Abstract

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).

Highlights

  • Body Image (BI) is a multidimensional concept that involves people’s positive and negative perceptions, thoughts, behaviors, and attitudes about their body and appearance (Gardner, 1996; Garner & Garfinkel, 1982, Grogan, 2016)

  • The aim of this paper was to carry out a narrative review of the existing literature on key protective and risk factors that are being related to higher positive BI and lower negative BI

  • We carried out a narrative review of several protective and risk factors related to positive and negative BI in order to understand this construct from a comprehensive perspective

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Summary

Introduction

Body Image (BI) is a multidimensional concept that involves people’s positive and negative perceptions, thoughts, behaviors, and attitudes about their body and appearance (Gardner, 1996; Garner & Garfinkel, 1982, Grogan, 2016). The aim of this paper was to carry out a narrative review of the existing literature on key protective and risk factors that are being related to higher positive BI and lower negative BI (i.e., sense of embodiment, selfcompassion, and body shame). This study will review: (1) positive and negative BI, (2) embodiment and its role in the development of positive and negative BI, and (3) self-compassion as a protective factor that promotes positive embodiment (vs disembodiment) and protects against body shame Analysis of these factors may provide further insights into the complex construct of BI and help us to better understand their role in ED. Selfcompassion has emerged as a protective factor against body shame and disembodiment, and is one of the most effective intervention techniques in this field to reduce BID (Braun et al, 2016)

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Conclusion

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