Physical Dissatisfaction Research Articles

Validation and psychometric testing of the Chinese version of the prenatal body image questionnaire

BackgroundThe body image during pregnancy potentially affects both short- and long-term maternal and child health outcomes, including pregnancy mood, postpartum weight recovery, and the quality of mother–child interactions. However, research on the impact of body changes during pregnancy in the Chinese population is scarce. A comprehensive, practical, and reliable tool for assessing pregnant women is needed to detect, intervene in, and implement the reduction of physical dissatisfaction risk. This study translated the Prenatal Body Image Questionnaire (PBIQ) into the Chinese version (PBIQ-C) to assess the body image of pregnant women and evaluated its reliability and validity.MethodsAn improved Brislin translation model was used for the translation. A panel of experts determined the content validity. A convenience sample of 429 pregnant women was chosen from three third-class hospitals in different regions of Fujian Province, China. Factor analysis, Pearson’s correlation, retest reliability, and Cronbach’s alpha were employed to evaluate structural validity and reliability.ResultsThe final PBIQ-C had five dimensions with 21 items. Exploratory factor analysis obtained a five-factor solution, which accounted for a total of 60.34%. Confirmatory factor analysis showed that the model fit of the five-factor model also reached a satisfactory model fit after modifying: The Comparative Fit Index was 0.93, and the Tucker-Lewis Index was 0.92; the Root Mean Square Error of Approximation was 0.079. The content validity index of the scale ranged from 0.63 ~ 1.00. The Cronbach’s alpha coefficient was 0.95 for the total scale, and the test–retest reliability was 0.80.ConclusionsThe findings indicated that the PBIQ-C is a valid and reliable instrument for assessing women’s body image during pregnancy, which helps in the early identification of body dissatisfaction during pregnancy and enables the early prevention of postpartum depression.

Health-Related Quality-of-Life Effects of Rectus Repair during Body Contouring Surgery in Postbariatric Patients: A Prospective Study.

Massive weight loss after bariatric surgery often leads to psychological and physical dissatisfaction, resulting in an increased demand for body contouring surgery (BCS). As a result of these operations, health-related quality of life (HRQL) is improved. However, little is known about the impact of rectus plication during BCS on HRQL. This multicenter prospective cohort study included postbariatric primary BCS patients with a minimum follow-up period of 12 months between January of 2016 and December of 2019. Patients were divided into 2 groups based on plication status. Using the BODY-Q, a patient-reported outcome measure, HRQL was measured preoperatively and at least 12 months postoperatively. Six HRQL domains were investigated: body image, physical function, psychological function, sexual function, social function, and physical symptoms. A total of 305 patients were included in this study: 201 of these patients (66%) did not undergo plication, whereas 104 patients (34%) did. HRQL improved significantly 12 months after BCS in all measured domains, regardless of plication status. Delta scores were significantly higher in the plication group in all HRQL domains. After adjusting for baseline score and other significant variables through multivariate linear regression, 3 scales remained significant: body image ( P = 0.001), psychological function ( P = 0.035), and sexual function ( P = 0.035). Three of 6 HRQL domains showed significant improvement after BCS with rectus plication, predominantly body image. Preoperative counseling and surgical planning could benefit from this information. The long-term effects of rectus plication on HRQL should be explored in future research. Therapeutic, III.

Life experiences leading to the choice of surgery-A qualitative study exploring reasons behind the choice of undergoing gender affirmative surgery.

