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Assessment of body image in eating disorders with the body dysmorphic disorder examination.

The Body Dysmorphic Disorder Examination (BDDE) has several advantages for the assessment of body image in eating disorder patients. It measures distressing self-consciousness, preoccupation with appearance, overvalued ideas about the importance of appearance to one's self-worth, and body image avoidance and checking behaviors. The BDDE is relevant for any type of appearance complaint and is not limited to weight or body shape concerns. The BDDE measures the useful targets for body image therapy. In a sample of eating disorder patients, the Body Dysmorphic Disorder Exam had good internal consistency and was significantly correlated with other measures of body image. It added new information to the discrimination of women with eating disorders from clinical and nonclinical controls beyond that provided by other measures of body image.

Adolescent↗

Static and dynamic body image in bulimia nervosa: mental representation of body dimensions and biological motion patterns.

OBJECTIVE: The aim of the present study was to find out whether in bulimia nervosa the perceptual component of a disturbed body image is restricted to the overestimation of one's own body dimensions (static body image) or can be extended to a misperception of one's own motion patterns (dynamic body image). METHOD: Participants with bulimia nervosa (n = 30) and normal controls (n = 55) estimated their body dimensions by means of a photo distortion technique and their walking patterns using a biological motion distortion device. RESULTS: Not only did participants with bulimia nervosa overestimate their own body dimensions, but also they perceived their own motion patterns corresponding to a higher BMI than did controls. Static body image was correlated with shape/weight concerns and drive for thinness, whereas dynamic body image was associated with social insecurity and body image avoidance. CONCLUSION: In bulimia nervosa, body image disturbances can be extended to a dynamic component.

Adult↗

The reliability and validity of a group-administered version of the body image assessment.

The Body Image Assessment (BIA) is a simple measure of body image disturbance. However, it has currently only been used with an individual administration format and only to assess ratings of current body size, ideal body size, and body dissatisfaction. It has also only been validated for use with women. In the current two studies, the reliability and validity of a group-administered version of the BIA procedure for both men and women that also assessed ratings of the ideal opposite sex and predictions about what the opposite sex would prefer as most attractive was examined. In the first study, results indicated good test-retest reliability for the group version for current and ideal body size and good concurrent validity with the individual administration format of the BIA. The results of the second study supported the construct and predictive validity of the group administered BIA, suggesting that it is a time-efficient alternative to the original, individually administered assessment.

Adolescent↗

Adolescence and body image.

Concerns about body image range from a normal desire to look attractive to a pathological concern with thinness or physical perfection. Today, more than ever, adolescents in America are prone to body image distortions and dissatisfaction. The reasons for this are multi-determined and include the influence of the media and cultural expectations, as well as a discrepancy between an adolescent's own physical characteristics and the expectations of his or her social environment. Adolescents with severe body image distortions are vulnerable to developing serious psychiatric disorders that can have life-threatening consequences. Schools can help by providing guidance and information in a time of uncertainty.

Adolescent↗

Parent, peer, and media influences on body image and strategies to both increase and decrease body size among adolescent boys and girls.

This study investigated the nature of body image and body change strategies, as well as the sociocultural influences on these variables, among a group of 1,266 adolescents (622 males, 644 females). In particular, it investigated weight gain and increased muscle, as well as weight loss. It was found that females were less satisfied with their bodies and were more likely to adopt strategies to lose weight, whereas males were more likely to adopt strategies to increase weight and muscle tone. Respondents with higher body mass index (BMI) evidenced greater body dissatisfaction and more weight loss strategies, but there were no differences between BMI groups in weight gain or strategies to increase muscles. Weight gain and strategies to increase muscles were more likely to be undertaken by older adolescents, but there were no grade level differences in weight loss. Media influences to alter weight, as well as feedback from mother, father, and both male and female peers, were greater for females. There were few grade level or BMI differences in regard to any of the sociocultural influences. The importance of these findings in terms of providing a better understanding of factors which may lead to a disturbed body image and body change disorders, particularly among adolescent boys, is discussed.

