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.     

Stress management for teachers: A cognitive-behavioral program

Urban secondary school teachers participated in a cognitive-behavioral stress management program. Assessment data were also collected from a waiting list control group. Dependent measures included self-reported anxiety and stress, and observations of teacher classroom behavior. Results showed that the training program significantly decreased self-reported stress and anxiety. Follow-up data indicated further decrease six weeks after termination of the training program. Results also indicated decreases in motoric manifestations of anxiety in the classroom as a result of the training.     

A program for assessing body image disturbance using adjustable partial image distortion

Body image disturbance has been one of the most widely studied areas in the literature on eating disorders. Some of the tasks designed to assess it have been used to estimate the sizes of specific parts of the body, whereas others have served to make estimations of overall body size. In recent years, the introduction of innovative computing procedures has allowed the two approaches to be combined and has made their application more straightforward. The program we describe here (Body Image Assessment Software, or BIAS) evaluates body image distortions and body dissatisfaction via the on-screen presentation of a scale image, the different components of which can be modified by the patient. The program was developed using Microsoft Access 2000 and Visual Basic for applications. It can be run on any computer with Windows and Microsoft Access 2000 or Microsoft Access 2000 RunTime, which makes it particularly easy to use and enables direct analysis of the recorded data through the use of applications such as SPSS.     

Body Image Testing System: A microcomputer program for assessing body image

An interactive computer program, the Body Image Testing System (BITS), was developed to assess different components of the body image construct. The BITS program displays a frontal and side view of a human body. Subjects can change the size of each of nine body parts independently (face, neck, shoulders, arms, chest, breasts, stomach, hips, and thighs). Subjects interact with the program until satisfied that the image created matches the instructions. Subjects also provide satisfaction ratings for the nine body segments. To validate BITS, a variety of body image and eating disturbance measures was obtained from over 500 subjects. A factor analysis of actual-ideal differences and a perceptual distortion measure, derived using multiple regression, resulted in five orthogonal factors. Factor 1 measured actual-ideal discrepancy for weight-sensitive body parts. Factor 2 measured the perceptual distortion of weight-sensitive body parts. Additional factors measured perception of face and neck, shoulders, and breasts. The five factor scores plus the satisfaction ratings were strongly associated with actual body size, body fat percentage, and circumference of specific body parts. In addition, there were strong associations between the BITS and other measures of body image. Finally, BITS scores accounted for between 15 and 60% of the variance in measures of eating disturbance.     

Mental body distance comparison: A tool for assessing clinical disturbances in visual body image

Despite numerous body size estimation studies, it cannot be concluded that the disturbance of body image in anorexia nervosa (AN) is specifically one of the visual body images.We adopted a visual imagery method, the Distance Comparison task, to enable across-population testing of differences in visual body image with respect to shape. Participants were asked to mentally scan across two body widths (e.g. hips and shoulders) and to decide as quickly as possible which one was longer or shorter. If the mental representation accessed to make such comparisons is visual, an inverse relation would be expected between RT and distance difference on the body to be judged (i.e. actual difference in size between the two body widths), with accuracy increasing with increasing distance difference. Females with high body shape concern (scoring high on the Body Shape Questionnaire: BSQ, n = 23) were compared to females with low body shape concern (scoring low on the BSQ, n = 19).RT and distance differences on the body demonstrated standard distance differences effects: RT increased and accuracy decreased with decreasing distance differences on the body. Groups differed with respect to accuracy, in that females high on body shape concern were significantly less accurate than females low on body shape concern when making evaluations involving small (?9 cm) differences, which implies a less appropriate visual image of the own body in the former group. With respect to the relation between RT and body distance difference, on the other hand, there were no differences between groups. We concluded that evaluations of own body size employ visual imagery and that the distance comparison task holds promise for the assessment of visual disturbances in body image in clinical populations.     

A cognitive-behavioral intervention program for students with special reading disabilities

Interaction among cognitive, meta-cognitive, and emotional factors seems to play a determining part in achievement behavior and especially in scholastic performance. In this study some preliminary results are presented of the implementation of a multidimensional cognitive-behavioral psychoeducational program especially designed for students with reading disabilities in which parents and teachers also take part. The aim of the program was to provide students with appropriate emotional and cognitive skills with which to address their learning problems. First results on the efficacy of the implemented program to 20 primary school boys and girls with special reading disabilities encourage research on management of learning problems with focus on cognitive and emotional aspects in which parents and teachers contribute. Research including a control group is necessary.     

消极身体意象对青少年的负面影响

消极身体意象是青少年健康成长所面临的重要问题之一。了解消极身体意象对青少年的危害以及其形成的影响因素, 对于青少年群体身心健康发展具有重要意义。消极身体意象对青少年的负面影响主要包括自我概念、情绪体验、体重控制策略、饮食失调和社会生活五个方面; 并且青少年消极身体意象形成的影响因素主要有生物因素(BMI)、社会文化因素(父母、同伴和大众媒体)和心理因素(人格因素、认知方式)。未来可从以下几个方面进一步深入研究：(1) 基于生物-心理-社会模型的视角完善青少年身体意象发展的理论模型; (2) 考察社交媒体等新兴因素的作用; (3) 阐明青少年在加工身体相关信息时的认知特点; (4) 推进中国青少年消极身体意象本土化研究。     

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.     

