Body-Self Relations Questionnaire-Appearance Scales Research Articles

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

IntroductionPsychotic experiences (PE) and disordered eating (DE) are frequently observed among the general population, especially in childhood and adolescence. However, the relationship between the two groups of disorders is still unclear.ObjectivesTo explore the hypothesis that the pathways from PEs to DE are mediated by body-image disturbances in a sample of adolescentsMethodsWe conducted a 12-month longitudinal study on high school students from four different high schools from the Ariana governorate, from April 2022 to April 2023.Participants were evaluated at baseline then every 6 months with a target length of follow-up of 1 year.The questionnaire containedQuestions about socio demographic variablesThe Eating Attitude Test (EAT-26)The Multidimensionnal Body Self-Relations Questionnaire Appearance Scale (MBSRQ-AS)The Community Assesment of Psychic Experiences (CAPE-42)Results1) Sample characteristicsSample was constituted of 510 individuals. Of those, 312 (61.2%) were females. Mean age was of 16.05 (SD=1.01) years.The majority of the students resided in urban areas, accounting for 97.8% of the total.When it comes to family income, 4.1% of the students’ families had an income of less than 1000 Tunisian Dinars (TD), 25.9% had an income between 1000 and 2000 TD, 32.2% had an income ranging from 2000 to 3000 TD, and the remaining 37.8% had a family income of over 3000 TD.The EAT-26, MBSRQ-AS and CAPE-42 scores are shown in table 1. Table 1.The longitudinal evolution of study variables Baseline T 6 months T 12 months pPartial Eta Squared η2Disordered eating (EAT-26)11.9 ± 9.411.9 ± 9.712.6 ± 10.2.080.006Self-classified weight (Body image)6.0 ± 1.75.9 ± 1.66.0 ± 1.6.946.001Body areas satisfaction30.9 ± 6.431.8 ± 6.431.4 ± 6.8.025.010Overweight preoccupation9.3 ± 3.69.2 ± 3.79.2 ± 3.7.545.001Appearance Orientation41.0 ± 5.441.6 ± 5.441.6 ± 5.5.007.014CAPE positive dimension (total)39.6 ± 8.739.1 ± 9.139.7 ± 9.5.756.001Body Mass index21.6 ± 3.421.5 ± 3.221.7 ± 3.2.034.0092) Findings of the mediating analysisDisordered Eating scores had no significant effect in subjects across time. However, the effect of the interaction between baseline Overweight Preoccupation with Disordered Eating across time was statistically significant (p=0.036). Overweight Preoccupation (Z=85.095, p<0.001), Body Area Satisfaction (Z=25.053, p<0.001), and CAPE positive dimension (Z=59.931, p<0.001) scores had significant main effects between subjects. (figure 1 and figure 2)Image:Image 2:ConclusionsFindings showed that body image disturbances mediated the prospective association between PEs and DE. Adolescents with increased PEs were more likely to experience body image disturbances and, in turn, DE symptoms. These findings offer promising new avenues for prevention and early intervention.Disclosure of InterestNone Declared

Influence of Body Image, Risk of Eating Disorder, Psychological Characteristics, and Mood-Anxious Symptoms on Overweight and Obesity in Chilean Youth.

This study investigates the relationship between body image, eating disorders, psychological characteristics, and mood and anxiety symptoms in Chilean youth, with nutritional status, particularly overweight and obesity. With a sample of 1001 participants from five regions of Chile, aged 15 to 23 years. The Eating Disorder Inventory 3 (EDI-3), the Multidimensional Body-Self Relations Questionnaire Appearance Scales (MBSRQ_AS), and the Symptom Inventory Derogatis Revised (SCL90-R) and a sociodemographic questionnaire were used to analyze these variables. A model including nine exogenous (independent) variables and ten endogenous variables, based on a literature review, was evaluated by path analysis. The results show a significant association between factors such as sex, family history of overweight, self-classification by weight, and body dissatisfaction with body mass index (BMI). Eating behaviors such as overeating, and lack of appetite were also found to be influenced by interpersonal sensitivity, overweight preoccupation, and drive for thinness. The study underscores the importance of promoting a positive body image and addressing overweight/obesity from a combined health psychology and public health perspective, highlighting the need for interventions that consider nutritional status, and in particular overweight and obesity, as a phenomenon with multifactorial causes and maintainers.

