionnaire, and selected items from the Body Parts Satisfaction Scale-Revised online prior to and after retirement (M = 305 days). Although most athletes reported maintaining healthy patterns of nutrition and physical activity in retirement, results showed that body satisfaction significantly declined, and that actual–ideal body discrepancy increased, albeit to a nonsignificant degree. National Collegiate Athletic Association athletics departments to consider how they can more effectively empower athletes to take care of and appreciate their body even after the final performance.
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Yokoyama H, Nozaki T, Nishihara T, Sawamoto R, Komaki G, Sudo N. Factors associated with the improvement of body image dissatisfaction of female patients with overweight and obesity during cognitive behavioral therapy. Front Psychiatry 2022; 13:1025946. [PMID: 36339837 PMCID: PMC9634420 DOI: 10.3389/fpsyt.2022.1025946] [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: 08/23/2022] [Accepted: 10/07/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Cognitive behavioral therapy (CBT) has become one of the most commonly used psychotherapeutic treatments for obesity. It stems from CBT for bulimia nervosa and binge eating disorder, which focuses on amelioration of the eating behavior and body image dissatisfaction (BID), but usually does not focus on weight loss. In contrast, CBT for obesity focuses on weight loss, as well as eating behavior and BID. It is at present unclear whether the improvement of BID during CBT for obesity is associated with improvement of factors other than weight loss. OBJECTIVE The purpose of this study was to determine whether improvement of BID during CBT for obesity was associated with improvement of factors other than weight loss. METHODS One hundred and sixty-five women (BMI 31.8 ± 5.2 kg/m2, age 49.3 ± 10.5 years) with overweight or obesity completed a 7-month CBT-based weight loss intervention. BID, depression, anxiety, binge eating, and perfectionism were assessed at both baseline and the end of the intervention through the use of psychological questionnaires. RESULTS Percent total weight loss, baseline BID, baseline binge eating disorder (BED), change in depression (Δdepression), Δstate anxiety, Δtrait anxiety, Δbinge eating, and Δperfectionism were significantly correlated with ΔBID. Multiple regression analysis showed that baseline BID, baseline BED, percent total weight loss, Δbinge eating, and Δdepression were independently associated with ΔBID. CONCLUSION Improvement of binge eating, and improvement of depression, as well as weight loss, were independently associated with amelioration of BID. CLINICAL TRIAL REGISTRATION [https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008052], identifier [UMIN000006803] and [https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R0000 55850], identifier [UMIN000049041].
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Affiliation(s)
- Hiroaki Yokoyama
- Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Takehiro Nozaki
- Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.,Graduate School of Nutritional Sciences, Nakamura Gakuen University, Fukuoka, Japan
| | - Tomoe Nishihara
- Department of Psychosomatic Medicine, National Hospital Organization Fukuoka Higashi Medical Center, Koga, Japan
| | - Ryoko Sawamoto
- Department of Psychosomatic Medicine, Fukuoka Dental College, Fukuoka, Japan
| | - Gen Komaki
- Faculty of Medical Science, Fukuoka International University of Health and Welfare, Fukuoka, Japan
| | - Nobuyuki Sudo
- Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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14
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da Silva WR, Marôco J, Campos JADB. Examination of the factorial model of a scale developed to assess body satisfaction in the Brazilian context: a study with people 18 to 40 years old. Eat Weight Disord 2021; 26:2701-2712. [PMID: 33609275 DOI: 10.1007/s40519-020-01102-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Accepted: 12/19/2020] [Indexed: 12/17/2022] Open
Abstract
PURPOSE Confirmatory factor analysis was employed to investigate an instrument developed to assess body satisfaction of Brazilian women and men and to identify participants' body satisfaction level. METHODS Brazilian young adults completed the Body Satisfaction Situational Scale and a sociodemographic questionnaire. A total of 1481 individuals (female = 1035; male = 446) aged between 18 and 40 years old participated in the study. Factorial, convergent and discriminant validity and reliability were evaluated. An invariance test was performed across sexes using multi-group analysis. The prevalence of body satisfaction among participants was calculated using the final models of the instrument. RESULTS The complete model of the scale (23 items and four factors) was invariant across sexes, but it did not fit the samples even after refinement. Therefore, a theoretical investigation of the scale content was performed based on literature. Thus, a reduced model composed of two factors and ten items was found for each sex. These models showed good validity and reliability to independent samples. About prevalence, most of the women were not at all satisfied with body fat and most of the men were slightly satisfied with body musculature. Further, women and men were moderately satisfied with their face, hair, and skin. CONCLUSION A reduced model of the instrument for women and another for men showed adequate indices of construct validity and reliability to samples. The most participants were not very satisfied with their bodies. The results can be useful to develop protocols aiming to promote body satisfaction. LEVEL OF EVIDENCE Level V, descriptive cross-sectional study.
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Affiliation(s)
- Wanderson Roberto da Silva
- Department of Biological Sciences, São Paulo State University (UNESP), Rodovia Araraquara-Jaú, km 01, Araraquara, SP, 14800-903, Brazil.
| | - João Marôco
- William James Center for Research (WJCR), ISPA - Instituto Universitário, Lisbon, Portugal
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15
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Hernández JC, Gomez F, Stadheim J, Perez M, Bekele B, Yu K, Henning T. Hourglass Body Shape Ideal Scale and disordered eating. Body Image 2021; 38:85-94. [PMID: 33839648 DOI: 10.1016/j.bodyim.2021.03.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 03/20/2021] [Accepted: 03/20/2021] [Indexed: 11/18/2022]
Abstract
Disordered eating research has long considered the negative consequences of internalizing sociocultural appearance ideals (e.g., thin ideal, muscular ideal). However, the implications of internalizing a curvy or "hourglass" body shape remains unclear. The Hourglass Body Shape Ideal Scale (HBSIS) is a new self-report questionnaire that was developed and evaluated to appropriately measure the extent women subscribe to an hourglass body shape ideal. The measure was administered to a community and undergraduate sample of women via two separate online studies. Study 1 (N = 916) provided support for the factor structure as well as the convergent and discriminant validity of the HBSIS. The HBSIS was correlated with measures of appearance orientation, overweight preoccupation, and disordered eating. HBSIS was associated with disordered eating even after controlling for age, BMI, thin ideal and muscular ideal internalization. Further, higher HBSIS scores were associated with increased likelihood of having clinical levels of disordered eating symptoms. There were no racial and ethnic group differences on HBSIS. Study 2 (N = 195) replicated the factor structure of Study 1, in addition to its convergent and discriminant validity. The HBSIS allows for more precise examination of appearance-ideal internalization, capturing a unique construct understudied within eating pathology literature.