Gender dysphoria is frequently accompanied by physical dissatisfaction and body image issues. The primary objective of this study is to explore subjective experiences and perceptions among those who has undergone gender reassignment surgery, as well as their retrospective path to that decision. Sixteen qualitative in-depth interviews were conducted with 9 participants. The participants were accepted for gender affirming surgery and interviewed before and after surgery. Cultural norms, and values in relation to time and context were highlighted as significant in reference to the opportunity one had to display a gender identity that corresponded to prevailing expectations. Participants gradually began to recognize their differences and divergence from others in social interactions and experiencing "wrong" bodily changes during puberty created even greater discrepancy. Several impression control measures, such as avoiding certain situations and using concealing techniques, were employed to prevent what was described as both felt and enacted stigma. The significance of having genital organs that accurately reflect one's gender identity was emphasized to prevent emotional distress and dysphoria caused by this discrepancy. Socio-cultural expectations, combined with enacted stigma, seem to cause, or re-enforce self-stigma as people internalize these attitudes and suffer from physical and mental consequences as a result. Thus, societal, and cultural trends seem to have a strong influence and feed the idea of being born in the wrong body. However, even though several participants underwent socially inspired alterations, they all experienced dysphoria in the extent that they continued to see reassignment surgery as a solution.

The associations between body dissatisfaction, exercise intensity, sleep quality, and depression in university students in southern China.

In recent years, depression in early adulthood has become an urgent global public health concern. The university years mark a transitional period from adolescence to adulthood. Young people are required to face academic and life pressures independently, which increases the risk of mental health problems in university. The main goal of the current study was to explore the sex differences in depression, body dissatisfaction, sleep quality, and exercise intensity among university students in southern China and to analyze the factors affecting the level of depression among university students. In total, 1,258 university students aged 18-23 years were recruited for this study. All participants completed anthropometric measurements, the Self-rating Depression Scale, Physical Activity Rating Scale, and Pittsburgh Sleep Quality Index. Body dissatisfaction levels were measured using sex-appropriate silhouettes. Compared with young women, young men had higher exercise intensity and sleep quality, whereas young women's body dissatisfaction and depression levels were significantly higher than those of young men. Sleep quality score (β = 0.34, p < 0.01), sex (β = 0.15, p < 0.01), physical activity score (β = -0.14, p < 0.01), and body dissatisfaction (β = 0.14, p < 0.01) were significant predictive factors of the Self-rating Depression Scale score. Low levels of physical dissatisfaction have a positive effect on depression, and high levels of physical activity and quality sleep can also improve depressive symptoms. At the same time, increasing body satisfaction has the effect of increasing physical activity and improving sleep quality. Therefore, there is great potential to prevent and ameliorate depression by reducing body dissatisfaction.

The Effectiveness of Progressive Muscle Relaxation on Reducing Joint Pain in the Elderly at Jember Nursing Home

Increasing age and the aging process can cause various problems, especially physical dissatisfaction, which results in impaired musculoskeletal function, namely joint pain which makes the elderly experience problems in carrying out daily activities. Pain management with non-pharmacological nursing actions that can be used to relieve joint pain in the elderly, namely progressive muscle relaxation therapy (ROP). This study aims to determine the impact of progressive muscle relaxation (ROP) on joint pain in the elderly at Wisma Melati UPT PSTW Jember. This research was conducted quantitatively with the type of quasi-experimental research using a research design approach (one group pre-test and post-test design). Samples were taken by purposive sampling. The sample population used in this study was elderly at Wisma Melati UPT PSTW Jember, with nine elderly people selected. The results showed that the respondents who took part were on average 77.11 years old (SD=5.732), the youngest was 70 years old and the oldest was 90 years old. The average value of the pain scale before performing progressive muscle relaxation (ROP) is 3.44 with a minimum value of 2 and a maximum value of 5. The mean value of the pain scale after administration of progressive muscle relaxation (ROP) is 2.67 with a minimum value of 0 (no pain) and the maximum value is 5. Based on the results of the analysis test using the t-test paired sample test the results of the joint pain scale before and after progressive muscle relaxation (ROP) was carried out, namely 0.0023 (p &lt;0.005). There was a change or difference in the decrease in pain scale before and after giving progressive muscle relaxation therapy (ROP) to the elderly.

Influence of social media addiction and body image perception on self-esteem among university students

Influence of young adults on social media and body image perception and how it affects self-esteem was analyzed. The social media has proven to be the strongest contributor to sociocultural ideas about physical dissatisfaction, and therefore unhappiness, low self-esteem, and physical ideals, height, and weight associated with eating disorders. A total of 100 people participated in the study, 50 of whom were male and 50 of whom werefemale .A relatively positive correlation between social media addiction and self-esteem was found in the analysis. Which depicted a change of result from most of the previous research that the self-esteem of the person increases with the increase of use of social media. As well as a positive relationship in self-esteem and body image was found.

