The differential importance of weight and body image among college men and women

Among a sample of American college students, body image and the degree of desired weight change were associated with academic self-rankings, with social and psychological well-being, and with the development of eating difficulties. The effects of body image and desired weight change on eating disorders were generally found to be greater for women than for men, and their effects on student self-rankings of academic ability, social, and psychological traits were more pervasive for women than for men. The less attractive a woman perceived herself to be and the more weight she wanted to lose, the greater was her overall sense of academic, social, and psychological impairment. Women who had poor body images and who desired to lose weight were more likely to report eating difficulties.     

Body image issues in women with breast cancer

Diagnosis and treatment of breast cancer affects women physically as well as psychologically. There are many obvious and real factors that are related to psychological distress in women coping with breast cancer, such as facing a life-threatening illness, painful and impairing treatments, and significant role changes. Although these factors are clearly important, issues related to body image in women faced with breast cancer can also add to psychological distress. Women, in general, are concerned with their appearance, their weight, and their body, with recent studies suggesting 89% of women reported concerns with weight. Such premorbid concerns are often deeply ingrained and can contribute to psychological distress in women treated for breast cancer. The present article is a summary of the literature that has examined body image issues and related psychological adjustment in women with breast cancer. Implications for clinical practice and recommendations for future investigations are discussed.     

Understanding body image disturbance in the promotion of mental health: a discourse analytic study

Health care interventions in the area of body image disturbance and eating disorders largely involve individual treatment approaches, while prevention and health promotion are relatively underexplored. A review of health promotion activities in the area of body image in Australia revealed three programmes, the most extensive and longest standing having been established in 1992. The aims of this programme are to reduce body image dissatisfaction and inappropriate eating behaviour, especially among women. Because health promotion is concerned with the social aspects of health, it was hypothesized by the authors that a social understanding of body image and eating disorders might be advanced in a health promotion setting and reflected in the approach to practice. In order to examine approaches to body image in health promotion, 10 health professionals responsible for the design and management of this programme participated in a series of semi‐structured interviews between 1997 and 2000. Three discursive themes were evident in health workers' explanations of body image problems: (1) cognitive‐behavioural themes; (2) gender themes; and (3) socio‐cultural themes. While body image problems were constructed as psychological problems that are particularly experienced by women, their origins were largely conceived to be socio‐cultural. The implications of these constructions are critically discussed in terms of the approach to health promotion used in this programme. Copyright © 2001 John Wiley & Sons, Ltd.     

Childhood obesity and social stigma: What we know and what we don't know

Evidence for the development of social stigma associated with body build in childhood, specifically obesity, was critically reviewed. Although there is overwhelming evidence to suggest that children hold a positive stereotype toward a mesomorph (normal) build when compared to other builds, and that this preference increases with age, studies have not convincingly shown a negative stereotype toward the endomorph or obese body build. Furthermore, the belief that obese children are generally discriminated against is without empirical verification. Specifically, it is unclear from the various empirical studies that examine self-esteem and body image, that the psychological consequences of obesity are debilitating. Studies which have noted disturbances in self-concept and body image have sampled clinical populations (youngsters seeking medically supervised reduction); and those studies which have examined nonclinical populations have not found psychological difficulties. Finally, potential moderators such as facial attractiveness × body build interactions, situational contexts, and degree of obesity are examined and new research directions are discussed.     

Relationships Between Men’s and Women’s Body Image and Their Psychological, Social, and Sexual Functioning

This study was designed to examine the relationships between different aspects of body image and psychological, social, and sexual functioning throughout adulthood. The respondents were 211 men and 226 women (age range 18–86 years; mean = 42.26). Respondents completed measures of self-rated attractiveness, body satisfaction, body image importance, body image behaviors, appearance comparison, social physique anxiety, self-esteem, depression, anxiety, and social and sexual functioning. Body image was associated with self-esteem for all groups, but was unrelated to other aspects of psychological, social, and sexual functioning. There were some exceptions; a disturbance in body image was related to problematic social and sexual functioning among middle-aged men and to depression and anxiety symptoms in late adulthood among men and women. Middle-aged men who presented with the type of body image disturbance typical of women were more likely to have impaired interpersonal functioning. These results demonstrate that social aspects of body image appear to be important in understanding psychological functioning in later life.     