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Affiliation(s)
| | - F Gomez
- Arizona State University, United States
| | | | - M Perez
- Arizona State University, United States.
| | - B Bekele
- Arizona State University, United States
| | - K Yu
- Arizona State University, United States
| | - T Henning
- Arizona State University, United States
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16
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Mitchell L, MacArthur HJ, Blomquist KK. The effect of misgendering on body dissatisfaction and dietary restraint in transgender individuals: Testing a Misgendering-Congruence Process. Int J Eat Disord 2021; 54:1295-1301. [PMID: 33973265 DOI: 10.1002/eat.23537] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 04/27/2021] [Accepted: 04/27/2021] [Indexed: 11/09/2022]
Abstract
OBJECTIVE Despite research findings that transgender individuals have higher rates of body dissatisfaction and disordered eating than their cisgender peers, reasons for greater eating pathology remain unclear. We propose a Misgendering-Congruence Process by which being misgendered (i.e., labeled a gender other than that with which one identifies) could lead transgender individuals to feel greater incongruence between their bodies and internal identities, which in turn leads to body dissatisfaction and efforts to bring one's body in line with one's identified gender by engaging in weight and shape control behaviors such as dietary restraint. METHOD One hundred and thirty transgender individuals completed measures of misgendering frequency, transgender congruence, body dissatisfaction, and dietary restraint. RESULTS Mediation analyses provided preliminary support for the Misgendering-Congruence Process when conducted with the overall sample as well as with transgender subgroups: transgender women (n = 41), transgender men (n = 42), and nonbinary transgender individuals (n = 47). DISCUSSION Social recognition of transgender people's gender identities appears to play a unique role in their body satisfaction and restrained eating behaviors.
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Affiliation(s)
- Linas Mitchell
- Department of Psychology, Furman University, Greenville, South Carolina, USA.,Department of Psychology, Loyola University Chicago, Chicago, Illinois, USA
| | - Heather J MacArthur
- Department of Psychology, Furman University, Greenville, South Carolina, USA.,Department of Psychology, University of Windsor, Windsor, Ontario, Canada
| | - Kerstin K Blomquist
- Department of Psychology, Furman University, Greenville, South Carolina, USA
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17
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Komlenac N, Hochleitner M. Heterosexual-identified men’s endorsement of masculinity ideologies moderates associations between pornography consumption, body satisfaction and sexual functioning. PSYCHOLOGY & SEXUALITY 2021. [DOI: 10.1080/19419899.2021.1936616] [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)
- Nikola Komlenac
- Gender Medicine Unit, Medical University of Innsbruck, Innsbruck, Austria
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18
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Thompson A, Petrie T, Balcom K, Tackett B, Edward Watkins C. Psychosocial predictors of eating classification in female athletes: From collegiate sport to retirement. Int J Eat Disord 2021; 54:646-651. [PMID: 33382138 DOI: 10.1002/eat.23456] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 12/04/2020] [Accepted: 12/05/2020] [Indexed: 11/09/2022]
Abstract
OBJECTIVE Due to high prevalence, female athletes are considered a high-risk group for eating disorders (i.e., clinical ED = 2.0% to 19.9%; subclinical ED = 7.1% to 49.2%). Cross-sectional and longitudinal research have identified psychosocial factors that influence current and future disordered eating (e.g., appearance pressures, body satisfaction), but are limited in design (e.g., timeframe, active competitors). Quantitative evaluations of psychosocial predictors of female athletes' disordered eating in retirement are lacking. METHOD The current study investigated the predictive ability of psychosocial risk factors (e.g., body dissatisfaction, negative affect) from Time1, when collegiate female athletes were actively competing, to Time2, 6 years later when the women were retired (N = 194; Mage = 25.75 years [SD = 1.19]). RESULTS From Time1 to Time2, 23.5% of the women who were Healthy moved to the Disordered classification; 51% remained in Disordered. The full model for athletes who maintained their Disordered status correctly classified 76% of the athletes. Dietary intent, pressure to exercise and change appearance, body satisfaction, and internalization significantly predicted athletes' maintenance as Disordered. DISCUSSION Early intervention efforts that address appearance pressures, body image, and healthful eating when athletes are actively competing are vital to help alleviate future distress, particularly in retirement.
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Affiliation(s)
- Alexandra Thompson
- University of North Texas, Denton, Texas, USA.,Duke University Athletics, Durham, NC, USA
| | | | | | - Bailey Tackett
- Tackett & Bradstreet Psychology Services, Lubbock, TX, USA
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19
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Verzijl C, Duan J, Wilfred S, Becker C, Kilpela L. Tailoring a dissonance-based body image intervention for adult women in a proof of concept trial: The Women's Body Initiative. Body Image 2021; 36:269-275. [PMID: 33486295 PMCID: PMC8995137 DOI: 10.1016/j.bodyim.2021.01.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 01/03/2021] [Accepted: 01/03/2021] [Indexed: 11/16/2022]
Abstract
Although historically conceptualized as problems of youth, recent research indicates that women of all ages experience body dissatisfaction and eating disorder (ED) pathology. Despite this, existing body image interventions predominantly target youth. The Body Project (BP) has extensive support for reducing ED risk factors in younger women and girls. The current proof-of-concept study investigated the feasibility, acceptability, and estimates of intervention effect sizes of a modified BP for adult women, the Women's Body Initiative (WBI). Conducted in the Southwestern United States, adult women (N = 13) aged 29-70 (M = 49.1) participated in 4, 1-h weekly sessions, completing measures at baseline, post-intervention, and 3-month follow-up. Participants rated the program as highly feasible and acceptable. Within-subjects effects sizes were medium to large for primary outcomes (body dissatisfaction, ED pathology) and secondary outcomes (psychosocial impairment, negative affect, quality of life, nutritious food consumption, and sleep) through 3-months. Results suggest preliminary feasibility and acceptability of WBI for adult women, and support proceeding with a larger trial to investigate intervention efficacy.
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Affiliation(s)
- C.L. Verzijl
- Department of Psychology, University of South Florida, 4202 East Fowler Ave, Tampa, FL, 33620, United States,Corresponding author: (C.L. Verzijl)
| | - J. Duan
- Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr. MC7792, San Antonio, TX, 78229, United States
| | - S.A. Wilfred
- Department of Psychology, University of Missouri Kansas City, 5030 Cherry Street, Kansas City, MO, 64110, United States
| | - C.B. Becker
- Department of Psychology, Trinity University, One Trinity Place, San Antonio, TX, 78212, United States
| | - L.S. Kilpela
- Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr. MC7792, San Antonio, TX, 78229, United States,Barshop Institute for Longevity and Aging Studies, University of Texas Health Science Center, 8403 Floyd Curl Drive, San Antonio, TX, 78229, United States,Center for Research to Advance Community Health, University of Texas Health Science Center, 7411 John Smith Road, San Antonio, TX, 78229, United States
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20
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Blomquist KK, Hirsch KE, Lomas E, Montgomery K, Becker CB. Dissemination of a dissonance-based body image promotion program in church settings: A preliminary controlled pilot study with adult women. Body Image 2021; 36:263-268. [PMID: 33476989 DOI: 10.1016/j.bodyim.2020.12.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 12/14/2020] [Accepted: 12/23/2020] [Indexed: 10/22/2022]
Abstract
Adult women report significant body dissatisfaction yet are often overlooked in body image promotion programs. Although few venues afford opportune settings for intervening with adult women, the church serves as a regular meeting place for many in the South of the United States. This study tested a dissonance-based body image program, Reclaiming Beauty (RB), adapted for adult women in church settings. Six groups (n = 30) were led by two trained church leaders (peer-led) and three groups (n = 21) were led by a trained peer leader and a researcher (researcher-co-led). RB participants, aged 30-77 years (M = 53.1 ± 12.7), completed assessments pre-intervention, immediately post-intervention, and 6 months post-intervention. Waitlist-controls (n = 31) completed assessments at time intervals consistent with intervention participants. RB participants reported significantly decreased thin-ideal internalization, body surveillance, and eating psychopathology at post-intervention and at 6 months post-intervention relative to controls. RB participants also reported significantly increased body satisfaction immediately post-intervention relative to controls, but this was not significant at 6 months post-intervention. Peer-led groups outperformed researcher-co-led groups on body surveillance at 6 months, but RB conditions did not otherwise differ. Our findings provide preliminary support for the dissemination of a culturally-modified dissonance-based body image program to adult women in church settings.
