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2.
Nagoya J Med Sci ; 86(3): 422-434, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39355360

RESUMEN

Body dissatisfaction during pregnancy can significantly impact maternal and child health. Therefore, this longitudinal study investigated changes in body dissatisfaction using two figure rating scales developed from photographic digital data of Japanese pregnant women during the sixth and tenth months of pregnancy. Study participants were recruited at their sixth month prenatal visit at a primary maternity clinic in Japan from October 2014 to March 2015. Body dissatisfaction was estimated based on the perceived and ideal body sizes of 135 pregnant women, expressed as body mass index. Data were collected using self-administered questionnaires. The study found that body dissatisfaction in the tenth month was significantly higher than that in the sixth month. Among the participants, 75 (55.6%) and 79 (58.5%) experienced body dissatisfaction, desiring to be thinner (where perceived body size exceeded ideal body size) during the sixth and tenth months of pregnancy, respectively. Pregnant women who had body dissatisfaction and a desire to be thinner in the sixth month tended to experience an increase in body dissatisfaction by the tenth month compared to those without body dissatisfaction in the sixth month. During the sixth and tenth months, women with body dissatisfaction showed significantly larger perceived body sizes than those without body dissatisfaction. These results indicated that the use of a figure rating scale at the sixth month of pregnancy may help identify women with body dissatisfaction; moreover, perceived body size might be a key factor in preventing an increase in body dissatisfaction from the second to third trimesters.


Asunto(s)
Insatisfacción Corporal , Imagen Corporal , Índice de Masa Corporal , Humanos , Femenino , Embarazo , Estudios Longitudinales , Japón , Adulto , Insatisfacción Corporal/psicología , Imagen Corporal/psicología , Encuestas y Cuestionarios
3.
Eat Weight Disord ; 29(1): 59, 2024 Sep 13.
Artículo en Inglés | MEDLINE | ID: mdl-39269521

RESUMEN

PURPOSE: This research identified whether adolescent religiosity was associated with body satisfaction and disordered eating in adolescence and early adulthood and explored gender/sex differences in these associations. METHODS: Project EAT (Eating and Activity in Teens and Young Adults) is a longitudinal cohort study following participants from adolescence into young adulthood. For this analysis (N = 1620), religiosity (importance of religion and frequency of religious service participation) during adolescence was examined as a correlate of body satisfaction and disordered eating (binge eating, maladaptive behaviors intended to lose or maintain weight, eating to cope, and dieting) at the same life stage (EAT-II, 2003-2004, Mage = 19.4 years) and during young adulthood (EAT-IV, 2015-2016, Mage = 31.5 years). Analyses used linear and logistic regression models adjusted for demographics and adolescent body mass index. RESULTS: During adolescence, females who placed greater importance on religion had higher body satisfaction, 22% higher odds of binge eating, and 19% greater odds of dieting in the past year, while more frequent attendance of religious services was associated with higher body satisfaction and 37% greater odds of dieting past year. Among males, only frequent attendance of religious services was associated with higher adolescent body satisfaction. Longitudinally, among females, only frequent attendance of religious services in adolescence predicted higher levels of body satisfaction in young adulthood. No significant longitudinal associations were observed among males. CONCLUSIONS: Our findings contribute to understanding the complex interplay between religiosity, gender, and body satisfaction. Further research should explore cultural factors influencing these associations and qualitative aspects of religious experiences to inform nuanced interventions. LEVEL OF EVIDENCE: Level III, cohort study.


Asunto(s)
Imagen Corporal , Trastornos de Alimentación y de la Ingestión de Alimentos , Humanos , Masculino , Femenino , Adolescente , Estudios Longitudinales , Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Adulto Joven , Adulto , Imagen Corporal/psicología , Estudios Transversales , Satisfacción Personal , Religión , Insatisfacción Corporal/psicología , Factores Sexuales , Conducta Alimentaria/psicología
4.
Rev Paul Pediatr ; 43: e2023221, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39258665

RESUMEN

OBJECTIVE: The aim of this study was to analyze the association between participation in fitness-related exercises (FRE) and body image dissatisfaction (BID) in adolescents and evaluate the interaction between physical exercise and nutritional status in this association. METHODS: A cross-sectional study was conducted in 2015 involving 799 adolescents (10-16 years old) from 14 public schools in Curitiba (PR), Brazil. BID was assessed using the Body Shape Questionnaire and the Silhouette Scale. The FRE was classified as "does not practice," "practices ≤300 min/week," and "practices >300 min/week" by the Physical Activity Questionnaire for Adolescents. Poisson and multinomial logistic regressions, adjusted for sex, sexual maturation, and nutritional status analyzed the association of FRE and BID. RESULTS: The BID prevalence was 28.3%; 52.4% of the adolescents wanted to reduce their silhouettes; and 48.7% did not practice FRE. Adolescents who practiced FRE >300 min/week had a 28% higher prevalence for some level of BID (PR 1.28; 95%CI 1.08-1.52) and a 46% lower chance of wanting to reduce silhouettes (OR 0.54; 95%CI 0.35-0.82), compared to nonpractitioners. There was no interaction between FRE and nutritional status in association with BID. CONCLUSIONS: The adolescents who practice FRE >300 min/week are likely to have some level of BID and are less likely to report the desire to increase their silhouettes, regardless of their nutritional status.


