Body Image Disturbance Research Articles

"Tattoo Characteristics and Testing for Body Dysmorphic Disorder: An Internet-based Self-questionnaire Survey of 4,809 Individuals with Tattoos".

Tattoos have become very popular worldwide in recent years. The aim of this study was to analyse a group of people interested in having tattoos, and screen them for body image disturbances. This cross-sectional self-administered internet-based survey included 4,809 individuals interesting in having tattoos. The majority of the study population were female (79.1%). The survey was conducted using a self-created questionnaire and the Body Dysmorphic Disorder Questionnaire - Dermatology version. Most tattoos in the study group were located on the forearms and hands (28.1%). The most popular motifs were plants (17.5%) and animals (16.9%). Out of 4,809 individuals, 19.9% had problems with acceptance of some parts of their body and 9.8% were screened for body dysmorphic disorder with the Body Dysmorphic Disorder Questionnaire - Dermatology version. Four percent of individuals reported that tattoos helped to improve their own perception of the appearance of their body by distracting attention from the other problems. Limitations of this study include possible participant selection bias and the overrepresentation of women. In conclusion, clinicians may expect to see more patients with tattoos and, of these, approximately 10% may be screened for body dysmorphic disorder.

Understanding and treating body image disturbances in eating disorders through body illusion interventions: a scoping review protocol

BackgroundWe plan a scoping review aimed to synthesize what is known about the use of sensory-driven body illusion (BI) interventions for understanding and treating body image disturbance (BID) in people diagnosed with clinical eating disorders (EDs) and people with subclinical ED symptomatology. Our study will provide an outline of the current literature, identify gaps within the literature, and suggest novel directions for future research.Methods/designThe scoping review process will be guided by the methodological framework of Arksey and O’Malley, subsequent recommendations by Levac et al., and the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols Extension for Scoping Reviews guidelines. The following electronic databases will be systematically searched: MEDLINE (via PubMed), Web of Science, PsycINFO, and Scopus. Furthermore, to identify additional studies, we will use a search engine such as Google Scholar, and for grey literature, we will include Proquest for Dissertations and Theses. A search strategy has been identified and agreed upon by the research team in conjunction with a research librarian. Two researchers will screen the titles and abstracts independently and then assess the full text of the selected citations for the inclusion criteria. A third reviewer will be involved in cases of disagreement. Data will be extracted, collated, and charted to summarize all the relevant methods, outcomes, and key findings in the articles.DiscussionA better understanding of this topic will aid in the development and refinement of current treatments aimed at treating BID in people with EDs. Implications and recommendations for research, policy, and practice in the context of the ED community will be discussed.Systematic review registrationhttps://osf.io/3bcm6/?view_only=83b2e8a2445d4266909992e3dfb51929

Differential Diagnosis Between Avoidant/Restrictive Food Intake Disorder and Anorexia Nervosa

Differential diagnosis between avoidant/restrictive food intake disorder (ARFID) and anorexia nervosa may be challenging due to shared clinical features. Diagnostic criteria for ARFID prohibit disturbance of one's body shape/weight. In contrast to body image disturbance, body image dissatisfaction is normative and ubiquitous and may characterize those with ARFID. Distinguishing between body image disturbance and dissatisfaction is critical to derive accurate diagnoses. We compare these constructs, highlighting that body image dissatisfaction rises to the level of clinically significant body image disturbance when it results in: (1) behavioral symptoms, such as persistent behavior that interferes with weight gain; and/or (2) eating disorder cognitions, such as a distorted perception of one's shape/weight or overvaluation of shape/weight. We illustrate the application of this definition via a brief case example and conclude by providing recommendations to aid providers in differential diagnosis between ARFID and its most similar eating disorder, anorexia nervosa. [ Psychiatr Ann . 2024;54(2):e37–e41.]

Nursing Experience Using Art Therapy to Help Women With Breast Cancer Face Changes in Body Image

