Overweight Preoccupation Research Articles

Understanding the body image perception of pregnant women during their third trimester in a tertiary care setting in Southern India

BackgroundPregnancy is a known physiological phenomenon characterized by various changes in the body. The physical and physiological changes that occur during pregnancy may impact the body image which may lead to implications such as body image issues or poor eating habits among pregnant women. This study aimed to analyze the body image perception of pregnant women in their third trimester.MethodsThis cross-sectional survey which involved the administration of a Multidimensional Body Self-Relations Questionnaire (MBSRQ), was conducted among pregnant women between 28 and 40 weeks of gestation in a tertiary care setting in Southern India. Descriptive statistics were used to report the demographic characteristics of the respondents. A one-sample t-test was used to analyze the difference between the present sample scores and the published norms of MBSRQ. Univariate Logistic Regression was done to find the association between the demographic variables and subdomains of MBSRQ.ResultsThe mean age of the respondents (n = 246) was 29.5 years, and the period of gestation was 33.4 weeks. With mean scores of subscales of MSRQ as reference values, a greater proportion of women had higher scores on appearance orientation (52.44%), health evaluation (56.91%), and illness orientation (55.28%). Respondents scored less on appearance evaluation (52.03%) and body areas satisfaction scale (50.41%). The study found that pre-pregnancy BMI, abdominal circumference, and weight gain during pregnancy were associated with appearance orientation, overweight preoccupation, and self-classified weight. Health evaluation was associated with weight gain and Instagram use, while moderate-intensity physical activity during pregnancy was associated with higher health orientation.ConclusionAlthough pregnant women in our setting during the third trimester were oriented towards their appearance and considered themselves healthy and fit, almost half of the respondents reported dissatisfaction with their changing bodies and appearance. Self-reported physical activity status, body mass index, weight gain, level of education, use of Instagram app, and type of family were factors found to affect pregnant body image perception. Hence, we conclude that body image perception is affected during pregnancy, and healthcare professionals should be aware of this, and the factors associated with it while addressing the health of pregnant women.Clinical trial registration detailsThe study was registered under the Clinical Trials Registry- India: CTRI/2023/08/056524. https://ctri.nic.in/Clinicaltrials/rmaindet.php?trialid=89771&EncHid=39880.12369&modid=1&compid=19.

The effect of mindfulness-based art therapy (MBAT) on the body image of women with polycystic ovary syndrome (PCOS): a randomized controlled trial

BackgroundThe prevalence of polycystic ovary syndrome (PCOS) has increased in the last decade, resulting in enduring psychological effects, including negative body image. This study explored the effect of mindfulness-based art therapy (MBAT) on body image in women with PCOS.MethodsIn a randomized, single-blind, controlled trial conducted in Kerman, Iran, women of reproductive age (18–45) who were diagnosed with PCOS and met specific inclusion criteria were randomly allocated to either the MBAT intervention group or a control group placed on a therapy waiting list. The main focus of the study involved evaluating alterations in body image scores as the primary measure. Additionally, the study assessed secondary outcomes, which encompassed various domains of the Multidimensional Body-Self Relations Questionnaire (MBSRQ) before, immediately after, and one month after the intervention. The trial is registered with www.irct.ir (Registration code (25/01/2020): IRCT20170611034452N9).ResultsBetween August 2020 and January 2021, 66 participants were randomly assigned to the MBAT or waiting list group, and the study was completed by 60 women. At the end of the intervention, body image (adjusted mean difference from baseline (AMD) of 29.22 [95% CI 19.54, 38.90], P < 0.05) and at the one-month follow-up (AMD of 34.77 [95% CI 24.75, 44.80], P < 0.05) were greater in the MBAT group than in the waiting list group. At certain time points, some MBSRQ domains, including body area satisfaction (BASS) (p < 0.05), appearance evaluation (p < 0.05), fitness orientation (p > 0.05), health orientation (p < 0.05), and self-classified weight (p > 0.05), had higher scores than did the control group. However, only BASS had a conclusive effect size (large). Additionally, appearance orientation (p > 0.05), illness orientation (p > 0.05), health evaluation (p < 0.05), fitness evaluation (p > 0.05), and overweight preoccupation (p < 0.05) had lower scores with variable and inconclusive effect sizes.ConclusionsThe MBAT has potential as an effective approach for enhancing body image in women with PCOS. However, some MBSRQ domain results were inconclusive, likely due to the small sample size. Therefore, further research with a larger sample size is recommended.

