Happy Being Me in the UK: A controlled evaluation of a school-based body image intervention with pre-adolescent children

This study evaluated an adapted version of ‘Happy Being Me’, a school-based body image intervention, with girls and boys aged 10–11 years. Forty-three children participated in a three-week intervention, and 45 children formed a control group. Both groups completed measures of body satisfaction, risk factors for negative body image, eating behaviors, self-esteem, and intervention topic knowledge, at baseline, post-intervention, and 3-month follow-up. For girls, participation in the intervention resulted in significant improvements in body satisfaction, appearance-related conversations, appearance comparisons, eating behaviors and intervention topic knowledge at post-intervention, although only the change in body satisfaction was maintained. There was also a significant decrease in internalization of cultural appearance ideals from baseline to follow-up. For boys, participation in the intervention resulted in significant improvements in internalization and appearance comparisons at post-intervention; however, neither of these changes were sustained at follow-up. There were no improvements in the control group over time.     

Impact of a healthy body image program among adolescent boys on body image,negative affect,and body change strategies

This study evaluated the effectiveness of a healthy body image program. In total, 421 adolescent boys completed a five-session intervention program or a wait list control group. There were no differences between the intervention and the control group at post-intervention or any of the follow-up times. Boys in the intervention group who were one standard deviation above the mean on body dissatisfaction at baseline, demonstrated a reduction in negative affect in the intervention group at post-test and 6 months follow-up. Prevention programs need to target boys who are at risk of adopting health risk behaviors, rather than being universally applied.     

Changes in 10‐year‐old children's body esteem: A time‐lag study between 2000 and 2010

This time‐lag study examined if there has been any changes in body esteem over a 10‐year period for 10‐year old children in Gothenburg, Sweden. Two cohorts of children, one in year 2000 and one in 2010, answered the same questionnaire about body esteem. A total of 960 children, 515 girls and 445 boys, participated in the first wave in 2000 and a total of 342 children, 171 girls and 171 boys participated in the second wave in 2010. The results showed a general stability in levels of body esteem for both girls and boys over the past 10 years. The gender differences, with boys being more satisfied with their appearance and weight compared to girls also seems to be stable over the years. In addition, the results also showed a somewhat positive development among the overweight girls with enhanced body esteem for the overweight girls compared to the non‐overweight girls during the ten years studied. Unfortunately, the same pattern was not found for overweight boys. For them the discrepancy in body esteem compared to non‐overweight boys, with the overweight boys being more dissatisfied, found in 2000 remained in 2010.     

Relationships amongst body dissatisfaction, internalisation of the media body ideal and perceived pressure from media in adolescent girls and boys

Sociocultural factors that underpin gender differences in body dissatisfaction have not frequently been explored. We examined the relative contribution of internalization of media body ideals and perceived pressure to achieve this ideal in explaining body dissatisfaction in adolescent boys and girls. A sample of 819 boys and 791 girls completed measures of internalization of body ideals, perceived pressure, body mass index (BMI) and body dissatisfaction. As expected, girls showed higher body dissatisfaction, internalization and pressure than boys. Internalization, pressure and BMI contributed to the prediction of body dissatisfaction in boys and in girls although these variables explained less variance in body dissatisfaction in boys. In addition, for girls the strongest predictor of body dissatisfaction was internalization, whilst for boys the strongest predictor was pressure. Differences in extent of internalization and pressure may contribute to higher body dissatisfaction in girls than boys. These sociocultural factors may affect girls and boys differently.     

Does self-disclosure in friendship increase following group counseling/therapy? A different case for boys and girls

This study, conducted in Israel, investigated the effect of group counseling/therapy on self-disclosure in a close friendship of preadolescent boys and girls. A short monologue to a close friend was recorded and analyzed before and after the intervention and compared to a control group. Results indicated gender differences: The adjusted post scores for girls were higher than those for boys both in quality and quantity of self-disclosure. Moreover, the group by gender effect suggests that experimental girls gained more than boys from the experience in their ability to share more meaningful and private information; boys actually adjusted their level of disclosure to that of the control boys. Finally, experimental boys and girls adjusted their levels of quantity of disclosure, whereas control boys and girls grew apart, in this respect. The results are discussed in the context of gender subcultures.     

Body esteem and body fat in British school children from different ethnic groups

The aim of the study was to examine the relationship between body esteem and body fat in British school children. Two hundred and seventy seven, 11–14-year-old children from central England took part in the study. Body esteem was measured using the Body Esteem Scale for children and percent body fat was determined by skin-fold measures. Results indicate that body esteem and adiposity were negatively related for the whole sample, for boys and girls and for White children, Black children and Asian children. Factorial ANOVA also indicated differences in body esteem according to gender and ethnicity. Boys and Black children had significantly higher body esteem than girls and Asian children respectively. Differences in body fat were also evident according to gender with boys being leaner than girls. No differences in body esteem or body fat were evident across school years.     

