The effect of priming a thin ideal on the subsequent perception of conceptually related body image words

Our research examined the effects of thin ideal priming on the perception of body image words in participants without an eating disorder. Half of the participants were primed by viewing thin models, and half were primed with gender-neutral shoes. Subsequently, all participants (N = 56) completed a Stroop task for three categories of words: neutral (BOOKS), shoe (CLOGS), and body (THIGHS). Lastly, all participants completed a body dissatisfaction questionnaire. We predicted that body dissatisfaction scores would be correlated with the Stroop effect. We found a significant correlation between body dissatisfaction and the body effect of slower color naming times for the body related words compared to the neutral words. Our study demonstrates that body dissatisfaction and a brief priming with thin models results in subsequent differences in performing a Stroop task in a non clinical population of female participants.     

The role of body image in the prevention of eating disorders

This article reviews theory and research pertaining to prevention of negative body image and eating disorders. Research derived from the social cognitive model (SCM) and non-specific vulnerability-stressor (NSVS) model indicates that sustained prevention effects for attitudes and behaviors are possible, but not easy to achieve or explain. These limitations are considered in the context of promising research derived from a third model, critical social perspectives (CSP). We conclude that (1) research on practice should aim beyond the examination of efficacy in order to clarify the active ingredients contributing to prevention; and (2) research informed by each of the divergent perspectives can be used to enrich theory and practice in the field of eating disorders prevention.     

Internalization of the thin and muscular body ideal and disordered eating in adolescence: the mediation effects of body esteem

This study investigates body esteem factors (weight-esteem and appearance-esteem) as mediators of the relationship between ‘internalization of the ideal body figure’ and disordered eating behaviors (restrained, emotional and external eating) in a community sample of adolescent males (n = 810) and females (n = 1137) from the Ontario Research on Eating and Adolescent Lifestyles (REAL) study. Mediation models were examined using a bootstrapping approach to test indirect effects and indirect contrasts. In males, weight-esteem partially mediated the relationship between muscular ideal and restrained eating; appearance-esteem partially mediated effects in the emotional and external eating regressions. In females, both weight-esteem and appearance-esteem partially mediated the relationship between thin ideal and all three forms of disordered eating; weight-esteem was a stronger mediator for restrained eating, and appearance-esteem a stronger mediator for emotional and external eating. Body esteem is important to consider for prevention and treatment of disordered eating in both genders.     

The relation between parental influence, body image, and eating behaviors in a nonclinical female sample

The purpose of the current study is to create a comprehensive composite measure of parental influence based on previously developed measures to clarify the underlying dimensions of parental influence and to determine the degree to which parental influence relates to body image and dysfunctional weight concerns. Previously published literature was reviewed for measures of parental influence, and items from 22 measures were condensed and combined into a single questionnaire, which was completed by 367 female undergraduate psychology students. Two dimensions emerged from a principle components analysis: Direct Influence, which includes weight and eating related comments, and Modeling, which includes parental modeling of dieting and related behavior. Direct Influence and Modeling were significantly related to eating disturbance, such as drive for thinness and bulimic symptomatology. Overall, the results integrate the previous literature and clarify the underlying dimensions of parental influence. Further, this study provides directions for future research related to the development and maintenance of body image and eating disturbance.     

Idealized media images and adolescent body image: "comparing" boys and girls

Sociocultural theories of body image suggest that body dissatisfaction results from unrealistic societal beauty ideals, and one way of transmitting these ideals is through the mass media. The present research aimed to examine the effect of exposure to images of idealized beauty in the media on adolescent girls’ and boys’ body image. The participants (595 adolescents) viewed television commercials containing either images of the thin ideal for women, images of the muscular ideal for men, or non-appearance television commercials. Body dissatisfaction was measured before and after commercial viewing. It was found that exposure to idealized commercials led to increased body dissatisfaction for girls but not for boys. Idealized commercials led to increased negative mood and appearance comparison for girls and boys, although the effect on appearance comparison was stronger for girls. Further, participants high on appearance investment reported greater appearance comparison after viewing idealized commercials than those less strongly invested in their appearance. The results suggest the immediate impact of the media on body image is both stronger and more normative for girls than for boys, but that some boys may also be affected.     