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&lt;0.001), Body Area Satisfaction (Z=25.053, p&lt;0.001), and CAPE positive dimension (Z=59.931, p&lt;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

Testing general sociocultural and coach-related appearance pressures as the factors associated with disordered eating in competitive female athletes participating in various sports

ABSTRACT The aim of the present study was to test the sociocultural Petrie and Greenleaf’s (2007) model of disordered eating (DE) in competitive female athletes. Specifically, we tested a model of general sociocultural and coach-related pressures towards body weight and appearance of female athletes as the factors associated with athletes‘ DE through the mediators such as internalization of appearance ideals and overweight preoccupation. 515 athletes participated in this study. The mean age of the sample was 19.0 ± 5.9 years. Athletes were provided with study measures on general sociocultural and coach-related appearance and body weight pressures, internalization of appearance ideals, overweight preoccupation and DE. Path analyses showed that general sociocultural pressures were associated with DE directly and through internalization of appearance ideals and overweight preoccupation. Pressures from coaches were associated with DE through overweight preoccupation and through the internalization of appearance ideals and overweight preoccupation. The models were invariant across body weight sensitivity in sports and age groups. These results inform DE prevention for female athletes. It is important to increase resistance to sociocultural pressures and pressures from coaches in DE prevention programmes for female competitive athletes of all ages and participating in sports irrespective of sports group (weight-sensitive or less weight-sensitive).

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.

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.

Investigating Differences in Personality Traits, Self-Esteem, Eating Attitudes, and Body Image among Participants in Indoor and Outdoor Fitness Activities.

Physical activity environments influence physical condition, nutrition, individual and social behaviors, and emotional well-being. The aim of the study was to investigate differences in eating attitudes, self-esteem, personality traits, and body image among participants in indoor and outdoor leisure-time fitness programs. Participants included 1747 adults (882 men and 865 women) aged 34 ± 9.2 years, divided into experimental and control groups. All participants completed the Demographic Characteristics Questionnaire, the Eating Attitudes Test 26 (EAT-26), the Self-Esteem Scale (RSES), the Traits Personality Questionnaire 5 (TPQue5), and the Appearance Scales of the Multidimensional Body-Self Relations Questionnaire (MBSRQ-AS). The results revealed statistically significant differences between groups. One-way analysis of variance (ANOVA) revealed noteworthy variations in personality trait scores between the groups (neuroticism, extraversion, and conscientiousness) as well as body image factors (self-esteem and eating attitudes). Two-way ANOVA revealed a significant interaction between gender and participation in different types of exercise. Females had lower self-esteem and body area satisfaction scores but higher eating disorder proneness, neuroticism, appearance evaluation, and overweight preoccupation scores than males. These findings add to the current literature focusing on the psychosocial and behavioral mechanisms associated with physical activity and exercise environments. The findings provide an effective supplement to promote public health-focused fitness programs and leisure-time physical activity motivation strategies.

Factors that Influence the Decision to Undergo Cosmetic Surgery

During the past decade there has been a dramatic increase in the number of cosmetic surgery procedures. This increase has in turn piqued the interest in the psychological aspects of this newly popular procedure. The aim of the current study was to ascertain psychosocial factors expected to predict an interest in cosmetic surgery. For this purpose, we compared the results obtained by two groups of research on the following psychological variables: body images, self-esteem, appearance anxiety, subjective happiness, life satisfaction. The first group (surgery group -SG) was composed of 72 participants recruited from a private plastic surgery clinic in Bucharest, Romania. The second group (non-surgery group -NSG) was selected from the general population who are not willing to perform cosmetic surgery now or at any time soon. Individuals/participants were split into two homogeneous groups according to age, marital status, gender and education level. The data was analysed using correlation and multiple regression in order to identify any possible relationships between the variables, as well as find the best predictor for the likelihood of undergoing cosmetic surgery. Analyses revealed self-esteem, overweight preoccupation, body satisfaction, subjective happiness and marital status significantly predicted higher levels of self-reported of acceptance aesthetic interventions. Self-esteem and body image were the strongest predictors of cosmetic surgery motivation. This information can help elucidate the psychological characteristics of individuals who are interested into and looking for cosmetic surgeries and significantly focus upon the relevance of the preliminary interview for patient screening when it comes to cosmetic