Asunto(s)
Insatisfacción Corporal , Ejercicio Físico , Aptitud Física , Humanos , Adolescente , Estudios Transversales , Brasil , Femenino , Masculino , Ejercicio Físico/psicología , Insatisfacción Corporal/psicología , Niño , Aptitud Física/psicología , Estado Nutricional , Imagen Corporal/psicología , Encuestas y Cuestionarios
5.
Medicina (Kaunas) ; 60(8)2024 Jul 24.
Artículo en Inglés | MEDLINE | ID: mdl-39202478

RESUMEN

Background and Objectives: The global rise in obesity presents a significant public health challenge, with Turkey exhibiting one of the highest obesity rates in Europe. Body image dissatisfaction (BID) and lower food literacy (FL) have been associated with obesity, yet their interplay remains underexplored. This study aimed to investigate the relationship between body mass index (BMI), body image dissatisfaction, and FL in adults in Turkey. Materials and Methods: In total, 759 women and 419 men aged 18-64 years old were included in this study. The mean age was 31.34 ± 11.92. A total of 1178 participants completed an online questionnaire assessing anthropometric measurements, BID, using the Stunkard Figure Rating Scale, and FL, using a validated questionnaire. The data were analyzed using descriptive statistics, correlation analysis, and mediation analysis to explore the relationships between variables in SPSS 24.0. Results: Women desired to be thinner more frequently than men, and those with negative BID were predominantly individuals with overweight or obesity. Moreover, those with higher FL scores were more likely to be satisfied with their bodies. Correlation analysis demonstrated a negative relationship between BMI and FL (r = -0.94; p = 0.001) and a positive relationship between BMI and BID (r = 0.628; p < 0.001). Mediation analysis revealed that FL mediated the relationship between BID and BMI (ß = -2.281; lower limit = -3.334, upper limit = -1.228). Conclusions: The findings highlight the importance of addressing BID and enhancing FL to mitigate obesity risk factors. This study contributes to understanding the complex interplay between BID, FL, and obesity, providing insights for public health interventions aimed at obesity prevention and management.


Asunto(s)
Índice de Masa Corporal , Humanos , Femenino , Masculino , Adulto , Turquía , Persona de Mediana Edad , Adolescente , Encuestas y Cuestionarios , Imagen Corporal/psicología , Obesidad/psicología , Insatisfacción Corporal/psicología , Adulto Joven , Análisis de Mediación , Estudios Transversales
6.
Nutrients ; 16(16)2024 Aug 16.
Artículo en Inglés | MEDLINE | ID: mdl-39203866

RESUMEN

According to the Tripartite Influence Model, social media is one of the primary sources influencing women's body dissatisfaction. However, the role of social media influencers as a potential driver for impacting users' body image evaluation when disseminating content on social networks has been little investigated. The present research aims to explore the relationship between following three Instagram influencers (i.e., nutrition, fitness, and entertainment) and eating disorder (ED) symptoms and body dissatisfaction among a group of female users. A sample of 5060 women (mean age = 35.33 ± 9.33) were recruited with the collaboration of three Italian influencers, and self-reported questionnaires were administered. Women who followed the nutritional influencer account reported significantly higher scores on ED symptoms and body dissatisfaction than women who followed the fitness and entertainment influencer accounts (η2 = 0.05 and η2 = 0.02, respectively). Overall, following nutrition and fitness accounts (compared to entertainment accounts) and spending more time daily on social networks positively predicts ED symptoms (ß = 0.28, p < 0.001, ß = 0.10, p < 0.001, ß = 0.11, p < 0.001, respectively) and body dissatisfaction (ß = 0.07, p < 0.001, ß = 0.04, p < 0.001, ß = 0.07, p < 0.001, respectively). Moreover, following nutritional influencers compared to fitness influencers positively predicts ED symptoms (ß = 0.17, p < 0.001) but not body dissatisfaction. The current results suggest that being exposed to dieting and weight loss topics on social media might be particularly harmful for individuals with specific vulnerabilities. Practical implications will be discussed.


