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Participants maintained a social interaction diary and completed a measure of body image. Body image was found to have three factors, body attractiveness, social attractiveness (how attractive people believed others found them to be), and general attractiveness. For both men and women, self-perceptions of body attractiveness and of social attractiveness were positively related to the intimacy they found in interaction. Self-perceptions of social attractiveness were positively related to women's confidence in social interaction and their perceived influence over interaction, whereas for men, confidence and influence were unrelated to social attractiveness. For both men and women, body image was unrelated to how enjoyable people found interactions to be and was weakly related to how responsive they felt others were to them. For both men and women, body image was also unrelated to how socially active people were and to the relative distribution of same- and opposite-sex interactions.
Body image has come to mean not only the way one perceives his body but also how one feels about these perceptions. It is an important part of one's total self-concept. As such, it can present a significant problem for many individuals. For individuals with gender identity problems, such as transsexuals, body image dissatisfaction and distortion are a fundamental aspect of their condition. It is possible to more fully understand this condition by appreciating the distinction between the reality of the transsexual's body and his preferred body image. The Body Image (BI-I) scale presented here representa an effort to quantify the transsexual's body attitude. It consists of 30 body features which the subject is asked to rate on a 5-point scale of satisfaction. This test, as part of a larger seven-test battery, was administered to 16 male and 16 female transsexuals. The data have been analyzed for comparisons between males and females, for the effects of endocrinological and surgical treatment on body attitude, and for the common denominators which characterize the transsexual's body attitude. This instrument is being used as an additional tool in evaluating the transsexual's request for sex-reassignment surgery and in following those individuals who have been accepted for treatment as they progress through the evaluation and treatment program.
This article presents an analysis of the factor structure of the Body-Self Relations Questionnaire (BSRQ), an attitudinal body-image instrument. Random stratified samples, drawn from a national survey, included 1,064 females and 988 males. In order to evaluate the replicability of the BSRQ factor structure, separate split-sample factor analyses (principal components with varimax rotation) were conducted for each sex. Largely consistent with the conceptual basis of the BSRQ, the resultant factors derived from each analysis were: Appearance Evaluation, Appearance Orientation, Fitness Evaluation, Fitness Orientation, Health Evaluation, Health Orientation, and Illness Orientation. Subsequent concordance analyses revealed marked stability of the factor structure both within and between sexes. Females demonstrated somewhat greater differentiation of body-image attitudes than did males. The utility of the BSRQ is discussed relative to extant body-image measures.
OBJECTIVE: This study examined the nature of body image and drive for thinness as multidimensional constructs. Subjects included 111 early adolescent (ages 11-13) girls in Grades 7 and 8 from a private school in Melbourne. METHOD: The participants completed a suite of perceptual, affective/attitudinal, and behavioral measures that included assessment of body mass index, self-concept, body parts, silhouette discrepancy, self-worth, multidimensional body image, body image dissatisfaction, social physique anxiety, eating attitudes and behaviors, and physical activity. RESULTS: The sample reported moderate levels of body image dissatisfaction and a significant association of body image dissatisfaction with drive for thinness. Findings verified the important contribution of the affective/attitudinal components of body image. DISCUSSION: A multidimensional scale devised to test the value of a combined index of self-perceived size, shape, weight, tone, and appearance proved the most effective predictor among the alternative affective/attitudinal scales of body image dissatisfaction. Drive for thinness, as central to this study, was found to be related to, yet distinct from, body image on the basis of behavioral elements such as dieting and activity levels. These findings have ramifications for the design of future research in the body image, drive for thinness, and disordered eating domains. 2000 by John Wiley & Sons, Inc.
We show that there is indeed an internal-organ body image: the heart. Using questionnaires and drawings, we compared a group of healthy subjects, a group of acutely ill cardiac patients and a group of chronic cardiac patients. A constant body image emerged which was not influenced by heart disease. It seems to us that this approach can serve as a model of further studies of internal-organ body image.
Body image in childhood initially develops in response to the empathic reflections of the mother or caregiver that are communicated mainly by physical sensations such as touching, secure holding, or tactile nurturing. In a nonclinical sample of 173 shoppers, we observed an inverse correlation between perceived tactile nurturing during childhood and Drive for Thinness (Eating Disorder Inventory [EDI]; Pearson r = -.19, p < or = .05) and Body Dissatisfaction (EDI; Pearson r = -.23, p < or = .05) among the females (n = 102). Furthermore, among the females there was a direct correlation (r = .29, p < .05) between a current desire to get more tactile nurturance and Drive for Thinness. Our empirical finding are consistent with the earlier developmental literature and support the importance of tactile nurturance in the development of body image especially among females.