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&amp;lt;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&amp;lt;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 Comparison of Disordered Eating, Body Image, Sociocultural and Coach-Related Pressures in Athletes across Age Groups and Groups of Different Weight Sensitivity in Sports.

The aim of the present study was to compare disordered eating (DE), body image, and sociocultural and coach-related pressures between athletes of different age groups (adolescents and adults) and between athletes participating in weight-sensitive (WS) and less WS groups. A total of 1003 athletes participated in this study. The age range of the sample was 15 to 44 years, and the mean age was 18.9 ± 5.8 years (51.3% were female). Athletes who voluntarily agreed to participate in the study were provided with the study measures on DE, body image and sociocultural attitudes towards appearance. Vomiting, laxative misuse and excessive exercise were more prevalent in adolescent female athletes than adults, while dietary restraint was more common in adult male athletes than adolescents. Adolescent female athletes experienced higher sociocultural (family, peers) and sport-related (coach) pressures and a less positive body image compared with adult female athletes. Adult male athletes experienced higher overweight preoccupation, more DE and unhealthy eating habits, and engaged in more frequent self-weighing behaviour compared with adolescent males. When the effect of weight sensitivity in sports was tested, a higher prevalence of DE and overweight preoccupation, more frequent self-weighing, and higher body-image-related pressure from coaches were observed in female athletes participating in aesthetic weight-sensitive (WS) sports as compared with those participating in less WS sports. No differences in positive body image were observed in female WS and less WS sports. Special DE prevention and positive body image promotion programs are necessary for female competitive athletes and parents of adolescent female athletes, especially those participating in aesthetic ones. For adult male athletes, special programs aiming to promote healthy eating should be implemented to prevent DE and body image concerns. Special education about DE prevention is compulsory for coaches who train female athletes.

Cutaneous body image in patients with hidradenitis suppurativa: a hospital-based cross-sectional study

Hidradenitis suppurativa (HS) has been linked with body image (BI) impairment and reduced quality of life (QoL). We sought to evaluate the associations between Cutaneous Body Image Scale (CBIS) and disease severity in HS patients.Between July 2020 and January 2022, a cross-sectional study was carried out including consecutive HS patients above the age of 16 who attended a Tertiary Referral Hospital in Greece. Disease Severity was graded with the Hurley stage, HS-Physician’s Global Assessment (HS-PGA) scale, and the Modified Sartorius scale (MSS). Patients completed at their first visit ten survey instruments including Patients’ Severity of disease, pain and pruritus scale, CBIS, Multidimensional Body-Self Relations Questionnaire (MBSRQ) including 5 subscales: Appearance Evaluation (AE), Appearance Orientation (AO), Body Areas Satisfaction Scale (BASS), Overweight Preoccupation (OWP), and Self Classified Weight (SCW) , Dermatology Quality of Life Index (DLQI), Skindex-16, EQ5D 5L, EQ- visual analogue scale (VAS), PHQ9, and GAD7. In total, 70 HS patients above 16 years old participated, mean [SD] age, 34.44 [11.64] years; 49/70 (70%) males and 21/70 (30%) females. Mean ± SD CBI, DLQI, Skindex-16 total, EQ-5D-5L, EQ VAS, PHQ9 and GAD7 were 5.59 ± 1.58, 11.70 ± 8.88, 52.90 ± 27.75, 0.75 ± 0.21, 62.48 ± 21.12, 7.64 ± 5.56, 7.87 ± 5.23 respectively. Moderate to severe CBI dissatisfaction was reported by 36/70 (51.42%) patients. CBI was correlated with appearance evaluation (AE) (p < 0.01, r = 0.544), body areas satisfaction (BASS) (p < 0.01, r = 0.481), and overweight preoccupation subscale (OWPS) (p < 0.01, r = − 0.267), and Skindex-16 (p < 0.01, r = − 0.288). HS patients with affected genital areas scored higher in disease patient’s severity score (p = 0.015), and male patients scored higher in Skindex-16 than females(p < 0.01). Our study found that the mean of CBI in HS patients was 5.59 ± SD 1.58. Predictors for CBI dissatisfaction were low scores of MBSRQ Appearance Evaluation (AE) and Body Areas Satisfaction Subscale (BASS).

