Body Image最新文献_第2页

State gender variability and body satisfaction among sexual minority men 性少数群体男性的国家性别变异和身体满意度

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-31 DOI: 10.1016/j.bodyim.2024.101804

E.A. Harris, P. Koval, W. Grey, K.H. Greenaway, E.K. Kalokerinos, S. Griffiths

Prominent theories of gender suggest that gender can be variable, rather than static. For example, a person may experience changes in their masculinity and femininity in daily life, which we refer to as ‘state gender variability.’ Theory and research suggest that the degree to which masculinity and femininity fluctuate may have implications for body satisfaction. In this study, we analysed intensive longitudinal data to gain nuanced insights into how masculinity and femininity vary in everyday life among a sample of majority cis-gender sexual minority men. We first present a comprehensive descriptive analysis of gender variability. Second, we test whether individual differences in gender variability are associated with body satisfaction. Masculinity and femininity were moderately stable, with substantial within-person variability. Masculinity and femininity tended to be more variable than state body satisfaction and negative affect. Further, variability and instability in masculinity were associated with lower body satisfaction. Conversely, variability in femininity was associated with higher scores on body satisfaction. Our study contributes to a growing literature examining the implications of masculinity and femininity for sexual minority men’s body image and opens up new lines of inquiry focused on state gender variability.

著名的性别理论认为，性别可以是可变的，而不是一成不变的。例如，在日常生活中，一个人的男性气质和女性气质可能会发生变化，我们称之为 "状态性别可变性"。理论和研究表明，男性气质和女性气质的波动程度可能会对身体满意度产生影响。在本研究中，我们分析了大量的纵向数据，以深入了解男性和女性在日常生活中是如何变化的。我们首先对性别变异性进行了全面的描述性分析。其次，我们检验了性别变异的个体差异是否与身体满意度相关。男性特质和女性特质具有适度的稳定性，但在人际交往中存在很大的差异。与身体满意度和负面情绪相比，男性特质和女性特质的可变性更大。此外，男性特质的多变性和不稳定性与较低的身体满意度有关。相反，女性特质的多变性与较高的身体满意度得分有关。我们的研究为越来越多的研究男性气质和女性气质对性少数群体男性身体形象的影响的文献做出了贡献，并开辟了以状态性别变异性为重点的新的研究方向。

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引用次数: 0

Body image facets as predictors of muscularity-oriented disordered eating in women: Findings from a prospective study 预测女性肌肉型饮食紊乱的身体形象特征：一项前瞻性研究的结果。

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-30 DOI: 10.1016/j.bodyim.2024.101805

Cleo Anderson , Jake Linardon

Muscularity-oriented disordered eating (MODE) is becoming increasingly common among women and is characterized by dietary alterations (e.g., blending meals into liquid form to increase caloric intake) aimed towards gaining lean muscle. In light of the mental health risks associated with these pathological eating behaviors, understanding factors that influence women’s engagement in MODE is essential for preventative efforts and for informing etiological models. Body image is a possible factor that may influence MODE in light of evidence of cross-sectional associations and its importance as a key risk factor for thinness-oriented disordered eating. However, research is yet to test for prospective relationships between the various components of body image (i.e., body dissatisfaction, body appreciation) and MODE, which was the aim of this study. Adult women completed the online study measures at baseline (Time 1 [T1]; n = 1760) and three-month follow-up (Time 2 [T2]; n = 1208). A series of univariate regressions revealed that all body image facets (i.e., preoccupation, overvaluation, dissatisfaction, body image appreciation and feeling fat) at T1 significantly predicted MODE at T2. However, multivariable models revealed that only preoccupation and body appreciation uniquely predicted MODE at T2, with a positive relationship observed for preoccupation and a negative one for body appreciation. This is the first study to establish temporal relationships between distinct body image facets and MODE. Pending replication, findings highlight possible targets for addressing MODE in women.