Asunto(s)
Insatisfacción Corporal , Trastornos de Alimentación y de la Ingestión de Alimentos , Medios de Comunicación Sociales , Humanos , Femenino , Adulto , Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Insatisfacción Corporal/psicología , Encuestas y Cuestionarios , Imagen Corporal/psicología , Persona de Mediana Edad , Adulto Joven , Italia , Autoinforme
7.
PLoS One ; 19(8): e0309396, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39186513

RESUMEN

BACKGROUND: During pregnancy, women's bodies undergo rapid body weight and size changes within a relatively short period. Pregnancy may therefore, be associated with an increased vulnerability for developing body image dissatisfaction linked to adverse health outcomes for the mother (e.g., depression, eating disorders) and child (e.g., impaired self-regulation, childhood obesity). The present study aims to examine the prevalence and trajectories of body image dissatisfaction during pregnancy and postpartum and its relationship to pre-pregnancy BMI. This is the first study that investigates prevalence rates of body image dissatisfaction not only ante- but also postpartum, and that compares trajectories of women with normal weight and overweight. METHODS: A prospective longitudinal design with a quantitative approach was applied. Healthy pregnant women (N = 136) answered paper-pencil or online questionnaires at four time points (18th-22nd and 33rd-37th week of gestation, 3 and 6 months postpartum). Body image dissatisfaction was assessed using the German version of the Body Shape Questionnaire (BSQ) and the Eating Disorder Examination Questionnaire (EDE-Q). Both questionnaires are considered reliable and valid measures of several aspects of body image, and the BSQ allows for calculating prevalence rates by providing cut-off values. Using not just one but two body image questionnaires, trajectories of body image dissatisfaction can be compared. Pre-pregnancy BMI was assessed retrospectively via self-reported weight and height. RESULTS: The proportion of women reporting elevated levels of body image dissatisfaction was 6.6% (n = 9) in the second trimester, 2.9% (n = 4) in the third trimester, 11.0% (n = 15) three months postpartum, and 10.3% (n = 14) six months postpartum. Repeated measures ANOVA revealed that body image dissatisfaction significantly decreased from pre-pregnancy to pregnancy, remained stable during pregnancy, and returned to pre-pregnancy levels three to six months postpartum. Mixed between-within ANOVA showed that the overweight/obese group reported significantly higher levels of body image dissatisfaction at each measurement point except during the third trimester than women in the normal weight group. Significant but small interaction effects between time and pre-pregnancy BMI were found. CONCLUSIONS: The results revealed that approximately every tenth woman is affected by body image dissatisfaction after childbirth. Women with a higher BMI level before pregnancy are particularly at risk of experiencing body image dissatisfaction. Healthcare providers should screen for body image dissatisfaction, in particular after childbirth, and inform affected women about possible adverse health outcomes and treatment options. Study limitations concern the drop-out rate of 51.4% and the retrospective and self-reported assessment of pre-pregnancy BMI. Future studies should include additional assessment points in the first trimester and more than six months postpartum and try to include a matched control group of non-pregnant women to compare prevalence rates and trajectory of body image dissatisfaction.


Asunto(s)
Insatisfacción Corporal , Imagen Corporal , Índice de Masa Corporal , Periodo Posparto , Humanos , Femenino , Embarazo , Periodo Posparto/psicología , Adulto , Insatisfacción Corporal/psicología , Estudios Prospectivos , Imagen Corporal/psicología , Estudios Longitudinales , Encuestas y Cuestionarios , Adulto Joven , Sobrepeso/psicología , Sobrepeso/epidemiología
8.
PLoS One ; 19(8): e0307597, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39110711

RESUMEN

Videos glamourising disordered eating practices and body image concerns readily circulate on TikTok. Minimal empirical research has investigated the impact of TikTok content on body image and eating behaviour. The present study aimed to fill this gap in current research by examining the influence of pro-anorexia TikTok content on young women's body image and degree of internalisation of beauty standards, whilst also exploring the impact of daily time spent on TikTok and the development of disordered eating behaviours. An experimental and cross-sectional design was used to explore body image and internalisation of beauty standards in relation to pro-anorexia TikTok content. Time spent on TikTok was examined in relation to the risk of developing orthorexia nervosa. A sample of 273 female-identifying persons aged 18-28 years were exposed to either pro-anorexia or neutral TikTok content. Pre- and post-test measures of body image and internalisation of beauty standards were obtained. Participants were divided into four groups based on average daily time spent on TikTok. Women exposed to pro-anorexia content displayed the greatest decrease in body image satisfaction and an increase in internalisation of societal beauty standards. Women exposed to neutral content also reported a decrease in body image satisfaction. Participants categorised as high and extreme daily TikTok users reported greater average disordered eating behaviour on the EAT-26 than participants with low and moderate use, however this finding was not statistically significant in relation to orthorexic behaviours. This research has implications for the mental health of young female TikTok users, with exposure to pro-anorexia content having immediate consequences for internalisation and body image dissatisfaction, potentially increasing one's risk of developing disordered eating beliefs and behaviours.