Geographic region effects on adolescent physical self: An exploratory study

The objectives of this exploratory study were to examine gender differences in physical self‐concept, and the influence of geographic place of residence on both adolescents' physical self‐concept and gender differences in physical self‐concept. The Physical Self Inventory was used to measure physical self‐perceptions and global self‐esteem. Participants were 323 boys and 282 girls living in the North or South of France. First a Mann‐Whitney U test was used to assess gender differences and the influence of geographic region differences on physical self‐perceptions (physical self‐worth, physical condition, sport competence, attractive body, physical strength) and global self‐esteem. Then a Kruskal‐Wallis ANOVA for ranked data was used to assess geographic region influence on boys' and girls' physical self‐concept and global self‐esteem. The results showed that not only did boys have significantly higher physical self scores (on all scales) and global self‐esteem than girls, but also that adolescents from the North of France had higher physical self scores (on all scales) and global self‐esteem than adolescents from the South. Moreover, many differences were found between boys and girls on physical self scores (on all scales) and global self‐esteem according to their geographic place of residence. The main results showed that girls from the South had lower scores on the attractive body, physical strength, physical self‐worth, and global self‐esteem scales than all other adolescents, and that boys from the South had lower scores on the attractive body and global self‐esteem scales than did boys and girls from the North.     

Sociocultural and individual psychological predictors of body image in young girls: a prospective study

This study investigated the prospective predictors of body image in 9- to 12-year-old girls. Participants were 150 girls in Grades 4-6 with a mean age of 10.3 years. Girls completed questionnaire measures of media and peer influences (television/magazine exposure, peer appearance conversations), individual psychological variables (appearance schemas, internalization of appearance ideals, autonomy), and body image (figure discrepancy and body esteem) at Time 1 and 1 year later at Time 2. Linear panel analyses showed that after controlling for Time 1 levels of body image, none of the Time 1 sociocultural variables predicted body image variables at Time 2. Body mass index (BMI; a biological variable) and psychological variables, however, did offer significant prospective prediction. Specifically, higher BMI, higher appearance schemas, higher internalization of appearance ideals, and lower autonomy predicted worsening body image 1 year later. Thus, higher weight and certain psychological characteristics were temporally antecedent to body image concerns. It was concluded that both biological and individual psychological variables play a role in the development of body image in children. Individual psychological variables, in particular, may provide useful targets in prevention and intervention programs addressing body image in 9- to 12-year-old girls.     

Teaching adolescents about changing bodies: Randomized controlled trial of an Internet puberty education and body dissatisfaction prevention program

This study tested the efficacy of an Internet-based prevention program, Trouble on the Tightrope: In Search of Skateboard Sam, on pubertal knowledge, body esteem, and self-esteem. One hundred and ninety participants (mean age 11.6 years) were randomized to either an intervention or attention placebo control condition and were assessed at baseline, after three Internet-based sessions, and at 3-month follow-up. Although the primary hypotheses were not supported, exploratory moderator analyses indicated that the intervention was beneficial for select students. Specifically, pubertal status moderated the effects on weight-related body esteem and several domains of self-esteem, resulting in positive effects for participants in the intervention group who had begun puberty. Gender differences were found on self-esteem subscales, indicating more robust effects for girls than boys. Tailored Internet programs based on personal characteristics such as gender and pubertal status may be a fruitful area for future research with adolescents.     

Internet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A randomized controlled trial

This study evaluated a targeted intervention designed to alleviate body image and eating problems in adolescent girls that was delivered over the internet so as to increase access to the program. The program consisted of six, 90-minute weekly small group, synchronous on-line sessions and was facilitated by a therapist and manual. Participants were 73 girls (mean age=14.4 years, SD=1.48) who self-identified as having body image or eating problems and were randomly assigned to an intervention group (n=36) (assessed at baseline, post-intervention and at 2- and 6-months follow-up) or a delayed treatment control group (n=37) (assessed at baseline and 6–7 weeks later). Clinically significant improvements in body dissatisfaction, disordered eating, and depression were observed at post-intervention and maintained at follow-up. Internet delivery was enthusiastically endorsed. The program offers a promising approach to improve body image and eating problems that also addresses geographic access problems.     

