Relationships between body image and mental health in white, cisgender college students.

PURPOSE: Previous studies have suggested that drive for leanness (DL) may be less maladaptive than drive for thinness (DT) or drive for muscularity (DM). However, no studies have examined whether there might be gender differences in the relationships between these three drives and mental health variables. The purpose of this study was twofold. First, we wanted to examine DL in the context of mental health and to see if it is less maladaptive than DT and DM. Second, we wanted to examine gender differences in the relationships between body dissatisfaction (DT, DM, DL) and mental health in a sample of college students. METHODS: A sample of 988 White, heterosexual, cisgender college students (76.8% female) completed an omnibus survey measuring body image (DL, DT, DM) and mental health (generalized anxiety, social physique anxiety, self-esteem) variables. Regression analyses evaluated associations between these drives and mental health variables. RESULTS: DT predicted all three mental health outcomes in both men and women. DM predicted generalized and social physique anxiety in women but only generalized anxiety in men. DL predicted social physique anxiety only in women. CONCLUSION: Because we found gender differences in body image and relationships between body image and mental health, future studies should take gender into account when exploring body image and related variables. LEVEL OF EVIDENCE: V Cross-sectional descriptive study.

Self-reported eating disorder risk in lean and non-lean NCAA Collegiate Athletes.

PURPOSE: The purpose of this present study was to examine gender differences in overall scores on the Eating Attitudes Test (EAT-26) in National Collegiate Athletic Association (NCAA) college athletes in "lean" sports versus "non-lean" sports. METHODS: Using a self-report survey design, this study examined eating disorder risk in 121 NCAA college athletes, using the EAT-26. We expected that female athletes and athletes in "lean" sports would report higher scores on the EAT-26. RESULTS: There was a significant effect of sport type (lean vs. non-lean) on eating attitudes and behaviors, with those in non-lean sports reporting higher scores, on average, on the attitudinal measure and those in lean sports reporting, on average, higher scores on the behavioral measure. There was an interaction between gender and sport type (lean vs. non-lean) on eating attitudes and behaviors. Male athletes in non-lean sports had the highest overall average scores on the attitudinal portion of the EAT-26, and males in lean sports had the lowest scores. However, on the EAT-26 behavioral portion, men in lean sports reported significantly higher scores than did men in non-lean sports. Female athletes, regardless of sport type, reported similar scores on both the EAT- 26 attitudinal and behavioral sections. CONCLUSIONS: Our findings suggest that athletes, regardless of sport type and gender, may be affected by eating disorder symptomatology. Gender differences may be smaller in athletic populations than previously thought. Sport type may affect whether disordered eating symptomatology presents as attitudinal or behavioral in nature, especially in male athletes. LEVEL OF EVIDENCE: Descriptive study, Level V.

The effects of internalized shame and self-blame on disordered eating and drive for muscularity in collegiate men.

PURPOSE: The purpose of the present study was to explore the relative contributions of self-blame and internalized shame to variability in disordered eating and drive for muscularity scores in collegiate men. METHOD: One hundred and sixty-eight male college students in the Rocky Mountain region of the USA completed valid and reliable self-report survey measures: the Drive for Muscularity Scale, the Internalized Shame Scale, the Shame and Guilt Eating Scale to assess self-blame, and the Eating Attitudes Test. Cross-sectional data were analyzed through descriptive, correlation, and regression statistics. RESULTS: Men who reported higher levels of self-blame, r = 0.39, p < 0.001, and internalized shame, r = 0.38, p < 0.001, also reported higher levels of eating disorder symptomology. Similarly, men who scored higher on internalized shame, r = 0.20, p < 0.01, reported higher scores on drive for muscularity. Regression analyses revealed that internalized shame was the sole contributor to variability in drive for muscularity scores, ß = 0.20, p < 0.01, whereas both self-blame, ß = 0.27, p < 0.001, and internalized shame, ß = 0.24, p < 0.001, contributed to scores on disordered eating attitudes and behaviors in men. CONCLUSIONS: Our study was the first to examine how internalized shame and self-blame relate to drive for muscularity and disordered eating in collegiate men. Our results suggest that both self-blame and internalized shame may contribute to disordered eating in men. Additionally, internalized shame appears to relate to drive for muscularity in men. Clinicians may wish to consider how they approach treatment given the potential contributions of internalized shame and self-blame to disordered eating in their male clients. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.

Social media and body image: Relationships between social media appearance preoccupation, self-objectification, and body image.

