Measures Of Body Image Disturbance Research Articles

Self-disgust as a potential mechanism underlying the association between body image disturbance and suicidal thoughts and behaviours

This study examined whether self-disgust added incremental variance to and mediated the multivariate association between measures of body image disturbance and suicidal thoughts and behaviours. We hypothesized that self-disgust would be associated with suicidal ideation above the effects of body image disturbance, and that self-disgust would mediate the relationship between body image disturbance and suicidal ideation. A total of N=728 participants completed The Body Image Disturbance Questionnaire, The Self-Disgust Scale, and the Suicidal Behaviours Questionnaire-Revised. Suicidality was significantly related to increased levels of self-disgust and body image disturbance, whereas self-disgust was associated with greater body image disturbance. Linear regression analysis showed that self-disgust was associated with suicidal thoughts and behaviours, over and above the effects of body image disturbance. Multiple mediation modelling further showed that self-disgust mediated the relationship between body image disturbance and suicidal thoughts and behaviours. Our findings highlight the role of self-disgust in the context of body image disturbance and support the notion that body image disturbance is associated with aversive self-conscious emotions. Interventions aiming to reduce the risk of suicidality in people with body image disturbance may address self-disgust and negative self-conscious emotions.

Sex differences in perceived stigmatization, body image disturbance, and satisfaction with facial appearance and speech among adolescents with craniofacial conditions

Youth with craniofacial conditions often have appearance and speech differences and are vulnerable to social stigmatization and body image disturbances. Given sociocultural pressures for female attractiveness, adolescent girls with craniofacial conditions may be especially vulnerable to body dissatisfaction and appearance-related social stigmatization, though such sex differences have been infrequently studied in this population. This study aimed to: (1) examine sex differences in body image disturbance, satisfaction with speech and facial appearance, and perceived stigmatization among adolescents with craniofacial conditions; and (2) evaluate whether stigmatization perceptions are predictive of body image disturbance and satisfaction with facial appearance and speech. Using a cross-sectional design, 110 adolescents from two craniofacial centers completed measures of body image disturbance, satisfaction with speech and facial appearance, and perceived stigmatization. Females reported significantly greater levels of body image disturbance and lower satisfaction with facial appearance compared to males. There were no significant sex differences for satisfaction with speech or perceived stigmatization. Perceived stigmatization was a significant predictor of body image disturbance, and satisfaction with facial appearance and speech while controlling for sex, body mass index, and age. Interventions to prevent and/or address body image and stigmatization concerns are clinically indicated for both sexes.

120. Frenemies: Eating Disorders and Co-Morbid Psychiatric Disorders

Eating disorders (EDs) are often associated with co-morbid psychiatric diagnoses. This study explored the associations between ED diagnosis and parent/patient report of pre-morbid obesity as a measure of body image disturbance in addition to the relationship between ED diagnosis and depression, anxiety, and history of physical/sexual abuse.

Body Image Disturbances as Predictors of Reduced Mental Health Among Australian Gay Men: Being in a Relationship Does Not Serve as a Protective Factor.

Past studies have demonstrated associations between gay men's body image disturbances and poorer mental health. However, little research has considered whether relationship status, or sexual agreements within relationships, moderates these associations. The present study was designed to address this gap. Results from a survey involving 796 Australian gay men between the ages of 18-39 showed that various measures of body image disturbance significantly and independently predicted satisfaction with life, self-esteem, positive well-being, and psychological distress. However, neither relationship status nor sexual agreement type (monogamous vs. non-monogamous) moderated these associations. These findings suggest that, although gay men may experience appearance-related pressure in order to attract sexual or relationship partners, simply being in a relationship does not reduce the detrimental associations of body image disturbance with mental health. Future research could examine specific aspects of relationship quality and dynamics that may serve as risk or protective factors in this context.

Measures of body image: Confirmatory factor analysis and association with disordered eating.

The current study aimed to examine the factor structure, reliability, and validity of 3 measures of body image disturbance (body image flexibility, body avoidance, and body checking) considered to be relevant to eating disorder psychopathology, with the aim of determining the optimal structure of each for use in treatment planning and outcome monitoring. Additionally, the study aimed to identify which factors had the strongest association with disordered eating. Participants were 328 female undergraduate university students aged 17-25 years. Confirmatory factor analyses were conducted followed by correlational, regression, and t test analyses. The original proposed models were retained for the body image flexibility and body checking measures, while an alternative model was supported for the body image avoidance measure. All 3 solutions were found to have acceptable validity and reliability. Scores on each measure differed significantly between normal and disordered eaters. The body image flexibility measure and selected subscales of the body image avoidance and checking measures had unique associations with eating disorder psychopathology and psychosocial impairment. Results of this study indicate how the assessment of body image can be achieved in treatment of eating disorders in such a way as to reduce participant burden while adequately assessing the body image disturbance that is characteristic of eating disorders. (PsycINFO Database Record

Development and validation of the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4).

The Sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3) and its earlier versions are measures designed to assess societal and interpersonal aspects of appearance ideals. Correlational, structural equation modeling, and prospective studies of the SATAQ-3 have shown consistent and significant associations with measures of body image disturbance and eating pathology. In the current investigation, the SATAQ-3 was revised to improve upon some conceptual limitations and was evaluated in 4 U.S. and 3 international female samples, as well as a U.S. male sample. In Study 1, exploratory and confirmatory factor analyses for a sample of women from the Southeastern United States (N = 859) indicated a 22-item scale with 5 factors: Internalization: Thin/Low Body Fat, Internalization: Muscular/Athletic, Pressures: Family, Pressures: Media, Pressures: Peers. This scale structure was confirmed in 3 independent and geographically diverse samples of women from the United States (East Coast N = 440, West Coast N = 304, and North/Midwest N = 349). SATAQ-4 scale scores demonstrated excellent reliability and good convergent validity with measures of body image, eating disturbance, and self-esteem. Study 2 replicated the factorial validity, reliability, and convergent validity of the SATAQ-4 in an international sample of women drawn from Italy, England, and Australia (N = 362). Study 3 examined a sample of college males from the United States (N = 271); the 5-factor solution was largely replicated, yet there was some evidence of an underlying structure unique to men. Future research avenues include additional item testing and modification of the scale for men, as well as adaptation of the measure for children and adolescents.

Body image in social anxiety disorder, obsessive–compulsive disorder, and panic disorder

Body dysmorphic disorder falls under the category of obsessive–compulsive and related disorders, yet research has suggested it may also be highly associated with social anxiety disorder. The current study examined body image variables among 68 outpatients with primary obsessive–compulsive disorder (OCD; n=22), social anxiety disorder (SAD; n=25), and panic disorder (PD; n=21). Participants filled out self-report measures of body image disturbance, attitudes toward one's appearance, and anxiety. Body image disturbance and attitudes toward appearance did not significantly differ between the groups. However, SAD symptoms predicted body image disturbance, Appearance Evaluation and Body Areas Satisfaction, and OCD symptoms predicted Appearance Orientation. These findings suggest that SAD and OCD may be associated with different facets of body image. Implications for the treatment of anxiety disorders and for future research are discussed.

Examining the Dissociative Basis for Body Image Disturbances

Although dissociative symptoms have been linked with both food- and appearance-related aspects of eatingdisorders, the psychological mechanisms underlying these relationships remain unclear. The present studyevaluated the hypothesis that the disturbances of self-identity attributed to dissociation can manifest asdisturbances of body image and, in turn, undermine body-specific self-evaluations relevant to disordered eating(i.e., body comparison, body dissatisfaction, and internalization of the thin ideal). Ninety-three female universitystudents completed self-report measures of dissociation and body-related aspects of disordered eating. Inaddition, the method of constant stimuli was used to experimentally derive three measures of body imagedisturbance: (1) accuracy of body size estimations (body image distortion), (2) ability to discriminate betweendifferent body sizes (body image sensitivity), and (3) consistency in one’s body size estimations (body imagevariability). The findings show that dissociation is related to symptoms of disordered eating, and that theserelationships may be mediated by body image instability. Collectively, these findings support the notion that thebody image attitudes and behaviours that characterize eating disorders may derive from proprioceptive deficitsdue to dissociation.

Body image disturbance in 1000 male appearance and performance enhancing drug users

Body image disturbance (BID) among men has only recently become a phenomenon of clinical significance with noted heterogeneity in the behavioral consequences of these disturbances. The degree of heterogeneity among appearance and performance enhancing drug (APED) users is unknown and an empirically derived framework for studying BID is necessary. APED users ( N = 1000) were recruited via the Internet and they completed a comprehensive online assessment APED use patterns, motivations, consequences, and BID. Data were evaluated using latent trait, latent class, and factor mixture models. Model results were validated using a range of covariates including cycle characteristics, age, APED history, and APED risk. A 1-Factor, 4-Class model provided the best fit to the data with Class 1 scoring the highest on all measures of BID and Class 4 the lowest on all measures. Class 2 differed in their preference for being lean over muscular and Class 3 preferred adding mass and size. Each class was associated with unique risks, APED history, and training identity. Not all APED users suffer from significant BID and there are unique profiles for those with elevated BID. Future research on male BID should account for this structure in order to better define relevant diagnostic categories and evaluate the clinical significance of BID.