The subject in this study was a female professional painter who underwent bilateral mastectomy because of bilateral breast cancer, experienced postoperative wound scarring, and developed alopecia due to the side effects of chemotherapy, which caused the patient to lose body image confidence and the motivation to engage in artistic creativity. The patient had shed tears early in the intervention and complained of difficulties with body image adjustment due to her altered appearance. Mastectomy patients must not only undergo drug treatment but also adjust psychologically to body image changes to decrease negative emotions. This was the author's motivation for involvement in this case. The nursing period was from 23 September to 30 December 2021. Physical, mental, spiritual, social, and family data were collected using observations and interviews. These data were evaluated and the main problems were determined to be disturbed body image related to altered body perception post-surgery, alopecia caused by chemotherapy, impaired physical mobility due to upper limb mobility limitations post-surgery, and nausea due to chemotherapy. The patient was encouraged to paint again and to use artistic creativity to comfort herself. Moreover, she was guided to express her innermost thoughts to face the impact of her changes in appearance. In addition, a care consultation channel was provided to facilitate experience sharing with other breast cancer patients, thus assisting the patient to cope with the mental impact of her treatments and face subsequent cancer treatments with a more positive attitude. Art therapy embraces a diverse variety of methods, including drawing and music. Art therapy is a valuable tool that facilitates both physical and mental healing. Based on this experience, nurses should include patients' close relatives when performing art therapy to facilitate shared care to overcome difficulties. We hope this nursing experience provides a practical reference for nurses.

Emotional dysregulation and eating symptoms in gender dysphoria and eating disorders: the mediating role of body uneasiness

Emotional dysregulation is a key transdiagnostic dimension of several clinical conditions, including eating disorders (EDs) and gender dysphoria (GD). Not only is there frequent comorbidity between EDs and GD, but GD individuals also commonly experience ED symptoms and body-image disturbances. However, more research is needed to understand how specific body-related experiences may differently interact with difficulties in emotion regulation and dysfunctional eating behaviors in EDs and GD. Thus, the present study aimed at exploring potential associations between emotional dysregulation and ED symptomatology in individuals diagnosed with anorexia nervosa (AN), bulimia nervosa (BN), or gender dysphoria (GD), also considering the mediating role of specific dimensions of body uneasiness. A national sample of N = 96 help-seekers assigned female at birth (n = 32 with AN, n = 32 with BN, n = 32 with GD) was recruited from two specialized care centers. Participants completed the Eating Disorder Inventory-3 (EDI-3) and the Body Uneasiness Test (BUT), while the Shedler-Westen Assessment Procedure–200 (SWAP-200) was used to evaluate emotional dysregulation. Findings showed that several body uneasiness dimensions mediated the relationship between emotional dysregulation and ED symptoms, in both AN-BN and GD participants. In GD individuals, body avoidance emerged as a significant mediator of the relationship between emotional dysregulation and ED symptoms, whereas in both AN-BN patients and GD individuals, depersonalization toward the body emerged as a significant mediator. The results suggest that the interplay between emotional dysregulation, body uneasiness, and ED symptoms may be crucial for the development of comprehensive and tailored prevention strategies.

Effects of perspective taking on attention bias to body-related information among junior high school students with body image disturbance

Using lexical judgment tasks, the present study explored whether perspective taking affected attention bias to body-related information among junior high school students with body image disturbance. Experiment 1 examined the junior high school students' attention bias to body schema-related words; the results showed the body image disturbance group responded significantly more quickly to negative body schema-related words than positive words, whereas the control group did not show a significant difference between positive and negative words. In Experiment 2, participants were asked to judge whether the positive or negative body schema-related words were suitable to describe themselves, when adopting their own perspective or that of another person. The results showed that reaction times to negative words were significantly shorter than to positive words when adopting a self-perspective. When taking another's perspective, there was no significant difference of reaction time between positive and negative words. This result demonstrated that perspective taking reduced attention bias to negative body schema-related information among junior high school students with body image disturbance. The present research suggests that guiding adolescents to view themselves from different perspectives can help them form a more accurate and objective body image.

Self-Compassion-Based Interventions in Oncology: A Review of Current Practices

Self-compassion consists of an attitude of self-support and self-benevolence. In the general population, increased self-compassion has been associated with well-being and decreased psychopathology. In oncology, higher self-compassion has also been linked with various benefits, such as lower emotional distress, fatigue, body-image disturbances, and sleep difficulties. Self-compassion also seems to foster treatment adherence. Various interventions based on self-compassion have recently been designed and tested in different clinical and non-clinical populations. They are particularly relevant in oncology, as patients are increasingly interested in complementary approaches to help them manage their symptoms and difficulties benevolently and without judgment. In this review, we described various self-compassion-based interventions that have been or will be proposed to patients with cancer, as well as their first results. The main interventions that have been tested are compassion-focused therapy, the combination of self-hypnosis and self-compassion learning, mindful self-compassion training, cognitively-based compassion training, and loving-kindness meditation. Other interventions include a self-compassion-focused writing activity, a mobile self-compassion application, and a self-compassion group therapy focused on the fear of cancer recurrence. Many of these studies were quasi-experimental or protocols. However, existing results tend to suggest the benefits of these interventions to improve different symptoms often endured by patients with cancer. Further research is needed to conduct rigorous studies on these approaches and to determine how and for whom they are efficient.