Meta-analysis of cognitive-behavioral treatments for generalized anxiety disorder: a comparison with pharmacotherapy

The efficacy of (cognitive) behavioral therapy ([C]BT) for generalized anxiety disorder was investigated and compared with the efficacy of pharmacological therapy using meta-analytic techniques. A total of 65 (C)BT studies and pharmacological studies were included. (C)BT was more effective than control conditions. The results of the comparison between (C)BT and pharmacotherapy varied according to the meta-analytic methods used. Conclusions about differences in efficacy between therapy approaches are limited when all available studies are included owing to a number of factors that influence effect sizes. When only those studies that directly compared both therapies were included in the analysis, there were no significant differences in efficacy. Attrition rates were lower for (C)BT, indicating that it is better tolerated by patients.     

Dimensionality and factor satisfaction of the body image construct: A gender comparison

Sex Roles - The internal structure of the Body Cathexis Scale has been investigated twice with male subjects, but never with female subjects. This study was conducted to determine the...     

Modular cognitive-behavioral therapy for body dysmorphic disorder

This study pilot tested a newly developed modular cognitive–behavioral therapy (CBT) treatment manual for body dysmorphic disorder (BDD). We tested feasibility, acceptability, and treatment outcome in a sample of 12 adults with primary BDD. Treatment was delivered in weekly individual sessions over 18 or 22 weeks. Standardized clinician ratings and self-report measures were used to assess BDD and related symptoms pre- and posttreatment and at 3- and 6-month follow-ups. At posttreatment, BDD and related symptoms (e.g., mood) were significantly improved. Treatment gains were maintained at follow-up. A relatively low drop-out rate, high patient satisfaction ratings, and patient feedback indicated that the treatment was highly acceptable to patients. To our knowledge, this represents the first test of a broadly applicable, individual psychosocial treatment for BDD.     

The generalization of the effects of a cognitive-behavioral treatment program for aggressive children

A cognitive-behavioral treatment program for aggressive children was assessed using 12 outcome measures classified into five categories which reflected a continuum of generalization of treatment effects. From a summer daycamp 41 children, ages 7 through 12, were selected based on aggressive behavior displayed during the first week of camp. They were randomly assigned to either a treatment group or a nontreatment control group. Treatment consisted of four weeks of coping-skills training using behavioral rehearsal and self-instruction training. Considering all 12 measures, treatment was found effective (F=2.90, p < .01). The most meaningful results included improved interpersonal problem-solving skills and a decrease in being disciplined for fighting. No changes were found, however, in physical or verbal aggression and in peer rating of aggression. Modest support for the effectiveness of these treatment procedures was identified, although caution is needed in considering their clinical utility. Further research and application appear justified.     

Measuring men's response to an imagined negative body image

To investigate response to an imagined negative body image, a sample of 29 men from an undergraduate university were given the Body Image Affect Scale of Campbell and Chow. Analysis showed more men, if they are experiencing a poor appearance, would try to cover up physical flaws and avoid approaching an individual in whom they were interested.     

Evaluating the FRIENDS program: a cognitive-behavioral group treatment for anxious children and their parents.

Conducted the 1st randomized clinical trial evaluating the efficacy of the FRIENDS program, a family-based group cognitive-behavioral treatment (FGCBT) for anxious children. Children (n = 71) ranging from 6 to 10 years of age who fulfilled diagnostic criteria for separation anxiety (SAD), generalized anxiety disorder (GAD), or social phobia (SOP) were randomly allocated to FRIENDS or to a 10-week wait-list control group. The effectiveness of the intervention was evaluated at posttreatment and 12-month follow-up. Results indicated that 69% of children who completed FGCBT were diagnosis-free, compared to 6% of children completing the wait-list condition. At 12-month follow-up, 68% of children were diagnosis-free. Beneficial treatment effects were also evident on the self-report measures completed by the children and their mothers. Parents and children reported high treatment satisfaction. Results suggest that FRIENDS is an effective treatment for clinically anxious children. Limitations of this study and directions for future research are discussed.     

Two-year follow-up of an interdisciplinary cognitive-behavioral intervention program for obese adults

Intervention programs for treating adiposity which focus on dietary change and physical exercise often do not lead to the desired long-term reduction in weight. This article reports on the effectiveness of M.O.B.I.L.I.S., a standardized theory-driven intervention program. Participants are taught cognitive-behavioral strategies of goal setting, action planning, barrier management, and self-monitoring. Persons with obesity (N=316) responded to a public advertisement to participate in the intervention program (IG) or comparison group (CG; quasi-experimental design). Assessments were conducted at four time points, with the last assessment being conducted two years after baseline. At the 24-month follow-up, the IG showed weight loss of 5.57%, whereas the CG lost 1.12% of their weight (t1-t4, p < .01). The results yielded significant interaction terms (group x time), indicating that the intervention had a substantial effect on food choice and level of physical exercise (p < .01). The IG showed significantly enhanced self-efficacy, stronger goal intentions, and more detailed implementation intentions than the CG at follow-ups. The intervention program has the potential to evoke enduring changes in the cognitions we hypothesized to be responsible for inducing obese adults to begin and continue regular exercise and healthy eating behavior, resulting in substantial weight loss.     

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.     

Habitual negative body image thinking as psychological risk factor in adolescents

Negative body image thinking can be broken down into cognitive content (body dissatisfaction thoughts) and the way such thoughts occur. The present study focused on negative body image thinking as mental habit, i.e., the degree to which such thinking occurs frequently and automatically [Verplanken, Friborg, Wang, Trafimow, & Woolf, 2007]. In a sample of 250 adolescents (age 12-15) it was found that negative body image thinking habit uniquely accounted for variance in self-esteem and eating disturbance propensity over and above body image dissatisfaction. Considering negative body image thinking as a mental habit contributes to a deeper understanding of body dissatisfaction in adolescents, and may have implications for interventions to deal with such attitudes and their potentially harmful consequences.