Appearance-related commentary, body image, and self-esteem: Does the distress associated with the commentary matter?

Research that has examined the association between appearance-based commentary and body image has generally focused on the frequency of occurrence of the commentary, not the subjective rating of the distress associated with the feedback. The current study examined both frequency and distress (effect) components of commentary in a sample of 246 undergraduate female students aged 18–25. Significant correlations were found between both frequency and effect dimensions of commentary and measures of body image disturbance and self-esteem. The utility of both frequency and effect variables in predicting body image disturbance and self-esteem was demonstrated in regression analyses. Implications of the findings for broadening the assessment of appearance-based commentary to include both dimensions of the construct are discussed.

Presence of muscle dysmorphia symptomology among male weightlifters

Limited research exists on muscle dysmorphia (MD) in men and in nonclinical populations. The current study evaluated types of body image disturbance among 237 male weightlifters. Latent class analysis of 8 measures of body image disturbance revealed 5 independent types of respondents: Dysmorphic, Muscle Concerned, Fat Concerned, Normal Behavioral, and Normal. One-way analysis of variance of independent measures of body image disturbance and associated psychopathology confirmed significant differences between groups. The Dysmorphic group reported a pattern of body image disturbance consistent with MD by displaying a high overall level of body image disturbance, symptoms of associated psychopathology, steroid use, and appearance-controlling behavior. Findings generally supported classifying MD as a subtype of body dysmorphic disorder and an obsessive-compulsive spectrum disorder. Implications for studying body image disturbance in male weightlifters, and further evaluation of the MD diagnostic criteria are discussed.

The validity of subjective measures of body image disturbance

Objective We examined weight dissatisfaction (actual weight minus self-stated ideal weight) and weight goal (normative weight minus self-stated ideal weight) subjective indices in a large clinical sample to determine how the indices discriminate between diagnostic categories and relate to other measures of body image disturbance. Method Approximately 200 anorexic, bulimic, and eating disorder not otherwise specified (NOS) participants reported their self-stated ideal weight and completed the Mizes Anorectic Cognitions (MAC) Questionnaire, Eating Disorders Inventory (EDI), and Restraint Scale-Revised. Results Compared with bulimic and NOS participants, anorexics reported less weight dissatisfaction but had an ideal weight that is farthest from normative weight. The weight dissatisfaction measure correlates well with other measures of body image disturbance, and both measures show evidence of discriminant validity. Discussion These two measures highlight the substantial differences in the nature of body image disturbance between the eating disorder diagnostic groups. Theoretical, clinical, and practical implications are discussed.

Predictors of Women's Concern with Body Weight: The Roles of Perceived Self-Media Ideal Discrepancies and Self-Esteem

Researchers have expended significant effort trying to delineate determinants of body image disturbance in young women, in part because of the potential of body image disturbance to precipitate eating disordered behavior. In this research we demonstrate that the extent of the discrepancy women perceive between their own attractiveness and body shape and images representative of ideal feminine attractiveness presented in advertising and the broader media (i.e., self-media ideal discrepancy) predicts how concerned they are with their weight (a measure of body image disturbance). Perhaps more importantly, we also show that perceived self-media ideal discrepancy is a construct independent of global self-esteem. Specifically, our results demonstrate that perceived self-media ideal discrepancy is related to women's weight concern even when self-esteem is statistically controlled. Implications for theory and clinical intervention are discussed.

The reliability and validity of a group-administered version of the body image assessment.

The Body Image Assessment (BIA) is a simple measure of body image disturbance. However, it has currently only been used with an individual administration format and only to assess ratings of current body size, ideal body size, and body dissatisfaction. It has also only been validated for use with women. In the current two studies, the reliability and validity of a group-administered version of the BIA procedure for both men and women that also assessed ratings of the ideal opposite sex and predictions about what the opposite sex would prefer as most attractive was examined. In the first study, results indicated good test-retest reliability for the group version for current and ideal body size and good concurrent validity with the individual administration format of the BIA. The results of the second study supported the construct and predictive validity of the group administered BIA, suggesting that it is a time-efficient alternative to the original, individually administered assessment.

Body image and body shape ideals in magazines: exposure, awareness, and internalization

Three aspects of a sociocultural influence on appearance--media exposure, awareness of societal ideals, and internalization of sociocultural messages--were assessed in college females (75% White, 7% Black, 10% Hispanic, 7% Asian or Pacific Islander, and 1% other) and related to measures of body image disturbance, eating dysfunction, and overall self-esteem. The exposure variable consisted of an empirically derived index of coded body shape images from magazines specifically selected because of their high readership in the tested sample of females. Awareness of societal pressures regarding appearance and internalization of these messages were measured with the two subscales of the Sociocultural Attitudes Towards Appearance Questionnaire. Correlational and regression analyses failed to find any relationship between simple exposure and indices of body image, eating dysfunction, and self-esteem. Awareness of societal pressures was a significant predictor in regression analyses; however, internalization of social standards of appearance accounted for significant and substantial levels of variance beyond that explained by awareness. The findings are discussed in light of recent cognitive-behavioral and psychoeducational for body image disturbance.

