Body-related self-conscious emotions, self-compassion, and dietary restraint in Canadian undergraduate university students: A multilevel mediation and moderation analysis.

OBJECTIVE: Self-compassion has an inverse association with dietary restraint however, the mechanisms linking self-compassion and dietary restraint are not clear. This study aimed to determine to what extent self-compassion was inversely concurrently related to dietary restraint, indirectly through body-related self-conscious emotions, and to what extent trait self-compassion moderated the concurrent within-person association between body-related self-conscious emotions and dietary restraint. METHOD: Data was collected from 224 Canadian university students who reported on trait self-compassion at baseline and body-related shame, guilt, envy, and embarrassment, and dietary restraint biweekly between November 2020 and August 2021. RESULTS: Results from a 2-1-1 multilevel mediation model showed that trait self-compassion was indirectly concurrently related to dietary restraint through body-related shame, guilt, envy, and embarrassment. Results from the moderation model showed that there was a significant positive concurrent within-person association between body-related shame, envy, and embarrassment, but not guilt, with dietary restraint. These relationships were not moderated by trait self-compassion. DISCUSSION: This study adds to our understanding of the concurrent association between body-related self-conscious emotions and dietary restraint, and the mechanisms through which self-compassion is related to dietary restraint. Given body-related self-conscious emotions were related to dietary restraint at both the within-person and between-person level, both compassion-focused interventions that aim to improve general levels of body-related self-conscious emotions and interventions that aim to overcome spikes in these emotions compared with one's usual level are warranted. PUBLIC SIGNIFICANCE STATEMENT: Negative body-related self-conscious emotions were related to higher levels of dietary restraint both across individuals and within individuals over time; and may play a mechanistic role in linking self-compassion with dietary restraint. Interventions aimed at reducing negative body-related self-conscious emotions are warranted in the prevention of eating disorder psychopathology.

"Negative Things That Kids Should Never Have to Hear": Exploring Women's Histories of Weight Stigma in Physical Activity.

Scholars have proposed that cumulative experiences of anti-fat bias and stigma contribute to detrimental physical activity experiences, as well as social and health inequities. The objective of this research was to explore how enacted weight stigma experiences are constructed and impact women's physical activity experiences long term. Eighteen women who identified as having had negative experiences related to their body weight, shape, or size in physical activity contexts participated in semistructured interviews. Using reflexive thematic analysis, four themes were identified: (a) norms of body belonging, (b) distancing from an active identity, (c) at war with the body, and (d) acts of resistance. These findings deepen understandings of how historical experiences of weight stigma can have longstanding consequences on physical activity cognitions, emotions, and behaviors. To equitably promote physical activity, it is imperative that movement spaces (e.g., fitness centers, sport organizations) both target anti-fat stigma and adopt weight-inclusive principles.

"Bulking and cutting" among a national sample of Canadian adolescents and young adults.

PURPOSE: First, to characterize the prevalence and incidence of "bulk" and "cut" cycles among Canadian adolescents and young adults. Second, to determine the associations between bulk and cut cycle engagement and drive for muscularity and eating disorder and muscle dysmorphia psychopathology. METHODS: Data were from the Canadian Study of Adolescent Health Behaviors (2021; N = 2762), a national study of Canadian adolescents and young adults aged 16-30 years (M = 22.9, SD = 3.9). Prevalence and mean incidence of bulk and cut cycles in both the past 12 months and 30 days were estimated. Modified Poisson regressions were estimated to determine the associations between bulk and cut cycle engagement and levels of drive for muscularity and eating disorder and muscle dysmorphia psychopathology. RESULTS: The sample comprised of 53.5% women, 38.4% men, and 8.1% transgender/gender non-conforming (TGNC) individuals. Nearly half (48.9%) of men and one in five women (21.2%) and TGNC (21.9%) participants reported bulk and cut cycles in the past 12 months. TGNC participants and women reported a greater mean number of bulk and cut cycles completed compared to men. Engagement in bulk and cut cycles was associated with stronger drive for muscularity across the sample, and more severe eating disorder and muscle dysmorphia psychopathology among men and women. CONCLUSION: Findings underscore the common incidence and accompanying psychopathology of bulk and cut cycles among a community sample of adolescents and young adults in Canada, indicating the need for future research, as well as clinical and public health efforts. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.

Exploring adolescent girls' experiences of body talk in non-aesthetic sport.

INTRODUCTION: Body image concerns may contribute to poor sport experiences and low sport participation in girls. Objectification theory and evidence from studies in non-sport contexts suggests body talk may elicit an environment that fosters negative body image. However, the phenomenon of body talk within adolescent girls sport is not well-understood from an in-depth person-centered perspective. Therefore, the purpose of the present study was to explore adolescent girl athletes' experiences of body talk within sport. METHODS: Twenty Canadian girl athletes (ages 14-18 years) enrolled in team-based non-aesthetic sports participated in one semi-structured interview. Using a qualitative description approach, an inductive thematic analysis was used to generate three themes. RESULTS: "Body talk as a performance tactic" highlighted complimentary and negative body talk pertaining to sport performance came from coaches, opposing players, and parents. "Casual conversations and body talk" reflected body talk from teammates and male spectators that was not specific to sport but occurred in the sport context. "Coping with body talk" reflected strategies athletes used to combat negative body talk from teammates, and reflected the athletes' perceptions that negativity towards the body is normative. CONCLUSIONS: Body talk served many purposes within sport; researchers should further explore the diverse motivations and perceived utility of body talk across sport stakeholders. Creating standardized resources and policies to eliminate body talk may foster more positive and supportive sport experiences for girls.

