Holding fat stereotypes is associated with lower body dissatisfaction in normal weight Caucasian women who engage in body surveillance

This study examined the moderating effect of body surveillance on the relationship between fat stereotype endorsement and body dissatisfaction in normal weight women. Participants (N = 225) completed online measures of fat stereotyping, body surveillance, body dissatisfaction, and internalized thin ideals. After accounting for thin ideals, body surveillance moderated the relationship between fat stereotypes and body dissatisfaction. Contrary to hypotheses, higher fat stereotype endorsement predicted lower body dissatisfaction in women with higher body surveillance. Conversely, higher fat stereotype endorsement predicted greater body dissatisfaction in women with lower body surveillance. Thus, endorsing fat stereotypes appears protective against body dissatisfaction in normal weight women who extensively engage in body surveillance. For women who hold fat stereotypes and report high body surveillance, we propose that downward appearance comparison may create a contrast between themselves and the people with overweight whom they denigrate, thus improving body dissatisfaction.     

Body ideals in women after viewing images of typical and healthy weight models

Viewing thin models, pervasive in popular culture, is correlated with body dissatisfaction and anxiety in women. Whether or not the same is true when viewing healthy weight models is unknown. In this study we tested whether viewing healthy weight models increases the ideal female body size. Body image, anxiety, happiness and depression were measured in 44 female participants following viewing of images of thin or healthy weight models (within-subject separated by two weeks). We found that after viewing images of healthy weight models, women's body ideals (as measured by a participant-adjusted virtual model) were significantly larger than when the same women viewed images of very thin models. This effect was greatest in those women with the highest levels of baseline anxiety (as measured by the Hospital Anxiety and Depression Scale). These results suggest that viewing healthy weight models results in more healthy body ideals than those typically promoted through media.     

Body weight and body image among college women: perception, cognition, and affect

This study examined the relations between body weight and multiple parameters of body image in a nonclinical sample. Thirty-six female undergraduate students with stable body weights served as subjects; 12 were underweight, 12 were normal weight, and 12 were overweight, as determined using recent normative tables. Each subject responded to a general weight information questionnaire and to the Body-Self Relations Questionnaire, a standardized instrument assessing affective, cognitive, and behavioral components of appearance-related body image. A newly developed apparatus and procedure for estimating body size, the Body Image Detection Device, was utilized for perceptual and cognitive measures of body image. Each subject estimated and also subjectively appraised the width of her own body at five points and that of a realistic female mannequin. A caliper was used to record actual widths, and a standard laboratory scale and rule measured weight and height. The general finding of the study was that the perceptual, affective, and cognitive components of body image differed as a function of body weight, but the nature of the differences varied with the measure employed. The pattern of results for the perceptual measure suggest a cautious view of its reliability and validity. The multidimensional approach of our study, in marked contrast to earlier fractionated studies, offers a more integrated perspective on body image and provides new directions for future research.     

Body image importance and body dissatisfaction among indigenous Australian adolescents

Despite their elevated risk of health problems and a propensity to be more overweight or underweight relative to the other members of the Australian population, there has been no previous investigation of body image concerns among Indigenous Australians. In this study we investigated the level of body image importance and body image dissatisfaction among 19 rural Indigenous adolescents (7 males, 12 females) and 28 urban Indigenous adolescents (15 males and 13 females). Our hypotheses that there would be gender differences in body image importance and body image satisfaction were not generally supported. However, males placed more importance on muscle size and strength than females, and rural participants placed more importance on weight than urban participants. Comparison to existing data obtained from Caucasian adolescents suggested that Indigenous youth may be less concerned and dissatisfied with body weight and shape. These results are discussed in relation to findings from studies of non-Indigenous adolescents, and Indigenous health issues. The limitations of the current study and the need for further studies are also discussed.     

Body image concern among Australian adolescent girls: The role of body comparisons with models and peers

This study investigated the potential mediating roles of body comparisons with peers and models in the relationship between the internalization of thinness norms and body image concern. A total of 224 Western Australian girls aged 14–15 completed questionnaires assessing their endorsement of thinness norms, body image concerns, and frequency of body comparisons with peers and with models. Both targets of body comparisons were found to significantly mediate the relationship between the endorsement of thinness norms and body image concern, with body comparison with peers a stronger mediator than comparison with models. These findings show that body comparison with peers, in particular, plays a significant role in the experience of body image concerns among adolescent girls, and should be given a higher profile in programs designed to prevent or reduce body image concern.     

