Construal level moderates a local dominance effect of appearance comparisons in undergraduate women

Body image concerns are pervasive within university environments. In this study, we suggest that high rates of body image concerns among undergraduate women may be due, in part, to a local dominance effect of appearance comparisons. That is, undergraduate women may increasingly make upward social comparisons with a predominantly thin and fit student population, rather than downward or lateral social comparisons with the size-diverse global population. The present research tested for and found evidence of this local dominance effect in Study 1 (N = 50), and tested a construal level manipulation as a moderating factor in Study 2 (N = 421). Results suggest that a concrete mindset leads to a local dominance effect, such that self-evaluations are influenced more by local comparisons than global; however, an abstract mindset appeared to mitigate the harmful effects of appearance comparisons. This research provides preliminary evidence that construal manipulations may serve as an intervention strategy to include in body image interventions in university settings.     

Sociocultural Predictors of Physical Appearance Concerns among Adolescent Girls and Young Women from China

This research assessed the extent to which sociocultural predictors of body dissatisfaction implicated in Western studies extend to the prediction of physical appearance concerns among young women and adolescent girls in Southwest China. In Study 1, 408 Chinese university-age women completed measures of fatness concern (FC), facial appearance concerns (FAC), sociocultural influence (i.e., appearance pressure, comparison, teasing), and demographics. In hierarchical regression analyses, appearance pressure and comparison predicted both FC and FAC, independent of other factors. In Study 2, effects of appearance pressure and comparison were replicated among middle school (n = 346) and high school (n = 563) girls. Together, findings suggest that appearance pressure and social comparison correspond with specific body image concerns of young females in China.     

Cognitive processing of body and appearance words as a function of thin-ideal internalization and schematic activation

To better understand how women at risk of body image disturbance respond when their body concerns are activated, we examined attentional and memory biases in undergraduate women with high thin-ideal internalization, an identified risk factor for eating disorders, following priming of body and appearance concerns. Female undergraduates (N = 186) viewed photos of either sports cars or attractive swimsuit models, then completed the Lexical Decision Test, a word recall test, and questionnaires assessing thin-ideal internalization and eating disorder symptomatology. High thin-ideal internalizers did not exhibit cognitive biases predicted by cognitive models of eating disorders, even when their body and appearance concerns were primed by exposure to attractive models. Converging evidence suggests that high-risk non-clinical samples rarely exhibit cognitive biases characteristic of individuals with eating disorders, and, in fact, may actually incorporate ideal appearance into their schemas and preferentially attend to attractive stimuli.     

Preference for attractiveness and thinness in a partner: Influence of internalization of the thin ideal and shape/weight dissatisfaction in heterosexual women, heterosexual men, lesbians, and gay men

This study assesses whether characteristics of one's own body image influences preferences of attractiveness in a partner. The role of gender and sexual orientation is also considered. Heterosexual women (n = 67), lesbian women (n = 73), heterosexual men (n = 61) and gay men (n = 82) participated in an internet survey assessing attitudes towards the body and preferences of attractiveness in a partner. Men in particular were found to prefer attractive partners, regardless of sexual orientation. Weight/shape dissatisfaction was found to be a negative predictor for heterosexual men and women. For gay men, preferences were better explained by internalization and weight/shape dissatisfaction. No such associations were found in the lesbian group. Levels of weight/shape dissatisfaction and internalization of socio-cultural slenderness ideals influence expectations of thinness and attractiveness in a partner with this effect being modified by gender and sexual orientation.     

Quality of Life in Women Following Various Surgeries of Body Manipulation: Organ Transplantation, Mastectomy, and Breast Reconstruction

This study aimed to determine biopsychosocial differences (anxious-depressive symptomatology and quality of life) among three groups of patients who underwent surgical interventions related to body manipulation, as well as to assess the clinical significance of these results versus reference values. Four groups were compared: women who underwent organ transplant (n = 26), mastectomy for breast cancer (n = 36), breast reconstruction (n = 36), and general population (n = 608). The Hospital Anxiety and Depression Scale and the EORTC QLQ-C30 were used. Women who underwent mastectomy showed the highest anxious-depressive symptomatology and quality-of-life impairment in comparison to the remaining groups, and they also displayed the most clinically significant deterioration in the majority of dimensions (large effect sizes). In contrast, the group with implantation of a healthy organ (transplantation) only showed higher biopsychosocial impairment than the group with reconstruction of an organ (breast reconstruction) in gastrointestinal dysfunctions and in the global self-perception of health.     