SAT373 A Systematic Review and Meta-Analysis Show Body Image Concerns Are Significantly Higher in Women and Individuals With Polycystic Ovary Syndrome

Abstract Disclosure: P. Kempegowda: None. K. Malhotra: None. H. Khalil: None. M. Davitadze: None. C. Tay: None. A. Mousa: None. P. Team: None. H.J. Teede: None. L. Brennan: None. E. Stener-Victorin: None. Background: While several studies have established the increased prevalence of depression and anxiety among those with polycystic ovary syndrome (PCOS), the association between PCOS and body image remains unclear. These body image concerns can lead to Body Dysmorphic Disorder (a mental health condition where a person spends a lot of time worrying about flaws in their appearance) and/or also predispose to eating disorders such as anorexia or bulimia. Objective: To assess differences in body image concerns among women and individuals with and without PCOS in the context of updating International Guidelines in PCOS. Methods: A systematic review and meta-analysis was completed with a registered protocol a priori on the National Institute of Health Research Prospective Register of Systematic Reviews PROSPERO (CRD42021272367). Electronic databases (MEDLINE, EMBASE, APA PsycInfo, PUBMED, Web-of-Science Core Collection, and CENTRAL) were searched through July 2022. Outcome measures included validated questionnaires reporting on body dysmorphic disorders. Methodological quality was assessed by GRADE (Grading of Recommendations, Assessment, Development and Evaluations) system. Meta-analyses were performed using the inverse variance method, based on random- or fixed-effects models (Review Manager, Version 5). For dichotomous outcomes, we estimated odds ratios (OR) with 95% confidence intervals (CI) using fixed-effects models. For continuous outcomes, we estimated the weighted mean difference in scores with 95% confidence interval if the mean and SD of the outcomes were presented in the original article. Results: A total of 918 women with PCOS and 865 women without PCOS from nine studies were included, with sample sizes ranging from 33 to 201 for those with PCOS and from 22 to 225 for those without PCOS. Meta-analysis of three studies using Multidimensional Body-Self Relations Questionnaire Appearance Scales (MBSRQ-AS) showed those with PCOS reported worse on appearance evaluation and appearance orientation compared to those without PCOS (MD= -0.78, I2=0%, p<0.00001 and MD= 0.22, I2=54%, p=0.004, respectively). Meta-analysis of two studies showed higher overweight preoccupation, body areas satisfaction, and body weight classification on MBSRQ-AS subscales in those with PCOS compared to those without (all p<0.001). Meta-analysis of two studies using Body Esteem Scale for Adolescents and Adults (BESAA) showed significantly lower scores for the weight subscale in those with PCOS, compared to those without, whereas differences in the BESAA appearance and attribution subscales were not statistically significant between the two groups (p=0.03 vs p=0.73 and p=0.36, respectively). Conclusion: Those with PCOS experience greater body image concerns emphasising importance of awareness in clinical care of PCOS. Further studies are needed to identify drivers and mitigating factors. Presentation Date: Saturday, June 17, 2023

Validation of a Novel Perceptual Body Image Assessment Method Using Mobile Digital Imaging Analysis: A Cross-Sectional Multicenter Evaluation in a Multiethnic Sample

Given that mobile digital imaging analyses (DIA) are equipped to automate body composition and subsequently alter one’s appearance at a given objective body fat percent (BF%), the purpose of this study was to validate the use of this tool for assessments of body image. Participants (f = 134, m = 89) from two separate centers underwent body composition scans using a mobile DIA and completed the Multidimensional Body Self-Relations Questionnaire–Appearance Scale (MBSRQ-AS). Using a DIA-generated avatar, participants altered their figure so that it represented their perceived body, ideal body, and what a partner would find attractive. Distortion was calculated as perceived minus actual BF% and dissatisfaction was calculated as either ideal or partner minus perceived BF%. The total sample and females (p < 0.050), but not males, had significantly lower perceived BF% compared to their actual. Ideal and partner BF% was significantly lower than the perceived BF% for all groups (all p < 0.050). Ideal and partner BF% mean differences (MD) from perceived were positively associated with appearance evaluation (AE) and body area satisfaction (BAS) and negatively associated with overweight preoccupation and self-classified weight for the total sample (all p < 0.050). PerceivedMD demonstrated negative associations with AE and BAS (p < 0.050), but only for females when separated by sex. Perceptual body image measured by DIA is significantly associated with attitudinal body image and may allow practitioners to better quantify this growing issue.