Body image and cosmetic medical treatments

Cosmetic medical treatments have become increasingly popular over the past decade. The explosion in popularity can be attributed to several factors—the evolution of safer, minimally invasive procedures, increased mass media attention, and the greater willingness of individuals to undergo cosmetic procedures as a means to enhance physical appearance. Medical and mental health professionals have long been interested in understanding both the motivations for seeking a change in physical appearance as well as the psychological outcomes of these treatments. Body image has been thought to play a key role in the decision to seek cosmetic procedures, however, only recently have studies investigated the pre- and postoperative body image concerns of patients. While body image dissatisfaction may motivate the pursuit of cosmetic medical treatments, psychiatric disorders characterized by body image disturbances, such as body dysmorphic disorder and eating disorders, may be relatively common among these patients. Subsequent research on persons who alter their physical appearance through cosmetic medical treatments are likely provide important information on the nature of body image.     

Imprinted genes, cognition and behaviour

The idea that genes can influence behavioural predispositions and their underlying psychological determinants is becoming increasingly tractable. In this article, recent findings are reviewed on a special type of inheritance, related to the transmission of traits via what have been termed 'imprinted' genes. In imprinted genes one allele is silenced according to its parental origin. This results in the inheritance of traits down the maternal or paternal line, in contrast to the more frequent mode of inheritance that is indifferent to the parental origin of the allele. Drawing on the advances made possible by combining the approaches of cognitive neuropsychology, behavioural neuroscience and contemporary molecular genetics, the detailed evidence for imprinted effects on behavioural and cognitive phenotypes is considered, focusing on findings from mental disorders, Turner's syndrome and experimental work in animal models. As prevailing evolutionary theories stress an essential antagonistic role of imprinted effects, these data might link such apparently diverse issues as neurodevelopment and the vulnerability to mental disease with the 'battle of the sexes', as joined at the level of cognitive and behavioural functioning.     

The use of faces as stimuli in neuroimaging and psychological experiments: A procedure to standardize stimulus features

In psychological experiments involving facial stimuli, it is of great importance that the basic perceptual or psychological characteristics that are investigated are not confounded by factors such as brightness and contrast, head size, hair cut and color, skin color, and the presence of glasses and earrings. Standardization of facial stimulus materials reduces the effect of these confounding factors. We therefore employed a set of basic image processing techniques to deal with this issue. The processed images depict the faces in gray-scale, all at the same size, brightness, and contrast, and confined to an oval mask revealing only the basic features such as the eyes, nose, and mouth. The standardization was successfully applied to four different face databases, consisting of male and female faces and including neutral as well as happy facial expressions. An important advantage of the proposed standardization is that featural as well as configurational information is retained. We also consider the procedure to be a major contribution to the development of a de facto standard for the use of facial stimuli in psychological experiments. Such methodological standardization would allow a better comparison of the results of these studies.     

The (mis)measurement of body image: ten strategies to improve assessment for applied and research purposes

Body image is a multifaceted construct consisting of a variety of measured dimensions. Research in the area has mushroomed in recent years, a phenomenon paralleled by an explosion in the assessments developed to measure some aspect of the construct. Unfortunately, these developments have not always been guided by a clear-cut attention to measurement issues. Assessment errors specific to the field of body image and also germane to basic psychological measurement strategies have characterized much of the work in the area. This article outlines 10 such issues with accompanying examples and suggestions for avoiding such pitfalls. Attention to these seemingly minor methodological details should result in a more consistent conceptualization of body image, utilization of appropriate measures in specific contexts, and engender more valid comparisons of findings across disparate studies.     

Psychological therapy for adults with Attention Deficit Hyperactivity Disorder

In the liteature, the clinical management of adults with Attention Deficit Hyperactivity Disorder has focused almost exclusively on stimulant medication. Yet psychological therapy may be a useful adjunct to stimulant medication. Pharmacotherapy is generally reported to be efficacious and, as such, treated individuals are likely to be more receptive to psychological intervention. The aim of this paper is to consider how an individual may best be supported by psychological therapy. It is recommended that a structured pragmatic, psychoeducative approach is the most appropriate. The development of specific self-management skills is discussed within a cognitive behavioural framework. Family, marital and group therapies are also discussed.     

Psychological aspects of orthognathic surgery

Abstract

With the dramatic growth in the number of adults undergoing orthodontics to correct malocclusion, and those undergoing surgical orthodontics or orthognathic surgery to correct skeletal discrepancies in the orofacial region, it is important to examine the psychological characteristics of these patients before and after treatment is completed. This paper serves as a general review and summarizes the findings of two major longitudinal studies of patients seeking surgical correction and compares them with people who underwent conventional orthodontics, those who rejected any treatment, and those who sought cosmetic surgery. Both studies revealed that most women seeking surgical orthodontics focused on aesthetic improvement as a motive, whereas men sought to improve their appearance and mastication. Women were also more likely to report problems with the temporomandibular joint as a motive. Men and women scored similarly on a measure of body image, although women reported lower facial image presurgically and higher postsurgically than did men. The greatest gains following surgery were in facial and profile image for both men and women. Orthodontic patients showed less improvement, while those rejecting treatment experienced a decline in body image. Many functional improvements did not occur until 24 months postoperatively; lingering paraesthesia was described by 49% of the sample. Emotional reactions included anxiety preoperatively, and depression postoperatively, especially among patients scoring high on neuroticism and those experiencing other major life events. These studies reveal that people seeking surgical orthodontics are within the normal range of most personality measures and experience greater gains psychologically than do conventional orthodontic patients.     