Measuring "negative body image": validation of the Body Image Disturbance Questionnaire in a nonclinical population

Despite numerous measures of facets of the body image construct, no single assessment broadly measures a continuum of body image disturbance. Accordingly, this study developed the Body Image Disturbance Questionnaire (BIDQ), derived from the Body Dysmorphic Disorder Questionnaire. Participants were 220 college women and 75 college men who completed an online survey containing this new assessment and established measures of body image and psychosocial functioning. Results confirmed that the Body Image Disturbance Questionnaire was internally consistent and free of impression-management response bias. For both sexes, the measure converged appropriately with other body image indices (evaluation, affect, investment, and impact), was positively correlated with depression, social anxiety, and eating disturbance. Scores on this assessment also predicted psychosocial functioning above and beyond body dissatisfaction as a predictor. Greater body image disturbance was observed among women than men, among heavier than lighter women, and among White than African American women. Limitations and future research implications are discussed.     

More than just body weight: The role of body image in psychological and physical functioning

The current study examined BMI and body image dissatisfaction as predictors of physical and mental health-related quality of life (HRQL) and psychosocial functioning in a sample of 414 undergraduate students (mean age = 21.5, SD = 4.9; mean BMI = 23.6, SD = 5.2). In men and women, higher BMI was correlated with body image dissatisfaction and physical HRQL, but not with any measures of psychosocial functioning, whereas higher body image dissatisfaction was associated with poorer physical HRQL and psychosocial functioning. Furthermore, body image dissatisfaction was observed to mediate the relationship between BMI and physical HRQL in men and women. Interestingly, in this model, higher BMI predicted increased self-esteem. These findings suggest that body image dissatisfaction may be an important target for health interventions.     

Body appreciation in adult women: Relationships with age and body satisfaction

The major aim of the present study was to investigate the effect of age on positive body image (operationalized as body appreciation) across the female lifespan. A secondary aim was to examine the effect of age on the relationship between positive body image and body satisfaction. Participants were 158 women aged between 18 and 75 years who completed questionnaire measures of body appreciation and body dissatisfaction–satisfaction. A significant positive linear relationship was found between age and body appreciation; that is, older women had higher levels of body appreciation than their younger counterparts. Although body appreciation was positively correlated with body dissatisfaction–satisfaction across all age groups, the association was weaker for older women. The results contribute to a richer picture of women's body image across the lifespan, as well as confirming positive body image as something beyond the mere absence of body dissatisfaction.     

Body image variability: the influence of body-composition information and neuroticism on young women's body dissatisfaction

The current studies consider the effect of body size, body composition feedback, and the moderating influence of neuroticism (N) on three measures of body dissatisfaction (BD) in young women. In Study One, normal-sized subjects who were given false feedback indicating that they were either fatter or leaner than average showed heightened BD compared to groups who received either accurate or no feedback about body size. There was no evidence of a moderating effect of N. In Study Two, thinner-than-average subjects who received accurate body-size feedback showed greater satisfaction than a control group receiving no information. For heavier than average subjects, feedback only increased BD for those low on N. Although these results show mixed support for N as a moderator, they are the first to show an effect of body composition information on BD.     

Body image and size perceptions of Mexican American women

Purpose was to examine in Mexican American women the influences of age, weight, socioeconomic status and acculturation level on body image, perceptions of attractive and acceptable female shapes, and tolerance for overweight and obesity. Participants were 276 Mexican American women. Age, body mass index, socioeconomic status, and acculturation level were measured. The Figure Rating Scale was used to assess body image, preferences for body size, and perceptions of underweight to obese and acceptable body sizes. Significant effects for acculturation level and current weight were found. Women who were more Anglo oriented showed greater preference for thinner figures. As compared to normal weight women, obese women chose larger figures as ideal, realistic, attractive, and thinnest acceptable. Findings point to the impact of acculturation and obesity on body image and size perceptions. Health professionals working with Mexican Americans should consider each individual's current weight and level of acculturation.     