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.

Body image in Australians compared to women with breast hypertrophy and US norms

**Background**: The Multidimensional Body-Self Relations Questionnaire (MBSRQ) is a widely used instrument to assess body image. This study aimed to assess MBSRQ Australian norms and test the hypotheses that these would be different to United States norms and to women with breast hypertrophy. Secondary aims were to understand socio-demographic determinants of scores and the change in body image satisfaction associated with breast reduction surgery.**Methods**: Australians ≥18 years were recruited according to the 2016 Census age and sex distribution. Participants completed MBSRQ-Appearance Scales (MBSRQ-AS) and provided socio-demographic information. A comparison was made to previously published US normative scores, to scores of women who had prospectively completed the MBSRQ before and after breast reduction surgery and to women with untreated breast hypertrophy. **Results**: Data for 1016 normative, 209 surgical and 161 breast hypertrophy control participants were analysed. MBSRQ-AS scores for Appearance evaluation and Body areas satisfaction were significantly lower for women than for men. Body mass index (BMI) was a significant predictor across all five scales, with a higher BMI associated with lower scores for appearance and satisfaction. Age and marital status were significant predictors for Body areas satisfaction and Overweight preoccupation. Differences between Australian MBSRQ-AS scale scores and US general population values were significant, with Australian values lower for both sexes. Women with breast hypertrophy had lower scores than population norms but this corrected with breast reduction surgery, with women having scores equivalent to the general population at 12 months post-surgery.**Conclusion**: The Australian population is a distinct population in terms of body image, as measured by the MBSRQ-AS. This normative dataset provides a useful reference for future health-related research in Australian cohorts. Women with breast hypertrophy have a body image that is lower than that of the normal population and this improves with surgery.

Body Image Overview of Emerging Adult K-Pop Leaders

This study aims to determine the body image of K-Pop fans on Twitter, with descriptive quantitative type of research being used. The research population is K-Pop fans who are in the developmental range of Emerging Adulthood (18 – 25 years), and the samples obtained are used as research subjects (186 individuals), with incidental sampling technique used. The data collection technique uses a Likert-type psychological scale which was compiled by the author herself based on the body image theory proposed by Brown, Cash, &amp; Mikulka, and the reliability of each dimension are: 1) appearance evaluation: 0.872, 2) appearance orientation: 0.802, 3) body area satisfaction: 0.959, 4) overweight preoccupation: 0.573, and 5) self-classified weight: 0.883. The results of data analysis showed that the body image of 29 (15.6%) research subjects was in the low category, 135 (72.6%) were in the medium category, and 22 (11.8%) were in the high category.

Psychometric Properties of the Multidimensional Body-Self Relations Questionnaire-Appearance Scales (MBSRQ-AS) in Chilean Youth.

The aim of this study is to analyze the factorial structure of the Multidimensional Body-Self Relations Questionnaire-Appearance Scales (MBSRQ-AS) to determine the adjustment of the study structure proposed in the Spanish short version in a young, non-clinical Chilean population and to evaluate the possible influence of sex, age, and BMI on body image measurement. The sample consisted of 614 Chilean youth (259 male and 355 female) between 15 and 28 years old (M = 18.81; SE = 2.46), from the Metropolitan Region, and four regions of the coast and south-central zone of the country. The average Body Mass Index (BMI) was 22.5 kg/m2 (SD = 3.16). The model fit was evaluated by confirmatory factor analysis (WLSMV) using the following: a model with a single general factor, a model with the five factors of the original version, a five-factor ESEM model, and a MIMIC model analyzed including sex, age, and BMI. The results show that the MIMIC sex, age, and BMI model presents an acceptable fit, observing that four factors, Appearance Orientation (AO), Body Areas Satisfaction (BAS), Overweight Preoccupation (OP), and Self-Classification Weight (SCW), are affected significantly for the sex variable, one for age, Appearance Evaluation (AE), and four for BMI (AE, BAS, OP, and SCW). In conclusion, MBSRQ-AS replicates the five-dimensional structure in a non-clinical sample of young Chileans; however, their scores are not invariant as they depend on sex, age, and BMI.