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Affiliation(s)
- Kerstin K Blomquist
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States.
| | - Katherine E Hirsch
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States; Department of Kinesiology, University of Windsor, 401 Sunset Avenue, Windsor, Ontario N9B 3P4, Canada.
| | - Elizabeth Lomas
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States
| | - Kathryn Montgomery
- Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC 29613, United States
| | - Carolyn Black Becker
- Department of Psychology, Trinity University, One Trinity Place, San Antonio, TX 78212, United States.
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21
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Silva WRD, Barra JV, Neves AN, Marôco J, Campos JADB. Sociocultural pressure: a model of body dissatisfaction for young women. CAD SAUDE PUBLICA 2020; 36:e00059220. [PMID: 33331590 DOI: 10.1590/0102-311x00059220] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 08/10/2020] [Indexed: 12/31/2022] Open
Abstract
The aim of the study was to verify the influence of pressure from sociocultural agents on dissatisfaction with face and body in young women mediated by the internalization of the lean and muscular body and to identify the contribution of individual characteristics to this model. A total of 612 university female students participated of study. The students completed the Portuguese versions of the Sociocultural Attitudes Towards Appearance Questionnaire-4 and of the Body Area Scale-Revised and a sociodemographic questionnaire. A hypothetical model was constructed using structural equation modeling to test the relationship between the variables. The model fit and the significance of the hypothetical paths were verified. The results provide evidence that the greater the pressure of sociocultural agents and the internalization of the lean body, the more women were dissatisfied with body and face appearance. The media contributed to a greater internalization of the muscular body, which reduced the body dissatisfaction. The practice of physical activity and a higher economic level contributed to a greater internalization of the muscular body, which reduced body dissatisfaction. A higher economic level also influenced the internalization of the lean body and increased the dissatisfaction with face and body. A higher body mass index contributed to a greater pressure from sociocultural agents, greater internalization of the lean body, and greater dissatisfaction with body and face. The relationships identified in the model can contribute to the development of strategies aimed at reducing body dissatisfaction and eating disorders in the population, such as body acceptance.
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Affiliation(s)
| | | | | | - João Marôco
- Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, Lisboa, Portugal
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22
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Pfund GN, Hill PL, Harriger J. Video chatting and appearance satisfaction during COVID-19: Appearance comparisons and self-objectification as moderators. Int J Eat Disord 2020; 53:2038-2043. [PMID: 33089511 DOI: 10.1002/eat.23393] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 10/07/2020] [Accepted: 10/07/2020] [Indexed: 12/13/2022]
Abstract
OBJECTIVE As video chatting has emerged as a leading form of communication for work, education, and socialization during the COVID-19 pandemic, it is important to investigate the association between video chatting and appearance satisfaction. METHOD Participants included women from the United States (n = 438; age: M = 31.3, SD = 12.71) who completed measures examining their use of video chatting services, self-objectification, video chatting appearance comparison, and appearance satisfaction. RESULTS The total time spent on video chatting services was not associated with appearance satisfaction; however, self-objectification moderated the relationship between total hours of video chatting and appearance satisfaction. In addition, participants who engaged in more video chatting appearance comparisons reported lower face and body satisfaction. Furthermore, video chatting appearance comparison was associated with more frequent usage of certain Zoom features, such as the "touch up my appearance" feature, and more time spent looking at oneself on video calls. Finally, those who spent more time engaged with their families over video chatting services reported greater face and body satisfaction. DISCUSSION The results of the current study demonstrate that time spent video chatting is not predictive of appearance satisfaction, but that self-objectification can exacerbate these associations.
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Affiliation(s)
- Gabrielle N Pfund
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Patrick L Hill
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Jennifer Harriger
- Social Science Division, Pepperdine University, Malibu, California, USA
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23
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Holland KJ, Silver KE, Cipriano AE, Brock RL. Internalized Body Stigma as a Barrier to Accessing Preventative Healthcare for Young Women. Body Image 2020; 35:217-224. [PMID: 33049459 DOI: 10.1016/j.bodyim.2020.09.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 09/15/2020] [Accepted: 09/15/2020] [Indexed: 11/29/2022]
Abstract
Internalizing stigma toward the body can have negative implications for women's sexual health. In the current study, we examined how young women's internalized stigma toward their body shape, genitals, and menstrual periods are associated with their use of preventative healthcare services for sexual health. Additionally, we tested two mechanisms that may mediate the relationship between internalized body stigma and preventative care: self-objectification (in the form of a loss of autonomy) and comfort communicating with a healthcare provider. We collected and analyzed survey data from 685 undergraduate women. We tested a serial mediation model, such that the internalization of body stigma predicted greater self-objectification, greater self-objectification predicted less comfort communicating with a provider, and discomfort communicating with a provider predicted lower receipt of preventative care. Results partially supported the proposed serial mediation model, such that internalizing stigma towards body shape, genitals, and menstrual periods was associated with discomfort communicating via greater self-objectification. Internalized stigma toward genitals and menstrual periods were significant predictors of preventative care use, even when accounting for self-objectification and communication. Findings suggest that interventions to address genital and menstrual stigma could be especially beneficial for enabling young women to seek preventative care.
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Affiliation(s)
- Kathryn J Holland
- Department of Psychology and Women's & Gender Studies Program, University of Nebraska, United States.
| | | | | | - Rebecca L Brock
- Department of Psychology, University of Nebraska, United States
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24
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Barrett SL, Petrie TA. Female Athletes in Retirement: A Test of a Psychosocial Model of Bulimic Symptomatology. JOURNAL OF SPORT & EXERCISE PSYCHOLOGY 2020; 42:490-499. [PMID: 33207313 DOI: 10.1123/jsep.2020-0023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Revised: 06/23/2020] [Accepted: 07/07/2020] [Indexed: 06/11/2023]
Abstract
Although researchers have examined eating disorders in female athletes, few such studies have been done with athletes who are retired, and even fewer have been quantitative. Thus, the authors empirically tested an established eating disorder theoretical model with 218 former NCAA Division-I female collegiate athletes who had been retired for 2-6 years. In retirement, participants completed measures of general sociocultural pressures related to body and appearance, thin-ideal internalization, body dissatisfaction, dietary restraint, negative affect, and bulimic symptomatology. Through structural equation modeling, the authors examined the direct and indirect relationships among the latent variables while controlling for body mass index and years since retirement. The model fit the data well, supporting the hypothesized direct and indirect relationships among the variables and explaining 54% of the variance in bulimic symptomatology. Despite no longer being exposed to sport pressures that contribute to eating disorders, female athletes experience such symptoms long into retirement.
