Experimental effects of receiving negative weight-related feedback: a weight guessing study

The effects of receiving negative verbal weight-related feedback on the mood, self-esteem, and body image of restrained and unrestrained eaters were investigated. Female undergraduate students either reported their current weight (no feedback) or had their weight guessed as 15 lb higher than their actual weight (negative feedback) by an experimenter who presented herself as either an undergraduate (peer) or graduate student (non-peer). Participants overall had higher anxiety and felt “fatter” in the negative feedback condition. When this feedback came from a peer they felt fatter, more dissatisfied with their bodies, and, for restrained eaters, more depressed, as compared to when it came from a non-peer. These results provide empirical evidence that negative weight-related feedback produces adverse psychological consequences for young women, especially restrained eaters, and suggest the importance of peers’ perceptions of weight.     

Prevention program for disturbed eating and body dissatisfaction in a Spanish university population: a pilot study

A pilot study was carried out in university students to evaluate the effect of a health promotion program for eating disturbances and body dissatisfaction. A subgroup of 135 medical students of both sexes in their second year was selected. There were divided in three groups, high-risk students (EDI > 40) and low-risk students (EDI < 40) who participated in the program and nonparticipants as comparison group. Program had a total of 16 workshops of 90 min. A year later the different assessment measurements were compared, body image, attitudes and eating behaviours, psychopathological levels and self-esteem. Differences by gender were found on the impact of the intervention. The program presented a statistical significant improvement in body-image satisfaction, eating attitudes only in high-risk female students in the intervention group. This pilot program for eating disorder prevention in university populations can be considered effective, mainly in female populations at risk for developing an eating disorder.     

Body image and explicit and implicit anti-fat attitudes: the mediating role of physical appearance comparisons

Prejudice against overweight people is rife. However, there is a paucity of research on the underlying reasons for it. In two studies the relationship between body image, the tendency to make physical appearance-related comparisons (PACS), and both explicit and implicit anti-fat attitudes was examined. In Study 1 (n = 227) people with a high tendency to make physical appearance-related comparisons (high PACS scorers) reported lower self-appearance evaluation, but higher appearance orientation and explicit anti-fat attitudes. The PACS fully mediated the relationship between appearance orientation and explicit anti-fat attitudes. Study 2 (n = 134) found that the PACS also mediated the relationship between appearance orientation and implicit anti-fat attitudes. Thus, individual differences in factors such as body image and the tendency to make appearance-related comparisons, appear to play a central role in both explicit and implicit anti-fat attitudes.     

Examining “fat talk” experimentally in a female dyad: How are women influenced by another woman's body presentation style?

Fat talk, the verbal dissatisfaction that women express about their bodies, was studied in a female dyad whereby participants interacted with a female confederate who either self-derogated, self-accepted, or self-aggrandized. A 2 (participant body esteem: high vs. low) ×3 (confederate style of body image presentation) design was used. Results revealed that participants’ public disclosure of their body image varied according to confederate's style. Consistent with a reciprocity effect, participants disclosed the lowest public body image ratings in the self-derogate condition, with moderate ratings in the self-accept condition, and highest ratings in the self-aggrandize condition. Moreover, participants with low compared to high body esteem stated lower public body image. Participants’ judgments of the confederates’ likeability did not vary as a function of the confederate's body presentational style. Findings support the recursive nature of the social psychology of body image such that personal body image dissatisfaction is partially influenced by fat talk social norms.     

Body dissatisfaction and body comparison with media images in males and females

This study examined the role of media body comparison as a mediator of the relationships between psychological factors and sociocultural pressures to be thin and body dissatisfaction in both females and males. Participants were 1,386 females (mean age = 19.37 years) and 1,130 males (mean age = 19.46) from diverse backgrounds who completed a self-report questionnaire. Path analysis was used to test a cross-sectional model in which media body comparison mediated the impact of self-esteem, depressive mood, parent dieting environment, friend dieting, TV exposure, magazine message exposure, weight teasing and body mass index (BMI) on body dissatisfaction. In females, media body comparison partially or fully mediated relationships between self-esteem, depressive mood, friend dieting, magazine message exposure and BMI, and body dissatisfaction. In males, media body comparison was not a significant predictor of body dissatisfaction. This research particularly highlights the need to further examine processes that are involved in the development of body dissatisfaction in males.     

Personality information: Does it influence attractiveness ratings of various body sizes?

In the present study, the influence of personality information on attractiveness ratings of different body sizes was examined. Specifically, participants were presented with either no personality information, negative information, or positive information about a hypothetical female target and asked to rate the smallest and largest figure that they would consider attractive for her using a figure rating scale. Consistent with the study hypotheses: (1) participants chose a wider range of figures as attractive for a female described to have a positive personality when compared to the range chosen when no personality information was provided; (2) females selected wider attractive ranges than males; and (3) other participant characteristics (i.e., physical appearance anxiety and body mass) were found to predict attractive ranges selected by participants. These findings may have implications for the treatment of body-image disturbance, as the findings suggest that personality, rather than appearance alone, may be a factor in perceptions of attractiveness of various body sizes.     

