Poor Body Image Research Articles

Bidirectional associations between online and offline appearance concerns during early-to-middle adolescence.

During early and middle adolescence, individuals are at heightened risk of poor body image and subsequent negative mental health outcomes, and the highly visual nature of social media may play a role in this process. It remains unclear, however, if appearance preoccupation on social media-such as appearance-related social media consciousness (ASMC)-influences offline body image, or if preexisting body image concerns influence online appearance preoccupation. The present study investigated between-person differences and potential bidirectional within-person associations in these experiences among eighth grade adolescents in the United States (n = 1,582; ages 11-15 years old; Mage = 13; 47.5% girls, 45.9% boys, 6.5% another gender identity; 37% Latine, 32% White, 18% Black, 7% Asian, 6% another racial/ethnic identity). Participants completed a longitudinal study over three waves within one academic year. Results indicated that within-person increases in ASMC preceded within-person increases in appearance-contingent self-worth and were bidirectionally associated with worse appearance esteem, with no differences in these associations by gender. Among girls only, self-objectification was associated with subsequent within-person increases in ASMC, but not vice versa. Findings indicate that online appearance preoccupation may influence and be reinforced by general body image concerns. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Sexual dysfunction among female patients with rheumatic diseases.

To demonstrate the burden of sexual dysfunction (SD) among females with rheumatic diseases, we conducted a cross-sectional comparative study in patients with systemic sclerosis (SSc), systemic lupus erythematosus (SLE), and Behçet's syndrome (BS) along with suitable healthy controls (HCs). Age-matched female patients with SSc (n = 50), SLE (n = 49), and BS (n = 54), along with 52 female HCs were included in this study between April and October, 2021. Sociodemographic features were recorded, and psychometric tests, i.e., female sexual function index (FSFI), Beck depression inventory (BDI), body cathexis scale, and marital adjustment test (MAT) were performed. Scale scores were compared, and binary logistic regressionwas usedto identify predictors for SD in the whole group. The total FSFI and body cathexis scores among the patient groups were significantly lower than those of the HCs (p < 0.001). Depression was significantly more frequent in the patient groups. MAT scores did not differ significantly between the study groups. Patients with SSc had the worst scores in each psychometric index, including MAT. Decreased body cathexis score [OR 0.974, 95% CI (0.957-0.991), p = 0.003] and low MAT score [OR 0.937, 95% CI (0.896-0.980), p = 0.005], and being diagnosed with SSc [OR 6.6, 95% CI (1.975-22.498), p = 0.002], SLE [OR 2.7, 95% CI (0.998-7.753), p = 0.050], and BS [OR 2.8, 95% CI (1.100-7.359), p = 0.031],were identifiedas independent predictors for SD. Body cathexis seems to be the most important independent predictor for SD, and the burden of SD appears heavier in patients with SSc, probably due to poor body image satisfaction.

Instagram Story Effects Usage Scale (ISEUS): A scale for user tendencies in social media

In today's technology, especially on Instagram, story effects have been used frequently by women. These effects make the face perfect by performing aesthetic procedures and make-up on the face. As a result of this perfection, the use of Instagram story effects can negatively affect women's perceptions of beauty. Additionally, the usage of beauty affects might make women have poor body image by diminishing their self-esteem and confidence and raising their social anxiety. This may lead to a rise in young girls seeking plastic surgery, particularly during adolescence. A scale related to the use of Instagram story effects and its effect on the perception of beauty has not previously been developed in order to measure this situation. Including this scale in the literature will open the door for further research that will support and raise awareness of the issue. As a result, an 8-item Instagram Story Effects Usage Scale (ISEUS) was developed in this study using data from 147 Instagram story effects users. In order to reveal the construct validity of ISEUS, exploratory and confirmatory factor analysis was applied. The results show that the developed scale's psychometric properties are satisfactory. ISEUS is intended to be used in a variety of research projects that bring together different disciplines.