This study evaluated body-image distortion and ideal body-size preferences in 423 nonbulimic women and 108 bulimics. Analyses of covariance were utilized to compare the bulimic and nonbulimic groups on measures of current and ideal body size. Weight was used as a covariate to evaluate the influence of actual body size on perception of current body size and selection of ideal body size. Bulimics chose current body sizes that were significantly larger than those picked by nonbulimics regardless of actual body size. Bulimics also chose thinner ideal body sizes than did nonbulimics, regardless of actual body size. These results suggest that body-image distortion and extreme preference for thinness are a fundamental characteristic of bulimia nervosa. These results were discussed in terms of how perception of a large body size and preference for a very thin body size might interact to produce a high degree of dissatisfaction and overconcern with body size in bulimia nervosa.
While body image has been found to be an important predictor for several health behaviors (abnormal dieting. weight regain, exercise), only one study to date has examined body image attitudes in women smokers (Australian sample) with results suggesting that women smokers feel less attractive than nonsmokers. The purpose of the present study was to compare body image in women smokers to normative samples of women. Subjects were 136 women (89.0% White, M age = 39.85, 74% employed. 52% married, body mass index [BMI] = 25.54) entering a randomized clinical smoking cessation trial. Subjects completed the Appearance Evaluation and Fitness Orientation subscales of the Multidimensional Body-Self Relations Questionnaire and the Silhouette Choosing Task. Pooled t-tests showed that subjects scored significantly lower on Appearance Evaluation (t = -6.58, p < .01) and Fitness Orientation (t = -5.55, p < .01) than the normative sample. For the silhouette choosing task, the present sample reported a significantly higher current silhouette (t = 2.29, p < .05) and dissatisfaction score (t = 4.04, p < .01) than the comparative sample. There were no significant differences on the ideal or attraction scores. Results suggest that women smokers may be more dissatisfied with their bodies than women in general. Possible implications include that smoking may adversely affect body image and/or body image concerns may negatively impact cessation attempts.
Dissatisfaction with body image is thought to be a key factor in the etiology of eating disorders among women. In contrast, men are reported to be generally satisfied with their body weight and body shape. The present survey study examined the relative desire for thinness or weight gain among 226 male and female freshman students. Most 18-year-old women (85%) wished to lose weight. Men expressed conflicting views regarding desire for thinness and were almost evenly split between those who wanted to lose weight (40%) and those who wished to gain weight (45%). The proportion of men and women who expressed no desire for weight change was comparable. Men and women who wished to lose weight shared negative body perceptions: both groups viewed themselves as overweight, and both expressed dissatisfaction with body shape. However, men used exercise for weight control while women resorted to restricted calorie diets. A key risk factor for eating disorders may be dieting itself.
The focus of this study was the effect of unstable weight history on current body-image among women. Participants were 45 college women of average weight (median age = 23 yr.); 15 had stable weight histories, 15 had past lowest weights 15% or more below current weight, and 15 had past highest weights 15% or more above current weight. The women were assessed on perceptual and attitudinal measures of body-image and a self-report measure of preoccupation with weight. In comparison to women with stable weight histories, those with unstable weight histories indicated greater dissatisfaction with the shape and size of their bodies, expressed more negative body attitudes, and reported increased concern about weight. Women with high weight histories overestimated their frontal body-size and expressed greater dissatisfaction with frontal size than women with low weight histories, but the two groups did not differ significantly on any of the other dependent measures. Possible explanations for increased body-image disturbance and weight concern among women with unstable weight histories are presented.
Body-image disturbances and body-image misperceptions are common phenomena in the adult obese or disordered eating population, but they have received scant notice in group psychotherapy literature. This paper integrates an important missing conceptual link of body-image development and offers a group psychotherapy treatment model. This paper does not address the eating disorders, i.e., bulimia and anorexia nervosa. The integrated concept described here will show how a group psychotherapy model can effectively treat body image disturbances which often stem from developmental deficits. It also addresses problems with those patients, who, after weight loss, continue to have misperceptions of their size and shape, and experience shame and self-loathing as a result.
The construct of body image is multidimensional in nature and multidisciplinary in scope. The purpose of this review is to help clinicians navigate the basic theoretical and practical considerations associated with body image assessment. Common pitfalls reflect methodological problems and conceptual confusion surrounding the subjectivity, heterogeneity, lability, and complexity of the body image construct. By highlighting these core concepts, we provide a framework for conducting a comprehensive cognitive-behavioral assessment to inform case formulation and treatment planning. The strength and utility of a cognitive-behavioral therapy (CBT) model lies in its broad applicability and ability to identify the proximal factors that precipitate and maintain body image concerns, such as distorted patterns of thinking and maladaptive behavior (e.g., body checking, mirror gazing, avoidance, social comparison, reassurance seeking). Although the evidence base is still evolving, the basic tenets of a CBT approach appear to transcend disciplines and specialties. The article concludes by providing an example of self-monitoring, which is a cornerstone of CBT assessment and treatment, and referencing the steps of an established CBT manualized treatment program.