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25
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Komlenac N, Hochleitner M. Attachment-related anxiety is associated with poor genital satisfaction and sexual problems in women. BMC Womens Health 2020; 20:264. [PMID: 33256702 PMCID: PMC7706244 DOI: 10.1186/s12905-020-01110-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 10/26/2020] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Genital satisfaction has been found to influence women's sexual experience. We tested the Relational Bodily Experiences Theory (RBET) that predicts associations between women's genital satisfaction, attachment models, and sexual desire. We extended the model by additionally considering sexual arousal, orgasmic sensation, or the experience of pain during sexual activity as outcome variables. According to the RBET, women's attachment models are associated with their genital satisfaction and linked to women's sexual experience. METHODS A cross-sectional online questionnaire study was conducted at an Austrian medical university. In total 294 women (Mage = 23.7, SD = 3.4) provided full responses. Women were asked about genital satisfaction and experiences of distressing sexual problems. Attachment-related anxiety and avoidance were assessed with the Experiences in Close Relationships-Relationship Structures Questionnaire. RESULTS Results partially support the RBET. Attachment-related anxiety was associated with genital satisfaction which, in turn, was linked to experiences of frequent and/or distressing diminished sexual arousal, diminished sexual desire, or pain during sexual activity. CONCLUSIONS These results suggest that clinicians should assess genital satisfaction when treating female sexual problems. Women with attachment-related anxiety may especially be prone to having poor genital satisfaction and may profit from body image interventions in order to improve their sexual experience.
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Affiliation(s)
- Nikola Komlenac
- Gender Medicine Unit, Medical University of Innsbruck, Fritz-Pregl-Strasse 3, 6020, Innsbruck, Austria.
| | - Margarethe Hochleitner
- Gender Medicine Unit, Medical University of Innsbruck, Innrain 66, 6020, Innsbruck, Austria
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26
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Warren CS, Akoury LM. Emphasizing the "Cultural" in Sociocultural: A Systematic Review of Research on Thin-Ideal Internalization, Acculturation, and Eating Pathology in US Ethnic Minorities. Psychol Res Behav Manag 2020; 13:319-330. [PMID: 32280289 PMCID: PMC7132000 DOI: 10.2147/prbm.s204274] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Accepted: 01/18/2020] [Indexed: 11/23/2022] Open
Abstract
A large body of research suggests that thin-ideal internalization is a robust predictor of eating pathology in women and, to some degree, in men. Recent research is exploring the relationships between thin-ideal internalization and culture-specific factors that may be salient to women and men who live in the US but are marginalized based on racial or ethnic background, such as acculturation. This systematic review summarizes published articles examining the relationships among thin-ideal internalization, acculturation-related constructs (including assimilation, marginalization, biculturalism, and acculturative stress), and eating pathology in US adults. Following the PRISMA method, 15 empirical studies met inclusion criteria. Although existing literature was sparse and conflicting in large part due to heterogeneity in acculturation measures, results yielded some support for positive correlational relationships between acculturative stress, thin-ideal internalization, and eating pathology for both men and women (in 4 out of 5 relevant studies). Research on other aspects of acculturation (eg, integration, assimilation) is mixed, with some existing research suggesting a positive relationship and other research finding no statistically significant relationship. Future research would particularly benefit from a gold-standard, multidimensional transcultural measure of acculturation to examine how the acculturation process relates to thin-ideal internalization and eating pathology in ethnic and racial minorities in the US.
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Affiliation(s)
- Cortney S Warren
- Department of Psychology, University of Nevada - Las Vegas, Las Vegas, NV, USA
- Choose Honesty, LLC., Las Vegas, NV, USA
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27
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Thompson KA, Bardone-Cone AM. Disordered eating behaviors and attitudes and their correlates among a community sample of older women. Eat Behav 2019; 34:101301. [PMID: 31153025 DOI: 10.1016/j.eatbeh.2019.05.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2018] [Revised: 05/08/2019] [Accepted: 05/09/2019] [Indexed: 11/28/2022]
Abstract
This study provided a descriptive report of disordered eating behaviors and attitudes among older women and evaluated correlates (maladaptive perfectionism, appearance-related criticism). Participants were 97 women, ages 65-90, who completed questionnaires. Per the Eating Attitudes Test - 26, approximately 6% of participants met clinical cut-offs for a likely eating disorder. Maladaptive perfectionism was significantly correlated with an array of disordered eating attitudes as well as bulimic symptoms, but appearance-related criticism from significant others was not significantly correlated with disordered eating behaviors or attitudes. Results suggest that disordered eating behaviors and attitudes exist among older women with both similarities and differences in correlates compared to young women.
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Affiliation(s)
- Katherine A Thompson
- Department of Psychology and Neuroscience, University of North Carolina, Chapel Hill, USA
| | - Anna M Bardone-Cone
- Department of Psychology and Neuroscience, University of North Carolina, Chapel Hill, USA.
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28
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Dumas AA, Desroches S. Women's Use of Social Media: What Is the Evidence About Their Impact on Weight Management and Body Image? Curr Obes Rep 2019; 8:18-32. [PMID: 30666619 DOI: 10.1007/s13679-019-0324-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
PURPOSE OF THE REVIEW This review aims to summarize recent research on the effects of social media-delivered weight management interventions on weight loss and the impact of social media use on body image concerns in women and adolescent girls. RECENT FINDINGS Evidence supports the feasibility, but not the efficacy, of studies using single-component social media-delivered weight management interventions (i.e., including no other modes of intervention delivery) in women. Studies conducted in adolescent girls and women suggest that the impact of social media on body image outcomes is mostly detrimental, but is dependent on the context (e.g., exposure to idealized social media appearance images), peers' feedback, and constructs, such as appearance comparison tendency. More research is needed to conclude on the efficacy of social media-delivered interventions on both weight and body image outcomes and to understand how and when exposure to social media could promote effective weight management and also advocate positive body image in women.
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Affiliation(s)
- Audrée-Anne Dumas
- Institute of Nutrition and Functional Foods, School of Nutrition, Faculty of Agriculture and Food Sciences, Université Laval, Quebec City, Quebec, Canada
| | - Sophie Desroches
- Institute of Nutrition and Functional Foods, School of Nutrition, Faculty of Agriculture and Food Sciences, Université Laval, Quebec City, Quebec, Canada.
- Université Laval, Pavillon des services, Office 2729-P, 2440 Hochelaga Boulevard, Quebec City, Quebec, G1V 0A6, Canada.
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29
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Voelker DK, Petrie TA, Huang Q, Chandran A. Bodies in Motion: An empirical evaluation of a program to support positive body image in female collegiate athletes. Body Image 2019; 28:149-158. [PMID: 30716557 DOI: 10.1016/j.bodyim.2019.01.008] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Revised: 01/16/2019] [Accepted: 01/16/2019] [Indexed: 10/27/2022]
Abstract
Female athletes are at risk for eating disorders due to the experience and internalization of pressures regarding various aspects of their bodies, including weight and appearance. Evaluating programs that address psychosocial antecedents and may reduce female athletes' risk is critical. We examined Bodies in Motion, a program based on cognitive dissonance and mindful self-compassion principles that integrates components of social media. Female athletes across nine NCAA athletic departments were assigned to Bodies in Motion (n = 57) or a wait-list control group (n = 40). Athletic department personnel were trained in the standardized program. Data were collected at three time-points - baseline, post-program, and three to four months later. Using Holm's algorithm to control for multiple comparisons, repeated measures ANOVAs showed that, after program completion, Bodies in Motion athletes reported less thin-ideal internalization, as compared to the control athletes, over time. We also observed varying group trajectories in outcome responses upon visual inspection of profile plots. These findings serve as the basis for future research suggestions involving larger sample sizes and prolonged measurement of outcomes.