The Prophylactic Mastectomy Dilemma: A Support Group for Women at High Genetic Risk for Breast Cancer

The goal of this pilot study was to test the usefulness of a six session psychoeducational support group for women at high genetic risk for breast cancer who were considering prophylactic mastectomy. The themes of the group sessions included overestimation of and anxiety about risk; desire for hard data; the emotional impact of watching a mother die of breast cancer; concerns about spouse reactions; self- and body image; the decision-making process; and confusion over whom to trust in decision making. Both the participants and the multidisciplinary leaders concluded that as a supplement to individual counseling, a support group is a beneficial and cost-effective treatment modality. Recommendations for the optimal format for such a group are described.     

Body image and health locus of control among male patients with incisional hernias

Incisional hernias form after surgery through incision sites and can enlarge over time. Relations between body image (BI) and health locus of control (HLC) were investigated in male patients undergoing evaluation for incisional hernia repair (n = 32) and non-hernia controls (n = 34). Analyses revealed that patients with incisional hernias reported significantly less satisfaction with general appearance and appearance of the mid-torso than non-hernia controls. Although HLC beliefs did not vary by group, post hoc analyses revealed several significant relations between BI factors and HLC beliefs. Results suggest that poor BI is a significant area of concern among patients with incisional hernias.     

Understanding the role of gender in body image research settings: Participant gender preferences for researchers and co-participants in interviews,focus groups and interventions

Participant gender preferences for body image researchers, interventionists and focus group and intervention co-participants have been largely ignored, despite recognition that such characteristics can influence the nature and quality of data collected and intervention effects. To address this, Australian women (n = 505) and men (n = 220) completed a questionnaire about their preferences for interviewers and focus group facilitators, for teachers delivering school-based interventions, and for co-participants in these settings. Women predominantly preferred female interviewers and teachers, and mixed-sex co-participants, but most had no preference for focus group facilitators. Body dissatisfied women were more likely to prefer female researchers and single-sex co-participants. Most men did not have specific preferences, however, body dissatisfied men were more likely to report a gender preference for interviewers and teachers. Professional capabilities, personal qualities and appearance were regarded as important researcher characteristics. These findings have important implications for body image research, particularly among high-risk groups.     

Development and Validation of the Female Muscularity Scale

Socially promoted physical appearance ideals for women place increasing importance on muscularity, resulting in growing muscularity concerns among traditional college-age women. To date, however, instruments for assessing the type of muscularity concerns reported by women are lacking. The aim of the present study was therefore to develop such a scale and examine its psychometric properties among a sample of young women. Findings from an exploratory factor analysis (n = 235) and a confirmatory factor analysis (n = 130) revealed a two-factor structure, including a five-item Attitudes subscale (α = .89) and a five-item Behaviors subscale (α = .90), which were moderately correlated, r = .50. In addition, the scale demonstrated good 2-week test-retest reliability (r = .76), and the subscales revealed moderate-to-large associations with body image concerns, drive for thinness, and exercise engagement, indicating concurrent validity. Thus the new Female Muscularity Scale is a useful and promising tool for assessing muscularity concerns among young women, and it may help toward understanding the role of pressures to achieve a toned body in the development of body image, eating, and exercise disorders.     

The relationship between physical appearance concerns,disgust, and anti-fat prejudice

This study examined relationships between physical appearance concerns (fear of fat, body image disturbance; BIDQ), disgust, and anti-fat prejudice (dislike, blame), and tested whether disgust mediates relationships between physical appearance concerns and anti-fat prejudice. Participants (N = 1649; age = 28 years) provided demographic data and completed measures of anti-fat prejudice, tendency to feel disgust, and physical appearance concerns. Univariate, multivariate, and mediation analyses were conducted. Univariate and multivariate associations were found between fear of fat, BIDQ, disgust, and anti-fat prejudice for women. For women only, mediation analyses showed that disgust partially mediated relationships between physical appearance concerns and dislike of fat people. For men, univariate and multivariate relationships were found between fear of fat, and dislike and blame of fat people, but disgust was not related to anti-fat prejudice. Newer constructs centering on physical appearance concerns and disgust appear promising candidates for understanding anti-fat prejudice.     

