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Handedness differences in body image distortion and eating disorder symptomatology.

OBJECTIVE: Previous research has shown decreased access in strong right-handers to processes lateralized to the right cerebral hemisphere. The current studies tested the hypothesis that decreased access to right hemisphere processes, as indexed by increasing strength of right-hand preference, is associated with deficits in body image representation. METHOD: Experiment 1 measured individual's perceived versus actual BMI values. Experiment 2 involved the administration of the Eating Disorders Inventory-2 (EDI-2). RESULTS: Experiment 1 revealed that strong right-handedness was associated with a larger discrepancy between actual and perceived BMI, relative to mixed-handedness. In Experiment 2, strong-handers scored higher on the EDI-2 than did mixed-handers. CONCLUSION: The results indicate that strong degrees of handedness are associated with deficits in accurate representation of body image and with increased eating disorder symptomatology in a nonclinical sample. Implications for research into the neural bases of eating disorders are discussed.

Adult↗

Perceptions of body image and health status in persons with mitral valve prolapse.

Twenty subjects with diagnosed Mitral Valve Prolapse (MVP) were interviewed regarding self-care needs. Transcripts were analyzed for evidence of perceived health state and altered body image. The majority of subjects described experiences indicating that their perceptions of body image and health state were affected by the diagnosis of MVP. Using Smith's (1981) four categories of health perceptions, most subjects were judged to perceive their health state from a combination of clinical, role-performance and adaptive perspectives.

Adolescent↗

BRIDGE (building the relationship between body image and disordered eating graph and explanation): a tool for parents and professionals.

BRIDGE (Building the Relationship Between Body Image and Disordered Eating Graph and Explanation) is a tool for mental health professionals, parents, teachers, and the general public. BRIDGE offers the potential for a new level of understanding between body image and disordered eating behaviors. This tool provides a framework that describes the connection between the attitudes we hold about our bodies and the corresponding behaviors we may practice. This practical tool takes fundamental concepts established in the eating disorder literature and presents them in a basic and easily understood manner. This paper invites further testing of this educational tool for parents, teachers, and professionals in a number of contexts including prevention and treatment programs.

Journal Article↗

[Symptom complex, prevalence of trauma and body image of psychiatric patients with self-injury behavior].

Within the group of in-patients the patients exhibiting self-injurious behavior (SIB) have a significantly more disturbed body image--as assessed by the Holtzman Inkblot Technique (HIT)--than the patients who do not have this symptomatology. The more disturbed the body image, the higher the frequency of SIB. The method of self-injury most frequently reported is cutting the skin of the extremities, followed by burning the skin with cigarettes or open flames. This behavior serves the purpose of alleviating diffuse internal tension, of directing aggression inward, i.e. toward the self, and of terminating depersonalization states. During the act of self-mutilation, the perception of pain is lessened appreciably or inactivated. 48 percent of the female patients in this group suffered sexual abuse during childhood.

Adolescent↗

Comparison of (123)I and (131)I for whole-body imaging in thyroid cancer.

UNLABELLED: We compared the diagnostic sensitivities of (123)I and (131)I whole-body imaging in differentiated thyroid cancer. METHODS: Twelve thyroidectomized patients (3 previously treated with (131)I) were studied. After a period of thyroid hormone withdrawal, whole-body imaging was performed approximately 24 and 72-96 h after administration of 74-185 MBq (2-5 mCi) (123)I and 111-185 MBq (3-5 mCi) (131)I, respectively. RESULTS: Both (123)I and (131)I revealed residual thyroid tissue, present in 9 patients. (131)I detected metastases in 5 studies of 4 patients. In 4 of 5 studies, (123)I missed metastases shown by (131)I in 8 body regions including the neck, mediastinum, lungs, and bone and detected 3 other sites of metastasis only in retrospect. No lesion was better seen with (123)I than with (131)I. CONCLUSION: Although (123)I is adequate for imaging residual thyroid tissue, it appears to be less sensitive than (131)I for imaging thyroid cancer metastases.