Body image disturbance in eating disorders

Body image disturbance (BID) is a frequent symptom in patients with eating disorders. The symptom occurs mainly in patients with anorexia nervosa continuing to perceive themselves as average weight or even overweight despite being severely underweight.[1] An altered perception of one's body and a severe state of bodily dissatisfaction characterizing the body image disturbance. This symptom is included among the diagnostic criteria for anorexia nervosa in DSM-5 (criterion C).[2] The disturbance is associated with significant bodily dissatisfaction and is a source of severe distress, often persists in eating disorders after treatments,[3][4] and is considered hard to treat.[3] Thus, effective body image interventions could improve the prognosis in patients with ED, as Hilde Bruch suggested.[5] Unfortunately, there is no hard evidence that current treatments for body image disturbance effectively reduce eating disorders' symptoms.[6] Furthermore, pharmacotherapy is ineffective in reducing body misperception and it has been used to focus on correlated psychopathology (mood or anxiety disorders).[7] However, to date, research and clinicians are developing new therapies as virtual reality experiences,[8][9] mirror exposure[10] or multisensory integration body techniques,[11][12] which are showing promising results.

The effect of Aerozumba exercises on some components of health fitness and body image disturbance in obese women

The effect of Aerozumba exercises on some components of health fitness and body image disturbance in obese women

Digital Clothing Try-on Apps, Augmented Reality Beautification Filters, and Artificial Intelligence-powered Mood Detectors in Body Image Disturbance

Digital Clothing Try-on Apps, Augmented Reality Beautification Filters, and Artificial Intelligence-powered Mood Detectors in Body Image Disturbance

Supplemental Material for Development and Initial Validation of the Multifaceted Instrument for Body Image Disturbance (MI-BoD)

Supplemental Material for Development and Initial Validation of the Multifaceted Instrument for Body Image Disturbance (MI-BoD)

ТЕЛЕСНО-ОРИЕНТИРОВАННАЯ ПСИХОТЕРАПИЯ ДЕТЕЙ И ПОДРОСТКОВ С ОНКОПАТОЛОГИЕЙ

The need to study the influence of body-oriented psychotherapy on the psycho-emotional consequences of cancer in children and adolescents during treatment is dictated by the high prevalence of mental disorders during hospitalization and insufficient knowledge of the possibility of their compensation. Purpose: to analyze the literature to study the influence of body-oriented psychotherapy on the psycho-emotional consequences of cancer in children and adolescents during treatment. General information. The most commonly reported and most concerning symptoms are pain associated with diagnostic procedures and treatments, nausea and fatigue, and negative self-perception of body image leading to low self-esteem and affecting the ability to form healthy relationships with peers. Children experience increased levels of depression and anxiety, as well as social skill deficits, greater physical weakness during physical activities, sleep disturbances and body image disturbances. Body techniques effectively open the way to the somatic unconscious and the elimination of the blocks identified in it, since the human body is a material reflection of all the emotional states he has experienced. The use of body-oriented psychotherapy methods normalizes the psychosomatic state. Taking into account the psychological characteristics of children and adolescents, the most common methods of body-oriented psychotherapy in this age category of patients are various variations of touch and movements in combination with other methods. The goal of psychotherapeutic work with adolescents and children with cancer is, first of all, prevention and correction of psychopathological reactions. Timely psychotherapy provided to cancer patients in childhood will help harmonize the psycho-emotional state associated with the treatment, especially after mutilating operations. Among the many psychotherapeutic techniques used in the structure of helping children and adolescents, body-oriented therapy has found the most widespread use. One of the advantages of TOP is its versatility. That is, the technique can be successfully used in the treatment of many psychological disorders, as well as integrated and combined with other therapeutic approaches (art therapy, music therapy, acupressure, etc.). To reduce the incidence of mental pathology after illness and achieve its maximum compensation, a multidisciplinary approach is required.

Body image as a mediator in the relationship between psychotic experiences and later disordered eating: A 12-month longitudinal study in high school adolescents.