Nearly 85 % of emerging adults report using at least one social media site. Research suggests that viewing and internalizing unrealistic body ideals often displayed online may pose harmful effects on young people's body image. However, studies on the relationships between social media usage and body image have predominantly focused on women's drive for thinness. We sought to explore the relationships between social media appearance-related preoccupation (SMARP), body shame and surveillance, and drives for leanness, muscularity, and thinness, specifically examining the moderating role of gender within these relationships. Data from 939 undergraduate students (n = 240 men) were analyzed using multigroup structural equation modeling. Surveillance significantly mediated the positive associations between SMARP and drive for leanness for women and men. For SMARP and drive for muscularity, surveillance was a mediator for men only. Shame emerged as a significant mediator of the positive association between SMARP and drive for thinness for women and men. Moderated mediation was supported, such that the indirect effect of SMARP on drive for thinness was significantly stronger for women. These results suggest that for men in particular, SMARP is not necessarily associated with increased drives for leanness and muscularity unless men are also engaging in body surveillance.

Checking the scales: A psychometric evaluation of the Weight Concerns Scale in a sample of college-aged cisgender men from the United States.

Historically, western societies have considered body image issues to predominantly affect young, White women. While in recent years men's body image issues have been increasingly highlighted by researchers and the media alike, many instruments currently used to identify clinically significant body image disturbances were developed and validated with samples solely of women and/or girls. One such measure, Killen et al.'s (1994) Weight Concerns Scale (WCS), was initially validated in a sample of adolescent girls. The WCS has yet to be validated in samples of men, despite being used in large national surveys of college men and women (e.g., the Healthy Minds Study; HMS) used to inform resources on college campuses. Accordingly, we used structural equation modeling to conduct invariance testing between college student cisgender men's (n = 2,248) and women's (n = 4,733) responses on the WCS via the HMS. Through the use of two different approaches of invariance testing, evidence for metric noninvariance of two of the five items was identified, and all five items evidenced a response pattern that favored women over men. Additionally, removing noninvariant items on the WCS impacted the moderating effect of gender with indicators of depression, anxiety, and eating disorder symptomology. These findings suggest that the use of the WCS may not be appropriate for use in a cis-male sample without modification. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Open-label treatment with olanzapine for patients with borderline personality disorder.

This report presents efficacy and safety outcomes for patients with borderline personality disorder (BPD) treated with olanzapine for up to 24 weeks. In 2 concurrent studies, patients received open-label olanzapine for 12 weeks after 12 weeks of double-blind olanzapine or placebo. Open-label dosing started at 2.5 or 5 mg/d and could be increased up to 20 mg/d (study 1) or 15 mg/d (study 2). The primary efficacy measure was open-label baseline-to-endpoint change in Zanarini Rating Scale for BPD (ZAN-BPD) total score. Of 472 patients who completed the double-blind acute phase, 444 entered and 320 (72.1%) completed 12 weeks of open-label extension treatment. Mean ZAN-BPD total scores at the start of the acute phase were approximately 17, indicating moderate symptom severity. Mean ZAN-BPD total scores ranged from 7.8 to 10.5 at the start of the open-label treatment and decreased to 5.7 to 6.5, indicating mild symptom severity, by the end of the open-label treatment. Patients taking placebo during the acute phase showed increases in weight, prolactin level, and other laboratory values during open-label olanzapine treatment similar in magnitude to increases seen in olanzapine-treated patients during the acute phase. Patients proceeding from olanzapine during the acute phase to open-label olanzapine showed smaller changes in weight and laboratory values. In conclusion, these results suggest that continued therapy with olanzapine may sustain and build upon improvements seen with acute olanzapine treatment of patients with BPD. However, no medication is currently approved for treatment of BPD, and physicians should carefully weigh potential benefits and risks of antipsychotic treatment in this population.

Drive for muscularity and drive for thinness: the impact of pro-anorexia websites.

In recent years, websites that stress the message of thinness as the ideal and only choice have surfaced on the internet. The possibility that pro-anorexia websites may reinforce restrictive eating and exercise behaviors is an area of concern. In addition, friends may be influencing one another to view these websites, further contributing to drive for thinness in women and drive for muscularity in men. Three hundred male and female undergraduate psychology students responded to questionnaires assessing: internalization of pro-anorexia website content, internalization of general media content, influence of friends to view pro-anorexia websites, peer influence, drive for muscularity, and drive for thinness. Results showed internalization of pro-anorexia website content was positively correlated with drive for thinness in women, and negatively correlated with drive for muscularity in men. Internalization of pro-anorexia website content was found to be related to both drive for thinness in women and drive for muscularity in men.

Motivation, goal orientation, coaching, and training habits of women ultrarunners.

