Changing the body image concern and eating behaviour of chronic dieters: The effects of a psychoeducational intervention

Abstract

A program designed to diminish body image concern and to normalise the eating of chronic dieters was evaluated experimentally and by monitoring outcomes for 12 months. The subjects were 82 females (mean age 44.4 years, mean BMI 31.4). Data from repeated measures of eating style, self-esteem and body shape concern revealed a strong, positive and enduring intervention effect. At 12 months the majority (86%) of the subjects were not dieting and 73% reported “sometimes” or “often” engaging in natural eating, i.e., unrestrained and physiologically cued eating. A positive relationship was found between extent of natural eating and the likelihood of weight loss or weight maintenance. It is concluded that female dieters can derive considerable benefits from programs promoting natural eating.     

Making snacking less sinful: (Counter-)moralising obesity in the public discourse differentially affects food choices of individuals with high and low perceived body mass

Objective: As public discourse surrounding obesity highlights the societal costs of obesity and individual’s own responsibility for their weight, being overweight is often framed as immoral. Such ‘moralizing’ messages about being overweight may be a psychological threat for those with high body mass. Attempting to counter-moralise the public discourse (i.e. actively arguing that there is nothing ‘immoral’ about being overweight) may relieve this threat, inducing people, especially those with higher (perceived) weight, to engage in healthier behaviours.

Method: Two experiments were performed among Dutch and US participants. (Counter-)moralisation was manipulated. Body mass and weight-related self-perceptions were measured. The dependent variable was healthy vs. unhealthy snack choice.

Results: (Counter-)moralisation and (perceived) overweight jointly predicted snack choice: counter-moralising messages induced healthy snacking, but only among those who regarded themselves to have a high body mass.

Conclusions: The effects of moralising vs. counter-moralising obesity depended on one’s (perceived) overweight. This suggests that, for people with relatively high weight, the current moralising public discourse on obesity works in counterproductive ways. Campaigns that ‘counter-moralize’ obesity (i.e. that refute moralising messages) are more productive, although they should be tailored to those who see themselves as being overweight.     

Are attachment styles differentially related to interpersonal perfectionism and binge eating symptoms?

In the current study we aimed to examine the association between attachment styles towards father and mother, perfectionistic self-promotion (PSP), socially prescribed perfectionism (SPP), and binge eating symptoms in a sample of 328 late adolescents (mean age 17.1 years). It was examined whether anxiously and avoidantly attached adolescents would differentially cope with their insecure feelings. It was hypothesized that anxiously attached adolescents would, through hyperactivating strategies, be hypersensitive to the expectations of others. Avoidantly attached adolescents were hypothesized to present a perfect image of the self, because of their deactivating emotion regulation. Furthermore, the mediating role of perfectionism in the relation between attachment representations and binge eating symptoms was examined. Results showed that anxious attachment was significantly positively associated with PSP, SPP, and binge eating. Avoidant attachment towards mother was only positively associated with SPP, whereas avoidant attachment towards father was positively associated with PSP and binge eating. PSP fully mediated the relation between avoidant attachment towards father and binge eating. Interestingly, the current findings showed the importance of examining attachment representations towards both parents.     

Reducing emotional reasoning: An experimental manipulation in individuals with fear of spiders

We investigated the effects of smiling on perceptions of positive, neutral and negative verbal statements. Participants viewed computer-generated movies of female characters who made angry, disgusted, happy or neutral statements and then showed either one of two temporal forms of smile (slow vs. fast onset) or a neutral expression. Smiles significantly increased the perceived positivity of the message by making negative statements appear less negative and neutral statements appear more positive. However, these smiles led the character to be seen as less genuine than when she showed a neutral expression. Disgust + smile messages led to higher judged happiness than did anger + smile messages, suggesting that smiles were seen as reflecting humour when combined with disgust statements, but as masking negative affect when combined with anger statements. These findings provide insights into the ways that smiles moderate the impact of verbal statements.     

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.     

Processing Fat-Related Information in Individuals at Risk for Developing an Eating Disorder

The authors examined the effect that being at risk for developing an eating disorder has on the lexical processing of words related to fat and words not related to fat. Individuals (n = 17) at risk for developing an eating disorder were compared with controls (n = 31) using a lexical decision task in which fat-related words (e.g., large), unrelated words (e.g., fair), neutral words (e.g., post), and pseudowords (e.g., flirp) were given. The results revealed an expected Group x Stimuli interaction for reaction times indicating that at-risk individuals were significantly faster at processing fat-related words than words unrelated to fat. The authors discuss these results within the context of how fat-related stimuli are processed in at-risk individuals and how models of information processing can aid in the interpretation and understanding of eating disorders.     

Embedded-Figures Performance and Telecourse Achievement

This study was conducted to determine if there is a relationship between the cognitive style of community college students and their achievement in a broadcast telecourse. The subjects were 134 community college students enrolled in one of six telecourses. Witkin's Group Embedded Figures Test (GEFT) was used to ascertain whether the students' cognitive style was field dependent or field independent. Achievement was defined by the grade the student earned in the telecourse. Results of chi-square tests indicated that students with a field-independent cognitive style earned higher grades, had a higher telecourse completion rate, and were more satisfied with the experience.     

Caregiver Attributions for Late‐Life Depression and Their Associations with Caregiver Burden

Late‐life depression (LLD) has detrimental effects on family caregivers that may be compounded when caregivers believe that depressive behaviors are volitional or within the patient's capacity to control. In this study we examined three person‐centered caregiver attributions that place responsibility for LLD on the patient (i.e., character, controllability, and intention), and the impact of such attributions on levels of general caregiver burden and burden specific to patient depressive symptoms. Participants were 212 spouses and adult children of older adults enrolled in a depression treatment study. Over one third of caregivers endorsed character attributions, which significantly predicted greater levels of both general and depression‐specific burden. Intention attributions were significantly associated with general burden, but not depression‐specific burden. Contrary to our expectation, controllability attributions did not predict either type of burden. Our findings suggest that the assessment of family caregiver attributions for LLD may be useful in identifying caregivers at risk for burden and subsequent health effects, as well as those who may need education and support to provide effective care to a vulnerable population of older adults.     

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.     

Weight stigmatization and disordered eating in obese women: The mediating effects of self-esteem and fear of negative appearance evaluation

ObjectiveThe aim of this study is to examine whether self-esteem and fear of negative appearance evaluation are significant mediators in the association between weight-related self-devaluation and disordered eating.MethodA sample of obese Canadian women (N = 111, M age = 40.9, SD = 10.2) completed the Weight Self-Stigma Questionnaire (WSSQ), the Rosenberg Self-Esteem Scale (RSES), the Fear of Negative Appearance Evaluation Scale (FNAES), and the Eating Disorder Examination Questionnaire (EDE-Q).ResultsSelf-esteem mediated the relationship between weight-related self-devaluation and restraint and weight concerns, whereas fear of negative appearance evaluation mediated the relationship with weight, shape and eating concerns.ConclusionSince, for obese women, self-esteem and fear of negative appearance evaluation are likely to maintain disordered eating, they should be more frequently taken into consideration by researchers, health professionals and public policy stakeholders.