The Psychosocial Burden Of Psoriasis: Understanding The Impact On Mental Health And Well-Being

Psoriasis is a chronic, systemic inflammatory skin condition that is distinguished by scaly, red lesions that can be uncomfortable, itchy, and disfiguring. Psoriasis can influence aspects of one’s life beyond distressful physical symptoms, such as mood and quality of life. Patients diagnosed with psoriasis are 39% more likely to suffer from concomitant depression and 31% of patients are diagnosed with anxiety [1]. Due to physical manifestations, individuals with psoriasis are at increased risk of developing issues of poor social perception and body image stress [2]. Research states that psoriasis flare-ups are sometimes directly linked with bouts of anxiety and depression; conversely, physical symptoms of psoriasis may be attributed to psychosocial issues. For example, depression may cause a lack of proper adherence to treatment and lead to exacerbated inflammation. Understanding the psychosocial aspects of psoriasis may provide pertinent clinical information; thereby, allowing seamless integration of psychiatric treatments for the overall treatment protocol for psoriasis. This project delves into understanding how decreased emotional and social well-being can challenge the proper maintenance and treatment of psoriasis. Further, this paper highlights adaptive coping strategies and social support networks that are key in enhancing treatment viability. Oliver C, Robert PD, Daihung D, et al. The Risk of Depression, Anxiety, and Suicidality in Patients With Psoriasis. Arch Dermatol. 2010;146(8) Hepat A, Chakole S, Rannaware A. Psychological Well-Being of Adult Psoriasis Patients: A Narrative Review. Cureus. 2023

Fat bodies, diet culture, and human flourishing: How did we get it so wrong?

AbstractContemporary diet culture is detrimental to many Western men and women, though women are disproportionately impacted. This results in poor body image, low self‐esteem, and unhealthy lifestyles. Christian discourse is not immune to the influence of diet culture, with many popular Christian pastors and authors adopting this paradigm and seeking to align it with a Christian worldview. When an understanding of a human being as an anthropological duality is brought to bear on the issue of diet culture, a more consistently Christian anthropology can resource a healthier view of the embodied self and provide resources for a robust Christian response to diet culture.

Smartphone use and well-being of adolescent girls: a population-based study

Background and objectivesRecent studies have reported an increasing incidence of anxiety among adolescent girls, and associated this with self-reported social media use. This study aimed to measure smartphone and social...

Exploring the Relationships Between Body Image, Sexual Well-Being, and Community Connectedness among Gay, Bisexual and Queer+ Men

ABSTRACT Sexual minority (SM) men are more likely than heterosexual men to experience body dissatisfaction due to prevailing body ideals (e.g. lean and muscular) within the SM community. Negative body image can have harmful effects on well-being, and, by extension, sexual well-being. The current study aimed to investigate whether SM men’s minority identification and LGBTQ+ community connectedness moderates the relationship between drives for muscularity and sexual anxiety. To address this aim, 298 Australian-residing SM men completed an online survey that examined drive for muscularity, sexual anxiety, and connectedness or identification with the LGBTQ+ and SM-specific communities. As hypothesized, the results showed a positive relationship between drive for muscularity and sexual anxiety. Additionally, LGBTQ+ community connectedness, but importantly not SM identification, was found to moderate this relationship, showing a positive association only when connection was at low or average levels. These results highlight the beneficial effects that LGBTQ+ community connection can have for SM men, such as protecting them against the harmful impacts of poor body image on sexual well-being. These results also provide preliminary insights into the need to expand the understandings of bodily diversity, and diversity of sexual well-being experiences, among SM men less connected to the broader LGBTQ+ community.

Risk factors for self-reported high symptom cluster burdens in patients with breast cancer undergoing chemotherapy in China: A cross-sectional study.

Further exploration is needed to recognize symptom clusters and categorize subgroups with distinct cluster patterns and associated risks, focusing on symptoms that are highly self-reported by patients with breast cancer undergoing chemotherapy. This study aimed to identify subgroups and risk factors for self-reported high symptom cluster burden among patients with breast cancer undergoing chemotherapy. A total of 647 participants who met the inclusion criteria were included in the study, with data collected on demographics, disease information, self-reported symptoms, and psychosocial factors. Latent class analysis was utilized to identify the subgroup, while logistic regression was used to pinpoint predictive risk factors. Latent class analysis revealed three subgroups: the "high burden of all symptoms group" (n = 107, 16.54%), the "high burden of psychological symptoms group" (n = 103, 15.92%), and the "low burden of all symptoms group" (n = 437, 67.54%). Patients in the high burden of all symptom group and high burden of psychological symptom group exhibited significantly worse function outcomes (p < 0.001). Predictive risk factors for the "high burden of all symptom group" included older age, lower self-efficacy, worse body image, and a higher financial burden. Similarly, patients with high burden of psychological symptom were more likely to have low self-efficacy, poor body image, and a high financial burden. The study demonstrated the importance of giving more attention to patients with breast cancer who are at risk of developing into membership of high symptom cluster burden group.