The tripartite influence model of body image and eating disturbance: A replication with adolescent girls

The tripartite influence model of body image and eating disturbance is a recent theoretical approach that includes a test of direct (peer, parental, and media factors) and mediational links (internalization of societal appearance standards, appearance comparison processes) as factors potentially leading to body dissatisfaction and eating disturbance. The theory was evaluated in the current study in a sample of 391 adolescent females. A structural equation model that evaluated the tripartite model replicated previous findings reported by Keery, van den Berg and Thompson (2004) [Keery, H., van den Berg, & Thompson, J. K. (2004). A test of the tripartite influence model of body image and eating disturbance in adolescent girls. Body Image: An International Journal of Research, 1, 237–251.]. Additionally, a second model extended these findings, suggesting that peer and media influences are more important than parental influences. The results are discussed in light of the need for prevention programs to incorporate formative influences and mediational processes in the construction of intervention strategies.     

The effect of exposure to thin models and digital modification disclaimers on women's body satisfaction

This study tests the effectiveness of public health initiatives aimed at reducing the adverse effects of exposure to thin images in advertising on women's body satisfaction. Using an online experiment with 195 Israeli adult women, we test the effects of message factors that are expected to influence body satisfaction—the model's body size, and the presence and size of disclaimers. Compared with advertisements featuring a thin model, exposure to an average sized model was indirectly and positively associated with body size satisfaction, through the perception of the model's body size. However, exposure to disclaimers regarding digital modification of the model did not influence body satisfaction. Moreover, irrespective of whether they were exposed to a disclaimer or not, most participants who viewed ads featuring thin models thought that the image had been digitally modified. The results call for further research on the effectiveness of disclaimer labels for promoting body satisfaction.     

The use of virtual reality in the study, assessment, and treatment of body image in eating disorders and nonclinical samples: a review of the literature

This article reviews research into the use of virtual reality in the study, assessment, and treatment of body image disturbances in eating disorders and nonclinical samples. During the last decade, virtual reality has emerged as a technology that is especially suitable not only for the assessment of body image disturbances but also for its treatment. Indeed, several virtual environment-based software systems have been developed for this purpose. Furthermore, virtual reality seems to be a good alternative to guided imagery and in vivo exposure, and is therefore very useful for studies that require exposure to life-like situations but which are difficult to conduct in the real world. Nevertheless, review highlights the lack of published controlled studies and the presence of methodological drawbacks that should be considered in future studies. This article also discusses the implications of the results obtained and proposes directions for future research.     

The impact of exposure to images of ideally thin models in TV commercials on eating behavior: an experimental study with women diagnosed with bulimia nervosa

This study investigates whether eating behavior in women with diagnosed bulimia nervosa is influenced by prior exposure to images of ideally thin models. Twenty-six participants diagnosed with bulimia nervosa (BN) and 30 normal controls (NC) were exposed to body-related and neutral TV commercials; then food that typically triggers binge eating was provided, and the amount of food eaten was measured. No significant difference for food intake between NC and BN could be found, but food intake for BN was predicted by the degree of thoughts related to eating behaviors during exposure to the thin ideal. No impact of general body image or eating pathology on food intake could be found. The results emphasize the importance of action-relevance of dysfunctional cognitions for the maintenance of eating-disordered behaviors in women with bulimia nervosa, when exposed to eating-disorder-specific triggers.     

The effects of fat talk on body dissatisfaction and eating behavior: The moderating role of dietary restraint

Although research suggests that fat talk, the normalized conversations that involve degrading one's body shape/weight and size, can increase body dissatisfaction and disordered eating behavior, the extent to which dietary restraint may moderate these relationships remains uncertain. A pilot study (N = 30) comparing online videos with researcher-developed vignettes as prospective manipulations for fat talk exposure suggested use of the vignettes as potent yet subtle stimuli. In the main study, women undergraduates (N = 116) were randomized to read a fat talk or neutral vignette and then completed standardized measures of body dissatisfaction and dietary restraint while being concurrently presented with food stimuli. Results suggest significant moderation effects for dietary restraint: whereas fat talk exposure was associated with increased body dissatisfaction among low dietary restrainers, it appeared to reduce food consumption among high dietary restrainers. Findings highlight the importance of individual differences in shaping responses to fat talk.     

