The Effects of Appearance-Based Comments and Non-Appearance-Based Evaluations on Body Dissatisfaction and Disordered Eating Urges: An Ecological Momentary Assessment Study

The current study used ecological momentary assessment (EMA) to investigate whether appearance-based comments, social and performance-based evaluations affected levels of body dissatisfaction (BD) and urges to engage in disordered eating behaviors (DE) throughout daily life. A total of 620 participants completed a baseline questionnaire assessing sociodemographic variables. Participants then downloaded a mobile app which alerted them to complete short surveys assessing their levels of BD, DE urges, and experiences of receiving comments and evaluations six times per day for 7 days. Negative appearance-based comments predicted greater levels of state BD, while positive appearance comments predicted lower levels of state BD. Negative social and performance-based evaluations predicted an increase in state BD, while positive evaluations predicted a decrease in this outcome variable. No significant predictor was found for the DE urge outcomes. The present findings suggest that receiving negative and positive feedback in various domains of one’s life may predict opposite outcomes for body image. However, these effects do not necessarily associate with urges to engage in DE in a nonclinical population.     

Objectification in Fitness Centers: Self-Objectification, Body Dissatisfaction, and Disordered Eating in Aerobic Instructors and Aerobic Participants

This study was designed to investigate self-objectification, its theoretical consequences, and its relationship to reasons for exercise within a fitness center environment. Sixty female aerobic instructors and 97 female aerobic participants, who ranged in age from 18 to 45 years, completed questionnaire measures of self-objectification, reasons for exercise, body dissatisfaction, and disordered eating. Increased self-objectification (and self-surveillance) was related to disordered eating symptomatology, body dissatisfaction, and appearance-related reasons for exercise. Aerobic instructors scored significantly lower on self-objectification, body dissatisfaction, and disordered eating than did aerobic participants, and they exercised more for enjoyment and less for appearance-related reasons. For aerobic participants, location of exercise (inside or outside the fitness center) moderated the relationship between frequency of exercise and self-objectification, such that exercising within fitness centers was associated with relatively higher self-objectification. Higher levels of self-objectification were also related to wearing tighter exercise clothing. These results support the general model of Objectification Theory, and provide practical implications for women who exercise within objectifying environments.     

Effects of Physical Appearance Social Comparisons and Perceived Attainability of an Ideal Body on Body Dissatisfaction and Weight-Management Behaviors Among Young Japanese Women

This study was designed to test a model in which tendencies to engage in physical appearance social comparisons and perceived ideal body attainability interact to predict body dissatisfaction, and are associated with weight-control behaviors (WCBs) as past studies have rarely examined perceived attainability in their analytic models. College women (N = 297) from two universities in Japan completed a paper-and-pencil survey. A path analysis revealed that appearance comparisons were positively associated with body dissatisfaction over and above the effects of body mass index and self-esteem. Body dissatisfaction, in turn, was positively related to low-risk, moderate-risk, and high-risk WCBs. There was a significant interaction effect between appearance comparison and attainability, but the nature of the interaction was the opposite from our expectation: the positive association between appearance comparison and body dissatisfaction was more pronounced among women who reported higher confidence in attaining an ideal body, whereas this association was nonsignificant for those with low confidence in attaining an ideal body. Finally, perceived ideal body attainability was directly and positively related to low-risk and moderate-risk WCBs.     

Racial and Sexual Objectification of Asian American Women: Associations with Trauma Symptomatology,Body Image Concerns,and Disordered Eating

ABSTRACT

Sexism and racism often imbue Asian American women’s socialization experiences. Operating from an objectification theory framework, the present article (a) examines the conceptual relevance of racial and sexual objectification in describing Asian American women’s oppressive experiences, (b) reviews empirical studies linking racial and sexual objectification with Asian American women’s mental health issues, specifically in the areas of trauma symptomatology, body image concerns, and disordered eating, (c) offers critiques of existing research and points to directions for future research, and (d) discusses clinical implications for therapy work with Asian American women based on available literature. In essence, the present review highlights how Asian American women may experience body image concerns, disordered eating, and trauma symptomatology through processes ethnoculturally and socioculturally distinct to them via experiences of racial and sexual objectification. This review calls for a more nuanced and precise understanding of Asian American women’s racial and sexual objectification experiences and associated mental health difficulties. This understanding can only occur through increased empirical research and clinical practice, as informed by feminist scholarship situated in a culturally expanded objectification framework.     