Celebrity Worship, Social Media Use, and Mental Health

Over the past two decades, social media use has become increasingly popular including its use by celebrities. Related to this, research has indicated that a minority of individuals may develop a psychological dependence on celebrities that can lead to obsessions and diminished functioning. Although research has also shown that worshipping celebrities can have positive consequences, research has also shown that there is an association between the pathological aspects of celebrity worship and poor mental health such as high anxiety, increased depression, high stress levels and poor body image. Moreover, there appears to be evidence that pathological celebrity worship has increased over the past two decades and one of the primary reasons for this may be increased social media use by both celebrities and their fans.

A New Materialist Analysis of Health and Fitness Social Media, Gender and Body Disaffection: ‘You Shouldn’t Compare Yourself to Anyone… but Everyone Does’

Recent research has documented the relationship between the promotion of ‘ideal’, ‘fit’ bodies in social media, body image and associated body concerns and conditions. This article expands this scholarship, focusing specifically on gender, body disaffection and social media. Thus far, body disaffection has mostly been understood through a psychological framing, as a pathology residing within an individual and strongly associated with poor body image because of internalizing media images. In this paper, drawing on feminist new materialism, I offer a framing of body disaffection as a relational phenomenon. The paper draws on a mixed method study in England, with over 1000 young people examining their experiences with a range of digital health technologies. I focus specifically on their engagement with social media, to explore the relationship between ideal images and body concerns. Far from being a simple process of internalization of negative perceptions or image one has of their body, disaffection is formed through the body via a complex process of entanglement with social media and other elements. I outline how disaffection materialises as part of an assemblage of elements, including discourses, humans, bodies, digital objects and platforms. The paper reveals how entanglements with social media can generate powerful affects such as shame, pleasure and belonging along gendered lines, which may have significant implications for young people’s relationships with their bodies. I analyse how social media events focused on the ‘transformation’ of bodies generate powerful affects, which open or limit capacities for what ‘boys’ or ‘girls’ bodies might become in deeply gendered and sometimes harmful ways.

Associations Between Body Image, Kinesiophobia, and Pain in Women Post-Breast Cancer Treatment

Background: The purpose of this study was to evaluate factors associated with body image, kinesiophobia, pain severity, and pain interference in women following breast cancer (BrCA) treatment. Methods: A convenience sample of women (n = 160) post-BrCA treatment participated in this cross-sectional study. They completed demographic and clinical questionnaires and performed left/right judgment tasks (LRJTs). Regression analyses evaluated factors associated with the Body Image Scale, Tampa Kinesiophobia Scale, Brief Pain Inventory (BPI) pain severity subscale, and BPI pain interference subscale. Results: Higher quality of life (QoL) and older age were associated with better body image, while mastectomy and greater kinesiophobia were associated with worse body image. Higher QoL, better body image, more exercise time (minutes/week), and mastectomy were associated with less fear of movement. Slower chest LRJT response time, higher pain interference, and reconstructive surgery were associated with greater kinesiophobia. Higher QoL was associated with lower pain severity, while more exercise time was associated with higher pain severity. Higher QoL and slower chest LRJT response time were associated with lower pain interference. More exercise time and greater kinesiophobia were associated with greater pain interference. Conclusion: Poor body image and kinesiophobia are common in women after unilateral BrCA treatment. This study provides evidence on positive and negative associations between several factors associated with body image, fear of movement, pain severity, and pain interference in women following BrCA treatment. There is benefit to including assessment of these predictors and outcomes in research and clinical settings.

The effect of self-focused attention during mirror gazing on body image evaluations, appearance-related imagery, and urges to mirror gaze