The effects of TV commercials using less thin models on young women's mood, body image and actual food intake

This study experimentally tested the effects of exposure to television commercials using less thin models on mood, body focused anxiety and food intake, as compared to the effects of commercials using thin models. In a naturalistic setting, 110 young women were exposed to a neutral movie, interrupted by two commercial breaks. The commercial breaks contained real commercials using either less thin (n = 32) or thin models (n = 39), or neutral commercials (n = 39). During watching television, participants could freely eat snack food. Further, their mood and body focused anxiety was assessed. ANOVAs revealed no effects on body focused anxiety, but women reported a more negative mood and ate less after exposure to commercials using less thin models than after exposure to commercials using thin models. These results imply that using less thin models in commercials explicitly referring to the thin ideal does not make women feel better.     

Meta-analysis of the effects of third-wave behavioural interventions on disordered eating and body image concerns: implications for eating disorder prevention

Third-wave behavioural interventions are increasingly popular for treating and preventing mental health conditions. Recently, researchers have begun testing whether these interventions can effectively targeting eating disorder risk factors (disordered eating, body image concerns). This meta-analysis examined whether third-wave behavioural interventions (acceptance and commitment therapy; dialectical behaviour therapy; mindfulness-based interventions; compassion-focused therapy) show potential for being effective eating disorder prevention programs, by testing their effects on eating disorder risk factors in samples without an eating disorder. Twenty-four studies (13 randomized trials) were included. Most studies delivered selective prevention programs (i.e. participants who reported elevated risk factor). Third-wave interventions led to significant pre–post (g = 0.59; 95% CI = 0.43, 0.75) and follow-up (g = 0.83; 95% CI = 0.38, 1.28) improvements in disordered eating, and significant pre–post improvements in body image (g = 0.35; 95% CI = 0.13, 0.56). DBT-based interventions were associated with the largest effects. Third-wave interventions were also significantly more efficacious than wait-lists (g = 0.39; 95% CI = 0.09, 0.69) in reducing disordered eating, but did not differ to other interventions (g = 0.25; 95% CI = –0.06, 0.57). Preliminary evidence suggests that third-wave interventions may have a beneficial effect in ameliorating eating disorder risk.     

The effects of physique-salient and physique non-salient exercise videos on women's body image, self-presentational concerns, and exercise motivation

This experiment examined the effects of exposure to physique-salient (PS) and physique non-salient (PNS) exercise videos and the moderating influence of perceived physique discrepancies, on body image, self-presentational concerns, and exercise motivation. Eighty inactive women (M age = 26) exercised to a 30 min instructional exercise video. In the PS condition, the video instructor wore revealing attire that emphasized her thin and toned physique. In the PNS condition, she wore attire that concealed her physique. Participants completed pre- and post-exercise measures of body image, social physique anxiety (SPA) and self-presentational efficacy (SPE) and a post-exercise measure of exercise motivation and perceived discrepancies with the instructor's body. No main or moderated effects emerged for video condition. However, greater perceived negative discrepancies were associated with poorer post-exercise body satisfaction and body evaluations, and higher state SPA. There were no effects on SPE or motivation. Results suggest that exercise videos that elicit perceived negative discrepancies can be detrimental to women's body images.     

Explaining the relation between thin ideal internalization and body dissatisfaction among college women: the roles of social comparison and body surveillance

Sociocultural models of disordered eating lack comprehensive explanations as to how thin ideal internalization leads to body dissatisfaction. This study examined two social psychological theories as explanations of this relation, namely social comparison and objectification theories, in a sample of 265 women attending a Southeastern university. Social comparison (both general and appearance-related) and body surveillance (the indicator of objectification) were tested as mediators of the relation between thin ideal internalization and body dissatisfaction using bootstrapping analyses. Results indicated that body surveillance was a significant specific mediator of this relation; however, neither operationalization of social comparison emerged as such. Results serve to elaborate upon the sociocultural model of disordered eating by providing a more comprehensive understanding of the processes by which thin ideal internalization manifests itself in body dissatisfaction. The current findings also highlight the importance of targeting body surveillance in clinical settings.     

