Development and validation of the sociocultural attitudes towards appearance questionnaire-4-revised (SATAQ-4R)

OBJECTIVE

The Sociocultural Attitudes Toward Appearance Questionnaire-4 (SATAQ-4) is a measure of internalization of appearance ideals (i.e., personal acceptance of societal ideals) and appearance pressures (i.e., pressures to achieve the societal ideal). The current study sought to address limitations of the scale in order to increase precision in the measurement of muscular ideal internalization, include an assessment of one's desire for attractiveness, and broaden the measurement of appearance-related pressures.

METHOD

The factor structure, reliability and construct validity of the SATAQ-4-Revised were examined among college women (N = 1,114) in Study 1, adolescent girls (N = 275) in Study 2, and college men (N = 290) in Study 3.

RESULTS

Factor analysis among college women indicated a 7-factor 31-item scale, labeled the SATAQ-4R-Female: (1) Internalization: Thin/Low Body Fat, (2) Internalization: Muscular, (3) Internalization: General Attractiveness, (4) Pressures: Family, (5) Pressures: Media, (6) Pressures: Peers, and (7) Pressures: Significant Others. SATAQ-4R-Female subscales demonstrated good reliability and construct validity among college women. Examination of the SATAQ-4R-Female among adolescent girls suggested a six-factor scale in which peer and significant others items comprised a single subscale. The scale demonstrated good reliability and construct validity in adolescent girls. Examination of the SATAQ-4R among men produced a 28-item scale with seven factors paralleling the factors identified among college women. This scale, labeled the SATAQ-4R-Male, demonstrated good reliability and construct validity.

DISCUSSION

Results support the reliability and validity of SATAQ-4R-Female in college women and adolescent girls, and the SATAQ-4R-Male in college men. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2017; 50:104-117).

Eating disorders and disordered eating behaviors in the LGBT population: a review of the literature

BACKGROUND

According to past research, lesbian, gay, bisexual, and transgender (LGBT) individuals experience a higher prevalence of psychopathology, which is attributable to the increased stress (i.e., stigma and prejudice) that they experience, as detailed by the minority stress model (MSM).

MAIN

This current literature review examined the empirical literature regarding the rates and types of, and risk factors for eating disorders and disordered eating behaviors in LGBT adults and adolescents, in addition to each individual subgroup (i.e., lesbians, gay males, bisexuals, transgender and gender-nonconforming individuals).

CONCLUSION

LGBT adults and adolescents experience greater incidence of eating disorders and disordered eating behaviors than their heterosexual and cisgender counterparts. Additionally, gay, bisexual, and transgender adults and adolescents were all at increased risk for eating disorders and disordered eating behaviors. Mixed results were found for lesbian adults and adolescents. Results are discussed within the framework of the MSM.

Psychological consequences of obesity: weight bias and body image in overweight and obese youth

Over the past several decades, the prevalence of overweight and obesity in children has increased considerably. While it has been widely documented that childhood obesity is related to a variety of negative health consequences, and numerous campaigns have focused on increasing physical activity and healthy food choices in children, less research has focused on the negative psychological consequences of childhood obesity, namely body image disturbance. This article examines research on body image disturbance in overweight/obese children, comorbidity of psychological disorders and childhood overweight/obesity, and factors that contribute to body image disturbance in overweight and obese youths. Additionally, the authors present research pertaining to treatment and prevention of body image disturbance in overweight/obese youths and discuss potential future directions for research, prevention and advocacy.

Are We There Yet? Progress in Depicting Diverse Images of Beauty in Instagram's Body Positivity Movement

As the literature on the narrowly defined standards of beauty portrayed in social media has increased, a newer focus on body positivity messages has also emerged. Body positivity challenges the unrealistic standards of beauty present in the media by the promotion and acceptance of diverse body sizes and appearances. In an effort to further understand the messages of body positivity in social media, this study examined the content of 246 body positive posts from the broad Instagram community. Results demonstrated an inclusion and appreciation of diverse physical appearances, as well as themes consistent with messages promoting body positivity. In contrast to content on popular body positivity accounts, several of the posts from the broader Instagram community did, however, contain contradictory messages, such as the promotion of weight loss or the praise of extreme thinness. Future research examining such contradictory messages in body positivity posts and their effects on body image and other related domains is warranted.