Disordered Eating Attitudes and Self-Objectification Among Physically Active and Sedentary Female College Students

The authors' purpose in this study was to examine objectification theory (B. L. Fredrickson & T. A. Roberts, 1997) among physically active (n = 115) and sedentary (n = 70) women. The women completed the Self-Objectification Questionnaire (Noll & Fredrickson, 1998), the Body Surveillance and Body Shame subscales of the Objectified Body Consciousness Scale (McKinley & Hyde, 1996), the Appearance Anxiety Scale (Dion, Dion, & J. Keelan, 1990), a flow experiences measure (Tiggemann & Slater, 2001), and the Eating Attitudes Test-26 (Garner, Olmsted, Bohr, & Garfinkel, 1982). Self-objectification directly and indirectly (via body shame and appearance anxiety) predicted disordered eating in both groups of women. Physically active women reported more frequent flow experiences than sedentary women. Women high in self-objectification reported higher levels of body surveillance, body shame, appearance anxiety, and self-reported disordered eating attitudes. Body surveillance was related to disordered eating only among women with high self-objectification. Appearance anxiety was negatively associated with flow experiences among sedentary women. Objectification theory provides a useful framework for understanding factors related to disordered eating attitudes among active and sedentary college women.     

The Sporting Body: Body Image and Eating Disorder Symptomatology Among Female Athletes from Leanness Focused and Nonleanness Focused Sports

Female athletes experience pressure to conform to social and sporting norms concerning body weight. This study compared general and sporting body dissatisfaction and disordered eating symptomatology among 320 elite, recreational, and noncompetitive female athletes aged 17 to 30 years competing in leanness focused sports and nonleanness focused sports. Participants completed an online questionnaire including demographic questions, the Eating Attitudes Test, and the Figure Rating Scale. Athletes from leanness focused sports reported higher levels of body dissatisfaction and greater disordered eating symptomatology regardless of participation level. Elite athletes reported higher levels of body dissatisfaction and greater disordered eating symptomatology regardless of sport type, and differences between recreational and noncompetitive athletes were not found. More than 60% of elite athletes from leanness focused and nonleanness focused sports reported pressure from coaches concerning body shape. The findings have important implications for identifying risk factors for eating disorders among female athletes, where athletes who compete at elite level and those who compete in leanness focused sports at any level may be at higher risk for developing eating disorders.     

Towards a Comprehensive Understanding of Body Image: Integrating Positive Body Image,Embodiment and Self-Compassion

Body image (BI) disturbance is a relevant factor in the etiology and treatment of eating disorders (ED). Although progress has been made in recent decades in understanding BI and its relationship with ED, the efficacy of BI disturbance prevention and intervention programs is still limited. In order to reach deeper understanding of BI disturbance and clarify the interactions between some protective and risk factors related to this construct, we carried out a literature review on some specific BI-related factors that so far have been analyzed independently. We specifically examined positive and negative BI; embodiment and its role in the development of positive and negative BI; and self-compassion as a protective factor that promotes positive embodiment (vs. disembodiment) and protection against body shame. We conclude that integrating the available evidence on these factors into BI models may be used to enhance our understanding of BI and improve the efficacy of prevention and intervention programs to help fight negative BI (by reducing body shame and disembodiment) and promote positive BI (by increasing self-compassion and positive embodiment).     

Testing a Low-Intensity Single-Session Self-Compassion Intervention for State Body Shame in Adult Women: A Dismantling Randomized Controlled Trial

State body shame is a risk factor for eating disorders, and self-compassion is emerging as a potentially effective treatment option in such cases. This study tested the efficacy of a brief (15-minute) self-compassion intervention in reducing state body shame. Using dismantling trial methodology, participants were randomly allocated to an active compassion condition (n = 23), an inactive control compassion condition (n = 23), or an educational control condition (n = 23). Measures of state body image and state shame were collected pre-intervention, immediately after the intervention, and a day after the intervention. Subjective units of state body shame (SUBS) were intensively measured during each invention. Self-compassion interventions were equally efficacious at protecting against deterioration of state body shame and were effective at reducing state shame compared to the educational control condition, with medium effect sizes (respectively – n_p² = .07 and n_p² = .08). Reductions in state shame were retained at follow-up. None of the interventions had an effect on body image (n_p² = .04). Findings demonstrate the clinical promise of brief self-compassion interventions, particularly as evidenced-based “homework” exercises.     