Aged↗

Body image disturbance in obese outpatients before and after weight loss in relation to race, gender, binge eating, and age of onset of obesity.

OBJECTIVE: To assess body image disturbance as a composite of three aspects (distortion, discrepancy, and dissatisfaction) in obese subjects before and after weight loss. Disturbance was then related to race, gender, binge eating behavior, and age of onset of obesity. METHODS: Eighty-two obese outpatients (24 males, 58 females) completed the Stunkard Figure Rating Scale (FRS). A Disturbance score was derived from the weighted sum of distortion, discrepancy, and dissatisfaction. The measures were repeated 4 weeks after starting a medically supervised liquid formula diet. RESULTS: Prior to weight loss, race (r =.28, p =.01) and gender (r =.25, p =.02) were each predictive of disturbance, with Caucasians and men having the most disturbance. Binge eaters exhibited more discrepancy (p =.03) and dissatisfaction (p =.005) than non-binge eaters. Early-onset subjects demonstrated more discrepancy than adult-onset subjects (p =.02). Following weight loss, disturbance scores decreased for all groups (p =.009). However, early-onset subjects still showed more discrepancy (p =.002) and more dissatisfaction (p =.005) than adult-onset subjects. DISCUSSION: Body image disturbance was viewed as a composite of three aspects. Prior to weight loss, the high disturbance score in Caucasians may be due to them experiencing greater cultural pressure to be thin. The men may have exaggerated their degree of obesity because of less denial of being overweight than women. Following weight loss, disturbance decreased for all groups but remained elevated for those with early onset, possibly because of a persistent self-image from adolescence.

Adolescent↗

Differential processing of self-referenced versus other-referenced body information among American and Chinese young adults with body image concerns.

Two experiments assessed the impact of self-referenced and other-referenced primes on processing of body-related information in samples of young adults from the United States and China. In Experiment 1, 46 American university students (41 females, 5 males) comprising groups higher and lower in body weight concerns engaged in a computer-based experiment wherein subliminal self-relevant (I) and other-related (He) primes were followed by positive and negative body words to be correctly classified as such. Relative to control group participants, those high in weight concerns had slower response latencies when classifying words presented with an I prime, especially positive I-primed words, compared to He-primed body words. This pattern was not observed for control words. In a second experiment comprised of 48 Chinese university students (45 females, 3 males), respondents high in weight concerns were again slower responding to I-primed body words relative to He-primed body words and control group participants. Consistent with cognitive perspectives identifying self-schemata as a central basis for body image disturbances, findings indicated both Chinese and American young adults with concerns about body weight experience interference in processing body information linked to the self.

Adolescent↗

Changes in eating self-efficacy and body image following cognitive-behavioral group therapy for binge eating disorder: a clinical study.

Binge eating disorder (BED) is a frequent and significant psychiatric comorbidity among individuals seeking treatment for obesity. Cognitive-behavioral therapy (CBT) is frequently recommended for the treatment of obese individuals with BED. However, there is limited investigation into the effectiveness of the specific components of CBT. In this study, we examine the impact of CBT for BED in obese women on self-efficacy for eating behavior and body image issues. Participants were 12 obese women who participated in a 15-week CBT group program. As predicted, results indicated a reduction in binge episode frequency and significant improvements in self-efficacy and body image pre- and posttreatment. These findings support the premise that a structured cognitive-behavioral group treatment program for obese individuals with BED will promote changes in self-efficacy and body image.

Journal Article↗

Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: a growth curve analysis.