以肌肉为导向的饮食紊乱（MODE）在女性中越来越常见，其特点是改变饮食结构（如将饭菜混合成液体以增加热量摄入），目的是增加瘦肉。鉴于这些病态饮食行为所带来的心理健康风险，了解影响女性参与 MODE 的因素对于预防工作和为病因学模型提供信息至关重要。身体形象是影响 MODE 的一个可能因素，因为有证据表明身体形象与 MODE 存在横截面关联，而且身体形象是导致以瘦为导向的饮食紊乱的一个重要风险因素。然而，目前还没有研究对身体形象的各个组成部分（即身体不满意、身体欣赏）与 MODE 之间的前瞻性关系进行测试，而这正是本研究的目的所在。成年女性在基线时间（时间 1 [T1]；人数 = 1760）和三个月的随访时间（时间 2 [T2]；人数 = 1208）完成了在线研究测量。一系列单变量回归结果显示，在时间 1 的所有身体形象方面（即 "斤斤计较"、"高估"、"不满意"、"欣赏 "和 "感觉肥胖"）都能显著预测时间 2 的 MODE。然而，多变量模型显示，只有 "先入为主 "和 "欣赏身体 "能独特地预测 T2 时的 MODE，其中 "先入为主 "与 MODE 呈正相关，而 "欣赏身体 "与 MODE 呈负相关。这是第一项在不同身体形象方面和 MODE 之间建立时间关系的研究。研究结果强调了解决女性 MODE 问题的可能目标，但尚待复制。

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引用次数: 0

Exposure to simulated nature promotes positive body image irrespective of the presentation modality: A comparison of images, 2-dimensional film, and 360° immersive film 无论采用哪种展示方式，接触模拟大自然都能促进积极的身体形象：图像、二维电影和 360° 沉浸式电影的比较

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-28 DOI: 10.1016/j.bodyim.2024.101803

Viren Swami , Hannah M. Graf , Sophie Biebl , Tamara Schmid , Angelique Siebenhandl , David Willinger , Fabrizio Galeazzi , Stefan Stieger

Previous studies have shown that exposure to simulated natural environments can elevate state body appreciation, but stimulus sets have been limited to the use of images and 2-dimensional (2D) film. To extend this work, we examined the relative impact of images, 2D film, and a 360° immersive film on immediate, state body appreciation. A total of 136 German-speaking adults from Austria (71.3 % women; age range 18–69 years) were randomly assigned to one of three conditions, in which they viewed an image set, a 2D film, or a 360° film depicting the same natural environment. Before and after viewing the stimuli, they completed measures of state body appreciation, affect, and desire for aesthetics. Our results showed that state body appreciation improved in all three conditions, with effect sizes ranging from Cohen’s d = 0.26 (2D film) to 0.52 (360° film). Presentation modality did not significantly shape improvements in state body appreciation; that is, the elevation in state body appreciation was equivalent across all three groups. Participants also experienced improvements in feelings of pleasantness, but again this was independent of the experimental group. These results suggest exposure to simulated nature may improve state body appreciation irrespective of the presentation modality.

以往的研究表明，暴露于模拟的自然环境中可以提高身体状态鉴赏力，但刺激集仅限于使用图像和二维（2D）电影。为了扩展这项工作，我们研究了图像、2D 电影和 360° 沉浸式电影对即时、状态身体欣赏的相对影响。来自奥地利的 136 名讲德语的成年人（71.3% 为女性，年龄在 18-69 岁之间）被随机分配到三个条件中的一个，分别观看图像集、2D 电影或 360° 电影，描绘的是相同的自然环境。在观看刺激物之前和之后，她们完成了身体欣赏状态、情感和审美欲望的测量。我们的结果表明，在所有三种情况下，身体状态鉴赏力都有所提高，效应大小从 Cohen's d = 0.26（2D 电影）到 0.52（360° 电影）不等。演示模式对身体状态鉴赏力的改善没有明显影响；也就是说，身体状态鉴赏力的提升在所有三个组别中都是相同的。参与者的愉悦感也得到了改善，但这同样与实验组无关。这些结果表明，无论采用哪种呈现方式，暴露于模拟的大自然中都可能会提高身体的状态鉴赏力。