Body image concerns in women with polycystic ovary syndrome: a systematic review and meta-analysis.

To assess differences in body image concerns among women with and without polycystic ovary syndrome (PCOS). This is a systematic review and meta-analysis. Electronic databases (MEDLINE, EMBASE, APA PsychInfo, PUBMED, Web-of-Science Core Collection, and Cochrane Controlled Register of Trials [CENTRAL]) were searched from inception through July 2022. Outcome measures included validated questionnaires reporting on body image concerns. Methodological quality was assessed by the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system, and included studies were assessed for risk of bias. Meta-analyses were performed using the inverse variance method based on random or fixed effects models (Review Manager, Version 5). A total of 918 women with PCOS and 865 women without PCOS from 9 studies were included. Meta-analysis of 3 studies using Multidimensional Body-Self Relations Questionnaire Appearance Scale (MBSRQ-AS) showed those with PCOS reported higher dissatisfaction with appearance evaluation and appearance orientation compared to those without PCOS (mean difference [MD] = -0.78, I2 = 0%, P < .00001, and MD = 0.22, I2 = 54%, P = .004, respectively). Meta-analysis of 2 studies showed higher dissatisfaction with overweight preoccupation, lower body area satisfaction, and body weight classification on MBSRQ-AS subscales in those with PCOS compared to those without PCOS (all P < .001). Meta-analysis of 2 studies using the Body Esteem Scale for Adolescents and Adults (BESAA) showed significantly lower scores for the weight subscale in those with PCOS compared to those without PCOS (P = .03). Those with PCOS experience more significant body image concerns, emphasising the importance of awareness in the clinical care of PCOS. Considering the limited evidence, further studies are warranted to identify drivers and mitigating factors.

THE EFFECT OF BODY DISSATISFACTION ON DISORDERED EATING ATTITUDES: THE MEDIATING ROLE OF NEGATIVE AFFECTS IN ADOLESCENTS

Body dissatisfaction is considered as the most primitive risk factor for developing eating disturbances. Despite the fact that body dissatisfaction is also found in normative population as well, making sense out of it this study aimed to determined the interacting variables which possibly influence the relationship between body dissatisfaction and eating pathology. The study aimed to explored the following mediators: social anxiety and depression and the effects they had on disturbed eating attitudes among individuals with body dissatisfaction. A total of 300 students were approached aged 15-20 years (mean age = 17.23 years, SD = 1.42 years) who completed the Body Area Satisfaction Subscale of the Multidimensional Body-Self Relations Questionnaire–Appearance Scales, Social Anxiety subscale of self consciousness scale, Patient Health Questionnaire-9 and Eating, Attitudes Test-26. Based on the research findings, the serial-multiple mediation of social anxiety and depression in the relationship between body dissatisfaction and disturbed eating attitudes was found to be statistically significant. Study findings highlights how body dissatisfaction and eating pathology are linked and what the fundamental mediators are in the chain. Adolescents with disturbed eating, along with the body image issues fear of negative evaluation and negative affects should also acknowledged by the mental health practitioner in order to design effective treatment plans.

Validation of the Greek Version of Social Appearance Anxiety Scale in Adolescents and Young Adults.

Many people are worried about their social appearance. The fear of negative evaluation and judgment regarding one's look in social circumstances is referred to as social appearance anxiety. Social appearance anxiety belongs to social anxiety. The aim of the present study was to validate the Social Appearance Anxiety Scale (SAAS) in the Greek language and to examine its psychometric properties. An online survey was conducted in a Greek population sample of adolescents and young adults aged 18 to 35 years. The survey instruments included the Social Appearance Anxiety Scale, the Social Physique Anxiety Scale (SPAS), 2 subscales of Multidimensional Body-Self Relations Questionnaire Appearance Scale (MBSRQ), the Appearance Schemas Inventory-Revised Scale (ASI-R) and the Depression Anxiety Stress Scale (DASS). A total of 429 respondents participated in this research. The statistical analysis showed that the Greek version of the SAAS has good psychometric properties. The internal consistency of questions within the SAAS was 0.942. Positive correlations were found between SAAS and SPAS, the overweight preoccupation subscale of MBSRQ, the ASI-R and the DASS, while negative correlations were observed between SAAS and the appearance evaluation subscale of MBSRQ and age. The results of this study suggest that the Greek version of SAAS can be used as a reliable and valid instrument in the Greek population.

