The effectiveness of a masked counterconditioning approach using continuous flash suppression to alleviate body dissatisfaction in women with high body image concerns.

BACKGROUND AND OBJECTIVES: Research that used counterconditioning (CC) to reduce women's negative body image has led to mixed results. One explanation could be that the negative responses elicited by own body pictures hinder the effectiveness of CC procedures in adjusting overly negative attitudes towards the own body. In this study we therefore tried to prevent the impact of negative responses by limiting women's perceptual awareness of the own body pictures during the CC procedure. METHODS: Women with a negative body image were randomly assigned to an experimental (n = 75) or control (n = 71) condition. In the experimental condition, participants' masked body pictures were systematically followed by visible social approval cues (i.e., smiling faces), whereas neutral body-unrelated control pictures were followed by a blank screen. In the control condition, both own body and control pictures were followed by a blank screen. RESULTS: Participants in the experimental condition did not report a more positive evaluation of the own body (pictures) after CC than participants in the control condition. Also, the strength of automatic affective body evaluations as indexed by a single-target Implicit Association Test did not differ between conditions. LIMITATIONS: Many participants did not remain fully unaware of their body pictures during conditioning. CONCLUSIONS: The findings provided no support for the idea that CC with masked own body pictures can be used in women with body dissatisfaction to improve their body image.

Subjective disgust and facial electromyography responses towards unedited and morphed overweight self-pictures in women with varying levels of eating disorder symptomatology.

Individuals with an eating disorder (ED) often report to be disgusted by their body. Body-related self-disgust could play an important role in the development and maintenance of EDs. We investigated if women with relatively high ED symptom scores indeed respond with disgust upon exposure to their body as indexed by facial electromyography (fEMG) of the m. levator labii superioris and self-report. Given that one's self-disgust may increase/decrease depending on the relative distance of the own body to the thin ideal, we also assessed women's disgust for overweight- and thin-morphs of their body. Female undergraduate students (N = 104) were photographed and presented with their (morphed) body pictures, next to disgust-relevant and overweight body control pictures. Higher levels of ED symptoms were associated with stronger self-reported disgust to unedited body-pictures and overweight-morphs. Disgust to thin-morphs was unrelated to ED symptoms. Participants generally showed heightened facial disgust towards overweight morphs, yet the strength of facial disgust was unrelated to ED symptoms. Thus, the findings provide evidence for the involvement of heightened body-related self-disgust in ED symptomatology, albeit only on the basis of self-report.

Reducing body dissatisfaction by means of an evaluative conditioning procedure in undergraduate women: A replication study.

The aim was to investigate whether a computer-based evaluative conditioning (EC) procedure using positive social feedback is effective in enhancing body satisfaction. Prior findings in three small-scale studies were mixed showing positive effects in pre-clinical samples, but not in a clinical sample of eating disorder patients. Therefore, our main goal was to replicate the original finding of Martijn et al. (2010) in a well-powered unselected sample of 129 female undergraduates. We assessed the impact of EC on questionnaire measures of body satisfaction as well as on affective ratings of the participants' body pictures used in the task to verify whether the EC procedure was effective in heightening the subjective valence of these pictures. Supporting the validity of the current EC procedure, participants in the experimental condition rated their own pictures after the training as more positive than participants in the control condition. However, this effect of the EC procedure did not transfer to the self-report indices of body satisfaction. In addition, women with relatively high body concern did not profit more from the EC procedure than women with relatively low body concern. Together, these findings suggest that the EC procedure in its present form is not ready for use as an intervention for improving body satisfaction. However, it seems worthwhile to investigate in future studies how the EC procedure can be further strengthened in a way that effects on stimulus ratings eventually also 'spill over' to the level of self-reported body satisfaction.