Cybervictimization and body esteem: Experiences of Swedish children and adolescents

This study investigates the relationship between cybervictimization and body esteem among 1076 pupils, ages 10–15. More specifically we investigated if being the victim of cyberbullying was related to body esteem, and if there were any grade and gender differences in these relationships. Additionally, we examined how often pupils' believed that cyberbullying was directed at the victims' appearance, and if this view was more common when girls were cybervictims compared to when boys were cybervictims. Pupils in fourth grade (10-year-olds), sixth grade (12-year-olds) and ninth grade (15-year-olds), from 21 different schools in Gothenburg were surveyed. The main finding was that victims of cyberbullying reported poorer body esteem than non-cybervictims. The results also showed that pupils believed that cyberbullying was directed at the victims' appearance, especially when girls were victims. This study provides unique data concerning the links between being exposed to cyberbullying and body esteem.     

Is BodyThink an efficacious body image and self-esteem program? A controlled evaluation with adolescents

This study aimed to evaluate the efficacy of BodyThink, a widely disseminated body image and self-esteem program. Participants were 277, grade 7 students from 4 secondary schools in Australia. The intervention group (62 girls, 85 boys) participated in BodyThink during four 50-min lessons, while the control group (65 girls, 65 boys) received their usual classes. All participants completed baseline, postintervention and 3-month follow-up questionnaires. For girls, the intervention group reported higher media literacy and lower internalization of the thin ideal compared to the control group. For boys, the intervention group reported higher media literacy and body satisfaction than the control group. Although some positive outcomes were observed, it would be valuable to find ways to enhance the impact of BodyThink, especially in light of its wide dissemination. Suggestions for improving BodyThink are presented.     

Y's Girl: Increasing body satisfaction among primary school girls

To date, effective body image interventions for preadolescent school girls are lacking. The present study sought to evaluate the effectiveness of Y's Girl, a published body image curriculum specifically tailored for preadolescent school girls. A sample of 60 Grade 6 girls with a mean age of 11.25 (range of 11–12) years were allocated either to an intervention or control group and completed baseline and posttest measures of body image, thin-ideal internalization, body comparison, self-esteem, peer factors, and disordered eating. Findings revealed that, compared to the control group, girls receiving the intervention reported improved body image, thin-ideal internalization, body comparisons, and self-esteem at posttest 1 week after the intervention ended. Furthermore, changes in body satisfaction were moderated by initial levels of risk-factors. These findings provide initial support for Y's Girl as an effective, affordable body image intervention for preadolescent girls which can be implemented by teachers.     

Gender Traits and Self-Concept as Indicators of Problem Eating and Body Dissatisfaction Among Children

The present study was designed to examine the role of gender traits, body mass index (BMI), and self-concept in predicting levels of problem eating and body dissatisfaction among both girls and boys aged between 8 and 10 (85% were Anglo-Australian Caucasian, 15% were Caucasians from non-English backgrounds). Two hundred and two children completed questionnaires, which examined problem-eating attitudes and behaviors, body dissatisfaction, gender traits, and self-concept. Children's height and weight were measured to determine children's BMI. Gender traits predicted problem eating for boys but not for girls. Self-concept was found to predict problem eating for both boys and girls. BMI was also a predictor of problems for girls. The only predictor of body dissatisfaction for boys and girls was BMI. The findings are discussed in light of previous research, which has been conducted, on adolescents. Further studies are needed to understand more fully the development of problem eating and body dissatisfaction before the onset of puberty and adolescence.     

Testing the Tripartite Influence Model of body image and eating disturbance among Hungarian adolescents

We tested the Tripartite Influence Model of body image and eating disturbance on two separate samples of Hungarian boys (n = 145) and girls (n = 225), aged 10–16 years. Our results supported the model among Hungarian adolescents; however we found notable gender differences. The associations were stronger in girls compared to boys; moreover, internalization and body dissatisfaction mediated the relationship between appearance-related sociocultural influences and self-esteem only in girls. BMI and weight perception were also involved in the model, and we could present evidence that the sociocultural influence and the weight perception predict independently body dissatisfaction. Our data are in line with previous results; however, further exploration of gender, age, and culture-related differences in the pattern of associations may contribute to the refinement of intervention programs.     

A Strengths-Based Longitudinal Career Intervention for Junior Secondary School Students with Special Educational Needs: a Mixed-method Evaluation

The mixed-method study reported here was designed to evaluate a strengths-based career intervention program for secondary school students with mild special educational needs (SEN). A sample of 32 SEN students (19 boys: 13 girls) from 5 inclusive schools in Hong Kong were recruited to a treatment group. An additional 32 SEN students (19 boys: 13 girls) were selected to form the control group matched for age, gender and parents’ education level. The special needs exhibited by both groups were in areas of literacy and numeracy, attention deficits, and social-emotional problems, but did not include severe or complex disabilities. Participants in both groups responded to pre- and post-intervention questionnaires covering career development self-efficacy, personal and social development self-efficacy, and meaning in life. As a follow-up, two teachers and three social workers providing support to SEN students, and the 32 participants were interviewed several months after the intervention. Interviews also took place with teachers, social workers and students to evaluate the perceived effects of the intervention. Findings indicated significant interactions between Time 1 and Time 2, and between groups (control vs. treatment) in personal goal-setting, career goal-setting, and the presence of meaning in life. Additionally, several themes were identified from the interviews suggesting that the intervention did have positive effects on SEN students’ career, personal and social development self-efficacy, and acquisition of meaning in life.