Background and objectivesMirror gazing has been linked to poor body image. Cognitive-behavioral models propose that mirror gazing induces self-focused attention. This activates appearance-related imagery, increases body dissatisfaction, and promotes further mirror gazing. However, evidence for these relationships remains scarce. Our study experimentally investigated how self-focused attention impacts overall and facial appearance satisfaction, perceived attractiveness, distress about appearance and disliked features, vividness and emotional quality of appearance-related imagery, and urges to mirror gaze. Baseline body dysmorphic concerns were studied as a moderator. MethodsSingaporean undergraduates (Mage = 21.22, SDage = 1.62; 35 females, 28 males) were randomly assigned to high or low self-focused attention during a mirror gazing task. Dependent variables were measured with visual analogue scales, and body dysmorphic concerns with the Body Image Disturbance Questionnaire (BIDQ). Analysis of variance and moderation analyses were conducted. ResultsSelf-focused attention lowered overall and facial appearance satisfaction. Perceived attractiveness decreased only in individuals with high baseline body dysmorphic concerns. Contrary to predictions, distress, appearance-related imagery, and urges to mirror gaze were unaffected. LimitationsThis study used a non-clinical sample. The BIDQ has not been psychometrically validated in Singaporean samples. ConclusionsSelf-focused attention during mirror gazing lowers positive body image evaluations. Individuals with higher body dysmorphic concerns are particularly vulnerable to low perceived attractiveness.

N05 Are we meeting the sexual wellbeing concerns of patients with IBD and a stoma? A survey on current practice in addressing sexual wellbeing

Abstract Background People with inflammatory bowel disease have a high incidence of stoma formation, either temporary or permanent. Although a stoma can be a life saver, for some it can negatively impact body image and psycho-emotional wellbeing. Sexual function can also be affected by a poor body image. Therefore, intimacy and sexuality should be addressed in clinical settings during stoma care. We aimed to explore the experiences of sexual wellbeing concerns of people living with IBD and a stoma, and how these were addressed by healthcare professionals. Methods This was Stage 1 of an international mixed method study. Data were collected via an anonymous online survey advertised on social media platforms and charity webpages. Results These are the quantitative results. 134 participants with IBD responded: 11 had colostomy and 123 had ileostomy. Time from stoma formation to survey response was between 2 weeks to 32 years. Peristomal hernia was reported by 27.6% (n=37) participants. Only 30.5 % (n=41) reported that sexual wellbeing was discussed around the time of their stoma formation, mainly with their surgeon or stoma nurse. Some 33.5% (n=45) reported having had no intimacy and sexuality concerns at all at the time of stoma formation. The patient perspective on barriers for asking healthcare professionals (HCPs) questions about sexual wellbeing despite having concerns, were reported as being ashamed to ask, afraid of being judged by their HCPS, and not knowing what to ask as being overwhelmed with technical information related to stoma care. Around 66% (n=89) reported having concerns related to their intimacy and sexuality following stoma formation, with the top three reported concerns being appearance/body image, fear of rejection from partner, and bag leakages. All participants reported wanting sexual wellbeing discussed routinely at any point of care, and the majority wanted partners involved in these discussions. Conclusion Patients expect to be informed about intimacy and sexuality aspects as an integral part of stoma care. Current practice does not meet the patient’s care needs, with potential for having a negative impact on their overall quality of life, since a significant number of ostomates report sexual wellbeing concerns after the stoma formation.Sexual wellbeing conversations should be an integral part of perioperative and stoma care to prevent persistent concerns within this patient group. Not providing adequate information during stoma care about sexual wellbeing can negatively impact their quality of life. The results will form the basis of an interview guide for the second (interview) stage of the study, to understand better the reasons behind these findings.

P737 Poor body image is associated with significant depression, anxiety and self-harm in people with inflammatory bowel disease

Abstract Background Body image dissatisfaction is common in inflammatory bowel disease (IBD) and is associated with worse quality of life in this population. In other populations body image dissatisfaction has been associated with psychological distress. We aimed to investigate the relationship between body image and depression, anxiety, and self-harm in an IBD population. Methods IBD patients at a tertiary IBD referral centre were sent a pre-clinic survey to be undertaken once a year. This survey included a validated measure of body image dissatisfaction – the body image scale (BIS) – with a BIS &amp;gt;= 10 indicating Body Image Dissatisfaction. Demographic data and measures of depression (Patient health questionnaire 9 (PHQ9), and anxiety (Generalised anxiety disorder-7 (GAD7)) were also obtained. Results There was 146 responses to the questionnaire, majority female (64%), median age 42 years interquartile range (29-58), 57% Crohn’s disease. A BIS over &amp;gt;= 10 was seen in 35.3%, with mean (SD) BIS score 8.5 (7.5). Consistent with previous literature BIS score was higher in females (11.3 (1.2) v 3.4 (3.5), p&amp;lt;0.001). BIS score was higher in obesity (11.0 v 7.2, p=0.049), however correlation with weight was poor (-0.044), and overall body weight was not higher in BIS&amp;gt;=10 (77.5 (2.8) v 82.1 (4.8) p=0.37), and similarly no difference seen in BMI (30.0 (1.5) v 28.3 (1.2) p=0.41). BIS score and depression score (PHQ9) correlation was strong (ro=0.56), and similarly for anxiety severity score (ro=0.57). More frequent self-harm was associated with worse body image dissatisfaction (Figure 1 oneway ANOVA). Self-harm or suicidal ideation more than half the days was associated with a BIS score over 10 (p=0.012 Chi2, Odds ratio 4.16 for self-harm given BIS over 10). Conclusion Body image dissatisfaction is associated with self-harm, depression and anxiety, In addition to its known relationship with lower quality of life. Consideration should be given to developing body image targeting interventions in IBD populations and future research should consider interventional trials in this area.