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引用次数: 0

"There aren’t a lot of things that are made for Latinos”: A qualitative investigation of factors that contribute to Latine women’s positive and negative body image "没有多少东西是为拉丁裔设计的"：对拉美女性积极和消极身体形象因素的定性调查。

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-23 DOI: 10.1016/j.bodyim.2024.101802

Sarah Johnson-Munguia, Alesha E. Doan, Anjali Sharma, Marianna L. Thomeczek, Bailey Bowles, Maria Paul, Kelsie T. Forbush

Although there has been an increased focus on ethnic diversity in eating-disorder and body-image research, a gap exists in body image programs specifically designed for Latine women. To create programs that are culturally sensitive and relevant, it is important to first understand factors that contribute to Latine women’s conceptualizations of body image. Drawing upon open-ended semi-structured interviews with Latine women (N=19, M_age=20, SD_age=1.74), the objective of the current study was to explore Latine women’s perceptions of the factors contributing to positive and negative body image. Employing a constructivist grounded theoretical approach, verbatim interview transcripts were analyzed using an iterative, multi-phased inductive process. The results are organized around two themes: Latine women’s experiences with negative body image and their experiences with positive body image. Three subthemes were identified reflecting participants’ experiences with negative body image: appearance standards imposed on Latine women, complex relationship with food, and communication challenges. Five subthemes emerged from the interviews to capture Latine women’s experiences with positive body image: reframing body ideals, reframing relationships with food, community support, seeking out representation, and focus on body functionality. These findings may inform future body image program cultural adaptation efforts by integrating cultural aspects of negative and positive body image.

尽管饮食紊乱和身体形象研究越来越关注种族多样性，但专门为拉丁裔女性设计的身体形象计划仍存在空白。要创建具有文化敏感性和相关性的计划，首先必须了解造成拉丁裔女性身体形象概念化的因素。本研究通过对拉丁裔妇女（人数=19，年龄=20，平均年龄=1.74）进行开放式半结构访谈，旨在探讨拉丁裔妇女对造成积极和消极身体形象的因素的看法。本研究采用建构主义基础理论方法，通过反复、多阶段的归纳过程对逐字采访记录进行分析。分析结果围绕两个主题展开：拉丁裔女性在负面身体形象方面的经历以及她们在正面身体形象方面的经历。三个次主题反映了参与者在负面身体形象方面的经历：强加给拉丁裔女性的外貌标准、与食物的复杂关系以及沟通挑战。访谈中出现了五个次主题，反映了拉丁裔女性在积极身体形象方面的经历：重塑身体理想、重塑与食物的关系、社区支持、寻找代表、关注身体功能。这些发现可以通过整合消极和积极身体形象的文化方面，为未来身体形象计划的文化适应工作提供参考。

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引用次数: 0

#DisabledBodyPositivity: A content analysis of body positive Instagram posts in the disabled community #DisabledBodyPositivity：对残疾人社区 Instagram 上身体正面帖子的内容分析。

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-22 DOI: 10.1016/j.bodyim.2024.101801

Phaedra Longhurst , Emily C. Woodworth , Isabel Cunha , Rachel Rodgers

Accumulating research has supported the potential for body positivity content on Instagram to challenge predominant appearance ideals and promote a healthier body image. However, research in diverse groups is lacking – in particular, individuals with a disability have largely been neglected. Using #Disabled #BodyPositivity, this analysis examined the content of 623 body positive posts on Instagram. Posts were coded for body and appearance-attributes and themes relating to positive body image, appearance ideals, disability, and health. Posts were also examined for contradictory messaging (i.e., body positivity themes alongside the pursuit of appearance ideals). Results demonstrated an inclusion of diverse body and appearance-attributes, however, posts predominantly depicted young, White women. While only 45.06 % of posts contained at least one positive body image theme, our results identified positive themes specific to the disabled community, such as disability pride and activism. Besides the significant relationship between the presence of body positive themes and body and food shame, contradictory messaging was not found. Future research examining the effects of exposure to body positivity messaging on social media among those with a disability is warranted.