Existential Factors’ Impact on Body Dissatisfaction: An Empirical Study of Greek Adolescents and Adults

The role of body dissatisfaction as a key factor in the development of eating disorders has been continuously attracting the attention of researchers in the field of Psychology. Preliminary research has shown that some existential factors have significant impact on body dissatisfaction. This study investigated whether and in which way Body Dissatisfaction is associated with Existential Anxiety, Meaning in Life, and Satisfaction with Life. Hypotheses developed concern the significance of relation between Body Dissatisfaction and Existential factors, differences between sexes regarding body image, predictive models for Body Dissatisfaction including the interactive effect of Age and Sex. Empirical results have been derived from a sample of 799 adolescent and adult participants from the general population in Greece, reporting on five well-known questionnaires - Body Shape Questionnaire - 8C, Multidimensional Body-Self Relations Questionnaire-Appearance Scales, Existential Anxiety Questionnaire, Meaning in Life Questionnaire and Satisfaction with Life Scale. Results indicated significant relations of Body Dissatisfaction variables with Existential Anxiety and Search for Meaning in Life. Explanatory models predicting Body Dissatisfaction were identified, which also showed that changes in Body Shape Dissatisfaction over Age were not differentiated by Sex, while changes in Overweight Preoccupation over Age were affected by Sex. The current study provides evidence that existential issues have an impact on Body Dissatisfaction; revealing a new perspective that could be integrated in counselling practice for better understanding of eating disorders, and consequently enrich and deepen the counselling process.

"Losing Faith in My Body": Body Image in Individuals Diagnosed with End-Stage Renal Disease as Reflected in Drawings and Narratives.

Chronic kidney disease (CKD) and the dependency on dialysis is an abrupt life-changing event that harms a patient’s life (e.g., social relationships, work, and well-being). This study aimed to examine how individuals who undergo chronic dialysis due to failure end-stage renal disease perceive their bodies, as reflected in drawings and narratives. Following ethical approval and signing a consent form to participate in the study, 29 adults between the ages of 20 and 85 who have undergone dialysis filled out an anonymous questionnaire that consisted of the following measures: The Center for Epidemiological Studies—Depression (CES-D), The Multidimensional Body-Self Relations Questionnaire (MBSRQ), and The MOS 36-Item Short-Form Health Survey (SF-36). After completion, they were asked to draw their self-figure before and after being diagnosed and narrate it. The data were quantitatively and narratively analyzed. The results revealed high levels of depression and concerns regarding body fitness and weight. Few significant differences were noted between self-figured drawings before and after the diagnosis, such as the body line and gender markers. Additionally, Fitness Evaluation and Overweight Preoccupation were significant among the participants.

BODY IMAGE AND SOCIAL ANXIETY OF OBESE YOUNG WOMEN

The aim of this study is to find out the correlation between body image and social anxiety in obese adolescent girl. Adolescent girls who are obese will tend to experience social anxiety because of the negative body image that appears in them. The study was conducted on 129 obese adolescent girls age 12-21 years old. The data was collected using questionnaire of MBSRQ-AS (Multidimensional Body-Self Relations Questionaire-Appearance Scales) and Social Anxiety Scale for Adolescent (SAS-A). The data was analyzed by Spearman's Rho using IBM SPSS Statistics 22.0 for Mac. The result showed that social anxiety has significant negative correlation with appearance evaluation (ρ = 0,000 r=-0,462), body area satisfaction (ρ = 0,000 r=-0,415), and self classified weight (ρ = 0.004 r=-0,252). However, there is positive significant correlation between social anxiety and overweight preoccupation with the level of significance ρ = 0,024 and correlation coefficient is 0,199. Therefore, there is no correlation between appearance orientation with social anxiety because the level of significance is 0,995.