     

Hypertension reduction through forgiveness training

The objective of this study was to determine if patients with diagnosed stage-1 hypertension could benefit by a forgiveness training program to achieve measurable reductions in anger expression and blood pressure. Twenty-five participants were randomly divided into wait-listed control and intervention groups. The control group monitored blood pressure while the intervention group participated in an 8-week forgiveness training program. At the end of eight weeks, the wait listed group became an intervention group. Those who received forgiveness training achieved significant reductions in anger expression when compared to the control group. While reductions in blood pressure were not achieved by all the participants, those participants who entered the program with elevated anger expression scores did achieve significant reductions in blood pressure. It is suggested that forgiveness training may be an effective clinical intervention for some hypertensive patients with elevated levels of anger.     

Reduced emotional stress reactivity to a real-life academic examination stressor in students participating in a 20-week aerobic exercise training: A randomised controlled trial using Ambulatory Assessment

ObjectivesTo examine if a preventive 20-week aerobic exercise intervention (AET) can improve emotional stress reactivity during real-life stress.DesignRandomised controlled trial; within-subject design.MethodSixty-one inactive students were randomly assigned to a waiting control and an AET group. To capture the situation-specific, intra-individual data in real life, electronic diaries were used. Participants reported their moods and perceived stress (PS) repeatedly over two days during their daily routines pre- and post-intervention. The pre-intervention baseline assessment was scheduled at the beginning of the semester, and the post-intervention assessment was scheduled at a real-life stressful episode, an academic examination. For the aerobic fitness assessment, both groups completed a cardiopulmonary exercise test on the treadmill before and after the intervention. Multilevel models (MLMs) were conducted to compare within- and between-subject associations.ResultsSignificant emotional stress reactivity was evident in both groups during all assessment periods. However, participants in the AET group showed lower emotional stress reactivity compared with their control counterparts after the 20-week training programme during the real-life stress episode (the academic examination).ConclusionsAET conferred beneficial effects on emotional stress reactivity during an academic examination, which is likely an extremely stressful real-life situation for students.AET appears to be a promising strategy against the negative health effects of accumulated emotional stress reactivity.     

Gender and Age Group Differences in Mass Media and Interpersonal Influences on Body Dissatisfaction Among Chinese Adolescents

Despite evidence that middle adolescent girls (ages 14–17) experience more body dissatisfaction than early adolescent girls (ages 10–13) or boys at these ages, researchers have rarely considered whether such differences are observed regarding factors related to body dissatisfaction, particularly within non-Western samples. To address this issue, gender and age group differences in media and interpersonal influences on body dissatisfaction were assessed among early and middle adolescents living in Chongqing, China. In Study 1, 595 boys and 648 girls completed self report measures of demographics, public self-consciousness and appearance-based social pressure, comparisons, and conversations. Compared to boys, girls reported more appearance pressure from mass media and close interpersonal networks (friends, family), appearance comparisons with peers, and appearance conversations with friends; these effects were qualified by interactions with age group, indicating media and interpersonal factors were more prominent in the lives of middle adolescent girls than other groups. Effects were observed independent of body mass index (BMI) and public self-consciousness. In Study 2, 738 girls and 661 boys completed the same measures and a body dissatisfaction scale. By and large, gender and age differences were replicated. Middle adolescent girls also reported more body dissatisfaction than peers did. Perceived appearance pressure from mass media and interpersonal ties were both implicated in mediation analyses to explain this gender × age group effect.     

The relative contributions of subjective and objective measures of body shape and size to body image and disordered eating in women

This research explored the relative contributions of subjective perceptions of body weight and body shape/proportion, as well as objective measures of body mass index (BMI) and waist-to-hip ratio (WHR) to disordered eating, exercise involvement, and body image. One hundred and fifty-eight female university students completed questionnaires and provided body measurements for this study. Although an interaction between BMI and WHR was found for some measures (i.e., Eating Disorder Examination Questionnaire total and subscale scores), results indicated that BMI was consistently the better objective predictor of disordered eating and body image. Subjective perceptions of body weight and, to a lesser extent, body shape, were found to account for the greatest proportion of variance in the dependent measures (disordered eating, body esteem, and body dissatisfaction). Overall, these results offer more support for sociocultural theories emphasizing the importance of thinness for women, than evolutionary theories emphasizing the role of WHR.