Asunto(s)
Belleza , Imagen Corporal , Trastornos de Alimentación y de la Ingestión de Alimentos , Humanos , Femenino , Adulto , Adolescente , Imagen Corporal/psicología , Adulto Joven , Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Estudios Transversales , Insatisfacción Corporal/psicología , Conducta Alimentaria/psicología , Satisfacción Personal
9.
Nutrients ; 16(16)2024 Aug 13.
Artículo en Inglés | MEDLINE | ID: mdl-39203822

RESUMEN

Body image and eating disorders pose significant challenges to the overall health of athletes. However, divergent findings exist regarding the potential association between athletes' body image and eating disorders. This systematic review aims to examine the relationship between these two variables and identify the modifiers of the association, such as gender, age, race, and exercise type. A search was conducted in five databases (Web of Science, PubMed, APA PsycINFO, ProQuest, and EBSCO), aiming to identify studies on athletes and involved body image and eating disorders in their conclusions. Ultimately, thirty-one studies were included for systematic evaluation. The results of the studies indicate that the relationship between athletes' body image and eating disorders is complex and inconclusive. In some types of sports, eating disorders can occur even when athletes are satisfied with their body image. Furthermore, female athletes, particularly young female athletes, and athletes involved in sports associated with leanness are more prone to eating disorders and body dissatisfaction. Due to limited resources in this type of research, there is a lack of comprehensive inclusivity across sports disciplines, genders, races, and levels of sports proficiency, which warrants further research.


Asunto(s)
Atletas , Imagen Corporal , Trastornos de Alimentación y de la Ingestión de Alimentos , Adolescente , Adulto , Femenino , Humanos , Masculino , Adulto Joven , Atletas/psicología , Insatisfacción Corporal/psicología , Imagen Corporal/psicología , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Factores Sexuales , Deportes/psicología
10.
Acta Psychol (Amst) ; 249: 104386, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39174407

RESUMEN

Virtual Reality has significantly improved the understanding of body experience, through techniques such as Body Illusion. Body Illusion allows individuals to perceive an artificial body as their own, changing body perceptual and affective components. Prior research has predominantly focused on female participants, leaving the impact of Body Illusion on males less understood. This study seeks to fill this gap by examining the nuanced bodily experiences of men in comparison to women. 40 participants (20 females and 20 males) were proposed with visuo-tactile synchronous and asynchronous Body Illusion to explore changes in body satisfaction and body size estimation across three critical areas: shoulders, hips, and waist. Results revealed significant initial disparities, with females displaying greater body dissatisfaction and a tendency to overestimate body size. After Body Illusion, females adjusted the hips perceived body size closer to that of the virtual body and reported increased body satisfaction independent of the condition. Conversely, males showed changes only in waist size estimation only after synchronous stimulation without significant shifts in body satisfaction. These results suggest a higher sensitivity of women to embodied experiences, potentially due to societal influences and a greater inclination towards self-objectification. These insights pave the way for creating more refined and effective interventions for body image issues, highlighting the importance of incorporating gender-specific considerations in VR-based prevention and therapeutical programs.


Asunto(s)
Imagen Corporal , Ilusiones , Realidad Virtual , Humanos , Masculino , Femenino , Imagen Corporal/psicología , Ilusiones/fisiología , Adulto , Adulto Joven , Factores Sexuales , Satisfacción Personal , Tamaño Corporal/fisiología , Caracteres Sexuales , Insatisfacción Corporal
11.
Front Public Health ; 12: 1420532, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39118976

RESUMEN

Introduction: Body dissatisfaction significantly impacts depression among adolescents with polycystic ovary syndrome (PCOS). This relationship is compounded by various factors. Our study aims to explore the roles of self-esteem and self-compassion in the relationship between body dissatisfaction and depression in adolescent with PCOS. Methods: A cross-sectional study was conducted at the Shanghai First Maternity and Infant Hospital, involving 287 adolescents diagnosed with PCOS from January 2020 to December 2021. Participants completed validated questionnaires covering body dissatisfaction, self-esteem, self-compassion and depression. We utilized correlation and mediation analyses to examine the relationships and mediating effects among these variables. Results: Body dissatisfaction had a significant positive effect on depression (ß = 4.254, p < 0.001). Conversely, self-esteem (ß = -0.944, p < 0.001) and self-compassion (ß = -0.318, p < 0.001) were negative predictors of depression. Both self-esteem [ß = 3.405, 95% CI = (0.151, 0.305)] and self-compassion [ß = 1.525, 95% CI = (0.045, 0.165)] were shown to partially mediate the relationship between body dissatisfaction and depression, explaining 37.07% and 16.61% of the total effect, respectively. Conclusion: This study highlights the importance of fostering self-esteem and self-compassion among adolescents with PCOS to buffer the depressive effects of body dissatisfaction. Interventions aimed at promoting accurate and positive body perceptions, enhancing self-esteem, fostering a supportive attitude toward personal challenges, and maintaining positive emotional states are recommended to decrease the incidence of depression.