Body image and explicit and implicit anti-fat attitudes: the mediating role of physical appearance comparisons

Prejudice against overweight people is rife. However, there is a paucity of research on the underlying reasons for it. In two studies the relationship between body image, the tendency to make physical appearance-related comparisons (PACS), and both explicit and implicit anti-fat attitudes was examined. In Study 1 (n = 227) people with a high tendency to make physical appearance-related comparisons (high PACS scorers) reported lower self-appearance evaluation, but higher appearance orientation and explicit anti-fat attitudes. The PACS fully mediated the relationship between appearance orientation and explicit anti-fat attitudes. Study 2 (n = 134) found that the PACS also mediated the relationship between appearance orientation and implicit anti-fat attitudes. Thus, individual differences in factors such as body image and the tendency to make appearance-related comparisons, appear to play a central role in both explicit and implicit anti-fat attitudes.     

Body image disturbance and skin bleaching

This study looks at body image disturbance among Jamaicans who bleach their skin. The hypothesis states that there is a positive relationship between skin bleaching and body image disturbance. The study used a convenience sample of 160 participants with a skin bleaching group (n = 80) and a non‐bleaching comparison group (n = 80). The instrument included demographic questions, the body image disturbance questionnaire (BIDQ), and questions about skin bleaching. The results of a t‐test revealed that the skin bleaching group (M = 1.5255, SD = 0.42169) was not significantly different from the non‐bleaching group (M = 1.4938, SD = 0.74217) in terms of body image disturbance, t(158) = 0.333, p = .740. The participants who bleached did not suffer from body image disturbance. Self‐reports revealed that they bleached to acquire beauty, attract a partner, elude the police, and market skin bleaching products. The practice was fashionable and popular and it made some participants feel good, while others were fans of a popular musical artiste who bleached his skin. The majority of participants bleached because of the perceived personal, social, and entrepreneurial benefits of the practice and not because they suffered emotional distress, anxiety, and functional impairment because of their skin colour. However, there was some level of BID among the minority of participants who argued that they bleached because they wanted to be pretty so they were emotionally distressed about there body image and experienced functional impairment.     

The effects of aerobic- versus strength-training on body image among young women with pre-existing body image concerns

This experiment compared the effects of aerobic-training (AT) versus strength-training (ST) on body image among young women with pre-existing body image concerns. Theory-based correlates of body image change were also examined. Participants were 46 women (M age = 21.5 years), randomly assigned to an 8-week AT or ST intervention consisting of supervised exercise 3 days/week. Multidimensional measures of body image were administered pre- and post-intervention, along with measures of physical fitness, perceived fitness, and exercise self-efficacy. Women in the AT condition reported greater reductions in social physique anxiety (p = .001) and tended to report greater improvements in appearance evaluation (p = .06) than women in the ST condition. Changes in perceived fatness, perceived aerobic endurance and aerobic self-efficacy were significantly correlated with body image change (ps < .003). Results provide direction for prescribing exercise to improve body image and advancing theory to account for the effects of exercise.     

Investment in body image among patients diagnosed with or at risk for malignant melanoma

We examined investment in body image among 48 patients diagnosed with, or at risk for malignant melanoma (MM), as well as factors hypothesized as related to increased investment, such as gender, perceived stress, mood, fatigue, and personality characteristics. Investment in body image was evaluated using the Measure of Body Apperception [Carver, C. S., Pozo-Kaderman, C., Price, A. A., Noriega, V., Harris, S. D., Derhagopian, R. S., Robinson, D. S., & Moffat, F. L. Jr. (1998). Concern about aspects of body image and adjustment to early state breast cancer. Psychosomatic Medicine, 60, 168–174]. Results showed that women reported more concerns about physical appearance than men, and patients with MM exhibited more concerns about body integrity than at-risk patients. Concerns about body integrity were related to more compulsive personality characteristics, whereas concerns about appearance were associated with more histrionic personality characteristics. Body image investment was related to poorer adjustment as indicated by heightened symptoms of fatigue and stress. This study suggests that further research on investment in body image in this patient population is warranted.     