Adolescent↗

Assessing altered body image.

Like pain, altered body image remains highly personal, abstract and difficult to describe. It has taken nearly a century to define the concept of body image, and to construe a reasonable working definition of altered body image (ABI). During this time, the assessment of body image has focused upon the researcher and his/her needs, rather than the professional nurse, who must arrive at a practical means to understanding patients' distress, and identify possible solutions. In this paper the author suggests parameters for the assessment of ABI in the practical arena, based both upon ongoing asthma care research and the experience of practitioners developing body image counsellor roles. It is suggested that altered body image should be assessed as part of an integrated approach, and that the complicated risk or cathexis scales developed for psychological research have limited use within the clinical setting.

Body Image↗

Discriminant analysis of personality and body-image factors of females differing in percent body fat.

The purpose of the study was to determine whether individuals with high percent body fat can be distinguished on the basis of personality and body-image from those possessing lower levels of body fat. 65 female college students were administered the 16 Personality Factor Questionnaire and the Secord and Jourard Body-cathexis Scale. Measurement of height, weight, and skin folds at the triceps and illiac crest were also taken. On the basis of percent body fat two groups of 20 females each (high and low percent body fat) were identified. From discriminant analyses one personality factor and six body-image items were identified which distinguished between groups. Reclassification of the subjects, based upon derived discriminant functions, resulted in 60.0% of the subjects being correctly reclassified from personality data and 100% of the subjects correctly reclassified from body-image data. Body-image appears to be an important factor that can distinguish between individuals possessing high and low levels of body fat.

Body Height↗

Body Weight and Body Image.

HEALTH ISSUE: Body weight is of physical and psychological importance to Canadian women; it is associated with health status, physical activity, body image, and self-esteem. Although the problems associated with overweight and obesity are indeed serious, there are also problems connected to being underweight. Weight prejudice and the dieting industry intensify body image concerns for Canadian women and can have a major negative impact on self-esteem. KEY FINDINGS: Women have lower BMIs than men, a lower incidence of being overweight and a higher incidence of being underweight. However, women across all weight categories are more dissatisfied with their bodies. Sixty percent of women are inactive, and women with a BMI of 27 or higher are more likely to be inactive than women with lower BMIs. The data show that women are aware of the health benefits of exercise, but there is a gap between knowledge and practice. When asked about barriers to health improvement, 39.7% of women cited lack of time and 39.2% lack of willpower. DATA GAPS AND RECOMMENDATIONS: Weight prejudice must be made unacceptable and positive body image should be encouraged and diversity valued. Health policies should encourage healthy eating and healthy activity. Health curricula for young students should include information about healthy eating, active lifestyle, and self-esteem. Physical activities that mothers can participate in with their families should be encouraged. Research should be funded to elucidate the most effective methods of getting women to become and remain physically active without focusing on appearance.

Journal Article↗

Body image and quality of life in post massive weight loss body contouring patients.

OBJECTIVE: Because post-bariatric surgery patients undergo massive weight loss, the resulting skin excess can lead to both functional problems and profound dissatisfaction with appearance. Correcting skin excess could improve all these corollaries, including body image. Presently, few data are available documenting body image and weight-related quality of life in this population. RESEARCH METHODS AND PROCEDURES: Eighteen patients who underwent both bariatric surgery and body contouring completed our study. Both established surveys and new surveys designed specifically for the study were used to assess body perception and ideals, quality of life, and mood. Patients were surveyed at the following time-points: pre-body contouring (after massive weight loss) and both 3 and 6 month post-body contouring. Statistical testing was performed using Student's t test and ANOVA. RESULTS: The mean age of the patients was 46 +/- 10 years (standard deviation). Quality of life improved after obesity surgery and was significantly enhanced after body contouring. Three months after body contouring, subjects ascribed thinner silhouettes to both current appearance and ideal body image. Body image also improved with body contouring surgery. Mood remained stable over 6 months. DISCUSSION: Body contouring after surgical weight loss improved both quality-of-life measurements and body image. Initial body dissatisfaction did not correlate with mood. Body contouring improved body image but produced dissatisfaction with other parts of the body, suggesting that as patients become closer to their ideal, these ideals may shift. We further developed several new assessment methods that may prove useful in understanding these post-surgical weight loss patients.