A prospective examination of body image and smoking cessation in women

This study prospectively examined body image in a community sample of women smokers (N = 141, 89% European–American, M age = 39.5, M BMI = 25.5) participating in a 12-week randomized smoking cessation trial. Participants completed measures assessing subjective and perceptual aspects of body image. Regression analyses showed that subjective body image was predictive of smoking rate at the end of treatment. A MANCOVA revealed that perceptual body image (body size estimation) significantly predicted smoking cessation. Quitting smoking actually worsened body image, although these results were no longer significant after controlling for weight gain. Results support the theory that a negative body image may hamper cessation attempts. In addition, weight gain during smoking cessation may adversely impact body image and lead to an increased risk for relapse.     

Body representations and cognitive ontology: Drawing the boundaries of the body image

The distinction between body image and body schema has been incredibly influential in cognitive neuroscience. Recently, researchers have begun to speculate about the relationship between these representations (Gadsby, 2017, 2018; Pitron & de Vignemont, 2017; Pitron et al., 2018). Within this emerging literature, Pitron et al. (2018) proposed that the long-term body image and long-term body schema co-construct one another, through a process of reciprocal interaction. In proposing this model, they make two assumptions: that the long-term body image incorporates the spatial characteristics of tools, and that it is distorted in the case of Alice in wonderland syndrome. Here, I challenge these assumptions, with a closer examination of what the term “long-term body image” refers to. In doing so, I draw out some important taxonomic principles for research into body representation.     

Body region dissatisfaction predicts attention to body regions on other women

The proliferation of “idealized” (i.e., very thin and attractive) women in the media has contributed to increasing rates of body dissatisfaction among women. However, it remains relatively unknown how women attend to these images: does dissatisfaction predict greater or lesser attention to these body regions on others? Fifty healthy women (mean age = 21.8 years) viewed images of idealized and plus-size models; an eye-tracker recorded visual attention. Participants also completed measures of satisfaction for specific body regions, which were then used as predictors of visual attention to these regions on models. Consistent with an avoidance-type process, lower levels of satisfaction with the two regions of greatest reported concern (mid, lower torso) predicted less attention to these regions; greater satisfaction predicted more attention to these regions. While this visual attention bias may aid in preserving self-esteem when viewing idealized others, it may preclude the opportunity for comparisons that could improve self-esteem.     

Selfie-posting on social networking sites,body surveillance,and exercise for weight control among Chinese young women with low body mass index

Under the perspective of self-perception theory and objectification theory, this study aims to examine the association between selfie-posting on social networking sites (SNSs) and exercise for weight control among Chinese young women, as well as the mediating role of body surveillance. A sample of 467 Chinese female students with a BMI lower than 24 were recruited. Participants voluntarily completed questionnaires assessing their selfie-posting behavior on SNSs, body surveillance, and their weight control motivation for exercise. The results show that selfie-posting on SNSs is positively associated with exercise for weight control, and that body surveillance significantly mediates this association. The results suggest that interventions targeting selfie behaviors on SNSs may be an effective way to prevent unhealthy exercise motivations, such as exercise for weight control, among young women with a low BMI.     

Coping with "bad body image days": strategies from first-year young adult college women

The purpose of this qualitative study was to understand how college women cope with body image concerns, a topic which has rarely been studied. Semi-structured interviews with first-year female college students (N = 30) revealed common strategies used for body image coping as well as their perceived effectiveness. While exercise was most frequently cited, other coping strategies included healthy eating, appearance changing, talking to friends or family, religion/spirituality, spending time alone, getting out and doing something, and self-acceptance. One of the emerging themes was participation in a cycle of eating as a result of body image concerns, and then feeling bad about themselves for eating. Participants identified that women in this cycle either adopt a self-defeatist attitude, believing they can do nothing about their appearance, or engage in self-improvement strategies, including goal setting. Far more women reported coping strategies that reflected avoidance or appearance fixing motives rather than acceptance.     