不断积累的研究证明，Instagram 上的身体正面内容有可能挑战主流的外貌理想，并促进更健康的身体形象。然而，针对不同群体的研究却很缺乏，尤其是残疾人士在很大程度上被忽视了。本分析使用 #Disabled #BodyPositivity 来研究 Instagram 上 623 篇正面身体形象帖子的内容。对帖子的身体和外貌属性以及与正面身体形象、外貌理想、残疾和健康相关的主题进行了编码。此外，还对帖子中的矛盾信息（即身体积极主题与追求外表理想）进行了研究。结果表明，帖子中包含了不同的身体和外貌特征，但帖子主要描述的是年轻的白人女性。虽然只有 45.06% 的帖子包含至少一个积极的身体形象主题，但我们的结果发现了残疾人群体特有的积极主题，如残疾人自豪感和行动主义。除了身体正面主题的存在与身体和食物羞耻感之间的重要关系外，我们也没有发现相互矛盾的信息。未来有必要开展研究，探讨社交媒体上的正面身体形象信息对残疾人的影响。

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引用次数: 0

Factor structure and psychometric properties of the Muscle Dysmorphic Disorder Inventory (MDDI) among transgender women 变性妇女肌肉畸形障碍量表（MDDI）的因子结构和心理计量特性

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-14 DOI: 10.1016/j.bodyim.2024.101798

Jason M. Nagata , Emilio J. Compte , F. Hunter McGuire , Jason M. Lavender , Tiffany A. Brown , Matthew R. Capriotti , Annesa Flentje , Micah E. Lubensky , Juno Obedin-Maliver , Mitchell R. Lunn

Muscle dysmorphia (MD) is characterized by extreme preoccupation with insufficient muscularity that prompts pathological behaviors and distress/impairment. The Muscle Dysmorphic Disorder Inventory (MDDI) — a widely used measure of MD symptoms — has yet to be validated among transgender women, despite emerging evidence suggesting risk for muscularity-oriented concerns in this population. We examined the MDDI factor structure as well as the reliability and validity of its subscales in a sample of 181 transgender women ages 19–73 years who participated in a national longitudinal cohort study of U.S. sexual and gender minority adults. Confirmatory factor analysis was used to examine model fit for the original three-factor structure of the MDDI (drive for size, appearance intolerance, functional impairment). A re-specified three-factor model allowing covariance of residuals for two conceptually related items demonstrated good overall fit (χ²/df = 1.33, CFI =.94, TLI =.93, RMSEA =.06 [95 % CI =.01,.09], SRMR =.07). Moreover, results supported the internal consistency and convergent and discriminant validity of the MDDI subscales in transgender women. Findings inform the use of the MDDI among transgender women and provide a foundation to support future research on the MDDI and MD symptoms among gender minority populations.

肌肉畸形症（Muscle dysmorphia，MD）的特征是对肌肉不足的极端关注，这种关注会引发病态行为和痛苦/损害。肌肉畸形障碍量表（MDDI）是一种被广泛使用的测量 MD 症状的方法，尽管有新的证据表明变性女性中存在以肌肉为导向的担忧风险，但该量表尚未在变性女性中得到验证。我们研究了 MDDI 的因子结构及其子量表的信度和效度，研究对象是参与美国性与性别少数群体成年人全国纵向队列研究的 181 名年龄在 19-73 岁之间的变性女性。我们使用了确认性因子分析来检验 MDDI 原始三因子结构（对体型的驱动力、外表不容忍、功能障碍）的模型拟合度。重新定义的三因素模型允许两个概念相关项目的残差协方差，显示出良好的整体拟合效果（χ2/df = 1.33，CFI =.94，TLI =.93，RMSEA =.06 [95 % CI =.01，.09]，SRR =.07）。此外，研究结果还证明了 MDDI 子量表在变性女性中的内部一致性、收敛性和区分性有效性。研究结果为在变性女性中使用 MDDI 提供了信息，并为支持未来对性别少数群体中的 MDDI 和 MD 症状的研究奠定了基础。