Weight discrepancy and body appreciation among women in Poland and Britain

Previous studies have suggested that the process of transmigration has detrimental effects on the body image of migrants relative to women in the country of origin. In the present work, we examined the body image of Polish migrants in Britain (n = 153), Polish women in Poland (n = 153), and a comparison group of British White women (n = 110). Participants completed a measure of actual-ideal weight discrepancy and the Body Appreciation Scale (BAS). Contrary to hypotheses, our results showed that Polish women in Poland had significantly higher weight discrepancy than their counterparts in Britain. Further analyses showed that the BAS reduced to two dimensions among Polish participants, with Polish participants in Poland having significantly lower body appreciation than Polish migrants. We suggest that the sociocultural changes that have taken place in Eastern Europe may place women in that region at relatively high risk for developing negative body image.     

The UCLA Body Project II: Breast and Body Dissatisfaction among African, Asian, European, and Hispanic American College Women

Breast and global body dissatisfaction were examined in Asian (n = 237), European (n = 196), Hispanic (n = 109), and African (n = 58) American college women. Asian American women reported the lowest body satisfaction on the Appearance Evaluation Scale (Cash, T. F. The multidimensional body-self relations questionnaire users’ manual: 3rd revision, 2000) and greatest breast dissatisfaction on one of two breast dissatisfaction measures. Ethnic differences in breast dissatisfaction, but not in body dissatisfaction, disappeared when body size (BMI) was statistically controlled. Results were consistent with research showing that (1) ethnic differences in body dissatisfaction are small, (2) studies of ethnic differences must include appropriate controls for total or specific body size, and (3) Asian college women report lower global body satisfaction than women of African, European, or Hispanic heritage. For additional papers and information, please contact David Frederick at enderflies1@aol.com, visit his website at or contact Gordon B. Forbes at gforbes@millikin.edu.     

Cancer Genetics Service Interest in Women with a Limited Family History of Breast Cancer

Women with a limited family history of breast cancer may be interested in cancer genetics information although their objective risk of breast cancer may not indicate routine referral to cancer genetics services. This study examined factors related to interest and use of cancer genetics services in a community sample of women with a limited family history of breast cancer (N = 187) who had no previous contact with cancer genetics services. Participants provided demographic information and ratings of perceived risk, cancer distress, attitudes, and intentions to initiate cancer genetics services. Participants were given information about a cancer genetics clinic that served women having concerns about their breast cancer risk. Women were contacted within 6 weeks and 8 months following their study appointment. Six weeks following their study appointment, 25% of women had initiated cancer genetics services. Eight months following their study appointment, 18% of women reported having completed a cancer genetics service appointment. Baseline intentions independently predicted both initiation at 6 weeks and appointment at 8 months. Cancer distress was positively associated with cancer genetics service initiation and appointment. Results suggest that some women with a limited family history of breast cancer are interested in seeking out cancer genetics information. Women with a limited family history of breast cancer may benefit from the availability of cancer genetics information provided through primary healthcare settings.     

A Cross-Cultural Exploration: Body Image in Older Black and White Women in the Workplace

This study investigated body image attitudes in a non-clinical sample of black and white older professional women in the workplace in South Africa. Participants were 125 professional women (white woman n=76 and black women n = 49). They completed the shortened version of the Body Shape Questionnaire (BSQ) (Cooper, Taylor, Cooper & Fairburn, 1987). The BSQ is a self-report instrument that measures weight and shape concerns. One-way analysis of variance (ANOVA) and t-tests for independent samples were used to determine the univariate relationships between variables. Following this, a two-way analysis of Variance (ANOVA) was conducted to explore the interaction between ethnicity and BMI. The results indicate that Body Mass Index (BMI) and ethnicity are significantly and independently related to the body shape image. Women with higher BMI scores tended to have more concern about their bodies. Black women with higher BMI scores had more concerns than their white colleagues.     

Media literacy as a prevention intervention for college women at low- or high-risk for eating disorders

This study examined whether the media literacy program, ARMED, is an effective prevention intervention for college women at low- or high-risk for an eating disorder. Changes in eating disorder risk factors were assessed in low- (n = 26) and high-risk (n = 19) women participating in a two-session media literacy intervention as compared to low- (n = 31) and high-risk (n = 16) controls. Women at high-risk for an eating disorder reported significant decreases in body dissatisfaction, drive for thinness, feelings of ineffectiveness, and internalization of societal standards of beauty after participating in ARMED, whereas control participants did not. No significant decreases in perfectionism, physical appearance comparisons, or awareness of societal standards of beauty were reported among high-risk participants. Changes in eating disorder risk factors were not found among low-risk participants, regardless of treatment condition. Findings suggest that media literacy may be an effective secondary prevention intervention for eating disorders.