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Affiliation(s)
- Dana K Voelker
- West Virginia University, 375 Birch Street, P.O. Box 6116, Morgantown, WV 26506, United States.
| | - Trent A Petrie
- University of North Texas, 1155 Union Circle #311280, Denton, TX 76203, United States.
| | - Qiushi Huang
- The George Washington University, 950 New Hampshire Ave NW, Washington, DC 20052, United States.
| | - Avinash Chandran
- The University of North Carolina at Chapel Hill, CB# 8700 Fetzer Hall, Chapel Hill, NC 27599, United States.
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Puccio F, Fuller-Tyszkiewicz M, Buck K, Krug I. Negative urgency and the dual pathway model of bulimic symptoms: A longitudinal analysis. EUROPEAN EATING DISORDERS REVIEW 2018; 27:34-48. [PMID: 30318838 DOI: 10.1002/erv.2647] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Revised: 08/29/2018] [Accepted: 09/16/2018] [Indexed: 11/06/2022]
Abstract
OBJECTIVE This study extends the dual pathway model (DPM) of bulimic symptoms by considering the bidirectional effects amongst symptoms of depression, dietary restraint, and bulimia. We also assessed the influence of negative urgency, a personality construct associated with bulimic symptoms, on the DPM. METHOD Participants were 244 females (Mage = 23.77 years) from the general community. Variables pertinent to the DPM as well as negative urgency were assessed at baseline, and symptoms of depression, dietary restraint, and bulimia were reassessed at 1-month follow-up. RESULTS Excellent model fit was obtained once modifications were made to the DPM and the extended model that included negative urgency. Cross-sectional paths replicated the DPM as hypothesized, with the exception that time 1 (T1) body mass index failed to predict T1 body dissatisfaction. Although no bidirectional effects were observed, T1 depression predicted dietary restraint at time 2 (T2). Negative urgency was shown to provide incremental predictive utility of T1 pressure to be thin, T1 body dissatisfaction, and T1 and T2 depression. CONCLUSION Findings lend support to the DPM and suggest that depression might be a risk factor for later dietary restraint. The results are also consistent with the notion that negative urgency may be an independent risk factor for symptoms of bulimia. However, short-term longitudinal effects of these putative risk factors require further evaluation.
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Affiliation(s)
- Francis Puccio
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia
| | - Matthew Fuller-Tyszkiewicz
- School of Psychology, Deakin University, Geelong, Victoria, Australia.,Center for Social and Early Emotional Development, Deakin University, Geelong, Victoria, Australia
| | - Kimberly Buck
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia.,Advance Care Planning Australia, Austin Health, Heidelberg, Victoria, Australia
| | - Isabel Krug
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia
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31
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Exploring weight control as motivation for illicit stimulant use. Eat Behav 2018; 30:72-75. [PMID: 29886378 DOI: 10.1016/j.eatbeh.2018.06.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Revised: 05/14/2018] [Accepted: 06/05/2018] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Research has highlighted a growing trend among young, adult women to initiate drug use for weight loss. With known suppressive effects on appetite, illicit stimulants (i.e., cocaine, amphetamine, methamphetamine, and ecstasy) may be particularly attractive to college women, who are at elevated risk for increased body dissatisfaction and experimenting with extreme weight loss techniques. The current study examines the association between risk factors and symptomatology of eating disorders and illicit stimulant use (ISU). METHODS A preliminary study was conducted on a nonclinical sample of 131 drug-using, college women (16- to 24-years old). Participants reported internalization of the thin ideal, body dissatisfaction, disordered eating behavior, and current drug use as well as corresponding weight-related motivation. RESULTS There were 15.3% of women who reported drug use for weight-control purposes. Results showed women who reported drug use for weight control predominantly used illicit stimulants (70%), such as cocaine, amphetamine, methamphetamine, and ecstasy. Moreover, the odds of ISU were increased among women who engaged in laxative misuse. CONCLUSIONS These results suggest that a desire for weight control may be associated with ISU among college women. Women engaging in more extreme weight loss behaviors are at high risk for initiating and maintaining ISU for weight-related reasons.
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Stinson EJ, Perez M, Ohrt TK, Von Schell A, Bruening AB. The association between program credibility, expectancy, and acceptability with baseline pathology and outcome for a body acceptance prevention program. J Clin Psychol 2018; 74:2161-2172. [PMID: 29917236 DOI: 10.1002/jclp.22654] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Revised: 05/15/2018] [Accepted: 05/26/2018] [Indexed: 11/10/2022]
Abstract
OBJECTIVE The current study sought to investigate whether credibility, expectancy, and acceptability of the Body Project is impacted by level of disordered eating pathology and whether perceived credibility, expectancy, and acceptability impacts treatment outcomes. METHODS The sample included 170 undergraduate women from a large public university. Participants completed self-report questionnaires on perceived credibility, expectancy, treatment acceptability, and disordered eating measures. A random subset of 51 participants provided 3-month follow-up measurements. RESULTS Analyses revealed that post-prevention credibility, expectancy, and treatment acceptability scores were negatively associated with baseline thin-ideal internalization, baseline weight, and shape concerns, and positively associated with baseline body satisfaction and the baseline restraint subscale of the EDEQ. Perceived credibility, expectancy, and treatment acceptability were not associated with session attendance or 3-month follow-up disordered eating scores. DISCUSSION The Body Project is effective at reducing disordered eating regardless of whether participants liked the program or not.
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Affiliation(s)
| | | | - Tara K Ohrt
- Department of Psychology, Arizona State University
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33
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Chubby hands or little fingers: sex differences in hand representation. PSYCHOLOGICAL RESEARCH 2018; 83:1375-1382. [PMID: 29616336 DOI: 10.1007/s00426-018-1003-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Accepted: 03/30/2018] [Indexed: 12/24/2022]
Abstract
Disturbed body representation is a condition defined by the perception that one's body size is different from their anatomical size. While equal amounts of males and females suffer from disturbed body representation, there appear to be differences in the direction of this distortion. Females will typically overestimate, whereas males will typically underestimate body size. One part of the body that has been consistently misperceived is the hands. This misrepresentation consists of two distinct characteristics: an overestimation of hand width, and an underestimation of finger length. Many of these studies, however, have used predominately female participants, allowing for the possibility that women are driving this distortion. The aim of the present study was to examine possible sex differences in hand perception. To this end, participants estimated the location of ten landmarks on their hands when their hands were hidden from view. Our results indicate that females follow the characteristic distortion, whereas males only underestimate finger length (albeit more than females). These findings are surprising, because the hands are not an area of concern for weight gain/loss. We discuss these findings in relation to body dysmorphia literature.
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Buser JK, Gibson S. Protecting Women from the Negative Effects of Body Dissatisfaction: The Role of Differentiation of Self. WOMEN & THERAPY 2017. [DOI: 10.1080/02703149.2017.1352277] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Juleen K. Buser
- Department of Graduate Education, Leadership, and Counseling, Rider University, Lawrenceville, New Jersey
| | - Sandy Gibson
- Department of Counselor Education, The College of New Jersey, Ewing, New Jersey
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Strubel J, Petrie TA. Love me Tinder: Body image and psychosocial functioning among men and women. Body Image 2017; 21:34-38. [PMID: 28285177 DOI: 10.1016/j.bodyim.2017.02.006] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Accepted: 02/17/2017] [Indexed: 10/20/2022]
Abstract
Based on objectification theory, we examined the main effects of Tinder use, and its interaction with gender, in relation to men's and women's body image concerns, internalization processes, and self-esteem. Tinder users (men=31; women=69) and non-users (men=203; women=844) anonymously completed measures via an online survey. Through a series of ANCOVAs, with BMI and age as covariates, Tinder users, regardless of gender, reported significantly lower levels of satisfaction with face and body and higher levels of internalization, appearance comparisons, and body shame and surveillance than non-users. For self-esteem, male Tinder users scored significantly lower than either male or female non-users. Our results suggest that Tinder represents a contemporary medium for appearance pressures and its use is associated with a variety of negative perceptions about body and self and with increases in individuals' likelihood to internalize appearance ideals and make comparisons to others.