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引用次数: 0

Isolating the effects of body size and sexualisation in social media images on body image-related constructs among young women 隔离社交媒体图片中的体型和性化对年轻女性身体形象相关建构的影响

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-13 DOI: 10.1016/j.bodyim.2024.101800

Jasmine Fardouly , Talia Levin , Lenny R. Vartanian , Ronald M. Rapee

This study systematically separated the effects of body size and sexualisation in social media images on women’s body image. Young women (18–25 years, N = 194) viewed 10 social media images of either (1) sexualised women in larger bodies; (2) non-sexualised women in larger bodies; (3) sexualised women in smaller bodies; or (4) non-sexualised women in smaller bodies. Participants completed pre- and post-exposure measures of body image and related constructs. Thin ideal internalisation was examined as a moderator of those effects. The body size of the women in the images was more influential than how sexualized their bodies were presented. Regardless of sexualisation, viewing images of women with smaller bodies was negative for appearance satisfaction, negative mood, and body appreciation, and viewing women with larger bodies was positive for body appreciation and neutral for appearance satisfaction and mood. The impact of body size on appearance satisfaction was stronger for those high in thin ideal internalisation. Women with larger bodies were perceived more positively than those with smaller bodies. However, participants’ self-objectification increased in all conditions. Thus, while viewing images of women with larger bodies provides promise for improving social media, further research is needed before it is recommended broadly.

本研究系统地分离了社交媒体图片中的身体尺寸和性化对女性身体形象的影响。年轻女性（18-25 岁，N = 194）观看了 10 张社交媒体图片，分别是：(1) 身体较大的性化女性；(2) 身体较大的非性化女性；(3) 身体较小的性化女性；或 (4) 身体较小的非性化女性。参与者在暴露前和暴露后完成身体形象和相关结构的测量。瘦削理想内化作为这些影响的调节因素进行了研究。图片中女性的体型比她们身体的性化程度更具影响力。无论性化程度如何，观看身材较小的女性图片对外貌满意度、消极情绪和身体欣赏的影响都是负面的，而观看身材较大的女性图片对身体欣赏的影响是正面的，对外貌满意度和情绪的影响则是中性的。对于瘦削理想内化程度高的人来说，体型对外貌满意度的影响更大。体型较大的女性比体型较小的女性更容易获得正面评价。然而，在所有条件下，参与者的自我物化程度都有所提高。因此，虽然观看体型较大女性的图片有望改善社交媒体，但在广泛推荐之前还需要进一步的研究。

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引用次数: 0

Childhood emotional maltreatment and emerging adults’ body dissatisfaction: Self-compassion and body surveillance as explanatory mechanisms 童年情感虐待与新成人的身体不满意：作为解释机制的自我同情和身体监控。

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-09 DOI: 10.1016/j.bodyim.2024.101799