THE EFFECT OF SOCIAL COMPARISON ON FEMALE MODELS BODY IMAGE

Being female models are identical to have an attractive physical appearance such as a tall, thin and clean white skin, which this makes the models focus on their physical appearance. Furthermore, models have a tendency to compare themselves with others in order to fulfill the demands of the modeling industry. This study aims to determine whether there is an effect of social comparison on body image in the female model. The sample of this research is 275 female models with an age range of 18-30 years who are in Jakarta and are members of a modeling agency. Data were collected using social comparison and body image measurement tools. Social comparison was measured using Physical Appearance Comparison Scale-Revised (PACS-R) and body image measured using the Multidimensional Body-Self Relations Questionnaire–Appearance Scales (MBSRQ–AS). The results of this study prove that social comparison has a significant effect on the body image of female models in Jakarta. The effective contribution of social comparison to body image is 46.3%. The Implications of the research could be the baseline for women's empowerment institutions in increasing knowledge for women so that they are able to accept their physical appearance as it is. Specifically, this research is actually a reflection for all model agencies in terms of represent beauty to people through products or brand.

Effect of Psycho-educational Intervention for Obese Women Post Bariatric Surgery on Body Image and Self-esteem

Background: Bariatric is a branch of medicine dealing with the causes, prevention, and treatment of obesity. It leads to massive and rapid weight loss in severely obese patients. This may result in numerous complications that affect body image satisfaction and self-esteem. Aim of the study: this study sought to evaluate the effect of a psycho-educational intervention for obese women after bariatric surgery on body image and self-esteem. Study design: A quasi-experimental design was followed. Study setting: This study was conducted in two settings namely the surgical department at University Hospital in Benha and the Gastroenterology ward in the Main University hospital in Alexandria. Subject: A convenient sample of 40 women who had bariatric surgery constituted the study subject. They were divided into two equal groups randomly; a study group that received the nursing psychological educational intervention and a control group that was exposed to routine care only. Tools of the study: Rosenberg Self-Esteem Scale and The Multidimensional body selfrelations questionnaire appearance scale (MBSRQ-AS) and sociodemographic and clinical characteristics sheet. Results: Study group who received psychoeducational program show higher mean in self-esteem scale than the control group with Mean ± SD (33.55±2.25 and 29.10±2.59 respectively) with highly statistical significant difference between the study and control group. Also, the Mean ± SD of different domains of body image satisfaction in study group were higher than control group with highly statistical significant differences. Conclusion: The psychoeducational program implementation had a positive effect in selfesteem and all domains of body image satisfaction for studied subjects undergoing bariatric surgery. The study recommended that the Psychoeducational programs should be offered for obese women’ undergoing bariatric surgery as a regular and integral component of health care.

The relationship between self-esteem and husband support with body image perception in post-vaginal delivery primiparous mother in independent Delima midwife practice in Denpasar

Background: Childbirth is a big, happy event for a mother. In post-partum mothers, physical changes and psychological changes can occur. It is reported that 50% to 70% of post-partum mothers experience psychological disorders, such as a mother can feel uncomfortable with body image perception changes, which result in feelings of lack of husband support. Body image perception itself can cause an effect on self-esteem. This study aimed to analyze the relationship between self-esteem and husband's support with body image perception among primiparous mothers after vaginal delivery.Methods: An observational analytic study was conducted among 30 post-vaginal delivery primiparous mothers in independent Delima midwife practice in Denpasar. Data regarding respondents’ characteristics, self-esteem, husband’s support and body image perception were obtained using the Rosenberg self-esteem questionnaire, the Revised Dyadic Adjustment Scale (R-DAS) questionnaire Multidimensional Body-Self Relations Questionnaire Appearance Scales (MBSRQ-AS). The relationship between self-esteem and husband's support with body image perception was analyzed using SPSS version 23 for Windows.Results: The average age of the respondents were 24.73 years old, and most of them were graduated from high school (50%), employed (53.3%) and have no conflict in their marriage (80%), have normal self-esteem (96.6%), didn’t get enough husband’s support (56.7%) and have positive perception regarding the evaluation of physical appearance (96.6%). We found a significant relationship between self-esteem and body image perception (p = 0.001), husband's support and body image perception (p = 0.001) and husband's support and self-esteem (p = 0.010) in post-vaginal delivery primiparous mother in independent Delima midwife practice in Denpasar.Conclusion: Self-esteem, husband's support and body image perception were essentials factors that contributed to post-partum woman mental health stability that should be understood by family and health workers to avoid psychological disorder in post-partum woman.