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Affiliation(s)
- Jessica Strubel
- College of Merchandising, Hospitality & Tourism, 342H Chilton Hall, 1155 Union Circle #311100, Denton, TX 76203-5017, United States.
| | - Trent A Petrie
- Department of Psychology, Room 368 Terrill Hall, 1155 Union Circle #311280, Denton, TX 76203-5017, United States.
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36
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Becker CB, Verzijl CL, Kilpela LS, Wilfred SA, Stewart T. Body image in adult women: Associations with health behaviors, quality of life, and functional impairment. J Health Psychol 2017; 24:1536-1547. [PMID: 28810463 DOI: 10.1177/1359105317710815] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study examined body image in adult women along with probable correlates including health behaviors, negative affect, quality of life, and functional impairment. Adult women (N = 738, age = 25-86 years) completed an online survey assessing these domains. Women across all ages reported similar body image concerns. Negative body image significantly correlated with poorer wellness behaviors, negative affect, quality of life, and functional impairment. The inverse held for positive body image. The majority of correlations remained even when controlling for negative affect. Further research is warranted to investigate nature of the correlational relationships identified in this study.
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Affiliation(s)
| | | | - Lisa S Kilpela
- 2 The University of Texas Health Science Center at San Antonio, USA
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37
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Greenleaf C, Petrie T, Martin S. Exploring weight-related teasing and depression among overweight and obese adolescents. EUROPEAN REVIEW OF APPLIED PSYCHOLOGY-REVUE EUROPEENNE DE PSYCHOLOGIE APPLIQUEE 2017. [DOI: 10.1016/j.erap.2017.01.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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38
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Smith H, Perez M, Sladek MR, Becker CB, Ohrt TK, Bruening AB. Development and validation of makeup and sexualized clothing questionnaires. J Eat Disord 2017; 5:39. [PMID: 29201363 PMCID: PMC5699018 DOI: 10.1186/s40337-017-0171-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Accepted: 08/25/2017] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Body acceptance programs on college campuses indicated that collegiate women often report feeling pressure to dress in a sexualized manner, and use makeup to enhance beauty. Currently, no quantitative measures exist to assess attitudes and daily behaviors that may arise in response to perceived pressure to wear makeup or dress in a provocative manner. The goal of the current studies was to develop brief self-report questionnaires aimed at assessing makeup and sexualized clothing use and attitudes in young women. METHODS An exploratory factor analysis in a sample of 403 undergraduate women was used in Study 1 to create items to measure the pressure women feel to wear makeup and sexualized clothing. A confirmatory factor analysis (N = 153) was used in Study 2 to confirm the factor structure found in Study 1. An incremental validity analysis was also conducted in Study 2. Across both studies, participants completed online questionnaires. RESULTS In Study 1, items were developed for two questionnaires to assess perceived pressure to wear makeup and discomfort when not wearing makeup, and perceived pressure to wear sexualized clothing, and body image concerns with regards to sexualized clothing. The exploratory factor analyses revealed Unconfident and Unease scales for the Makeup Questionnaire (MUQ) and Body Dissatisfaction and Pressure scales for the Sexualized Clothing Questionnaire (SCQ). In Study 2, the confirmatory factor analyses confirmed the factor structure for the MUQ and SCQ. The incremental validity analysis revealed that these measures can be used to predict self-objectification and shape and weight concern in women. CONCLUSION These studies provide preliminary support for the factor structure of two novel questionnaires aimed at assessing perceived pressure to wear makeup and sexualized clothing.
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Affiliation(s)
- Haylie Smith
- Psychology Department Arizona State University, 950 South McAllister Avenue Room 237, Tempe, AZ 85287-1104 USA
| | - Marisol Perez
- Psychology Department Arizona State University, 950 South McAllister Avenue Room 237, Tempe, AZ 85287-1104 USA
| | - Michael R Sladek
- Psychology Department Arizona State University, 950 South McAllister Avenue Room 237, Tempe, AZ 85287-1104 USA
| | - Carolyn Black Becker
- Department of Psychology, Trinity University, Center for the Sciences and Innovation room 253, One Trinity Place, San Antonio, TX 78212 USA
| | - Tara K Ohrt
- Psychology Department Arizona State University, 950 South McAllister Avenue Room 237, Tempe, AZ 85287-1104 USA
| | - Amanda B Bruening
- Psychology Department Arizona State University, 950 South McAllister Avenue Room 237, Tempe, AZ 85287-1104 USA
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Barton M, Yeatts PE, Henson RK, Martin SB. Moving Beyond Univariate Post-Hoc Testing in Exercise Science: A Primer on Descriptive Discriminate Analysis. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2016; 87:365-375. [PMID: 27548736 DOI: 10.1080/02701367.2016.1213352] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
UNLABELLED There has been a recent call to improve data reporting in kinesiology journals, including the appropriate use of univariate and multivariate analysis techniques. For example, a multivariate analysis of variance (MANOVA) with univariate post hocs and a Bonferroni correction is frequently used to investigate group differences on multiple dependent variables. However, this univariate approach decreases power, increases the risk for Type 1 error, and contradicts the rationale for conducting multivariate tests in the first place. PURPOSE The purpose of this study was to provide a user-friendly primer on conducting descriptive discriminant analysis (DDA), which is a post-hoc strategy to MANOVA that takes into account the complex relationships among multiple dependent variables. METHOD A real-world example using the Statistical Package for the Social Sciences syntax and data from 1,095 middle school students on their body composition and body image are provided to explain and interpret the results from DDA. RESULTS While univariate post hocs increased the risk for Type 1 error to 76%, the DDA identified which dependent variables contributed to group differences and which groups were different from each other. For example, students in the very lean and Healthy Fitness Zone categories for body mass index experienced less pressure to lose weight, more satisfaction with their body, and higher physical self-concept than the Needs Improvement Zone groups. However, perceived pressure to gain weight did not contribute to group differences because it was a suppressor variable. CONCLUSION Researchers are encouraged to use DDA when investigating group differences on multiple correlated dependent variables to determine which variables contributed to group differences.