Using data from a longitudinal community study (N = 231), the authors tested whether body-image and eating disturbances might partially explain the increase in depression observed in adolescent girls. Initial pressure to be thin, thin-ideal internalization, body dissatisfaction, dieting, and bulimic symptoms, but not body mass, predicted subsequent increases in depressive symptoms, as did increases in these risk factors over the study. There was also prospective support for each of the hypothesized mediational relations linking these risk factors to increases in depressive symptoms. Effects remained significant when other established gender-nonspecific risk factors for depression (social support and emotionality) were statistically controlled. Results provide support for the assertion that body-image and eating disturbances, operating above and beyond gender-nonspecific risk factors, contribute to the elevated depression in adolescent girls.

Adolescent↗

The "second skin": perceptions of disturbed and nondisturbed early adolescents on clothing, self-concept, and body image.

The purpose of this investigation was to determine if there were differences between regular education and emotionally disturbed early adolescents with respect to self-concept, body image, and selected uses of clothing. A questionnaire was administered to 74 regular education students from three middle schools. An additional 27 students labeled emotionally disturbed were surveyed from one of the schools. The questionnaire contained existing measures of self-concept and body cathexis and a revised clothing scale developed by the authors. Analysis of the data using t tests revealed significant differences between the groups with regard to self-concept and body image. In both cases, regular education students perceived themselves more positively than did those labeled emotionally disturbed. Factor analysis of the clothing-use measure gave rise to five distinct factors, one of which revealed a significant difference between the groups when analyzed by t tests. This factor, "dependence," examined the emotional effects of the use of clothing on individuals, such as the ability to influence mood. The emotionally disturbed students were less likely to use clothing to influence mood than were the regular education students. The results of this investigation lend further credence to the importance of self-concept in the education curriculum, and imply that the usual aspects of the curriculum that deal with self-concept may be served better by helping the individual become more realistic and self-accepting. The use of clothing as a tool to enhance self-concept merits further investigation.

Adolescent↗

Using creative arts to help children cope with altered body image.

A specific aspect of development to be considered when planning expressive activities for hospitalized children is the potential and actual effects of hospitalization and illness on their developing body image. Therapeutic activities which address this stressful issue can be an integral part of the care of pediatric patients. This manuscript highlights several categories of expressive activities to help illustrate the way in which these activities can be used individually and with groups of children for therapeutic intervention when dealing with body image issues. Case studies are presented.

Art Therapy↗

Correlates of body image dissatisfaction among overweight women seeking weight loss.

Predictors of body image dissatisfaction (BID) among obese people are poorly understood. In 79 obese women seeking weight reduction, associations with BID of self-esteem, youth teasing, adult teasing, and internalization of sociocultural appearance standards (ISAS) were studied. Analyses revealed that only self-esteem, adult teasing, and ISAS predicted BID. Results highlight the importance of adulthood self-esteem and interpersonal-cultural context--rather than childhood experiences--in predicting adulthood BID.

Adult↗

Body-image and eating disturbances predict onset of depression among female adolescents: a longitudinal study.

This study examined data from a 4-year school-based longitudinal study (n = 1,124), to test whether the increase in major depression that occurs among girls during adolescence may be partially explained by the body-image and eating disturbances that emerge after puberty. Elevated body dissatisfaction, dietary restraint, and bulimic symptoms at study entry predicted onset of subsequent depression among initially nondepressed youth in bivariate analyses controlling for initial depressive symptoms. Although the unique effect for body dissatisfaction was not significant in the multivariate model, this set of risk factors was able to fairly accurately foretell which girls would go on to develop major depression. Results were consistent with the assertion that the body-image- and eating-related risk factors that emerge after puberty might contribute to the elevated rates of depression for adolescent girls.

Adolescent↗

Self-enhancing effects of exposure to thin-body images.