RELATIONSHIP OF BODY IMAGE WITH EATING DISORDER IN FEMALE ADOLESCENT

In adolescence there is an increased awareness of the body image. The majority of femaleadolescent think that a thin, slim and small body is a perfect form. The existence ofchanges in the increase in body fat during puberty causes female often feel less satisfiedand causes adolescents to control body weight to achieve the ideal body shape concept.The aim of study to find out the relationship between body image with eating disorderin female adolescent. This study used an analytical method with a cross sectional designthat included 80 students of SMK Borneo Lestari. Subjects were chosen by stratifiedrandom sampling technique. The research instrument was a Multidimensional BodySelf Relations Questionnaire Appearance Scale (MBSRQ-AS) questionnaire and EatingAttitude Test (EAT) questionnaire which was modified. Data analysis using spearmancorrelation test. The results showed the majority of respondents had a positive bodyimage (81.9%) and had a risk of mild eating disorders (56.3%). The Spearman correlationtest showed that there was no significant relationship between body image and eatingdisorder in female adolescent pv = 0.717 (α&gt; 0.05). This shows that the higher the totalbody image of a person, the higher the total score of eating disorders, which means themore positive the body image will be risk to mild of eating disorders.

Dimensional structure, psychometric properties, and sex invariance of a Bahasa Malaysia (Malay) translation of the Multidimensional Body-Self Relations Questionnaire–Appearance Scales (MBSRQ–AS) in Malaysian Malay adults

The 34-item Multidimensional Body-Self Relations Questionnaire–Appearance Scales (MBSRQ–AS) is a widely-used measure of multidimensional body image. Here, we examined the psychometric properties of a Bahasa Malaysia (Malay) translation of the MBSRQ–AS. A sample of 629 Malaysian Malays (women n = 315) completed the MBSRQ–AS, as well as measures of body appreciation, psychological well-being, perceptions of appearance ideals, and internalisation of appearance ideals. Exploratory factor analysis indicated that the MBSRQ–AS items reduced to four dimensions, although one factor had less-than-adequate internal consistency. Omitting this factor resulted in a 23-item 3-factor solution, which we tested for fit using confirmatory factor analysis (CFA) alongside the parent 5-factor model. CFA indicated that both models had good fit on some indices, but less-than-ideal fit on other indices, with the 3-factor model showing comparatively better fit. Multi-group CFA indicated that it was not possible to achieve scalar invariance across sex, but internal consistency coefficients were adequate. Evidence of construct validity, as assessed through correlations between MBSRQ–AS scores and additional measures, was mixed. We discuss reasons that complicate interpretation of the dimensionality of MBSRQ–AS scores in this and previous studies, and call for further research on this issue.

Multidimensional Body-Self Relations Questionnaire-Appearance Scales: Psychometric Properties of the Greek Version

The psychometric properties of a Greek version of the Multidimensional Body-Self Relations Questionnaire-Appearance Scales (MBSRQ-AS) were studied. A total of 1,312 high school students (463 boys, 849 girls) were administered the Greek MBSRQ-AS, the Greek Appearance Schemas Inventory-Revised (ASI-R) and the Greek Sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3). An exploratory factor analysis revealed that the Greek MBSRQ-AS items significantly loaded with the scale's main factors. Internal consistencies of the subscales ranged from .76 to .86. Test-retest reliabilities ranged from .75 to .93. Convergent validity was also confirmed as the Greek MBSRQ-AS subscales correlated positively with the ASI-R and the SATAQ-3.