Qinglu Wu , Nan Zhou , Jinbo He , Xiuyun Lin , Hongjian Cao

The association between childhood emotional maltreatment and body dissatisfaction has been widely identified. However, the explanatory mechanisms for this association remain unclear. Guided by the Stress Process Model, the present study tested the potential mediating roles of self-compassion and body surveillance in the associations between emotional maltreatment (i.e., emotional abuse and neglect) and body dissatisfaction. Three-wave, self-report survey data were collected from 668 Chinese young adults (66.8 % female, M_age = 19.96 years old, SD = 1.25) with a 6-month between-wave interval. Results demonstrated that childhood emotional neglect (recalled at Time 1) was positively associated with body dissatisfaction (at Time 3) through a serial mediating pathway from self-compassion (at Time 1) to body surveillance (at Time 2). In contrast, no links involving childhood emotional abuse were identified. Findings suggest that the compromised emotion regulation capacity related to self-care and the subsequent self-objectification could be key processes through which childhood emotional deprivation would be positively associated with later body dissatisfaction. Accordingly, prevention and intervention efforts aimed at combating young adults’ body image issues with early adversity of emotional deprivation could integrate emotion regulation training (that can enhance self-care) and cognitive-behavioral techniques (that may reduce body surveillance) into extant programs to enhance effectiveness.

童年情感虐待与身体不满意之间的关联已被广泛发现。然而，这种关联的解释机制仍不清楚。在压力过程模型的指导下，本研究测试了自我同情和身体监控在情感虐待（即情感虐待和忽视）与身体不满意之间的潜在中介作用。该研究收集了 668 名中国年轻成年人（66.8% 为女性，平均年龄 = 19.96 岁，标准差 = 1.25）的三波自我报告调查数据，两波之间的间隔为 6 个月。结果表明，童年情感忽视（时间 1 时回忆）与身体不满意（时间 3 时）通过自我同情（时间 1 时）到身体监控（时间 2 时）的串联中介途径呈正相关。相比之下，没有发现与童年情绪虐待有关的联系。研究结果表明，与自我照顾相关的情绪调节能力受损以及随后的自我物化可能是童年情绪匮乏与日后身体不满意正相关的关键过程。因此，旨在解决青壮年身体形象问题的预防和干预工作，可将情绪调节训练（可加强自我照顾）和认知行为技术（可减少身体监视）纳入现有计划，以提高有效性。

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引用次数: 0

State affect and body image effects of body positive social media content within a female chronic illness sample 在女性慢性病样本中，身体正面社交媒体内容对状态情感和身体形象的影响。

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-03 DOI: 10.1016/j.bodyim.2024.101796

Isabel M. Cunha , Ellen Lamm , Samantha Nett , Rachel F. Rodgers

Body positivity refers to a movement, popularized on social media, that encourages the normalization and acceptance of bodies diverging from sociocultural ideals, specifically within marginalized communities. Previous studies suggest that briefly viewing body positive social media content may lead to increased body satisfaction and positive affect in young women relative to thin-ideal and appearance-neutral content. Diminished body functionality and appearance change due to chronic illness poses a unique challenge to positive body image in young adults living with chronic illness. Typical body positive social media content may not be useful for this community since chronic illnesses are often not outwardly depicted, so the current study aimed to examine the state effects before and after viewing body positive social media content in a sample of young women (N=201) with at least one self-reported chronic illness. Participants (Mage = 29.4, SD = 6.74; 79.2 % white) were randomly assigned to view one of two sets of 10 images: chronic illness body positive and typical body positive. Participants completed a Visual Analogue Scale (VAS) pre- and post-stimuli exposure. Findings from repeated measures ANOVA revealed significant interaction between time and group for negative affect (F(1198) = 4.402, p =.037) and broad conceptualization of beauty (F(1199) = 4.288, p =.040), such that those exposed to the chronic illness stimuli reported a larger reduction in negative affect and an increase in conceptualization of beauty beyond the non-chronically ill ideal post-exposure. Thus, exposure to body positive social media content inclusive of chronic illness may be more useful in stabilizing affect and promoting greater positive body image within the community. These findings highlight the importance of inclusive body positive portrayals in terms of dimensions beyond weight and shape to account for the effects of diminished body functionality.