Do Changes in Body Shape Due to Pregnancy Lead to Cosmetic Surgery? A Cross-Sectional Study.

Pregnants and puerperas show different perceptions of their body image and appearance, so authors investigated their perceptions related to pregnancy and puerperium, evaluating their views on cosmetic surgery, by a cross-sectional study. 5-item questionnaires were administrated to women at first pregnancy and puerperas. Patients were submitted also to Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and Body Image Inventory (BII) analysis, indicating the level of anxiety, depression and body dissatisfaction for somatic changes during pregnancy and after childbirth. 186 healthy women, aged between 25-35 years, equally divided in pregnancy and puerperium, were compared in terms of body image, with no significant difference between groups. Analyzing the item "cosmetic surgery is required after all pregnancies", there was a significant difference in puerperas and the item "cosmetic surgery is necessary for postpartum" was the principal. The comparison of BII, BDI, BAI values between pregnants and puerperas showed a significant difference between groups (p<0.00), with higher scores in postpartum patients. Body shape and physical dissatisfaction during pregnancy is linked with increased risk of depression in pregnancy and puerperium, pushing women to opt for cosmetic surgery, especially in puerperium.

The relationship between body image, self-concept and happiness among women seeking cosmetic surgery in Tehran

Introdution: In today's societies, a high percentage of people are dissatisfied with the physical appearance that such physical dissatisfaction provides tendencies for many psychological problems.The purpose of this study was to investigate the relationship between body image and self-concept with happiness among women seeking cosmetic surgery in Tehran. Methods The research method was descriptive-correlational. The statistical population consisted of all female applicants for cosmetic surgery referred to the medical centers (15 khordad plastic surgery hospital, and Fatima plastic surgery hospital) in Tehran in 2016. 100 of them were selected through purposive sampling. For collecting the data,, the self-body multidimensional relationship questionnaire (Cache, Winstead and Janda, 1987), self-concept questionnaire (SCQ) (Rogers, 1961) and the Oxford Happiness Questionnaire (Argyle, 1989) were used. Data were analyzed by Pearson correlation coefficient and multivariate regression analysis using SPSS (ver. 16) software. Results: The findings showed that there was a positive and significant relationship between physical image and happiness. Therefore, there was a positive and significant relationship between happiness and physical image components such as appearance assessment, fit assessment, tendency to fit and body satisfaction, But there was not a significant relationship between happiness, subjective weight and apparent tendency .There was also a negative and significant relationship between self-concept and happiness. Body image and self-concept significantly predicted happiness. Conclusion: Therefore, it can be concluded that body image and self-concept play a significant role in the happiness of women who apply for cosmetic surgery

Effect of Intervenous Magnesium Sulfate on Decreasing Opioid Requirement after Surgery of the Lower Limb Fracture by Spinal Anesthesia.

Background:Magnesium is the calcium natural physiological antagonist; it also antagonizes N-Methyl-D-aspartate receptors, therefore, providing antinociceptive properties. The reason for effective role of treatment with magnesium on decreasing opioid usage, less dissatisfaction, and good sleep quality is proposed theoretically yet. This study aimed to evaluate the effect of magnesium sulfate on decreasing opioids requirement after surgery of the lower limbs fracture by spinal anesthesia.Methods:A total of 60 patients aged from 45 to 75 years with the lower limb fractures (femur and hip) candidate for surgery by spinal anesthesia. In a randomized double-blind method, patients were divided into two groups as Magnesium Group (M) and Control Group (C). Group M received a bolus of 5 mg/kg magnesium sulfate plus (250 CC) normal saline and Group C received (250 CC) normal saline in the same condition.Results:Pain score and the physical dissatisfaction were reduced at 12, 24, and 48 h after surgery in Group M as compared with Group C (P = 0.000). Total opioid requirement at the end of 48 h and at the first 24 h after surgery were reduced in Group M as compared with Group C (P = 0.001). The endurance of spinal block was increased in Group M as compared with Group C (P = 0.000).Conclusions:A low dose of magnesium sulfate reduced the pain score, opioid requirement, and physical dissatisfaction while increased endurance of spinal block.