Prevalence of poor body image and its correlation with self-esteem and depression in middle-aged women

Objective This study aimed to determine the prevalence and predictors of poor body image and its influence on low self-esteem and depression in middle-aged women. Methods The study was a cross-sectional survey of 372 women using a predesigned online questionnaire. Main outcome measures were mean scores on the nine-point body image scale (BIS) and prevalence of poor body image (BIS ≥ 10). Significant sociodemographic, physical and mental health predictors of BIS ≥ 10 were established using logistic regression analysis. Correlation of body image with self-esteem, assessed by Rosenberg’s self-esteem scale, and depression, assessed by Beck’s Depression Inventory, was established using Pearson’s correlation coefficient and the odds ratios were determined using logistic regression analysis. Results The mean scores obtained for body image were 5.52 (standard deviation 4.82) and the prevalence of BIS ≥ 10 was 17.4%. Significant predictors of poor body image were education status (0.59, 95% confidence interval [CI] = 0.39–0.89), body mass index (2.26, 95% CI = 1.12–4.55), social support structure (0.35, 95% CI = 0.16–0.79), diagnosis of mental illness (3.74, 95% CI = 1.31–10.66) and perception of menopause (positive vs. negative: 0.20, 95% CI = 0.07–0.55). Body image scores correlated with self-esteem (r = −0.46; 95% CI = −0.54 to −0.38) and depression (r = 0.59; 95% CI = 0.52–0.65). BIS ≥ 10 significantly increased the odds of low self-esteem (5.71; 95% CI = 2.66–12.26) and depression (11.25; 95% CI = 4.9–27.7). Conclusions The prevalence of poor body image in middle-aged women was 17.4%. This strongly correlated with low self-esteem and depression. A lower education status, higher body mass index, a negative perception of menopause, poor social support structure and a history of mental health diagnosis increased the odds of poor body image prevalence in middle-aged women.

Body image dissatisfaction and its relation to body mass index among female medical students in Sudan: across-sectional study 2020-2021

BackgroundBody image is mainly determined by biological, social, psychological and cultural factors thus it is a multifaceted vigorous construct. Body image is an essential aspect of girls' self-definition and individual identity. Excessive concern about body image and body image misconceptions leads to dissatisfaction, disturbed eating patterns, affecting the nutritional status and also leading to depression and anxiety disorder.MethodsThis is a descriptive cross-sectional university-based study aiming to investigate body image dissatisfaction and its relation to BMI among female medical students at the University of Khartoum, faculty of medicine. The study was carried out between December 2020 and January 2021. Simple random sampling was applied and a two-sectioned questionnaire was used. The first part consisted of socio-demographic data and the second part contained questions to assess body image the data was. A total of 277 participants were enrolled in the study. Data was analyzed using SPSS version 20.ResultsWe enrolled 277 female medical students the majority of participants (53%) were considered of normal weight according to BMI, 7% considered obese, and 18% underweight. Large number of participants thought that they are not in the ideal weight according to their height (62%). (21% to 17%) of participants always feel pressure from people or society to get to a certain weight. With respect to attitude towards weight, (29%) of participants always wear clothes that don't reveal their body shape, (35%) of them always tend to wear clothes that hide their excess weight.ConclusionsThe study concluded that participants who were overweight, obese or underweight have significant increase risk for poor body image perception with odd ratio of 39, 11, and 59 respectively. Thus early and proper interventions are necessary to circumvent the impact and future repercussion of body image distortion.