Asunto(s)
Insatisfacción Corporal , Depresión , Empatía , Síndrome del Ovario Poliquístico , Autoimagen , Humanos , Femenino , Adolescente , Síndrome del Ovario Poliquístico/psicología , Estudios Transversales , Insatisfacción Corporal/psicología , Depresión/psicología , China , Encuestas y Cuestionarios , Imagen Corporal/psicología
12.
J Med Internet Res ; 26: e51957, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39088263

RESUMEN

BACKGROUND: The widespread use of online social networks, particularly among the younger demographic, has catalyzed a growing interest in exploring their influence on users' psychological well-being. Instagram (Meta), a visually oriented platform, has garnered significant attention. Prior research has consistently indicated that Instagram usage correlates with heightened levels of perfectionism, body dissatisfaction, and diminished self-esteem. Perfectionism is closely linked to self-criticism, which entails an intense self-scrutiny and is often associated with various psychopathologies. Conversely, self-compassion has been linked to reduced levels of perfectionism and stress, while fostering greater positive affect and overall life satisfaction. OBJECTIVE: This study investigates the relationship between Instagram usage (time of use and content exposure) and users' levels of self-compassion, self-criticism, and body dissatisfaction. METHODS: This study comprised 1051 adult participants aged between 18 and 50 years, either native to Spain or residing in the country for at least a decade. Each participant completed a tailored questionnaire on Instagram usage, along with abbreviated versions of the Self-Compassion Scale, the Body Shape Questionnaire, and the Depressive Experiences Questionnaire, spanning from January 23 to February 25, 2022. RESULTS: A positive correlation was observed between daily Instagram usage and self-criticism scores. Participants of all age groups who spent over 3 hours per day on Instagram exhibited higher self-criticism scores than users who spent less than 1 hour or between 1 and 3 hours per day. Contrary to previous findings, no significant relationship was detected between Instagram usage time and levels of self-compassion or body dissatisfaction. Furthermore, content centered around physical appearance exhibited a positive correlation with self-criticism and body dissatisfaction scores. Among younger participants (aged 18-35 years), those who primarily viewed beauty or fashion content reported higher self-criticism scores than those consuming science-related content. However, this association was not significant for participants aged 35-50 years. Conversely, individuals who predominantly engaged with sports or fitness or family or friends content exhibited higher levels of body dissatisfaction than those focusing on science-related content. No significant associations were observed between self-compassion scores and daily Instagram usage or most-viewed content categories. CONCLUSIONS: The findings of this study underscore the considerable impact of Instagram usage on self-criticism and body dissatisfaction-2 variables known to influence users' psychological well-being and be associated with various symptoms and psychological disorders.


Asunto(s)
Insatisfacción Corporal , Empatía , Medios de Comunicación Sociales , Humanos , Adulto , España , Masculino , Femenino , Persona de Mediana Edad , Adulto Joven , Adolescente , Medios de Comunicación Sociales/estadística & datos numéricos , Insatisfacción Corporal/psicología , Autoimagen , Encuestas y Cuestionarios , Autoevaluación (Psicología) , Satisfacción Personal
13.
Eat Weight Disord ; 29(1): 46, 2024 Jul 12.
Artículo en Inglés | MEDLINE | ID: mdl-38997566

RESUMEN

PURPOSE: The purpose of this study was to explore changes in symptoms of eating disorders, compulsive exercise, and depression, between two assessments 12 months apart, among elite gymnasts. METHOD: Factors related to the development of mental health symptoms in male and female Swedish national team gymnasts were investigated using baseline and 1-year follow-up scores in two subscales of the Eating Disorders Inventory 3; drive for thinness and body dissatisfaction, two subscales of the Compulsive Exercise Test; avoidance and rule-driven behavior and exercise for weight control, and the Montgomery-Åsberg Depression Rating Scale-Self report (MADRS-S). Linear mixed models were used to investigate the influence of drive for thinness, exercise for weight control, avoidance and rule-driven behavior, and MADRS-S on body dissatisfaction. RESULTS: Body dissatisfaction increased from baseline to the follow-up assessment, while drive for thinness and depression remained stable. Symptoms of eating disorders and depression were generally low in this group of elite gymnasts at both assessments. Drive for thinness, exercise for weight control, and symptoms of depression were associated with body dissatisfaction. DISCUSSION: Our findings indicate that there were no significant changes over time in eating disorders and depression symptoms but significant associations with body dissatisfaction. Furthermore, we found independent effects of drive for thinness, exercise for weight control and symptoms of depression for body dissatisfaction.