Analysis of Variance↗

[Body image and mental structure--the ascertainment of body experience in psychodynamic diagnostics].

The present paper introduces a new method for diagnosing the body image and reference to the integrational level of personality structure. First the body image is defined using five criteria: consciousness, flexibility, intersubjectivity, representational links to thought contents, and level of structural integration of the personality. Using axis four of the Operationalised Psychodynamic Diagnostics (OPD) as a starting point, dimensions are defined and described that allow assessment of the body image according to structural dimensions of the personality. The structural diagnostics of the body image can serve as a basis for a new rating instrument of body image integration.

Adult↗

(De)constructing body image.

The reification of body image leads to unarticulated ideological and conceptual assumptions that obscure the most dynamic and productive features of the construct. These assumptions are that body image: (1) 'exists'; (2) is a socially mediated product of perception; (3) is 'internal' and 'of the individual'; (4) can be treated and measured as if real; and (5) individuals' respond to body image measures as if neutrally providing information about pre-existing images held in their heads. We argue that it is more useful to consider body imaging as a process, an activity rather than a product.

Behavioral Research↗

Body image and dieting in pregnancy.

The present study evaluated body image, body satisfaction and dieting practices in pregnancy: a stage of life when social pressures for slimness might be expected to be relaxed. Pregnant women had lower scores on the Drive for Thinness subscale of the Eating Disorder Inventory, and when Body Mass Index was controlled for, had significantly lower Body Dissatisfaction Scale scores than non-pregnant women. They also rated themselves as less overweight in terms of body size. Dietary restraint was lower and current attempts to lose weight were less frequent in the pregnant group. However, there was no evidence that pregnancy was associated with any relaxation of body image ideals: pregnant women chose a similar size of figure to non-pregnant women as their ideal. These results suggest that the state of pregnancy can be associated with reduced weight concern despite an increased body size, but the effect appears to be state-dependent and is not mediated by shifts in body size ideals.

Adult↗

Multiple spin-echo MR imaging of the body: image contrast and motion-induced artifact.

For a given TR and TE, image quality changes when the number of spin echoes obtained is varied. To investigate the importance of this in clinical imaging, a total of 4 patients and 9 volunteers had MRI examinations of the abdomen (n = 7) and/or pelvis (n = 8) which included at least 2 sequences with identical TR (2000 or 2500 ms), TE (80 ms) and other parameters, but with a different series of refocusing pulses. Sequences included single-echo (S), asymmetric and symmetric double-echo (AD and SD) and quadruple-echo (Q) techniques. Image contrast and severity of motion-induced artifact was measured via blind examination by 3 independent MRI radiologists and calculation of signal-difference, signal-difference-to-noise ratios and intensity of motion-induced "ghost artifact." The order of decreasing signal differences was S, SD, AD and Q, and all of three liver lesions were better seen with S than with SD techniques. These observations are consistent with signal loss from cumulative inaccuracies from multiple 180 degrees RF pulses. The order of increasing intensity of ghost artifact was Q, SD, AD and S, consistent with the beneficial motion artifact-reducing effects of even-echo rephasing. Knowledge of these effects of multi-echo imaging allows one to make informed decisions about imaging protocols rather than to simply obtain multiple echoes "because they are free."

Abdomen↗

Body image of chronic dieters: lowered appearance evaluation and body satisfaction.

This study was conducted to determine the body image of a group of female chronic dieters. Participants were asked to complete a body image questionnaire, and their results were compared with age- and sex-matched reference norms. Chronic dieters possessed significantly lower appearance evaluation, lower body satisfaction, and higher self-classified vs actual body weight compared with reference norms. Body image dissatisfaction may prevent individuals from incorporating beneficial lifestyle behaviors, and thus it is important to address body image dissatisfaction with chronic dieters for the best chance at improving health, regardless of body size.

Adult↗