Cheat meals: A benign or ominous variant of binge eating behavior?

OBJECTIVE: Engagement in "cheat meals" has been recently documented as a socially endorsed dietary practice oriented towards pursuing physique ideals, and which bears qualitative semblance to disordered eating behavior. However, the clinical significance of this dietary practice remains unclear. METHODS: We recruited a sample of young adults (n = 248; 56% women; Mage = 19.29 ±â€¯0.58) and examined the prevalence and characteristics of cheat meal engagement, including its associations with eating disorder pathology, psychological distress, and impairment in role functioning. RESULTS: Findings revealed that 89.1% of participants engaged in cheat meal consumption that was either planned or spontaneous, with planned cheat meals being predominantly aimed at managing food cravings and sustaining strict dietary regimens. Among men, the frequency of cheat meal engagement was positively associated with global eating disorder symptoms (p = 0.04), and objective binge episodes (p = 0.03), however cheat meals were not associated with psychological distress or clinical impairment for either gender (p > 0.05). CONCLUSIONS: These preliminary findings suggest that cheat meal engagement is commonly endorsed among young adults, and particularly among men. Moreover, cheat meals may reflect psychopathological properties akin to binge episodes, although do not confer psychological distress. Future research is urged in elucidating the definitional properties of cheat meal engagement, and examining clinical implications for this widespread dietary practice.

"The Weight Is Even Worse Than the Cancer": Exploring Weight Preoccupation in Women Treated for Breast Cancer.

Cancer-related changes in body weight are problematic given that excess weight is associated with an increased risk of cancer reoccurrence and mortality. The purpose of this qualitative study was to explore the experiences of weight-concerned women treated for early-stage breast cancer. A purposeful sample of women were selected based on criteria for high weight and body image concerns ( n = 11; Mage = 65.31 ± 10.96 years). Each participant engaged in a one-on-one semi-structured interview. Five themes were identified: weight concerns contributed to psychological distress, prevalent history of weight cycling and ongoing quest to manage weight, shifting psychological impact of cancer versus weight, perceptions of failure around goal-oriented weight management behaviors, and internalized and explicit social pressures for weight loss in the context of risk reduction. In light of the fundamental challenges of weight management, and the present findings, improving weight-related distress should be a clinical priority to improve the well-being of women in survivorship.

"I am a fat baby, who moved to a fat child, who moved to a fat teenager, who moved to a fat adult": Women's reflections of a lifetime of body and weight concern.

The present study explored how women aged 50-65 years reflect and make meaning of a lifetime of body and weight struggles. Seven purposefully selected women with longstanding body image challenges participated in interviews and reflected on their perceptions, thoughts, and emotions around their body and weight since childhood. Findings revealed consistent and consuming concerns about the body; prevalent body-related self-conscious emotions; influential social experiences that impact physical self-perceptions; and enduring impacts of weight bias, stigma, and discrimination. Collectively, these findings provide support for the stability of body disturbances and highlight the need to explore the unique body-related narratives of women in midlife.

Symptom trajectories throughout two family therapy treatments for adolescent anorexia nervosa.

OBJECTIVE: This study aimed to examine the trajectory of symptom remission and affective functioning throughout the course of two family-based treatments for adolescent anorexia nervosa (AN): conjoint family-based treatment (FBT) and parent-focused treatment (PFT). METHOD: Participants were 107 adolescents (Mage = 15.5 years, SD = 1.5) with a primary diagnosis of AN who participated in a randomized clinical trial comparing FBT (N = 55) and PFT (N = 51). Patient weight and self-reported assessments of dietary restraint and positive and negative affect were recorded at regular intervals throughout treatment. RESULTS: Multilevel models revealed increases in weight (ß = 0.33, p < .001) and positive affect (ß = 0.03, p < .001), and decreases in dietary restraint (ß = -0.03, p < .001) and negative affect (ß = -0.04, p < .001) over the course of treatment. No significant effects emerged by treatment type. DISCUSSION: These findings suggest that PFT may bring about comparable trajectories of weight gain and reduced dietary restraint as conjoint FBT, despite adolescents not being directly involved in treatment. These findings also highlight that the exclusively behavioral focus throughout both PFT and FBT is associated with significant increments in positive affect and significant reductions in negative affect.

A thematic content analysis of #cheatmeal images on social media: Characterizing an emerging dietary trend.

Despite the pervasive social endorsement of "cheat meals" within pro-muscularity online communities, there is an absence of empirical work examining this dietary phenomenon. The present study aimed to characterize cheat meals, and explore the meaning ascribed to engagement in this practice. Thematic content analysis was employed to code the photographic and textual elements of a sample (n = 600) that was extracted from over 1.6 million images marked with the #cheatmeal tag on the social networking site, Instagram. Analysis of the volume and type of food revealed the presence of very large quantities (54.5%) of calorie-dense foods (71.3%) that was rated to qualify as an objective binge episode. Photographic content of people commonly portrayed highly-muscular bodies (60.7%) in the act of intentional body exposure (40.0%). Meanwhile, textual content exemplified the idealization of overconsumption, a strict commitment to fitness, and a reward-based framework around diet and fitness. Collectively, these findings position cheat meals as goal-oriented dietary practices in the pursuit of physique-ideals, thus underscoring the potential clinical repercussions of this socially-endorsed dietary phenomenon.