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A revised examination of the dual pathway model for bulimic symptoms: The importance of social comparisons made on Facebook and sociotropy. COMPUTERS IN HUMAN BEHAVIOR 2016. [DOI: 10.1016/j.chb.2016.08.018] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Zopf R, Contini E, Fowler C, Mondraty N, Williams MA. Body distortions in Anorexia Nervosa: Evidence for changed processing of multisensory bodily signals. Psychiatry Res 2016; 245:473-481. [PMID: 27639162 DOI: 10.1016/j.psychres.2016.09.003] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2016] [Revised: 08/15/2016] [Accepted: 09/04/2016] [Indexed: 10/21/2022]
Abstract
Body size and shape distortion is a core feature of Anorexia Nervosa (AN) - patients experience their body as fat while objectively being very thin. The cause of this distortion is unclear and disturbances in body perception could be involved. Body perception comprises estimating shape and location of one's body and requires integrating multisensory signals. We investigated if and how body location perception is changed and tested 23 AN patients and 23 healthy controls (HC) in a Rubber Hand Illusion (RHI) reaching paradigm. We presented two types of multisensory conflicts (visual-proprioceptive hand location; visual-tactile touch synchrony) and tested if the impact of visual-proprioceptive and visual-tactile signals on hand location perception differs between AN and HC groups. We found significant group differences in shifts of reaching trajectories, indicating that the influence of proprioceptive signals on hand location estimates is reduced in AN. Hand location estimates were relatively more biased towards external visual information, and shorter illness durations predicted a larger visual bias. Although touch synchrony also significantly influenced hand location estimates, this effect did not differ between groups. Our findings provide compelling evidence that multisensory body location perception - specifically the processing of visual-proprioceptive signals - is changed in AN.
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Affiliation(s)
- Regine Zopf
- Perception in Action Research Centre & Department of Cognitive Science, Faculty of Human Sciences, Macquarie University & ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia.
| | - Erika Contini
- Perception in Action Research Centre & Department of Cognitive Science, Faculty of Human Sciences, Macquarie University & ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia
| | - Chris Fowler
- Wesley Eating Disorder Centre, Wesley Hospital, Sydney, Australia
| | | | - Mark A Williams
- Perception in Action Research Centre & Department of Cognitive Science, Faculty of Human Sciences, Macquarie University & ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia
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42
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Ridgway JL, Clayton RB. Instagram Unfiltered: Exploring Associations of Body Image Satisfaction, Instagram #Selfie Posting, and Negative Romantic Relationship Outcomes. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2016; 19:2-7. [PMID: 26779659 DOI: 10.1089/cyber.2015.0433] [Citation(s) in RCA: 56] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The purpose of this study was to examine the predictors and consequences associated with Instagram selfie posting. Thus, this study explored whether body image satisfaction predicts Instagram selfie posting and whether Instagram selfie posting is then associated with Instagram-related conflict and negative romantic relationship outcomes. A total of 420 Instagram users aged 18 to 62 years (M = 29.3, SD = 8.12) completed an online survey questionnaire. Analysis of a serial multiple mediator model using bootstrapping methods indicated that body image satisfaction was sequentially associated with increased Instagram selfie posting and Instagram-related conflict, which related to increased negative romantic relationship outcomes. These findings suggest that when Instagram users promote their body image satisfaction in the form of Instagram selfie posts, risk of Instagram-related conflict and negative romantic relationship outcomes might ensue. Findings from the current study provide a baseline understanding to potential and timely trends regarding Instagram selfie posting.
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Affiliation(s)
- Jessica L Ridgway
- 1 Retail Merchandising and Product Development, Florida State University , Tallahassee, Florida
| | - Russell B Clayton
- 2 School of Communication, Florida State University , Tallahassee, Florida
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Kilpela LS, Blomquist K, Verzijl C, Wilfred S, Beyl R, Becker CB. The body project 4 all: A pilot randomized controlled trial of a mixed-gender dissonance-based body image program. Int J Eat Disord 2016; 49:591-602. [PMID: 27188688 PMCID: PMC5365075 DOI: 10.1002/eat.22562] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Revised: 04/15/2016] [Accepted: 04/16/2016] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The Body Project is a cognitive dissonance-based body image improvement program with ample research support among female samples. More recently, researchers have highlighted the extent of male body dissatisfaction and disordered eating behaviors; however, boys/men have not been included in the majority of body image improvement programs. This study aims to explore the efficacy of a mixed-gender Body Project compared with the historically female-only body image intervention program. METHOD Participants included male and female college students (N = 185) across two sites. We randomly assigned women to a mixed-gender modification of the two-session, peer-led Body Project (MG), the two-session, peer-led, female-only (FO) Body Project, or a waitlist control (WL), and men to either MG or WL. Participants completed self-report measures assessing negative affect, appearance-ideal internalization, body satisfaction, and eating disorder pathology at baseline, post-test, and at 2- and 6-month follow-up. RESULTS Linear mixed effects modeling to estimate the change from baseline over time for each dependent variable across conditions were used. For women, results were mixed regarding post-intervention improvement compared with WL, and were largely non-significant compared with WL at 6-month follow-up. Alternatively, results indicated that men in MG consistently improved compared with WL through 6-month follow-up on all measures except negative affect and appearance-ideal internalization. DISCUSSION Results differed markedly between female and male samples, and were more promising for men than for women. Various explanations are provided, and further research is warranted prior to drawing firm conclusions regarding mixed-gender programming of the Body Project. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:591-602).
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Hwang AD, Spangler DL. Classifying symptom change in eating disorders: clinical significance metrics for the Change in Eating Disorder Symptoms Scale. Eat Behav 2016; 21:33-40. [PMID: 26735393 DOI: 10.1016/j.eatbeh.2015.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2011] [Revised: 12/03/2015] [Accepted: 12/16/2015] [Indexed: 10/22/2022]
Abstract
The purpose of this study was to determine clinically significant change criteria and change trajectories for the Change in Eating Disorder Symptoms Scale (CHEDS). Participants included non-eating disordered (n=95) and eating disordered (n=58) samples. The clinical sample was undergoing enhanced cognitive-behavior therapy (CBT-E) for eating disorders. Reliable change indices (RCI), cutscores, and change trajectories were calculated. CHEDS total score RCI was 12 points while the cutscore between eating disordered and non-eating disordered groups was 65. Trajectory models for benchmarking were successfully derived based on initial scores. The change indices and trajectories permit session-by-session analyses and benchmarking of change. These empirically-calibrated indices of patient change and progress allow for empirically-guided treatment decision-making.
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Rossi A, Moadel-Robblee A, Garber CE, Kuo D, Goldberg G, Einstein M, Nevadunsky N. Physical activity for an ethnically diverse sample of endometrial cancer survivors: a needs assessment and pilot intervention. J Gynecol Oncol 2016; 26:141-7. [PMID: 25872894 PMCID: PMC4397230 DOI: 10.3802/jgo.2015.26.2.141] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Revised: 03/09/2015] [Accepted: 03/09/2015] [Indexed: 11/30/2022] Open
Abstract
Objective To determine the physical activity (PA) behavior, needs and preferences for underserved, ethnically diverse women with a history of endometrial cancer (EC). Methods Women with a history of EC (41 non-Hispanic black, 40 non-Hispanic white, and 18 Hispanic) completed a needs assessment during their regular follow-up appointments at Montefiore Medical Center in Bronx, NY, USA. An 8-week pilot PA intervention based on the results of the needs assessment was conducted with 5 EC survivors. Results Mean body mass index (BMI) among the 99 respondents was 34.1±7.6 kg/m2, and 66% did not exercise regularly. Self-described weight status was significantly lower than actual BMI category (p<0.001). Of the 86% who were interested in joining an exercise program, 95% were willing to attend at least once weekly. The primary motivations were improving health, losing weight, and feeling better physically. Despite the high interest in participation, volunteer rate was very low (8%). However, adherence to the 8-week pilot PA intervention was high (83%), and there were no adverse events. Body weight decreased in all pilot participants. Conclusion These data show that ethnically diverse EC survivors have a great need for, and are highly interested in, PA interventions. However, greater care needs to be taken to assess and identify barriers to increase participation in such programs.