#Bopo: Enhancing body image through body positive social media- evidence to date and research directions

Body positive content aims to disrupt the monopoly of idealized appearance-focused media and encourage individuals to adopt a positive stance towards their body by increasing diversity and inclusiveness and rejecting harmful appearance ideals. This paper provides an historical context for the body positivity movement, discusses the presence and characteristics of the online body positivity movement, presents evidence of its relationship to body image, and finally offers directions for future research. Findings provide initial support for the potential for body positive social media content to be beneficial for body image, and lower state appearance comparison has received support as a mechanism underpinning these effects. However, efforts to identify individual-level moderators have met with less success, and the research is somewhat confined to comparative effects with idealized social media content, and young women. Additional work to bridge the gaps in the extant data is needed. In particular, expanding the understanding of which types of body positive social media content can be most helpful to both prevent and decrease body image concerns and promote positive body image using a layered lens that considers the interactions of the individual, their context, and the type of body positive social media content will be most fruitful.

Video chatting and appearance satisfaction during COVID-19: Appearance comparisons and self-objectification as moderators

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.

The dangers of the rabbit hole: Reflections on social media as a portal into a distorted world of edited bodies and eating disorder risk and the role of algorithms

The relationship between social media usage and body image has been well-established in the literature; however, social media companies' use of algorithms may intensify this association, as algorithms provide viewers with personalized content that is often more extreme, less monitored, and designed to keep users engaged for longer periods of time. This article details the recent media coverage of algorithms, revelations by former social media employees regarding the problematic usage of algorithms, and revelations that social media companies are aware of the harm posed by their implementation of algorithms, particularly for young, vulnerable users. We provide recommendations for influencers, educators, researchers, clinicians, parents, and users, and conclude that it is ultimately the responsibility of the social media corporations to protect and enhance the well-being of their users.

Integrating social media variables as predictors, mediators, and moderators within body image frameworks: Potential mechanisms of action to consider in future research

In this article, we consider how social media variables may be integrated as predictors, mediators, and moderators within dominant theoretical frameworks of body image in order to identify potential mechanisms of action that can be empirically examined in future research and used to direct prevention and intervention efforts. To achieve this goal, we first articulate social media variables that have been investigated as predictors, mediators, and moderators in body image research. Next, we present the following critical and sociocultural theoretical frameworks: social comparison theory, tripartite influence model, objectification theory, developmental theory of embodiment, acceptance model of intuitive eating, cultivation theory, and uses and gratifications theory. Additionally, we present the theory of development of critical body awareness, a newly developed model that may provide further insight regarding the relationships between social media and body image-related outcomes. For each model, we articulate extant research that has explored social media variables within its context and explicate how social media variables could potentially be studied as predictors, mediators, and moderators within its structure. To conclude, we address pertinent limitations and gaps within this research space that could direct future research across the theoretical frameworks.

The effects of fitspiration and self-compassion Instagram posts on body image and self-compassion in men and women

Research has demonstrated links between viewing idealized images on social media and body dissatisfaction, but more work is needed to understand how exposure to appearance-related content influences body image. The current research evaluated the effects of viewing fitspiration images and images of self-compassion quotes on Instagram on men and women's body image and self-compassion. This topic was examined in two separate investigations in the U.S.; a sample of undergraduate students (N = 180, 62 men and 118 women) and a community sample recruited through Amazon Mechanical Turk (N = 296; 173 men and 123 women). In both studies, participants viewed either same-gender images of fitspiration, self-compassion quotes, a combination of fitspiration images and self-compassion quotes, or neutral images (control). Overall, the findings suggest that viewing fitspiration images only promotes lower body satisfaction and appreciation, whereas viewing self-compassion images only leads to improved body satisfaction and appreciation. There was, however, little support for the buffering effects of self-compassion in the combined condition. Our results demonstrate the detrimental effects of exposure to fitspiration content and the positive effects of exposure to self-compassion content on social media for men and women as well as the need for future research in this area.

The effects of body-positive Instagram posts on body image in adult women

While recent studies have examined the effects of viewing body-positive social media content on body appreciation and satisfaction in young adult women, research has yet to include older adult women. The current study assessed the effects of viewing body-positive Instagram content on body image in 205 adult women (18-76 years old) who were randomly assigned to view either body-positive, thin-ideal, or appearance-neutral Instagram content. Our findings demonstrated that exposure to body-positive Instagram content resulted in greater levels of body appreciation and body satisfaction compared to exposure to thin-ideal and neutral Instagram content, while no significant differences were found between any of the conditions on self-objectification. Finally, age was only a significant moderator for one variable (self objectification) and condition (thin ideal), indicating that exposure to body-positive social media content may improve levels of body appreciation and satisfaction in adult women, regardless of age.