Body image distortions in healthy adults

Distortions of body image have often been investigated in clinical disorders. Much of this literature implicitly assumes healthy adults maintain an accurate body image. We recently developed a novel, implicit, and quantitative measure of body image — the Body Image Task (BIT). Here, we report a large-scale analysis of performance on this task by healthy adults. In both an in-person and an online version of the BIT, participants were presented with an image of a head as an anchoring stimulus on a computer screen, and told to imagine that the head was part of a mirror image of themselves in a standing position. They were then instructed to judge where, relative to the head, each of several parts of their body would be located. The relative positions of each landmark can be used to construct an implicit perceptual map of bodily structure. We could thus measure the internally-stored body image, although we cannot exclude contributions from other representations. Our results show several distortions of body image. First, we found a large and systematic over-estimation of width relative to height. These distortions were similar for both males and females, and did not closely track the idiosyncrasies of individual participant's own bodies. Comparisons of individual body parts showed that participants overestimated the width of their shoulders and the length of their upper arms, relative to their height, while underestimating the lengths of their lower arms and legs. Principal components analysis showed a clear spatial structure to the distortions, suggesting spatial organisation and segmentation of the body image into upper and lower limb components that are bilaterally integrated. These results provide new insight into the body image of healthy adults, and have implications for the study and rehabilitation of clinical populations.     

Body talk and body-related co-rumination: Associations with body image,eating attitudes,and psychological adjustment

Talk about physical appearance and body image is common among young women. We investigated how body talk (negative, positive/self-accepting, and co-ruminative) is related to body image, body-related cognitive distortions, disordered eating, psychological adjustment, and friendship quality via hierarchical regression analyses (controlling for social desirability and body mass index). In a sample of young adult women (N = 203), negative body talk was, as predicted, negatively related to body satisfaction and self-esteem and positively related to appearance investment, body-related cognitive distortions, disordered eating, and depression, but not friendship quality. Self-accepting/positive body talk was negatively related to body-related cognitive distortions and positively related to body satisfaction, self-esteem, and friendship quality. Body-related co-rumination demonstrated adjustment trade-offs, being related to body-related cognitive distortions, disordered eating, and higher friendship quality. Results indicated no advantage to negative body talk, both individual and relationship benefits from positive/self-accepting body talk, and mixed outcomes for body-related co-rumination     

Downward spirals of body surveillance and weight/shape concern among African American and Caucasian college women

Within dominant American culture, females often learn to view themselves from an observer's perspective and to treat themselves as objects to be looked at (i.e., self-objectification), which can result in negative outcomes. Body surveillance (the indicator of self-objectification) has been found to predict concern with weight/shape in predominantly Caucasian samples, but research has not yet examined the potential reciprocal relations between body surveillance and weight/shape concern. Participants were 226 women attending a Midwestern university (70 self-identified as African American and 156 as Caucasian) who provided data at two time points, spaced about 5 months apart. Results revealed that downward spirals of body surveillance and weight/shape concern were apparent for the Caucasian but not the African American women. However, there was evidence that body surveillance helped account for change in weight/shape concern for the African American women.     

Changes in body image during cognitive-behavioral treatment in women with bulimia nervosa

The purposes of this study were: (1) to examine multidimensional aspects of body image of individuals with bulimia nervosa (BN) at pre-treatment, post-treatment, and at follow-up, compared to a group of participants without BN; and (2) to investigate whether measures of body image predicted outcome at post-treatment and follow-up. The clinical sample consisted of 109 females with BN who were enrolled in a 12-week cognitive-behavioral group treatment program. Participants were assessed at baseline, at the completion of treatment, and at 1- and 6-month follow-up visits. The 82 females who comprised the non-bulimic sample were assessed at comparable time intervals. At baseline, the participants with BN reported greater body dissatisfaction and overestimated body size to a significantly greater degree than the comparison group, and reported a significantly smaller ideal size relative to perceived size. Results at the end of treatment indicated significant improvement in self-reported attitudinal disturbance and size overestimation, with continued reductions at follow-up. Logistic regression analyses did not demonstrate a predictive relationship between body image measures at baseline and outcome at post-treatment or follow-up, or between post-treatment and follow-up. Implications for treatment include specifying the source of body image-related distress and enhancing treatment efforts for perceptual and attitudinal aspects of body image.     

Body image and disfigurement: issues and interventions

Whether present at birth, congenital or acquired later in life, a visible disfigurement can have a profound psychological impact upon the individual concerned. Difficulties include adverse effects on body image, quality of life, and self-esteem. In addition, social encounters can present many challenges, however many individuals adapt to the demands placed upon them and appear relatively unaffected by their visible difference. This article reviews current literature exploring the psychosocial implications of living with a visible difference and considers the complex influence of physical, cultural, and psychosocial factors on adjustment. Attempts that have been made to theorise individual’s experiences, relevant interventions and care provision are then examined and the challenges facing researchers in this area are outlined.