Perceived teasing experiences in body dysmorphic disorder

Individuals with body dysmorphic disorder (BDD) are excessively concerned about imagined or slight defects in their appearance (e.g., asymmetrical facial features). Cognitive-behavioral models of BDD propose that several factors, including dysfunctional appearance-related beliefs and life experiences, such as teasing, contribute to the avoidance behaviors or rituals (e.g., mirror checking, grooming) characteristic of BDD. Previous research has demonstrated an association between perceived teasing and body dissatisfaction. In the current study, we examined whether individuals with BDD (n = 16) report to have been teased more often than do mentally healthy controls (n = 17). The group comprising individuals with BDD reported more appearance- and competency-related teasing than did control participants. This study provides preliminary evidence for the association between perceived teasing and BDD.     

From body shadows to bodily attention: Automatic orienting of tactile attention driven by cast shadows

Body shadows orient attention to the body-part casting the shadow. We have investigated the automaticity of this phenomenon, by addressing its time-course and its resistance to contextual manipulations. When targets were tactile stimuli at the hands (Exp.1) or visual stimuli near the body-shadow (Exp.2), cueing effects emerged regardless of the delay between shadow and target onset (100, 600, 1200, 2400 ms). This suggests a fast and sustained attention orienting to body-shadows, that involves both the space occupied by shadows (extra-personal space) and the space the shadow refers to (own body). When target type became unpredictable (tactile or visual), shadow-cueing effects remained robust only for tactile targets, as visual stimuli showed no overall reliable effects, regardless of whether they occurred near the shadow (Exp.3) or near the body (Exp.4). We conclude that mandatory attention shifts triggered by body-shadows are limited to tactile targets and, instead, are less automatic for visual stimuli.     

TREATING OVERWEIGHT CHILDREN THROUGH PARENTAL TRAINING AND CONTINGENCY CONTRACTING1

Fifteen overweight girls aged 5 to 11 yr were randomly assigned to one of two weight-reduction treatments: response-cost plus reinforcement, response-cost only, or a no-treatment control group. In the response-cost plus reinforcement group, parents contracted to facilitate their child's weight loss by carrying out reinforcement and stimulus control techniques, completing weekly charts and graphs, and encouraging their child to exercise. The response-cost only group parents did not contract to reinforce their child's performance. The response-cost program applied to both experimental groups was conducted in weekly meetings in which parents lost previously deposited sums of money. Twenty-five per cent was deducted for missing the weekly meeting, 25% for failing to fill out charts and graphs, and 50% if their child failed to meet her specified weekly weight-loss goal. At the end of the 12-week treatment period, both experimental groups had lost significantly more weight than the control group. After an eight-week, no-contact follow-up, some of the lost weight was regained. The response-cost plus reinforcement group was still significantly below the controls. The response-cost group just missed significance. A 31-week, no-contact follow-up failed to show a treatment effect, but did show a trend towards slower weight gain by the response-cost plus reinforcement group.     

Addressing Weight Suppression to Improve Treatment Outcome for Bulimia Nervosa

Cognitive behavioral therapy (CBT) is regarded as the gold-standard treatment for bulimia nervosa (BN), yet despite impressive empirical support for its effectiveness, over 50% of patients fail to achieve abstinence from binge eating and purging by the end of treatment. One factor that may contribute to reduced efficacy rates in CBT is weight suppression (WS; the difference between a person's highest weight ever at their adult height and current weight). A growing body of research indicates that WS in patients with BN may have a clinically significant effect on symptomatology and prognosis. However, the current cognitive behavioral framework for BN does not explicitly acknowledge the role of WS in the onset or maintenance of BN symptoms and does not provide guidance for clinicians on how to address WS during treatment. The relationship between WS, biological pressure to regain lost weight, and the maintenance of BN symptoms suggest that current cognitive behavioral models of BN may be improved by considering the role of WS and exploring needed treatment modifications. Indeed, a reconceptualization of existing models may offer insight into potential strategies that can be used to reduce the susceptibility to treatment dropout, nonresponse, and relapse. It is therefore necessary to consider whether, and how, clinicians' consideration of WS during case conceptualization and treatment planning could serve to improve CBT outcomes. The current review explores ways in which high WS could contribute to poor CBT outcomes, provides preliminary clinical recommendations for incorporating WS into existing cognitive behavioral treatments based on extant data and clinical wisdom, and proposes suggestions for future research needed in this domain.