TikTok, TikTok, the time is now: Future directions in social media and body image

This article synthesizes practical strategies and future directions proposed by contributors to the special issue in Body Image on social media and body image. It also moves beyond the contributions of the special issue in an effort to provide additional guidance to researchers, clinicians, educators, and policymakers. First, we recommend that research on social media and body image extend beyond convenience sampling of young, White women and include children and older adults, boys and men, and underrepresented groups. Second, we urge researchers to move away from simplistic measures of social media and to utilize mixed-methods approaches. Third, we advocate for the development of new theories that can be tested longitudinally and that capture the unique influences of social media, rather than relying solely on existing models that were developed for traditional media. Fourth, we provide recommendations regarding practical strategies, such as the inclusion of media literacy campaigns, increased research on the role of reality check disclaimers, and further examination regarding the role of body positivity in prevention and intervention efforts. Finally, we end with recommendations regarding advocacy, such as using social media to harness positive efforts and partnering with social media companies regarding their use of algorithms.

The body positivity movement is not all that positive on TikTok: A content analysis of body positive TikTok videos

This analysis examined the content of 342 body positive videos on TikTok. Videos were gathered by searching #body positivity and coded for diversity, positive body image messages, negative appearance-focused messages, other relevant themes, and contradictory messaging. Results demonstrate that body positivity videos on TikTok often portrayed young, White women with unrealistic beauty ideals. Approximately 93% of the videos embodied Western culturally based beauty ideals somewhat or to a great extent, while 32% of the videos portrayed larger bodies. Only 32.2% of the videos contained explicit positive body image messaging, and negative appearance-focused themes or objectifying content was rare. Contradictory messaging was not present. Overall, body positive videos on TikTok rarely displayed features aligned with positive body image and promoted unrealistic beauty ideals but also rarely included explicit negative appearance-focused messaging. Future research examining effects of exposure to body positivity messaging on TikTok, in comparison to other social media platforms, is warranted.

Age differences in body size stereotyping in a sample of preschool girls

Researchers have demonstrated that societal concerns about dieting and body size have led to an increase in negative attitudes toward obese people and that girls as young as 3 years old endorse similar body size stereotypes as have been previously found with adults. Few studies, however, have examined age differences in their participants. A sample of 102 girls (3-5-years-old) completed measures of body size stereotyping. Results indicate that while body-size stereotyping is present by age 3, pro-thin beliefs may develop prior to anti-fat beliefs. Implications and future directions for research with preschool children are discussed.

You can buy a child a curvy Barbie doll, but you can't make her like it: Young girls' beliefs about Barbie dolls with diverse shapes and sizes

This study utilized Mattel's new line of Fashionista Barbie dolls to examine attitudes about body shape and size in a sample of young girls. A total of 84 girls, 3-10 years of age, were asked to assign positive or negative traits to Barbie dolls which varied in size and shape (original, tall, petite, and curvy). Participants also answered questions about their preferences for the dolls and completed measures of body dissatisfaction. Results generally demonstrated greater negative attitudes towards the curvy Barbie doll and more positive attitudes towards dolls with a thinner body size/shape (i.e., original, tall, and petite dolls). Girls identified the curvy Barbie as the doll they least wanted to play with. Additionally, girls with higher levels of body dissatisfaction demonstrated less negative attitudes towards the original doll. Overall, findings demonstrate a preference for thin bodies and aversion towards larger bodies among young girls. Further, findings suggest that the simple availability of body-diverse dolls may not be a powerful enough intervention to overcome harmful weight attitudes, and highlight the importance of continued efforts to encourage exposure to and acceptance of diverse body shapes and sizes in young children.

Obligatory exercise and coping in treatment-seeking women with poor body image

PURPOSE

Obligatory exercise is characterized by continued exercise despite negative consequences, and intense negative affect when unable to exercise. Research suggests psychosocial differences between individuals that exercise in an obligatory manner and those that do not. It also has been speculated that obligatory exercise may serve coping and affect regulation functions, yet these factors have not been routinely examined in community women with poor body image. The purpose of the current study was to investigate psychosocial differences between obligatory and non-obligatory exercisers, and to examine the use of obligatory exercise as an avoidant coping strategy in a sample of women with poor body image.