情绪识别研究中被“冷落”的线索:躯体表情加工的特点、神经基础及加工机制

躯体和面孔是个体情绪表达与识别的重要线索。与面部表情相比,躯体表情加工的显著特点是补偿情绪信息,感知运动与行为信息,及产生适应性行为。情绪躯体与面孔加工的神经基础可能相邻或部分重合,但也存在分离;EBA、FBA、SPL、IPL等是与躯体表情加工相关的特异性脑区。今后应系统研究面孔、躯体及语音情绪线索加工潜在的神经基础,探讨躯体情绪加工的跨文化差异,考察情绪障碍患者的躯体表情加工特点。     

Emotion regulation moderates relationships between body image concerns and psychological symptomatology

The study investigated the moderating role of emotion regulation (ER) in relationships between body image concerns and psychological symptomatology. A community sample of 533 boys and girls (11-20 years) completed measures assessing body image thoughts and feelings, domain-specific and general ER strategies, drive for thinness, and bulimic, depressive and anxiety symptoms. Results indicated that ER moderated relationships between body image concerns and both bulimic and depressive symptoms, but not relationships between body image concerns and drive for thinness or anxiety symptoms. Adolescents who reported frequent body image concerns were more likely to have higher levels of bulimic symptoms if they tended to use avoidance and internal dysfunctional ER strategies. Furthermore, adolescents who reported frequent body image concerns were more likely to have higher levels of depressive symptoms if they used positive rational acceptance and internal functional strategies infrequently. Implications of the findings for prevention and intervention are discussed.     

Behavioural interventions in coping with cancer-related pain

Pain is one of the most feared consequences of cancer, often causing significant psychological distress to the patient. The purposes of this paper are (a) to discuss the psychological implications of cancer-related pain, (b) to offer conceptual explanations of the roles behavioural interventions mayplay in reducing cancer-related pain, and (c) to review studies examining the effectiveness of behavioural interventions in reducing cancer-related pain. Clinical issues raised by recent research are addressed, and suggestions for future research are offered. It is concluded that behavioural techniques may serve as a useful adjunct to traditional medical interventions for cancer pain, although considerably more methodologically rigorous research is needed to determine the nature and extent of treatment efficacy.     

On the Psychology of the Uncertain Self and the Integration of the Worldview Defense Zoo

In this paper, I focus on two issues raised against the uncertainty management model that I proposed. The first issue has to do with the need for deeper insight into psychological processes instigated by uncertainty concerns, including the possibility of positive responses to uncertainty. The second issue revolves around the question to what extent uncertainty management is the core motive (vs. a core motive) of worldview defense and sense-making. By discussing these two issues, I hope to (a) make my view on uncertainty management processes clearer, (b) note explicitly that I was advocating a core motive of worldview defense (not the core motive), and (c) propose a research agenda for future research. I end the article with a plea for research studies that focus on moderators of worldview defense motives. These moderator studies may help to integrate the large variety of core motives proposed in the literature to underlie worldview defense strategies.     

Female Paralympic Athlete Views of Effective and Ineffective Coaching Practices

People with physical disabilities are at a higher risk of developing secondary physical and mental health conditions, such as fatigue, obesity, and depression. The purpose of this study was to explore female Paralympic athlete views of effective and ineffective coaching practices. Individual semistructured interviews were conducted with 8 athletes who achieved an average of 8 combined Paralympic and Parapan American medals. A hierarchical content analysis revealed the athletes’ perceptions and experiences of both effective and ineffective coaching strategies and behaviors, including how these experiences affected them on a personal and professional level. All athletes achieved tremendous athletic accomplishments and recognized the importance and value of their coaches in helping them reach such high standards of success. In addition, the participants spoke about male coaches inappropriately addressing their disability and gender and how it negatively influenced their psychological well-being. These results are particularly troublesome when you consider that females with a disability are more susceptible to experiencing discrimination, exclusion, or harassment and more likely to experience body image issues compared to their male counterparts. This research adds to the small body of coaching knowledge in parasport and is one of the first studies to include an all-female sample of Paralympic athletes. In addition, it offers a number of practical implications for coaches, athletes, and the Paralympic community.