Dress fit and body image: A thematic analysis of women's accounts during and after trying on dresses

This study was designed to investigate women's experiences of dress fit and body image. Spontaneous speech of 20 women aged 18–45 years was audio-recorded while they tried on a number of dresses. They were also body-scanned and photographed in their chosen dress and discussed both the scan and the photograph in semi-structured interviews. Data were analysed using inductive thematic analysis and four key themes were found: the slim hourglass ideal, functional aspects of clothes fit, body confidence and clothes fit, and clothes dimensions and size coding. All themes and component sub-themes were ratified in follow-up sessions six months after the original interviews. It was concluded that these women had a complicated relationship with clothes fit and sizing and used well-fitting clothes to increase body confidence, cover perceived flaws, and to try to attain a slender hourglass look. Ideas for future directions for research in these areas 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.     

Ethnic differences in BMI, weight concerns, and eating behaviors: comparison of Native American, White, and Hispanic adolescents

Evidence suggests that substantial proportions of adolescents, regardless of ethnicity or gender, are engaged in excessive weight control behaviors. Crago and Shisslak (2003), however, have noted that small samples and poorly validated instruments have limited the value of previous ethnic difference studies. Using the McKnight Risk Factor Survey, we compared Native American, White, and Hispanic adolescents. Native students were divided into groups with one (NA-mixed) or two (NA) Native American biological parents. Surveys were completed by 5th through 10th grade students. BMI z-scores were significantly higher for boys and girls in the NA group, and boys in this group were significantly more engaged in weight control behaviors, including purging. A higher percentage of Native and Hispanic girls preferred a larger body size. BMI was positively correlated with weight and shape concerns and with weight control behaviors, regardless of ethnicity or gender. Overweight among Native adolescents may put them at greater risk for eating problems than their White peers.     

Current and vestigial effects of overweight among women: Fear of fat,attitudinal body image,and eating behaviors

College females completed multiple, standardized measures of their fear of fat, attitudinal body image, and binge eating and dieting. Situational weigh-in measures were taken, including latency to get on the scale and anxiety while being weighed. Based on current weight and a structured weight history questionnaire, three groups were constructed: normal-weight subjects without an overweight history (NW; n=24), normal-weight subjects who were formerly overweight (FOW; n=16), and those currently overweight (OW; n=24). Group comparisons revealed, as expected, that OW females, relative to their NW peers, had more weight-related anxieties, more negative body experiences, and more frequent past-year dieting. Consistent with Stunkard's original proposition, the FOW group regarded their bodies as fatter and less affectively satisfying and expressed more weigh-in anxiety than NW participants. Currently normal-weight FOW subjects seldom differed from the currently OW individuals. Clinical and research implications are considered, particularly with regard to the psychological sequelae of weight loss.     

The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies

Research suggests that exposure to mass media depicting the thin-ideal body may be linked to body image disturbance in women. This meta-analysis examined experimental and correlational studies testing the links between media exposure to women's body dissatisfaction, internalization of the thin ideal, and eating behaviors and beliefs with a sample of 77 studies that yielded 141 effect sizes. The mean effect sizes were small to moderate (ds = -.28, -.39, and -.30, respectively). Effects for some outcome variables were moderated by publication year and study design. The findings support the notion that exposure to media images depicting the thin-ideal body is related to body image concerns for women.     

Media exposure, internalization of the thin ideal, and body dissatisfaction: comparing Asian American and European American college females

Internalization of the thin ideal mediates the media exposure-body dissatisfaction relation in young adult European American females. There is little related research on Asian Americans. We used structural equations modeling to test: (1) whether media exposure was associated with body dissatisfaction in Asian American young adult females, (2) internalization of the thin ideal mediated any such association, and (3) whether the mediational model provided equivalent fit for European American and Asian American samples. Participants were 287 college females (154 Asian Americans, 133 European Americans). Internalization of the thin ideal explained the media exposure-body dissatisfaction association equally well for both groups. Results suggest that Asian Americans may be employing unhealthy weight control behaviors, and may be prone to developing eating disorders, at rates similar to European American young adult females. Clinicians need to screen carefully for body dissatisfaction, unhealthy weight control behaviors, and eating disorders in Asian American females.