Prevalence and correlates of anxiety and stress in school going adolescents in Delhi national capital region: a cross sectional study

Background: Anxiety and stress are notable health problems plaguing adolescents. Moreover, issues such as poor sleep quality and body image issues, common in adolescence, have also been linked to anxiety and stress previously. Methods: A cross sectional study was conducted across 392 school going adolescents in Delhi NCR, India. Sociodemographic and lifestyle data was collected using a pre-tested semi-structured questionnaire. DASS-21 was used to screen the participants for anxiety and stress, Pittsburgh sleep quality index for sleep quality, and Stunkard figure rating silhouette for body image issues. Data was entered into MS Excel spreadsheets and Statistical Package for Social Sciences version-25 was used for analysis. Results: 47.5% participants suffered from anxiety and 22.2% from stress. Anxiety was significantly associated with father’s education and occupation, stressful occurrences in the family, poor sleep quality and inadequate exercise. Stress was significantly higher in females and those with poor sleep quality. Conclusions: Anxiety and stress in adolescents show significant associations with familial and lifestyle factors. Identifying these risk factors can enable timely diagnosis and intervention.

Holistic care and symptom management for pediatric kidney transplant recipients.

While many aspects of life may improve substantially for children and young people undergoing kidney transplant, there may be new challenges including symptoms that can be detrimental to health-related quality of life. Addressing symptoms requires attention to patient and family perspectives and a holistic approach grounded in symptom management. The interdisciplinary pediatric nephrology transplant team should be attuned to the prevalence of common symptoms including fatigue, anxiety, depression, post-traumatic stress, pain, and sleep disturbances, as well as poor body image and sexual health. These common symptoms require regular assessment with a focus on appropriate interventions and how care may be impacted by transplant status.

Body image construction and mental health levels among college students: a data survey of Chinese university students.

With the rapid changes in body image construction brought about by the upgrading of consumption in China, trend-seeking college students are faced with mental health problems brought about by the pursuit of the "ideal body type," which cannot be ignored. This study aims to explore the relationship between body image construction and mental health among college students. This study utilized data from the Survey on Physical Activity and Mental Health of College Students. A total of 1,192 students were randomly selected as the survey sample, and 1,044 valid samples were obtained. The mean age of the respondents was 19.34 years. First, we categorized body image constructs into three categories based on the differences between subjective and objective body image: high acceptance, low acceptance, and consistency. Second, to ensure analytical rigor and minimize potential confounders, we used a generalized propensity score weighting model. Finally, we used a causal mediation framework to investigate the potential causal mechanisms between the independent variable (perceived body image bias) and the dependent variable (mental health) in order to better understand the "net effect." (1) There is a significant correlation between college students' body image perceptual bias and mental health, i.e., the higher the individual's acceptance of his/her own body image, the higher the level of mental health, and vice versa. (2) Students in humanities and social sciences are more likely to have increased psychological burden due to poor negative body image. (3) In the mediation analysis, although the causal mediating effect of physical exercise was not significant, family and peer support in physical exercise played an important mediating role, especially the influence of peers was more significant. The construction of body image is a double-edged sword that can either promote positive individual development or lead to self-depreciation. Creating a positive climate for physical activity has a positive impact on college students' mental health compared to participation in physical activity behaviors. While improving students' media literacy on college campuses, it is important to enhance adaptive guidance to promote their physical and mental health and personal development.

The Influence of a Girls' Health and Well-Being Program on Body Image, Self-Esteem, and Physical Activity Enjoyment.

Adolescent girls report low physical activity levels and poor body image and self-esteem. This study evaluated the impact of a girls' health intervention on body image, self-esteem, and physical activity enjoyment. The intervention was grounded in self-determination theory, resulting in lessons designed to promote autonomy, competence, and relatedness. The two primary components of the intervention included opportunities for girls to learn about resistance training as well as ways to improve their psychosocial health (i.e., body image, self-esteem, and physical activity enjoyment). Girls (n = 590), in the intervention (Mage = 12.79, SD = 0.69) and control group (Mage = 12.92, SD = 0.73), completed pre and post measures. A repeated measures MANOVA was conducted to assess changes in body image, self-esteem, and physical activity enjoyment. The intervention resulted in a significant increase in body esteem-appearance, F = 9.23, p = 0.003, and body esteem-weight, F = 4.77, p = 0.029, and a greater, non-significant, increase in self-esteem (3.22%), and physical activity enjoyment (4.01%) compared to the control group. This highlighted the use of the intervention for significant improvements in appearance and weight-related body image. The results support implementing psychosocial lessons, as well as physical activity, in health programming for girls.