Asunto(s)
Insatisfacción Corporal , Depresión , Ejercicio Físico , Trastornos de Alimentación y de la Ingestión de Alimentos , Gimnasia , Humanos , Femenino , Masculino , Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Suecia , Gimnasia/psicología , Depresión/psicología , Estudios de Seguimiento , Ejercicio Físico/psicología , Insatisfacción Corporal/psicología , Adulto Joven , Adolescente , Conducta Compulsiva/psicología , Adulto , Imagen Corporal/psicología
14.
J Drugs Dermatol ; 23(7): 545-550, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38954625

RESUMEN

Dermatologists routinely see patients with inflammatory skin conditions and aesthetic concerns that involve substantial psychological comorbidity. However, most dermatologists do not receive formal training in this area, and many are unsure how to best help treat certain patients holistically. Body dysmorphic disorder (BDD) is a common and distressing psychiatric condition that disproportionately impacts dermatology patients, including patients living with chronic inflammatory skin conditions such as acne and atopic dermatitis. BDD is characterized by preoccupation with nonexistent or minimally noticeable flaws in physical appearance that cause clinically significant distress or impairment in functioning. Adolescent populations may be particularly vulnerable to clinically significant body image dissatisfaction, including BDD, due to the high prevalence of acne and the pervasive role of social media platforms. The rise of social media may exacerbate body image issues through repetitive exposure to idealized and often unrealistic beauty standards. Though screening questionnaires can assist dermatologists in recognizing BDD, dermatologists must collaborate with mental health providers to provide comprehensive care to vulnerable patients, including adolescents.J Drugs Dermatol. 2024;23(7):545-550.  doi:10.36849/JDD.8156.


Asunto(s)
Trastorno Dismórfico Corporal , Humanos , Trastorno Dismórfico Corporal/psicología , Trastorno Dismórfico Corporal/diagnóstico , Trastorno Dismórfico Corporal/terapia , Trastorno Dismórfico Corporal/epidemiología , Adolescente , Imagen Corporal/psicología , Acné Vulgar/psicología , Acné Vulgar/diagnóstico , Acné Vulgar/terapia , Insatisfacción Corporal/psicología , Dermatología/métodos , Medios de Comunicación Sociales , Dermatitis Atópica/psicología , Dermatitis Atópica/diagnóstico , Dermatitis Atópica/terapia , Dermatólogos/psicología
15.
BMC Psychol ; 12(1): 371, 2024 Jun 29.
Artículo en Inglés | MEDLINE | ID: mdl-38951937

RESUMEN

BACKGROUND: Physical comparison may be a factor in body dissatisfaction and related issues, like eating disorders and depression. The Physical Appearance Comparison Scale-Revised (PACS-R) is a scale developed to assess the frequency of physical comparison. Because there is no validated scale for body comparison in Arabic, this study aims to address this gap by validating the PACS-R in the Arabic language. METHODS: The PACS-R was translated to Arabic following a conventional forward-backward translation procedure, and was administered to a sample of 359 Lebanese adults along with The Depression Anxiety Stress Scale, and the Rosenberg self-esteem scale (RSES) for convergent validity. The factor structure was studied by confirmatory factor analysis (CFA), and composite reliability was assessed using McDonald's omega and Cronbach's alpha. RESULTS: Results suggested a one-factor structure of the Arabic PACS-R, with good internal consistency (McDonald's ω = 0.97 / Cronbach α = 0.97). Measurement invariance was established across sex groups, with no significant difference being reported between males and females in terms of PACS-R scores (15.42 ± 10.64 vs. 13.16 ± 11.88; t(357) = 1.84; p = .066). Finally, adequate convergent validity was tested and found to be adequate, with PACS-R scores found to be correlated negatively with self-esteem and positively with psychological distress. CONCLUSION: The present findings preliminarily establish the Arabic PACS-R as an effective instrument for researchers and practitioners aiming to explore the physical comparison among Arabic-speaking populations, thus contributing to research and clinical work in the Arabic community.


Asunto(s)
Imagen Corporal , Psicometría , Autoimagen , Humanos , Femenino , Masculino , Adulto , Psicometría/instrumentación , Reproducibilidad de los Resultados , Imagen Corporal/psicología , Adulto Joven , Líbano , Persona de Mediana Edad , Traducciones , Traducción , Encuestas y Cuestionarios/normas , Insatisfacción Corporal/psicología , Adolescente , Escalas de Valoración Psiquiátrica/normas
16.
Brain Behav ; 14(7): e3609, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-39010696