Examining Relationships Between Sexual Risk–Safety Behaviors and Physical Self-Concept by Gender: A Cluster Analytical Approach

Sexual behavior is a normative part of the transition to adulthood, with an intensification of the exploration of the links between self-esteem, sexuality, and physical self-perception. This study examined the relationships between sexual risk–safety behaviors and overall physical self-concept, as well as its subdimensions such as sports ability, body fat, or physical appearance. In total, 652 sexually active undergraduate students completed self-report questionnaires about their physical self-concept and sexual behaviors. A clustering analysis described three patterns of sexual risk–safety behaviors for women and men: “birth control in a relationship,” “condom users,” and “risk-takers.” The male sexual risk-takers reported lower physical self-concept scores related to physical competence and masculinity subdomains (sports, endurance) than the two other groups. The female sexual risk-takers expressed significantly higher physical dissatisfaction in social and femininity subdomains (appearance, strength) than the others. A lack of perceived physical coordination was strongly associated with sexual risk-taking for both men and women. These findings indicate that specific subdomains of physical self-concept may be linked to safer or risky sexual behaviors in a sample of young adults.

Development and Effectiveness of Mindfullness Based Cognitive Restructuring Program on Psychache and Hopelessness as Signals of Suicidal Ideation among Adolescents

Adolescence is a unique period in life span with wide range of developmental issues regarding transitions and challenges. In this developmental stage, adolescents are experiencing various types of stressors from family, peers, romantic partners and physical dissatisfaction with oneself. Stressful life situations lead to psychache which aggravate the individual to think suicide as the only solution for their problem. Suicidal risk increases when this unbearable psychological pain is associated with hopelessness. Psychache and hopelessness are the key signals of suicidal ideation. Suicide ideation is the first level of suicidal behavior and it is followed by suicidal plan and act. So the present study is focused to develop and assess the effectiveness of Mindfulness Based Cognitive Restructuring (MBCR) program to reduce the signals of suicidal ideation among adolescents' in Kerala, India. This study was conducted in two phases; Phase I: development of MBCR program and Phase II: the assessment of effectiveness of the MBCR program employing the true experimental research method particularly Between-Subjects: Two Independent Group Design. A total of 36 female adolescents from public schools in Kerala were randomly assigned into both experimental and control groups. The data analysis was done utilizing mean scores, paired samples statistics: t-test for independent samples and the effectiveness was measured by Cohen's d. The statistical analysis between the pre test and post test scores of the experimental group showed significant differences (p=.000) at 0.05 level and the scores of the control and experimental group showed significant difference (p=.000) in all the dependent variables in the post test. The results of the study revealed the effectiveness of the MBCR program significantly reducing psychache, hopelessness and suicidal ideation of the adolescents in experimental group as compared to the control group. Language: en

Differences in Physical Activity and Perceived Benefits and Barriers among Normal Weight, Overweight, and Obese Adolescents

The current study investigated differences in physical activity and perceived benefits and barriers in normal-weight, overweight, and obese adolescents and tested the effect of BMI and perceived benefits and barriers on physical activity. Adolescents (N = 773) participated in the study; 381 were classified as having normal weight, 262 as overweight, and 130 as obese. Leisure Time Physical Activity Questionnaire, Decisional Balance Scale, and body composition analyzer were used to measure the study variables. Results indicated that there were no differences in self-reported physical activity in the three BMI groups. However, groups perceived benefits of and barriers to physical activity differed. BMI and 'better outlook', 'weight control', 'feeling confidence', 'physical dissatisfaction', and 'lack of confidence' accounted for nearly half the variance in self-reported physical activity.