An Examination of Psychosocial Correlates of Disordered Eating among Undergraduate Women

Multivariate analyses were used to compare key eating behavior, cognitive, affective, and body variables to determine the similarities and differences between eating-disordered, symptomatic, and asymptomatic female undergraduates. On the eating behavior (i.e., bulimic symptoms, concern for dieting, weight fluctuation), and some of the cognitive (i.e., impression management, approval by others, dichotomous thinking, self-control, rigid weight regulation, weight and approval) and body (i.e., concern with body shape, satisfaction with face) variables, the eating-disorder group reported the most severe symptoms, followed linearly by the symptomatic and asymptomatic groups. On the affective (i.e., sad, anxious, guilty, shameful, stressed, happy, confident, overall self-esteem) and the remaining cognitive (i.e., vulnerability, catastrophizing) and body (i.e., importance of being physically fit and being attractive, satisfaction with body) variables, the symptomatic and eating-disorder groups did not differ from one another but had higher levels of distress than did the asymptomatic women. These findings suggest that (1) counselors need to be aware that a large percentage of female undergraduates are nondiagnosable yet experience eating-disorder symptoms, and (2) these symptomatic women are experiencing high levels of distress, particularly in the areas of affect and body image.A version of this article was presented at the 110th Annual Convention of the American Psychological Association, Chicago, IL, August, 2002     

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.     

Understanding Women's Experiences of Defending Against Eating Disorder Symptoms: An Interpretive Phenomenological Analysis

Body dissatisfaction predicts eating disorder symptomatology for some women but not for others. To better understand this disparity, the authors interviewed 7 college women who reported body dissatisfaction and no engagement in eating disorder symptoms. The authors identified 4 factors that may protect body‐dissatisfied women from engaging in eating disorder symptoms.     

Separating the Effects of Gender and Weight-Loss Desire on Body Satisfaction and Disordered Eating Behavior

The purpose of this study was to separate the effects of gender from those of desired weight loss on body satisfaction and eating disordered behavior. Therefore, we explored gender differences in a sample (N = 191) of men and women who wanted to lose weight. We expected that controlling for desire to lose weight would minimize gender differences; this was supported for (a) overall body dissatisfaction, and (b) degree of concern about, effect of, and importance of weight and appearance. Nevertheless, women reported (a) less satisfaction with several body parts, (b) stronger relations between body satisfaction and self-esteem, and (c) use of more weight-loss strategies. Exploratory analyses also were conducted to examine within-group differences among men. Implications are discussed.     

Disordered Eating in Women of Color: Some Counseling Considerations

There is little attention devoted to studying eating disorder symptoms in racially and ethnically diverse groups despite the fact that the prevalence rates among women of color for eating disorder symptoms are similar to those of European American women. This article reviews research related to eating disorders in women of color, including a discussion of sociocultural factors that could influence the manifestation of eating disorders in women of color. Considerations for counseling practice and research are provided.     

The Effect of Attachment Insecurity in the Development of Eating Disturbances across Gender: The Role of Body Dissatisfaction

The present study examined the effects of insecure attachment on the development of negative body image as a contributing factor to the development of disturbed-eating patterns in male and female university students. Participants were nonclinical male (n = 100) and female (n = 381) university students. Administering self-report questionnaires, the authors assessed demographic information (gender, age), anthropometric data (Body Mass Index [BMI], age), romantic attachment (ECRS-R; R. C. Fraley, N. G. Waller, & K. A. Brennan, 2000), body dissatisfaction (BSQ), and disturbed eating (EAT-26). The authors found body dissatisfaction to fully mediate the relationship between attachment anxiety and disordered eating in women. Body dissatisfaction mediated anxious attachment and dieting in men. In addition, attachment avoidance had a direct impact on eating behaviors for both genders, without the mediation of any variables measured in this study. The findings of the present study suggest that the anxiety and avoidance dimensions of attachment insecurity affect eating behaviors differently, and the effects are different across genders. The authors discuss results in the context of therapeutic interventions design.     

Children's and Adults' Acquisition of Spatial Information: Actual and Simulated Environmental Experience

Undergraduate students were presented with word pairs (e.g., egg-yolk) and were timed as they decided whether one word named part of the thing named by the other word. In Experiment 1, “no” responses to nonpart pairs (e.g., fish-flaps) were slowed by the similarity of the stimulus part (flaps) to a part that the stimulus object did possess (fins). This suggested that decisions were made by retrieving parts of the stimulus object from memory and comparing them to the stimulus part. Whereas the parts used as stimuli in Experiment 1 were nonspecific, belonging to several different types of object (e.g., wheel), those selected for Experiment 2 were specific to a single type of object (e.g., thumb). In Experiment 2, “no” responses to nonpart pairs (e.g., foot-thumb) were slowed by similarity of the stimulus object (foot) to an object that the stimulus part (thumb) belonged to (hand). This suggested that decisions were made by retrieving the object to which the stimulus part belonged and comparing it to the stimulus object. The results support a hybrid model of part-whole decisions that includes directed retrieval of relational knowledge from memory and a comparison process.     