METHODS

Women (n = 70) seeking treatment for body dissatisfaction were divided into obligatory and non-obligatory exercise groups based on their scores on the Obligatory Exercise Questionnaire. Participants then completed an assessment battery about eating pathology, body image, reasons for exercise, coping strategies, and negative affect.

RESULTS

Independent t test analyses indicated that obligatory exercisers had significantly greater eating disorder symptomatology, avoidant coping, and appearance- and mood-related reasons for exercise than non-obligatory exercisers. Multiple regression analyses revealed that eating disorder symptomatology and avoidant coping were significant predictors of obligatory exercise.

CONCLUSIONS

There are distinct psychosocial differences between women with poor body image who exercise in an obligatory fashion and those who do not. The current study suggests that obligatory exercise may serve as an avoidant coping strategy for women with poor body image. Enhancing healthy coping strategies may be an important addition to body image improvement programs.

LEVEL OF EVIDENCE

V, cross-sectional descriptive study.

Eating pathology in female gymnasts: potential risk and protective factors

Although participation in sports that emphasize aestheticism, such as women's gymnastics, are associated with higher rates of eating pathology, little is known about the risk and protective factors involved in this process. We established and tested a model proposing that body surveillance and body shame are processes by which pubertal development and training may uniquely contribute to pathological eating by sampling 100 competitive female gymnasts via questionnaires. We further tested whether self-esteem moderated several model relationships. Results demonstrated that pubertal development was associated with higher levels of body surveillance, body shame and disordered eating; whereas greater time spent training was associated with lower levels of body shame and disordered eating. Finally higher self-esteem was associated with lower levels of disordered eating, less body surveillance, and less body shame. Potential risk and protective factors for the development of eating pathology in female gymnasts are discussed.

Looking beyond zoom fatigue: The relationship between video chatting and appearance satisfaction in men and women

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.

First do no harm: Measuring weight bias beliefs in preschool-age children

Although the importance of investigating the development of weight bias in young children has been documented, little research has examined potential impacts of children's participation in such research. The purpose of the current study was to assess whether participation in research measuring beliefs about body size may engender changes in the development of weight beliefs in young children. Eighty children (44 boys, 36 girls), ages 3-5 (M = 3.73, SD =0.69) participated in tasks assessing weight bias beliefs and perception of their own body size at two time periods (two weeks apart). Participants' responses at Time 2 were also compared to data collected from a similar sample who completed the measures only once. Results demonstrated main effects of gender (girls reporting greater weight bias) and age (older children reporting greater weight bias)) across time points that are consistent with prior research. Importantly, there was no change in participants' responses from Time 1 to Time 2 and no significant differences between Time 2 data and data collected from participants who only completed the measures at one time period, suggesting that participation in such research may not pose undue risks to young children.

Gender and age differences in pre-schoolers' weight bias beliefs and behavioural intentions

Weight bias is present in children as young as 3 years old; however, research regarding gender differences is mixed. This study examined gender and age differences in weight bias attitudes in a sample of 3- to 5-year-old pre-schoolers. Children assigned positive or negative adjectives to thin, average, or large targets and selected one of these targets as their best friend. Girls showed a larger weight bias than boys in both tasks, and weight bias increased with age in the adjective attribution task. Findings clarify previously mixed gender results and demonstrate that while weight bias beliefs strengthen during the pre-school years, weight bias behavioural intentions do not. The results highlight the importance of continued efforts to address weight bias in young children. Statement of contribution What is already known on this subject? Weight bias is linked to negative consequences in young children. Children as young as 3 years old demonstrate weight bias. Findings regarding gender differences in weight bias in pre-schoolers are mixed. What does this study add? Girls demonstrated higher weight bias than boys in an adjective attribution and best friend selection task. Weight bias increased with age in the adjective attribution task but not in the friend selection task. Weight bias beliefs strengthen during the pre-school years; however, weight bias behavioural intentions do not.