Ultrarunners participate in running events that exceed the 26.2-mile marathon distance (e.g., 50k, 50-100 miles). Very little research exists on ultrarunners, especially women. This study is a descriptive study detailing the motivation, goal orientation, demographic characteristics (e.g., age, job demands, family structure), training habits (e.g., hours per week of training), and coach utilization of women ultrarunners. Participants (N = 344) were recruited via the Ultra List serve and 4 popular ultrarunning websites, and they completed a questionnaire on motivation, goal orientation, training, and coaching using Survey Monkey. General health orientation (mean ± SD) (4.71 ± 1.06) and psychological coping (4.71 ± 1.03) were the 2 strongest motivational factors. Participants were higher in task orientation (1.38 ± 0.68) (e.g., finishing the race or accomplishing various goals) than ego orientation (3.38 ± 1.01) (e.g., placing in the top 3 overall or beating an opponent). Women trained an average of 12.49 h·wk(-1) and spent 64% of their time training alone. Training information came from their own experience, blogs, websites, and the Ultra List Serve. Over three-fourths of the participants (80%) did not use a coach because of cost and a perceived lack of necessity. Women ultrarunners in this study were task oriented, internally motivated, health, and financially conscious individuals. With additional information about women ultrarunners, coaches will be better prepared to work with this population and ultrarunners can improve their performance by learning about current participants' practices.

Untangling the associations between generalized anxiety and body dissatisfaction: The mediating effects of social physique anxiety among collegiate men and women.

Researchers disagree on which types of anxiety influence body dissatisfaction and how gender (cisgender men vs. cisgender women) may impact these associations. Specifically, little is known about how generalized anxiety and social physique anxiety combine to predict body dissatisfaction in men and women. The purpose of the present study was to explore a moderated mediation model in which the relationships between generalized anxiety and body dissatisfaction (drive for thinness and drive for muscularity) were mediated by social physique anxiety and moderated by gender. Data from 423 U.S. college students (n = 259 women) were analyzed using multigroup structural equation modeling. Generalized anxiety was positively associated with social physique anxiety, and this association was significantly stronger for men than for women. Neither social physique anxiety nor generalized anxiety were associated with drive for muscularity. Social physique anxiety was positively and significantly associated with drive for thinness equally for men and women and emerged as a significant mediator. These results highlight gender differences/similarities in body image and suggest drive for thinness and social physique anxiety may have a common factor of generalized anxiety. When helping clients who suffer with body dissatisfaction, clinicians and researchers may wish to focus on generalized anxiety (and not just social physique anxiety).

What predicts adjustment among college students? A longitudinal panel study.

OBJECTIVE: Researchers have previously reported that law students and medical students experience significant distress during their first year. The authors suspected that freshmen undergraduates might experience similar distress in their transition to college. PARTICIPANTS: They surveyed 242 undergraduate freshmen at the beginning and end of their first year. METHODS: The authors asked participants about their physical health, alcohol use and smoking habits, stress levels, perfectionism, self-esteem, coping tactics, optimism, extroversion, and psychological adaptation to college. RESULTS: Data replicated the declines reported in law and medical students' psychological and physical health. Negative coping tactics and perfectionism predicted poorer physical health and alcohol use at the end of the year; however, optimism and self-esteem predicted better physical and psychological outcomes. CONCLUSION: Future researchers should investigate steps that college administrators can take to help to alleviate some of these problems, such as offering workshops on stress relief to incoming freshmen.

Correlations between exercise and anger in college students.

In a sample of 76 students (56 women, 20 men) from an upper division psychology class at this large university, men's and women's scores on the Anger subscale of the Profile of Mood States and self-reported exercise (-.34 and -.39, respectively) were significantly correlated. Men also reported exercising for longer periods, while women reported exercising more intensely. Researchers might well examine behavioral measures of anger and exercise over an extended period of time in an experimental design.

Relations of parental status with alcohol use patterns and attitudes about underage drinking.

In a sample of 143 adults from a population of households in Idaho, significant differences in patterns of alcohol use and attitudes about underage drinking were related to parental status. Nonparents reported drinking alcohol more frequently than parents. Parents were significantly more likely than nonparents to report that it is never acceptable for minors to drink alcohol, that minors should not be allowed to drink alcohol at parties with no parents present, and that "sting" operations by police are warranted. Surprisingly, nonparents were significantly more likely than parents to report stores and bars are not careful enough about selling alcohol to minors.

Athletic status and drinking behavior in college students: the influence of gender and coping styles.

College students' alcohol use as well documented, and published studies have indicated that athletes drink more frequently and more often to the stage of intoxication than do nonathletes. Some researchers have cited sociological factors to explain these behaviors, but neither the underlying emotional factors that drive students' alcohol use nor the interaction of gender and athletic status have been examined. The authors' twofold purpose in conducting this study was (1) to examine the influence of the interaction of gender and athletic status on the drinking behaviors of college students, and (2) to examine whether differences in male and female athletes' and nonathletes' coping styles influenced their drinking behaviors.

What predicts adjustment among law students? A longitudinal panel study.