Body Dissatisfaction in College Women and Their Mothers: Cohort Effects, Developmental Effects, and the Influences of Body Size, Sexism, and the Thin Body Ideal

A study of body dissatisfaction, as measured by the Figure Rating Scale (Stunkard, Sorenson, & Schlusinger, 1983) and the Body Esteem Scale (Franzoi & Shields, 1984), in 75 college women and their mothers indicated that both daughters and mothers experienced body dissatisfaction. When body size was statistically controlled, either no difference was found between the groups or daughters were found to have greater body dissatisfaction than mothers. The results supported the hypotheses that (1) there are generational differences in body dissatisfaction, (2) both cohort and developmental effects contribute to these differences, and (3) that a developmental effect (mothers' greater body size) may obscure a cohort effect (daughters' greater exposure to the thin body ideal). Body dissatisfaction measures based on the mothers' retrospective ratings of how they felt at their daughters' age were consistent with these hypotheses. Relationships between body dissatisfaction and the Sociocultural Attitudes Toward Appearance Questionnaire (Heinberg, Thompson, & Stormer, 1995) were stronger and more frequent for daughters than for mothers and for the Internalization Scale than for the Awareness Scale. Relationships between the Ambivalent Sexism Inventory (Glick & Fiske, 2001) and body dissatisfaction were stronger for mothers than for daughters and for Benevolent Sexism than for Hostile Sexism.     

A Network Analysis Investigation of Disordered Eating Across Demographic and Developmental Subpopulations Using a National Epidemiological Sample of High School Students

Disordered eating (DE) poses a large societal burden, yet limited research has examined DE from a developmental epidemiological perspective. It is important to consider how demographics influence DE symptoms to inform prevention and early intervention programs across diverse subpopulations. Therefore, we conducted network analyses using a large nationally representative epidemiological sample of high school students (Youth Risk Behavior Survey, United States; n = 59,582) to identify the most important symptoms and symptom relationships among six DE behaviors. We compared networks by sex, grade, and race to identify differences in symptom networks. Dieting for weight loss was highly central across networks. Networks significantly differed across sex, grade, and race. Our results suggest that dieting for weight loss may be an early intervention target for eating disorders, regardless of demographic and developmental factors. In addition, sex, race, and age should be accounted for when researching and developing prevention programs for DE and eating disorders. Public health officials, as well as mental health professionals, should present a more balanced message about dieting and weight loss to high school students to prevent the detrimental impact of DE on physical and mental health. Notably, this study is the first large, nationwide epidemiological sample using DE symptoms in network analysis.     

Postpartum Depression Among Women With Disabilities: A Multicultural Counseling Perspective

Postpartum depression is an important mental health problem for women, and women with disabilities are at greater risk than are women without disabilities. This article explores the disability‐specific contextual, environmental, social, and systemic causes of postpartum depression from an ecological perspective. I aim to help counselors develop a nonpathologizing, multicultural counseling–rooted approach and to prepare counselors to work effectively with this unique population. Implications of multicultural counseling tenets and advocacy are also examined for best practices. La depresión posparto es un problema de salud mental importante para las mujeres, y el riesgo es mayor para las mujeres con discapacidades que para las mujeres sin discapacidades. Este artículo explora las causas contextuales, sociales, del entorno y sistémicas de la depresión posparto relacionadas con la discapacidad desde una perspectiva ecológica. Mi objetivo es ayudar a los consejeros a desarrollar un enfoque no patológico basado en la consejería multicultural y preparar a los consejeros para trabajar de forma efectiva con esta población singular. También se examinan las implicaciones de los principios de la consejería multicultural y la defensoría para las prácticas recomendadas.     

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 dissatisfaction,eating disorders,and depression: A developmental perspective

McCarthy (1990) contends that a cultural ideal of thinness (the thin ideal) causes depression and eating disorders to occur more frequently in women than men. She believes eating disorders are a way of coping with depression and hypothesizes that the thin ideal has its greatest impact during puberty when sexual attractiveness becomes important and changes in physical appearance increase the discrepancy between the adolescent girl's actual and ideal body image. The present study used a cross-sectional design of 5th, 8th, and 12th grade males and females (N = 599) to test several predictions from McCarthy's model. As expected, 8th and 12th grade females preferred a thinner than average body shape. They were more dissatisfied with their bodies than males and scored higher on measures of disordered eating. In contrast, before puberty (5th grade) boys were more depressed than their female peers but this pattern was reversed in 8th grade boys and girls. Paralleling changes in depression, disordered eating scores were highest in 8th and 12th grade girls. Both of these findings underscore the role of maturational factors in the onset of eating disorders. Although the sample was ethnically diverse and mainly from middle and low socioeconomic groups, there was a surprisingly high incidence of body dissatisfaction and symptoms of disordered eating. This illustrates the pervasiveness of thinness as a standard of feminine beauty in our society and the damaging effects it can have.