Physical attributes of workout instructors and appearance-related messaging in a sample of home workout videos on YouTube: A content analysis

Given the popularity of home workouts and effects of exposure to media messaging regarding appearance ideals, the purpose of this analysis was to examine the content of YouTube home workout videos. A sample of 298 YouTube home workout videos was coded for demographic factors and body shape of instructors and the presence of body positivity messaging, appearance-related messaging, and other relevant themes. All videos in the sample included detailed instructions and demonstrations of the exercises by instructors. The majority of the videos depicted young White women with low body fat and thin/athletic bodies with visible muscles. Instructors often focused on burning fat/calories but also emphasized body functionality, exercising for fun/enjoyment, and the importance of taking care of one's body. Overall, findings demonstrate that workout instructors on YouTube conformed to unrealistic, narrowly defined appearance ideals present in Western culture, but the messaging in the videos contained many positive and affirming qualities.

Two sides of the self-love coin: Self-compassion text-only posts and body positive photo-based content both positively affect body image

Although body-positive content is associated with increased positive body image, concerns regarding the continued focus on appearance have emerged. Therefore, the purpose of this study was to examine whether self-compassion text-only content provided benefits beyond traditional photo-based body positivity content. Undergraduates (n = 283; 179 women, 104 men) were randomly assigned to view body positive photos, self-compassion text-only content, or architectural images (control condition). Participants assigned to both experimental conditions demonstrated a significant increase in measures of state body appreciation, state body satisfaction, and state self-compassion, however they did not differ significantly from each other. The self-compassion condition also differed significantly from the control condition. Trait appearance comparisons moderated the relationship between experimental condition and state body appreciation and state body satisfaction, and gender did not affect the relationship between condition and the outcome measures. Results of this study support the inclusion of body-positivity images and self-compassion text-only content in social media interventions for improving body image for men and women.

Virtually possible: strategies for using telehealth in eating disorder treatment learned from the COVID-19 pandemic

The COVID-19 pandemic resulted in an abrupt shift from in-person to virtual treatment, and clinicians continue to offer telehealth due to its advantages. Telehealth may be a viable, effective, and safe treatment modality for many clients with eating disorders. We consider contemporary issues regarding the use of telehealth in eating disorder treatment and identify strategies to enhance its delivery. First, we emphasize key factors when choosing therapy delivery (telehealth, in-person, or hybrid). Second, we address telehealth-specific planning, preparation, safety, and privacy considerations. Third, we discuss how eating disorder assessment and evidence-based interventions can be adapted for telehealth delivery. Fourth, we raise telehealth-specific challenges related to group-based delivery and the therapeutic alliance offering alternative avenues for connection and engagement. We conclude with a discussion of how additional research is needed to refine the presented strategies, develop new strategies, and assess their efficacy and effectiveness.

Understanding Fitness Trends in the Virtual Age: A Content Analysis of TikTok Workout Videos

The purpose of this study was to examine the content of workout videos on TikTok. A sample of 297 TikTok workout videos was coded for demographic factors and body shape of content creators, as well as the presence of body positivity messaging, appearance-related messaging, and other relevant themes. The results suggest that TikTok workout content is often presented in a time-lapse format with little verbal instruction, which may make it difficult for viewers to perform the exercises. The majority of the videos depicted young women with athletic bodies and other characteristics associated with culturally based beauty ideals, and approximately half of the videos included non-White content creators. Approximately a quarter of the videos in the sample included objectification and a smaller proportion of the sample included messages about inner positivity. Overall, the TikTok platform may provide underrepresented individuals opportunities to seek out workout content from a more diverse group of instructors; however, the fact that many of these videos including objectifying depictions of the content creators is concerning. Further experimental work is needed in order to more fully elucidate the effects of TikTok workout videos on viewers.

Nature, urban, or treadmill: How walking environment impacts state body satisfaction and appreciation and the role of body sanctification

This study examined the effects of walking environments on state body satisfaction and state body appreciation and the potential moderating role of body sanctification. Participants included 189 undergraduates from a private Christian University in the Southwestern US, randomly assigned to walk for 20-minutes in a natural, outdoors built, or indoors built environment. Participants completed measures of state body satisfaction and state body appreciation prior to and immediately following the walk. Those who walked in nature experienced increased state body satisfaction but not state body appreciation compared to those who walked in an indoor built environment. Theistic sanctification of the body was associated with greater state body appreciation and moderated the relationship between walking location and body appreciation. Participants who sanctified their bodies to a greater extent experienced increases in body appreciation when walking in a natural environment compared to an indoor built environment relative to those who were lower in body sanctification. Nontheistic sanctification of the body was associated with higher state body satisfaction and state body appreciation but did not moderate links between walking location and these outcomes. Overall, walking in nature is beneficial to body satisfaction and theistic sanctification of the body may bolster these effects.