In our society, women's bodies are the locus of both increasing rates of obesity and body dissatisfaction. While these trends may seem contradictory or to result from each other, an alternative explanation is that they are both the products of an unfavourable sociocultural environment in the area of food and weight. Both body dissatisfaction and excess weight can seriously impact women's physical and emotional health. The strong cultural value placed on thinness, especially for women, unfortunately may take precedence over health. To effectively address the impact of women's body image dissatisfaction requires an understanding of the multiple contexts of women's lives. This study used a naturalistic paradigm to explore how women's personal and sociocultural context influences their body image. Forty-four non-eating disordered women ranging from 21 to 61 years old were interviewed twice using a semi-structured interview guide. Women's narratives revealed that body image is not a static construct, but is dynamic and fluctuates as women encounter new experiences and re-interpret old ones. The powerful and unconscious impact of the media on body image was mediated by women's internal contexts (self-confident and self-critical) and their relationships with others, such as partners and other women. Body image was not so much influenced by the nature of others' comments but interpretation of their meaning. However, health professionals' comments were typically not reinterpreted due to the health context in which they were given. While some women's narratives expressed their internalized sociocultural norms, others' described acceptance of their bodies following a process of reflection and empowerment. In light of these findings, efforts to improve women's body image, and by extension their health, can no longer only focus on diminishing the tangible power of industry and media, but must include transforming the social ties, practices and conventions in everyday relationships, including with health professionals.
OBJECTIVE: To determine body image among HIV-infected men and to determine the relationship of lipodystrophy on body image. METHODOLOGY: Self-report questionnaires on body image were distributed to HIV-infected men at the university-based HIV clinic. Two previously validated instruments, the Body Image Quality of Life (BIQLI) scale and the Situational Inventory of Body Image Dysphoria Short Form (SIBID-S) were used to measure body image effects. The presence of lipodystrophy was determined by both self-report and physician examination. Demographic characteristics, disease stage, health status, and quality of life were also ascertained. Analysis of responses was performed via both group comparisons and linear regression analyses. RESULTS: One hundred ten men responded. Seventy-one percent identified their sexual orientation as men having sex with men (MSM). Forty-eight reported the presence of lipodystrophic characteristics; 62 reported no lipodystrophic changes. Agreement regarding the presence of lipodystrophy between physician and subject was 0.80 as measured by the kappa coefficient of agreement. Compared to HIV-infected men who denied lipodystrophy, HIV-infected men with self-reported lipodystrophy demonstrated poor body image as measured by BIQLI (p < 0.0001) and SIBID-S scales (p = 0.0001). Similarly, physician rated lipodystrophy was significantly associated with both body image subscale scores. CONCLUSIONS: We demonstrate that lipodystrophy among HIV-infected men is associated with poor body image.
A conceptual replication of the link between self-reported dissociative alterations in body-image under experimental conditions and the reporting of prior out-of-body experiences in a recent data set was undertaken. Also examined was whether this relationship would hold for experiences reported during the experimental context and whether it is independent of self-reported New Age belief. Data from mostly undergraduates (N= 40; M age = 33.5, SD = 12.5; 27 women) in a mirror-gazing study were retrospectively analyzed. The 9 individuals who reported prior out-of-body experiences, relative to those 31 who did not, exhibited significantly greater self-reported dissociative alterations in body-image during the mirror-gazing task, even when the influence of scores on New Age belief was controlled for statistically. The same differential relationship was not found between 6 individuals who did and 34 who did not report out-of-body experiences during the task.
An observational, cross-sectional study was conducted in a representative sample of the European Union (7155 men and 8077 women) to calculate the underestimation of body weight as assessed by body image among the overweight and obese population and identify the associated factors to this behavior. Participants were older than 15 years and they were living in the 15 European Union countries. Body mass index (BMI) was grouped into 4 categories using the cutpoints established by the WHO, while perceived body image (PBI) was assessed using a nine-silhouettes drawing. The degree of underestimation between PBI as compared to BMI was identified in overweight and obesity categories of BMI. A multivariable logistic regression model for each gender was used to adjust for potentially confounding variables. Men classified themselves worse than women, being more likely to underestimate their body weight (65.2% of men underestimated their weight vs 32.2% women), regardless of other socioeconomic and attitudinal variables. The greatest degree of underestimation was observed in Mediterranean individuals (68.7% of men and 37.9% of women underestimated their weight). The subjects in the 'maintenance' stage of physical activity tended more often to wrongly select their actual image (71.8% for men and 38.7% for women).
An individual's body image consists of both a perceptual and an attitudinal (subjective) component. Methodological issues relative to the measurement of the perceptual component of body image are discussed. Traditionally, research in body image has employed psychophysical techniques and analyses which confound these two components. Psychophysical techniques which allow for a separate measurement of these two components are discussed, including method of constant stimuli, signal detection theory and adaptive probit estimation. The results of research utilizing these techniques are described and the importance of separately measuring perceptual and attitudinal components is discussed.