The relationship between psychosis and disordered eating remains a challenging area of research to which little interest was paid. Using longitudinal data, we aimed to explore the hypothesis that the pathways from psychotic experiences (PEs) to disordered eating (DE) and body-mass index (BMI) are mediated by body-image disturbances. A prospective longitudinal study was performed. High-school students (N = 510, 61.2% females, mean age of 16.05 ± 1.01 years) were asked to complete three scheduled assessments (Baseline, 6 months, and 12 months). Two body image components, that is, Overweight Preoccupation and Body Area Satisfaction, mediated the prospective association between baseline PEs and DE 12 months later. Direct effects were significant. After accounting for indirect effects through more severe body image concerns at 6 months, higher baseline PEs were significantly associated with greater DE at 12 months. Baseline PEs and 6-month body image explained a significant proportion of variance in 12-month DE. However, we did not find evidence of a direct prospective association between PEs and BMI. This study is the first to assess the mediating role of body image between PEs and DE. Findings offer promising new avenues for early intervention to help mitigate the effects of PEs on DE in adolescents.

Beyond Gender: Interoceptive Sensibility as a Key Predictor of Body Image Disturbances.

Body image disturbance (BID) involves negative attitudes towards shape and weight and is associated with lower levels of interoceptive sensibility (IS) (the subjective perceptions of internal bodily states). This association is considered a risk factor for developing eating disorders (EDs) and is linked to altered sensorimotor representations of the body (i.e., body schema). BIDs manifest across genders and are currently understudied in men. This study investigated gender-related differences in BID and its relationship to the body schema and IS. Data were collected from 86 men and 86 women. BID was assessed using questionnaires measuring self-objectification, state, and trait body dissatisfaction. IS was measured via the MAIA-2. The body schema was indexed via an embodied mental rotation task. Results showed that women reported higher BID than men across all scales. Gender differences in sub-components of interoceptive sensibility were found. Overall, both gender and interoceptive sensibility predicted BID. However, interoceptive sensibility exhibited its own unique association with BID beyond the influence of gender. BID, IS and gender were not significant predictors of performance in the body schema task. Therefore, while gender predicts differences in BID and interoceptive sensibility, there was no evidence of gender-related differences in body schema.

Examining the association of structural stigmas with body image-related outcomes among sexual minority individuals

Sexual minority individuals display heightened body image disturbance, which is associated with negative health outcomes. Structural stigmas are associated with negative health outcomes among sexual minority individuals, but the association between structural stigmas and body image is not understood. Using a linear regression approach, we examined how U.S. state-level structural racism and structural sexual minority stigma were associated with body image-related outcomes including eating pathology, appearance and/or performance-enhancing drug (APED) misuse, and dysmorphic concern. Participants were 942 cisgender sexual minority individuals ages 18–30, with approximately equal representation among non-Hispanic/Latinx White, Black, Asian, and Hispanic/Latinx individuals. There was not a significant main effect of state-level structural sexual minority stigma on body image-related outcomes. In states with higher structural racism, Hispanic/Latinx participants endorsed higher APED misuse, and this interaction was not significant among non-Hispanic/Latinx White individuals. This pattern was not found among Black or Asian participants, nor was it replicated for dysmorphic concern or eating pathology. Findings suggest that reducing exposure to structural racism could reduce APED misuse among Hispanic/Latinx individuals.

Penerapan Konseling Individu dengan Pendekatan Humanistik dalam Mengatasi Insecure pada Korban Bullying

Insecure is a condition where individuals feel insecure, unsure, afraid, anxious, and so on. This study aims to know the description of insecure victims of bullying client "G" and apply individual counseling with a humanistic approach in dealing with insecure victims of bullying client "G". This study uses a qualitative approach with a case study method. The subjects in this study were clients "G". Data collection techniques used consist of three techniques namely observation, interviews, and documentation. The data analysis included reduction of data, presentation of data, and make conclusion. The result of this study shows that the image of insecure client "G" included feels unhappy, feels insecure, doubts about ability, do something is unable, feels guilty, easily anxious, experiencing body image disturbance, withdrawing from social environment, often alone because of embarrassment, and choose not tosocialize. Application of individual counseling using the humanistic approach with client-centered technique is done 6 times meetings with a time of 45x/meeting. Implementation of this individual counseling carried out in three stages, namely, the initial stage, the core/work stage, and the final stage.