RESUMEN

OBJECTIVE: Experiences of menopause and quality of life during menopause can vary extensively among women. While menopause has been associated with negative impacts on eating and body image, it is unclear to what extent quality of life differs by eating disorder risk status. The aim of this study was to explore how menopause symptoms and quality of life differ between those women at high- or low-risk of an eating disorder and the potential protective role of body appreciation. METHOD: This cross-sectional survey study explored differences in menopausal quality of life, body appreciation, and body dissatisfaction among women classified as high- or low-risk of an eating disorder as part of a wider survey on aging, health, and psychological complaints during midlife. Participants were 255 females aged between 40 and 60 years. Participants were classified as high-risk and low-risk of an eating disorder based on Eating Attitudes Test-26 (EAT-26) scores. Differences between groups on the Menopause-Specific Quality of Life Questionnaire (MENQOL), Body Shape Questionnaire (BSQ-16), and Body Appreciation Scale-2 were analyzed. The predictive relationship between menopausal quality of life and body appreciation was also explored. RESULTS: Participants in the high-risk group (n = 111) reported significantly poorer menopausal quality of life compared to the low-risk group (n = 144), scoring significantly higher on the sexual, physical, and psychosocial subscales of the MENQOL. The high-risk group also had significantly greater body dissatisfaction and less body appreciation than the low-risk group. Overall, menopausal quality of life was a significant predictor of body appreciation. DISCUSSION: Women with greater eating disorder risk may be faring less well with menopause. Treating and preventing menopause-related eating disorders will benefit from interventions aimed at not only reducing body dissatisfaction, but actively bolstering body appreciation and supporting the sexual, physical, and psychosocial aspects of the menopausal transition.


Asunto(s)
Insatisfacción Corporal , Imagen Corporal , Trastornos de Alimentación y de la Ingestión de Alimentos , Menopausia , Calidad de Vida , Humanos , Femenino , Calidad de Vida/psicología , Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Menopausia/psicología , Menopausia/fisiología , Adulto , Estudios Transversales , Persona de Mediana Edad , Insatisfacción Corporal/psicología , Imagen Corporal/psicología , Encuestas y Cuestionarios , Satisfacción Personal
17.
PLoS One ; 19(6): e0304987, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38857269

RESUMEN

INTRODUCTION: Body image distortion and/or dissatisfaction may occur primarily due to body fat accumulation and/or distribution. The aim of this study was to evaluate the frequency of body image perception and (dis)satisfaction categories in adult men and women according to the adiposity classification. METHODS: This is a cross-sectional study (n = 514; 33-79 years; 265 women) that is part of a prospective cohort (Pró-Saúde study). Adiposity measurements were determined by two methods: anthropometry, used to calculate the body mass index (BMI) and dual-energy X-ray absorptiometry (DXA), to estimate body fat percentage. Participants were grouped as "no excess adiposity" and "excess adiposity", considering BMI and body fat percentage (>30% for men, >40% for women). Perception and (dis)satisfaction with body image were evaluated using the Kakeshita scale, composed by 15 silhouettes, developed for the Brazilian population. Degree of distortion (perceived BMI - real BMI) and dissatisfaction (perceived BMI - desired BMI) were calculated. RESULTS: A high proportion of men (58.6%; 74.3%), and especially of women (82.6%; 86.8%), presented body size overestimation and dissatisfaction due to excess weight, respectively. A relevant fraction of the women (32.6%) and men (30.8%) who were dissatisfied due to excess weight did not present excess adiposity, especially if classified by DXA. Variability in degree of distortion was hardly explained by anthropometric and DXA variables in women (<5%) and men (∼22%). Both anthropometric and DXA measurements accounted for ∼30% and ∼50% of the variability in degree of dissatisfaction among women and men, respectively. CONCLUSION: Our results suggest a high frequency of body image distortion in Brazilian adult individuals, as well as dissatisfaction with excess weight, especially among women with excess adiposity. The findings indicate that anthropometric measurements explain much of the variability in degree of body image dissatisfaction in men, with no apparent advantage of the use of more refined DXA measurements.


Asunto(s)
Absorciometría de Fotón , Adiposidad , Imagen Corporal , Índice de Masa Corporal , Humanos , Masculino , Femenino , Persona de Mediana Edad , Adulto , Adiposidad/fisiología , Imagen Corporal/psicología , Anciano , Estudios Transversales , Satisfacción Personal , Brasil/epidemiología , Estudios Prospectivos , Insatisfacción Corporal/psicología
18.
J Affect Disord ; 361: 702-711, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-38897304

RESUMEN

BACKGROUND: Pregnancy can be experienced as a significant transition for many women with associated body dissatisfaction, depression, pregnancy-related anxiety, and disordered eating attitudes. Problematic Social Media Use (PSMU) creates abundant opportunities for women to compare themselves with others and expose themselves to sociocultural influences which may increase body dissatisfaction and psychological distress. AIMS: This study examined whether the relationship between PSMU and psychological distress (defined as depression, pregnancy-related anxiety and disordered eating attitudes) was mediated by negative social comparisons and body dissatisfaction. METHOD: A sample of 225 pregnant Australian women (Mage = 31.91 years, SDage = 4.39) recruited online, completed self-report measures related to the variables of interest. RESULTS: PSMU was associated with higher levels of depression, pregnancy-related anxiety, and disordered eating attitudes. Negative social comparisons and body dissatisfaction partially mediated the relationship between PSMU and pregnancy-related anxiety and depression, and fully mediated the relationship between PSMU and disordered eating attitudes. LIMITATIONS: Cross-sectional nature of the study limited our ability to determine the direction of the relationships. Moreover, the recruitment method via social media led to high rates of non-completion. CONCLUSION: The findings of this study suggest that problematic social media usage during pregnancy may increase depression, pregnancy-related anxiety and disordered eating attitudes. This study identified potential pathways that may explain this relationship, (via social comparisons and body dissatisfaction). This study highlights the potentially negative impact of social media use amongst expectant mothers and the importance of screening for body dissatisfaction in routine antenatal care.