身体积极性是指在社交媒体上流行的一种运动，它鼓励人们，特别是边缘化群体，将与社会文化理想相左的身体正常化并予以接受。以往的研究表明，相对于瘦身理想和外貌中性的内容，短暂浏览身体正面的社交媒体内容可能会提高年轻女性对身体的满意度和积极情绪。慢性疾病导致的身体功能减退和外貌改变对患有慢性疾病的年轻成年人的正面身体形象构成了独特的挑战。典型的正面身体形象社交媒体内容可能对这一群体没有帮助，因为慢性疾病通常不会被直观地描述出来，因此本研究旨在研究至少患有一种自我报告的慢性疾病的年轻女性（N=201）在观看正面身体形象社交媒体内容前后的状态影响。参与者（年龄 = 29.4，SD = 6.74；79.2% 为白人）被随机分配观看两组共 10 张图片中的一张：慢性病身体正面图片和典型身体正面图片。受试者在刺激前和刺激后填写视觉模拟量表（VAS）。重复测量方差分析的结果显示，时间和组别对负面情绪（F(1198) = 4.402, p =.037）和广义的美感概念化（F(1199) = 4.288, p =.040）有显著的交互作用，因此那些接触过慢性疾病刺激的人在接触后报告的负面情绪减少幅度更大，美感概念化的增加幅度也超过了非慢性疾病的理想状态。因此，接触包含慢性疾病的积极身体社交媒体内容可能更有助于稳定情绪，并在社区内促进更积极的身体形象。这些研究结果强调了在体重和体形之外的其他方面对身体进行正面描绘的重要性，以解释身体功能减退的影响。

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引用次数: 0

Early appearance concerns after burns: Investigating the roles of psychological flexibility and self-compassion 烧伤后的早期外观问题：研究心理灵活性和自我同情的作用。

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2024-10-01 DOI: 10.1016/j.bodyim.2024.101797

Laura Shepherd , Fuschia Sirois , Diana Harcourt , Paul Norman , Andrew R. Thompson

Few qualitative studies have explored appearance concerns soon after burn injuries. This study aimed to understand the early experiences of appearance concerns after burns, through the lens of psychological flexibility and self-compassion. Template analysis informed data collection and analysis. Fifteen adults (nine female, six male) with appearance concerns were interviewed within three months of their burns. Three superordinate themes were identified: (1) Need for social connection; (2) Distress through difference; and (3) Experiential avoidance and self-criticism in response to early appearance concerns. Findings highlighted that early appearance concerns are influenced by the need for social acceptance and the desire to conform to societal ideals. Internalised gender and appearance ideals and concerns about rejection and stigma were activated by the burn, and individuals had difficulty responding to their early appearance concerns with psychological flexibility and self-compassion. Instead, attempts to avoid distress (experiential avoidance) occurred. Self-criticism in response to distress was evident which, for some, extended to the event leading to their burns. Early interventions to enhance psychological flexibility and self-compassion (e.g., acceptance and commitment therapy, mindful self-compassion), to help individuals respond to appearance concerns with less experiential avoidance and self-criticism, would likely promote adjustment to changes in appearance after burns.

很少有定性研究探讨烧伤后不久对外表的关注。本研究旨在通过心理灵活性和自我同情的视角，了解烧伤后早期对外貌的担忧。模板分析为数据收集和分析提供了依据。在烧伤后三个月内，对 15 名有外貌困扰的成年人（9 名女性，6 名男性）进行了访谈。我们确定了三个首要主题：(1) 对社会联系的需求；(2) 差异带来的困扰；(3) 对早期外貌问题的体验性回避和自我批评。研究结果表明，早期的外貌问题受到社会认可需求和希望符合社会理想的影响。烧伤激活了内化的性别和外貌理想以及对被拒绝和被羞辱的担忧，个人难以用心理灵活性和自我同情来应对早期的外貌担忧。相反，他们试图逃避痛苦（体验性逃避）。针对痛苦的自我批判显而易见，对一些人来说，这种批判延伸到了导致他们烧伤的事件中。通过早期干预来增强心理灵活性和自我同情（如接受和承诺疗法、正念自我同情），以帮助个人在应对外貌问题时减少体验性回避和自我批判，很可能会促进他们适应烧伤后的外貌变化。

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引用次数: 0