Determinants of body image disturbance and disordered eating behaviors among self-identified LGBTQ individuals

Determinants of body image disturbance and disordered eating behaviors among self-identified LGBTQ individuals

Body image disturbance, interoceptive sensibility and the body schema across female adulthood: a pre-registered study

IntroductionBody image disturbance (BID) typically involves explicit negative attitudes toward one’s shape and weight and is associated with altered interoceptive sensibility (the subjective perception of internal bodily states). This association is a known risk factor for the development and maintenance of eating disorders. However, while research has centred on younger women with eating disorders, diverse facets of BID appear in women without eating disorders across adulthood. Research shows that in the general population, young women (ages 18–25) with high BID exhibit disturbances in the body schema: an implicit sensorimotor representation of the body in space which includes mental simulation of a movement such as motor imagery. Given that body image is subject to age-related influences, it is important to investigate how age-related variation in BID can influence the body schema beyond young adulthood alone. Here, we examine the relationship between BID, interoceptive sensibility and the body schema across female adulthood.MethodsCross-sectional data was collected online from 1,214 women across four age groups: Young adults (18–24), Adults (25–39), Middle-aged adults (40–59), and Older aged adults (60–75). BID was indexed by questionnaires measuring body objectification, state, and trait body dissatisfaction. Interoceptive sensibility (IS) was measured using the MAIA-2 questionnaire. The body schema was evaluated through the Own Body Transformation task: a mental rotation task which assesses the capacity to make an embodied mental transformation.ResultsAnalyses revealed that while body objectification and trait body dissatisfaction decreased from young to older adulthood, state body dissatisfaction showed a marked increase. A negative relationship between IS and BID across all age groups was also evidenced. Finally, age, BID and orientation of the presented body were significant predictors of the time taken to make an embodied transformation.DiscussionThese findings highlight the consistent relationship of BID and IS across age groups beyond young adulthood and demonstrate the varying importance of different aspects of BID as individuals age. We also evidence for the first time that disruptions in body image have the potential to impact implicit sensorimotor representations of the body even in women without eating disorders across female adulthood.

FAMILY SUPPORT SYSTEM AND THE BODY IMAGE OF BREAST CANCER PATIENTS UNDERGOING CHEMOTHERAPY IN JAKARTA

Background: Cancer and its treatment can trigger pressure on breast cancer patients which can cause health problems both physically, psychologically, physiologically and socially in breast cancer patients. The purpose of this study was to analyze the relationship between family support and body image of breast cancer patients undergoing chemotherapy. Method: The methode in this quantitative research is using a cross sectional design. The sampling technique used was accidental sampling with a total sample of 33 people. Results: the average age of the respondents was 49 years with the majority being female (97%), the last education was high school (66.7%) and the majority were housewives (63.6%), the most common cancer stage was stage II (48, 5%) with an average length of chemotherapy 4 and 5 cycles (27.3%). A total of 19 (57.6%) had good family support and 14 (42.4%) had poor family support. As many as 21 (63.6%) had body image disturbances and 12 (36.4%) did not experience body image disturbances. Conclusion: It can be concluded that there is a significant relationship between family support and body image of breast cancer patients undergoing chemotherapy using the chi-square correlation test with a p-value of 0.003 (<0.05) and OR = 5.6.Recommendation: Increasing family support for breast cancer patients who experience body image problems should be a concern among nurses. Further studies are required by taking into account other risk factors that have a significant impact on body image of breast cancer patients.

Body image and behavioural and emotional difficulties in German children and adolescents

BackgroundBehavioural and emotional difficulties might play an important role in the development of body image disturbances, which represent serious risk factors for eating disorders or depression. The present study provides a detailed overview on body image disturbances and several behavioural and emotional difficulties (differences between gender, age, and weight status) and their inter-relations in German children and adolescents.MethodsData on body image disturbances, assessed through a Figure Rating Scale, and on behavioural and emotional difficulties, assessed through Goodman’s Strengths and Difficulties Questionnaire (SDQ), were available for 5255 observations of 1982 German children and adolescents aged 8 to 18 years from the LIFE Child study, based in Leipzig, Germany. Associations were investigated using multiple logistic regression. Each association was checked for interaction with gender, age, and weight status.ResultsBoys reported more behavioural difficulties than girls, while girls reported more emotional difficulties. Gender, age and weight status were related to behavioural and emotional difficulties as well as body image disturbances. Individuals with fewer difficulties were more satisfied with their own body. Children and adolescents who desired to be larger showed more prosocial behaviour problems, conduct and emotional problems and more signs of hyperactivity. Those, who desired to be thinner showed more problems in all SDQ-subscales. A more accurate body size perception was associated with fewer behavioural and emotional difficulties. Children and adolescents who overestimated their body size showed more prosocial behaviour and emotional problems. Underestimation one’s body size was associated with more signs of hyperactivity.ConclusionThe current findings highlight the importance of raising the awareness about the association between behavioural and emotional difficulties and body image disturbances in children and adolescents to prevent negative outcomes.