Lay Summary: This study adds to the small body of coaching knowledge in parasport by interviewing female Paralympic athletes. Athletes talked about coaches who enhanced their athletic performance and personal development, whereas others spoke about male coaches inappropriately addressing their disability and gender and how it negatively influenced their psychological well-being.     

Depression Moderates the Relationship between Body Image and Health-Related Quality of Life in Adolescent Girls

Body image can predict health-related quality of life (HRQoL) in adolescent girls through self-esteem and psychological well-being. Additionally, depression is a significant predictor of adolescents’ HRQoL and is associated with body image. Therefore, we investigated whether the relationship between body image and HRQoL in adolescent girls is moderated by depression. In this cross-sectional study, adolescent girls’ body image, depression, and HRQoL (n?=?385, age: 12–15 years) were measured through self-report questionnaires. Multiple regression and simple slope analyses were conducted to examine the moderating effect of depression. Body image was positively correlated with HRQoL, whereas depression was negatively correlated with body image and HRQoL. Body image, depression, and their interaction explained 44.9% of the variance in HRQoL. Simple slope analysis showed that a more positive body image was associated with higher HRQoL among adolescent girls without depressive symptoms, but was not significantly related to HRQoL for adolescents with depressive symptoms. The moderating effect of depression was confirmed. In conclusion, screening for depression is recommended for adolescent girls prior to implementing body image interventions in schools and the community that are aimed at improving HRQoL. Furthermore, health care providers in schools and the community should provide psychological support for depression along with body image interventions to improve the HRQoL of girls in schools and the community. In particular, for girls with depressive symptoms, depression management should be conducted beforehand.     

Urban cyclists’ perspectives on post-collision behaviour change: A qualitative study

This study explores whether urban cyclists change on-road cycling behaviour following a collision(s) with a motor vehicle, an area that has not been explored in quantitative and qualitative transportation research. Purposive sampling was employed and data was collected through semi-structured in-depth interviews with 9 males and 9 females from Toronto, Canada. An inductive realist thematic method was used to analyze the data. Overall, three main themes were drawn out: cycling reflexivity, cycling behavioural change and resistance to cycling behavioural change. Eliciting the theme of cycling reflexivity, these findings reveal that all post-collision cyclists actively contemplated behavioural change, and the adoption or resistance toward cycling behavioural change was influenced by intersectional internal and external dispositions emanating from pre-collision cycling behaviours. By adopting general modifications and or defensive cycling practices, in total, 12 cyclists described cycling behavioural change. In contrast, eliciting the resistance toward cycling behavioural change theme, 6 participants indicated that there were no observable modifications in post-collision cycling behaviour. Grounded in the locus of control theory and the health belief model, this study elucidates cycling behavioural change as a psychological and behavioural coping mechanism employed by this particular cohort of cyclists in an effort to mitigate future collisions with motor vehicles. These novel findings set the stage for future research into cyclists’ post-collision experiences grounded in psychological and or behavioural research paradigms.     

The effectiveness of stand-alone cognitive-behavioural therapy for body image: a meta-analysis

This meta-analysis examined the effectiveness of stand-alone body image (BI) cognitive-behavioural therapy (CBT). Nineteen studies met inclusion criteria. The behavioural dimension of BI improves most after BI CBT while the investment dimension improves the least. Individuals with clinical BI disturbances improve more than do college student samples. Treatments addressing the attitudinal, behavioural, and perceptual components of BI are more effective than treatments addressing attitude and behaviour only. Therapist-assisted therapy is more effective than is self-directed therapy. BI variables improve somewhat more than do general psychological variables, while the latter show equivalent improvement. Finally, treatment gains are maintained at follow-up. More research is needed to better understand and treat the investment dimension of BI.     

Internet-based treatment for panic disorder

Increasingly, the internet is being used as a source of mental health information as well as structured treatment programs for people with mental health concerns or problems. The present review focuses mainly on research conducted at the University of Ballarat in Australia, and Uppsala University in Sweden, on internet-based treatment for panic disorder, one of the more common and disabling anxiety disorders. Our studies suggest that internet-based cognitive behavioural therapy is an effective intervention for panic disorder, and that it is more effective than some other self-help therapies. We have found that this mode of intervention is associated with clinically significant change, improved psychological well-being and functioning, and low participant attrition, provided that timely, limited therapist assistance is also provided. This review also discusses treatment credibility and participant satisfaction, as well as assessment and crisis management issues. Although promising as a form of intervention, there is a need for more research on the efficacy of internet-based treatment for PD and on comparisons with evidence-based face-to-face therapies.