Asunto(s)
Ansiedad , Insatisfacción Corporal , Depresión , Trastornos de Alimentación y de la Ingestión de Alimentos , Distrés Psicológico , Medios de Comunicación Sociales , Humanos , Femenino , Embarazo , Adulto , Medios de Comunicación Sociales/estadística & datos numéricos , Depresión/psicología , Depresión/epidemiología , Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Insatisfacción Corporal/psicología , Ansiedad/psicología , Ansiedad/epidemiología , Estudios Transversales , Australia , Complicaciones del Embarazo/psicología , Adulto Joven , Imagen Corporal/psicología
19.
J Bodyw Mov Ther ; 39: 142-155, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38876619

RESUMEN

INTRODUCTION: There is growing research evidence on bodily discourses and body image issues of women with disabilities. Within the art-based intervention repertoire for persons with disabilities, dance and movement-based therapies and interventions are gaining prominence. The aim of this study was to examine the impact of dance sessions (delivered online) on body image, body satisfaction/dissatisfaction, and wellbeing of women with disabilities. METHOD: A quasi-experimental waitlist control design study was conducted with data collected at two time points: baseline or pre-test and five-months later or post-test. Outcomes were measured using the Body Image Scale and the WHO-5-Wellbeing Index. RESULTS: The dance sessions were effective (Hedges' g = -0.56 -0.88; p < 0.01) and post-test body dissatisfaction scores were lower and wellbeing scores were higher for participants with a college degree or postgraduate degree, self-employed or students, and whose intervention compliance was above threshold (>50% dance sessions attended and corresponding homework sessions completed). Tobit regression models indicated that it was possible to estimate post-test outcomes due to dance sessions alone, controlling for significant socio-demographics. DISCUSSION: The domain knowledge of non-pharmacological art-based interventions for persons with disabilities, particularly women, is supported. CONCLUSIONS: Findings commend dance sessions as effective psychotherapeutic mechanisms to mitigate body dissatisfaction, improve body image and wellbeing of women with disabilities. Future research may focus on large-scale cross-sectional trials, variations in the repertoire for women with different disability types and histories, and qualitative narratives.


Asunto(s)
Imagen Corporal , Danzaterapia , Personas con Discapacidad , Humanos , Femenino , Imagen Corporal/psicología , Adulto , Personas con Discapacidad/rehabilitación , Personas con Discapacidad/psicología , Danzaterapia/métodos , Persona de Mediana Edad , Adulto Joven , Satisfacción Personal , Baile/fisiología , Baile/psicología , Insatisfacción Corporal/psicología , Calidad de Vida , Adolescente
20.
Body Image ; 50: 101738, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38850716

RESUMEN

Objectification theory has been instrumental in better understanding risk for eating disorders, depression, and sexual dysfunction, with self-objectification and body shame as serial mediators leading to these outcomes. Although originally proposed to explain these mental health outcomes in heterosexual women, researchers have extended objectification theory to individuals of various ages, racial identities, and sexual and gender identities. We conducted a systematic literature review of empirical peer-reviewed published research examining the relationship between the constructs of self-objectification, body dissatisfaction, and body shame in adult, youth, and LGBTQ+ samples. Our search yielded 5200 results, of which 318 met inclusion criteria. Of the papers included in this review, 26 reported correlations with sexual and gender diverse samples, 43 reported correlations with youth samples, and 249 reported correlations with samples of general adults (non-sexual or gender minorities). The meta-analyses yielded significant, moderate, positive correlations between body dissatisfaction and self-objectification, and between body shame and self-objectification, for each of the sub-samples. The majority of samples were predominantly White and cisgender female, suggesting the need for additional research examining these constructs among racial and gender minority populations. Overall, the results of this review highlight the unique contributions of body shame and body dissatisfaction to self-objectifying behaviors, and identify the moderating role of race and gender in these interrelations.


Asunto(s)
Insatisfacción Corporal , Imagen Corporal , Autoimagen , Vergüenza , Humanos , Insatisfacción Corporal/psicología , Imagen Corporal/psicología , Femenino , Adulto , Masculino , Adolescente , Minorías Sexuales y de Género/psicología , Minorías Sexuales y de Género/estadística & datos numéricos , Teoría Psicológica
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