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Affiliation(s)
- Amerigo Rossi
- Department of Biobehavioral Sciences, Columbia University Teachers College, New York, NY, USA.; Division of Athletic Training, Health and Exercise Science, Long Island University, Brooklyn, NY, USA
| | - Alyson Moadel-Robblee
- Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Carol Ewing Garber
- Department of Biobehavioral Sciences, Columbia University Teachers College, New York, NY, USA
| | - Dennis Kuo
- Division of Gynecologic Oncology, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Gary Goldberg
- Division of Gynecologic Oncology, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Mark Einstein
- Division of Gynecologic Oncology, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Nicole Nevadunsky
- Division of Gynecologic Oncology, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
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Purvis CK, Jones M, Bailey JO, Bailenson J, Taylor CB. Developing a Novel Measure of Body Satisfaction Using Virtual Reality. PLoS One 2015; 10:e0140158. [PMID: 26469860 PMCID: PMC4607468 DOI: 10.1371/journal.pone.0140158] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2015] [Accepted: 09/22/2015] [Indexed: 12/05/2022] Open
Abstract
Body image disturbance (BID), considered a key feature in eating disorders, is a pervasive issue among young women. Accurate assessment of BID is critical, but the field is currently limited to self-report assessment methods. In the present study, we build upon existing research, and explore the utility of virtual reality (VR) to elicit and detect changes in BID across various immersive virtual environments. College-aged women with elevated weight and shape concerns (n = 38) and a non-weight and shape concerned control group (n = 40) were randomly exposed to four distinct virtual environments with high or low levels of body salience and social presence (i.e., presence of virtual others). Participants interacted with avatars of thin, normal weight, and overweight body size (BMI of approximately 18, 22, and 27 respectively) in virtual social settings (i.e., beach, party). We measured state-level body satisfaction (state BD) immediately after exposure to each environment. In addition, we measured participants' minimum interpersonal distance, visual attention, and approach preference toward avatars of each size. Women with higher baseline BID reported significantly higher state BD in all settings compared to controls. Both groups reported significantly higher state BD in a beach with avatars as compared to other environments. In addition, women with elevated BID approached closer to normal weight avatars and looked longer at thin avatars compared to women in the control group. Our findings indicate that VR may serve as a novel tool for measuring state-level BID, with applications for measuring treatment outcomes. Implications for future research and clinical interventions are discussed.
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Affiliation(s)
- Clare K. Purvis
- PGSP-Stanford Consortium, Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California, United States of America
| | - Megan Jones
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California, United States of America
| | - Jakki O. Bailey
- Department of Communication, Stanford University, Stanford, California, United States of America
| | - Jeremy Bailenson
- Department of Communication, Stanford University, Stanford, California, United States of America
| | - C. Barr Taylor
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California, United States of America
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Greenleaf C, Petrie TA, Martin SB. Biopsychosocial correlates of dietary intent in middle school girls. Eat Behav 2015; 18:143-6. [PMID: 26094132 DOI: 10.1016/j.eatbeh.2015.05.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2014] [Revised: 02/03/2015] [Accepted: 05/13/2015] [Indexed: 11/26/2022]
Abstract
Adolescent girls commonly engage in weight management and dietary restriction with the hopes of changing their bodies to more closely approximate social body ideals. The purpose of this study was to examine biopsychosocial factors that predict dietary restraint. Participants (n=774, Mage=12.38) completed measures of dietary intent, pubertal status, sociocultural pressures, body comparison, internalization, body dissatisfaction, social support, and general self-esteem. Height, weight, and cardiorespiratory fitness were objectively measured. Pressures to lose weight and gain muscle mass, internalization of social body ideals, and friend support predicted higher levels of dietary intent; cardiorespiratory fitness predicted lower levels of dietary intent. Girls who experience pressure, adopt social body ideals as their own, and experience social support from friends may be at increased risk for disturbed eating attitudes and behaviors. Fitness may offer a protective effect against psychological and social risk factors. Additional research is needed to establish the causal nature of these relationships and determine effective methods for reducing disordered eating risk among adolescent girls.
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Affiliation(s)
- Christy Greenleaf
- Department of Kinesiology, University of Wisconsin - Milwaukee, PO 413, Milwaukee, WI 53201-0413, United States.
| | - Trent A Petrie
- Department of Psychology, University of North Texas, 1155 Union Circle #311280, Denton, TX 76203-5017, United States
| | - Scott B Martin
- Department of Kinesiology, Health Promotion and Recreation, University of North Texas, Union Circle #310769, Denton, TX 76203, United States
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Galli N, Petrie T, Reel JJ, Greenleaf C, Carter JE. Psychosocial predictors of drive for muscularity in male collegiate athletes. Body Image 2015; 14:62-6. [PMID: 25880784 DOI: 10.1016/j.bodyim.2015.03.009] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2014] [Revised: 03/17/2015] [Accepted: 03/19/2015] [Indexed: 11/28/2022]
Abstract
The purpose of this study was to examine the simultaneous relation of general and sport-specific pressures about body weight and shape, negative affect, and body satisfaction to drive for muscularity (DM) in male collegiate athletes. Participants were 183 male athletes who were drawn from three NCAA Division I institutions and represented 17 different sports. As hypothesized, after controlling for BMI and sport type, sport-specific pressures, negative affect, and body satisfaction were significant predictors, and accounted for 15-34% of the variance in muscularity-oriented body image and muscularity behaviors; general pressures however were not significantly related. These findings offer insight into the personal and social antecedents of DM in male athletes, and serve as a starting point for future research on DM in this population.
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Affiliation(s)
- Nick Galli
- University of Utah, Salt Lake City, UT, United States.
| | - Trent Petrie
- University of North Texas, Denton, TX, United States
| | - Justine J Reel
- University of North Carolina at Wilmington, Wilmington, NC, United States
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49
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Bar RJ, Cassin SE, Dionne MM. Eating disorder prevention initiatives for athletes: A review. Eur J Sport Sci 2015; 16:325-35. [DOI: 10.1080/17461391.2015.1013995] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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50
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Javier SJ, Belgrave FZ. An Examination of Influences on Body Dissatisfaction Among Asian American College Females: Do Family, Media, or Peers Play a Role? JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2015; 63:579-83. [PMID: 25825925 DOI: 10.1080/07448481.2015.1031240] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
OBJECTIVE The etiology of body dissatisfaction and its correlates (eg, disordered eating) among ethnic minorities is generally unknown. The purpose of this study was to replicate the tripartite model of influence in an Asian American college female sample in order to examine this relationship. PARTICIPANTS Participants were 80 undergraduate Asian American females between the ages of 18 and 25. METHODS Participants completed a survey that included the Tripartite Influence Scale, Body Parts Satisfaction Scale, and Sociocultural Attitudes towards Appearance Questionnaire-3. RESULTS Mediation analyses indicated that thin-ideal internalization fully mediated the relationship between media influence and body dissatisfaction and partially mediated the relationship between peer influence and body dissatisfaction. Family influence did not significantly predict body dissatisfaction. CONCLUSIONS Asian American college females experience body dissatisfaction through mechanisms that have not been examined in detail. These factors must be considered when creating targeted health promotion strategies and developing best practices for eating disorder assessment and treatment protocols at university health centers.
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