Should body-image scales designed for adults be used with adolescents?

For many people, there is a discrepancy between perceived and desired physical appearance. Attempts have been made to quantify this discrepancy as a measure of body-image disturbance: however, the use of measurement scales which are not population-specific may bias the assessment. To investigate whether ratings of body-images were affected by the scale employed, 57 male and 40 female adolescents were tested using both adult and adolescent body-figure silhouette scales. Significant between-scale differences were found, with adolescents displaying consistently lower body-image ratings when viewing adult as opposed to adolescent scales. In addition, between-sex differences in discrepancy scores and correlations between discrepancy scores and another measure of body satisfaction were significantly influenced by the scale employed. The results confirm the need for population-specific measurement scales and the implementation of standardised assessment procedures.

Factor analysis of multiple measures of body image disturbance: are we all measuring the same construct?

Two studies were conducted to determine the overlap among multiple measures of subjective body image disturbance. Study 1 was conducted on 219 adolescent females (ages 14-18 years) who completed seven widely used indices of self-reported body image disturbance. Study 2 involved 162 college females (ages 17-35 years) and six measures of disturbance, five of which were identical with those instruments used in Study 1. Factor analyses indicated the existence of two factors in the adolescent sample, however, one factor was quite strong and accounted for most of the variance. Analyses on the adult subjects revealed the existence of a single body image factor. It was concluded that the measures under investigation largely reflect an underlying single factor of body image, despite their common usage in the literature as indicators of multiple aspects of body image disturbance.

Actual differences and stereotypical perceptions in body image and eating disturbance: A comparison of male and female heterosexual and homosexual samples

In the present study, 32 homosexual males (HMM), 32 homosexual females (HMF), 32 heterosexual males (HTM), and 32 heterosexual females (HTF) completed measures of body image disturbance and concerns with weight and dieting from five different perspectives: self, and “typical” homosexual male, heterosexual male, heterosexual female, and homosexual female. Participants were primarily Caucasian. Results indicated that, in general, HMMs and HTFs showed greater actual concerns with appearance, weight, and dieting, and were perceived to possess greater body image disturbance and dieting concerns compared to HTMs and HMFs. Subjects also held various stereotypic misperceptions about certain target groups such that HTFs and HMMs were predicted to possess greater body image disturbance and be more concerned with weight and dieting than was actually true. In addition, subjects made accurate predictions about HTMs overall, but were inconsistent in their predictions of HMFs on these measures. Results are discussed in terms of possible variation in the degree of importance these attributes may have for members of these four populations and how such differences may lead to an increased risk for developing eating disorders among heterosexual females and homosexual males.

Size estimation versus figural ratings of body image disturbance: Relation to body dissatisfaction and eating dysfunction

The current investigation compared several different measures of body image disturbance in college males and females. Measures of perceptual size overestimation, figure rating preferences, and questionnaire indices of body dissatisfaction and eating disturbance were collected. Subjects also rated body sizes based on ideal, affective, and cognitive/rational rating protocols. The results revealed little connection between indices of perceptual overestimation and body dissatisfaction or eating dysfunction. Alternatively, figural ratings were strongly associated with these measures. Regression analyses revealed that body dissatisfaction and figural discrepancy measures were highly related to eating disturbance for both males and females. In addition, discrepancies based on affective versus cognitive/rational rating protocols explained unique variance associated with eating disturbance. The findings are discussed with regard to the need to conduct a multifaceted assessment of body image disturbance.

The body image detection device versus subjective measures of weight dissatisfaction: A validity comparison

Several procedures have been developed to measure body image distortion. A recently developed device is the Body Image Detection Device (BIDD), which includes a measure of perceptual size distortion (BPI) and subjective ratings of relative weight (SRI). Initial studies have supported the validity and reliability of the BIDD BPI and SRI in mainly bulimic patients, though studies which question the validity of the BIDD (especially the BPI) have appeared. One purpose of the present study was to examine the BIDD's validity in anorectic as well as bulimic patients and to compare both to a psychiatric control group. A second purpose of the study was to compare the validity of the BIDD to alternative measures. Thus, this study also compared the BIDD indices with simple measures of body weight dissatisfaction. The results did not support the validity of the BIDD BPI as a measure of body image disturbance, moderately supported the SRI, and did support the measures of weight dissatisfaction.