Although at the time of this article's publication, many anecdotes and cross-sectional studies had reported that law students experience significant distress during their 1st year, few researchers had controlled for prelaw school status (e.g., M. Garrison, B. Tomko, & I. Yip, 1996; L. Guinier, M. Fine, J. Balin, A. Bartow, & D. L. Stachel, 1994), and only a single group of researchers had explored a psychosocial factor that predicted these changes. The present authors tested 3 sets of potential predictors of adjustment: sources of stress, coping strategies, and relationship factors. The present data replicated declines in students' psychological health, physical health, and attitudes toward law over the 1st year of school. That result supports the generalizability and currency of previous studies. In contrast to other researchers, the present authors found few gender differences. Less relationship happiness, less emotional support, and use of less active coping tactics at the beginning of the year predicted poorer outcomes at the end of the year. Strain from academic pressures, lack of personal time, and social isolation were correlated with poorer outcomes.

Body satisfaction in adolescent boys and girls: associations with parental behavior.

In a sample of 449 high school students, maternal smoking and maternal and paternal eating habits were significantly related to self-reported Body Satisfaction for girls, as measured by the Body Shape Questionnaire of Cooper, Taylor, Cooper, and Fairburn. However, only paternal eating habits were significantly related to self-reported Body Satisfaction for boys.

Media's influence on the drive for muscularity in undergraduates.

Although research has found that body ideals presented by the media influence women's body dissatisfaction, less is known about media's influence on men's body satisfaction. An online survey examining media use, the drive for muscularity, and internalization of appearance and body shape ideals was given to a sample of 311 participants comprised of both men and women. Results indicated (a) the more time men and women reported watching television, the higher their reported drive for muscularity (b) total hours of viewing sports-related, image-focused, and entertainment television related to increased drive for muscularity in women (c) drive for muscularity in men related to watching image-focused television and reading men's health magazines, and (d) internalization of athletic attitudes towards appearance mediated the relationship between total television watched and drive for muscularity in both genders. Clinicians may wish to utilize these findings when treating men and women suffering from drive for muscularity and body dysmorphia.

Relationships between self-esteem, media influence and drive for thinness.

The media is a powerful societal tool for expressing expectations about how men and women should look. As a result, over the past several years, women have shown an increase in body dissatisfaction (Cash, Morrow, Hrabosky, & Perry, 2004). The present study examined the relationships between drive for thinness, self-esteem, and media influence among men and women. Two hundred ninety-four college students completed the Texas Social Behavior Inventory (Helmreich & Stapp, 1974), Sociocultural Attitudes towards Appearance Scale-3 (Thompson, van den Berg, Roehrig, Guarda, & Hienberg, 2004), self-constructed questionnaire influence of media models, and the drive for Thinness Subscale (DT) from the Eating Disorder Inventory-3 (EDI-3; (Garner, 2004)). We expected to find an association between drive for thinness and media influence and between drive for thinness and self-esteem for both men and women. Finally, we expected that the use of media, social pressures and media internalization would be predictors of drive for thinness. We found a relationship between media influence and drive for thinness. There was also a relationship between self-esteem and drive for thinness. For both men and women, media models were the primary predictor for drive for thinness. However, for women the secondary predictor was social pressures; whereas for men the secondary predictor was internalization. Such findings show the importance of examining the impact of media sources on men and women in order to entangle gender differences.

Do exercise motives predict obligatory exercise?

Few studies have examined whether factors predicting obligatory exercise differ by gender. 303 participants completed the Obligatory Exercise Questionnaire and the Reason for Exercise Inventory. All variables correlated significantly. However, the correlation between exercising for fitness and obligatory exercise was significantly stronger in women than men. In women, obligatory exercise was predicted by exercising to improve body tone, fitness, and to enhance mood; in men, obligatory exercise was predicted by exercising to improve body tone, enjoyment, and perceived attractiveness. Implications for treatment are discussed.

Peer influence: use of alcohol, tobacco, and prescription medications.

OBJECTIVE: Risk-taking behavior (e.g., alcohol abuse, tobacco usage, misuse of prescription medications) among college students is a widespread problem. This study focused not only on the frequency of risky health behaviors in college students, but also the companions with whom they engaged in such behaviors. METHODS: Three hundred and twelve college students completed a survey examining the frequency with which they engaged in alcohol, tobacco, and improper prescription medication use, as well as with whom they were most likely to engage in these behaviors. RESULTS: Results indicated that participants were most likely to take health risks when accompanied by someone they consider a friend. Results also indicated gender differences in risk-taking behaviors, as well as an interaction effect between companion and gender. CONCLUSIONS: This information would be useful when developing preventive interventions for college students. Implementing interventions that are specific to certain populations might generate greater success in reducing risk-taking behavior.