OBJECTIVE: This study examines the effect of thin-body media images on mood, self-esteem, and self-image ratings of restrained and unrestrained eaters. A secondary purpose was to examine whether these effects were influenced by exposure duration. METHOD: Under the guise of a perception study, participants were exposed to thin-body or control advertisements (e.g., perfume bottles) for either 7 or 150 ms and then completed a questionnaire packet. RESULTS: Restrained eaters reported more favorable self-image and social self-esteem (but not appearance self-esteem) scores after exposure to thin-body images than after exposure to control advertisements. The self-image and social self-esteem scores of unrestrained eaters were unaffected by advertisement type, but their appearance self-esteem scores were lower after exposure to thin-body advertisements. No differences were found for mood ratings and total self-esteem. DISCUSSION: We discuss restraint status as a moderator of the effects of thin-body images on women's body image.

Adolescent↗

Body-image disturbances among obese adults: evaluation and treatment.

This paper describes how to diagnose and treat body-image disturbances by a clinical technique involving direct patient participation. The technique has been effective as a diagnostic barometer uncovering discrepancies between the reality of being fat and some patients' secret belief of being thin.

Adult↗

Studies of superobesity III: Body image changes after jejuno-ileal bypass surgery.

Changes in the perceptual-cognitive and affective components of the body image were studied in ten women who had undergone jejuno-ileal bypass surgery. As weight loss occurs, the cognitive body schema adjusts readily to the patients' new reality, whereas the affective component remains essentially unchanged during the first year after surgery. Implications of findings are discussed.

Adolescent↗

Weight-related body image concerns among 18-24-year-old women in Canada and India: an empirical comparative study.

OBJECTIVE: Sociocultural factors are important in the pathogenesis of eating disorders. We examined some core (DSM IV) features of eating disorders, i.e., drive for thinness and dissatisfaction with the weight of the abdomen, hips, and thighs among women in Canada and India. METHODS: A total of 65 Canadian (mean+/-S.D. age: 21.4+/-2.0 years) and 47 Indian (mean+/-S.D. age: 18.7+/-4.1 years) women completed the Drive for Thinness (DT) and Body Dissatisfaction (BD) subscales of the Eating Disorder Inventory (EDI) and in addition rated the degree to which they believed all major regions of their body were overweight. RESULTS: After the effects of body mass index (BMI) were partialled out statistically, the DT (EDI) and BD (EDI) scores were not significantly different between the two countries. In both groups, concerns about the weight of the abdomen, hips, thighs, and legs loaded on a factor that essentially described the 'body dissatisfaction' construct. After the effects of BMI were partialled out, however, the factor scores from this factor correlated with BD (EDI) in the Canadian but not the Indian sample. DISCUSSION: In contrast to the Canadian women, the Indian women did not overestimate the 'fatness' of their abdomen, hips, thighs, and legs. Among the Indian women, concerns about the weight of the upper torso (i.e., face, neck, shoulders, and chest) emerged as a distinct body image construct. In conclusion, after the effect of BMI was controlled for statistically, the Canadian and Indian women scored similarly on some of the core features of eating disorders, as measured by the DT (EDI) and BD (EDI) subscales, however, the nature of the underlying body image construct was different between the two groups.

Adipose Tissue↗

Abnormal eating attitudes and body image in older undernourished individuals.

An anorexia nervosa-like syndrome has been reported in older persons. To gain additional insight into this condition, a questionnaire designed to assess the severity of eating disorders (the EAT-26) was administered to 183 male outpatients. Thirty-four subjects were found to be undernourished by midarm circumference measurement and 21 by weight adjusted for age-sex-height. Approximately 60% of malnourished subjects acknowledged inappropriate self-control around food, up to 26% described other unsuitable eating attitudes, and 3% to 52% evidenced various forms of distorted body image. They scored high on EAT-26 Oral Control subscale but low to normal on Dieting and Bulimia and Food Preoccupation subscales. These results indicate that abnormal eating attitudes and body image occur in an important minority of undernourished elderly males, but the pattern of abnormalities differs from that seen in classical anorexia nervosa. This association deserves additional investigation, with special attention to the psychopathology producing high Oral Control responses and to females as well as males. In the meantime, clinicians need to consider anorexia-like attitudes when caring for malnourished seniors.

Aged↗