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Broaching body size and sizeism: Input from specialized clinicians 打破体型和体型歧视:专业临床医生的意见。
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-08-07 DOI: 10.1016/j.bodyim.2024.101775
Kelly M. King , Brittany Wyche , Lindsey Umstead

Broaching issues of identity and power with clients in the context of their mental health care is affirmed as an effective multicultural and social justice counseling skill by a growing evidence base. Considerations for broaching body size, including size difference and sizeism, with clients has not yet been studied, thus clinicians lack guidelines for facilitating these conversations. In this consensual qualitative research study, we present themes involved in broaching body topics based on our interviews with nine clinicians specialized in treating clients with eating disorders and body-related counseling concerns. Themes addressed counselor development, conceptualization of broaching, clinical-decision-making, practice, and impact of broaching body topics in session. Clinicians identified professional and personal developments they pursued and would advocate for training future clinicians to better serve clients. Descriptions of unique and shared aspects of broaching clients’ intersectionality and body-size specifically depict avenues for tailoring broaching conversations. Specific examples of effective and ineffective broaching conversations, including language used and psychoeducational components, provide recommendations for practice and connect to observed impacts on the client, counselor, and counseling process.

越来越多的证据表明,在心理健康护理中与客户探讨身份和权力问题是一种有效的多元文化和社会公正咨询技巧。目前还没有研究过与求助者讨论体型问题(包括体型差异和体型歧视)时需要考虑的因素,因此临床医生缺乏促进这些对话的指导原则。在这一共识性定性研究中,我们根据对九名专门治疗饮食失调症和身体相关咨询问题的临床医生的访谈,提出了涉及身体话题的主题。这些主题涉及咨询师的发展、身体咨询的概念化、临床决策、实践以及在治疗过程中提及身体话题的影响。临床医生指出了他们所追求的专业和个人发展,并主张对未来的临床医生进行培训,以便更好地为客户服务。在介绍客户的交叉性和身体尺寸时,对其独特性和共同性进行了描述,具体描绘了量身定制介绍性对话的途径。有效和无效引导对话的具体实例,包括使用的语言和心理教育内容,为实践提供了建议,并与观察到的对客户、咨询师和咨询过程的影响相联系。
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引用次数: 0
Experimental evidence that activewear retail imagery elicits physiological, attentional and self-reported markers of body image threat in women 实验证明,运动服装零售图像会引起女性生理、注意力和自我报告的身体形象威胁标记。
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-08-06 DOI: 10.1016/j.bodyim.2024.101778
Ross C. Hollett , Muna Bhusal , Syed Zulqarnain Gilani , Craig Harms , Scott Griffiths

Online apparel retail imagery is a prominent threat to women’s body image, particularly segments such as activewear which emphasize the value of women’s bodies. In a within-subjects experiment, we exposed women (N = 128) to imagery randomly selected from activewear, casualwear and homewares websites and measured their gaze behavior, physiological arousal, as well as subjective emotional states and body image ratings. Exposure to activewear retail imagery elicited significantly lower body image ratings, a higher negative emotional state, and a lower positive emotional state compared to the other website imagery conditions. Physiological arousal was significantly higher for both apparel imagery conditions compared to the homewares imagery condition. Body biased gaze behavior was significantly higher for the activewear imagery condition compared to the casualwear imagery condition. Notably, body shame moderated the self-reported but not the physiological experimental effects, such that women with higher body shame experienced stronger adverse changes in their body image and emotional state ratings following activewear exposure. Correlations revealed that self-reported experimental responses to activewear imagery were strongly associated with self-objectification, appearance comparison, disordered eating and body image coping attitudes. Thus, exposure to popular apparel may play a role in maintaining maladaptive body image attitudes and behaviors in women.

在线服装零售形象是对女性身体形象的一个突出威胁,尤其是运动装等强调女性身体价值的细分市场。在一项主体内实验中,我们让女性(128 人)接触从运动装、休闲装和家居服网站上随机选取的图像,并测量了她们的注视行为、生理唤醒以及主观情绪状态和身体形象评级。与其他网站图像相比,暴露于运动服装零售图像下的身体形象评分明显较低,负面情绪状态较高,正面情绪状态较低。与家居服意象条件相比,两种服装意象条件下的生理唤醒度都明显更高。与休闲装意象条件相比,运动装意象条件下的身体偏向凝视行为明显更高。值得注意的是,身体羞耻感调节了自我报告的实验效应,但没有调节生理实验效应。相关性显示,自我报告的对运动服装图像的实验反应与自我物化、外貌比较、饮食紊乱和身体形象应对态度密切相关。因此,接触流行服饰可能会在维持女性不良身体形象态度和行为方面发挥作用。
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引用次数: 0
Better than average Bopo: Identifying which body positive social media content is most helpful for body image among women 优于平均水平的 Bopo:确定哪些正面的社交媒体内容对女性的身体形象最有帮助。
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-08-02 DOI: 10.1016/j.bodyim.2024.101773
Rachel F. Rodgers , Susan J. Paxton , Eleanor H. Wertheim , Matthew Fuller-Tyszkiewicz

Body positive social media content, and especially content that does not contain photos of bodies, has been shown to be helpful for body image compared to idealized social media content. However, body positive content is heterogenous and little is known regarding which types of content may be most helpful. This study examined self-reported body image and mood effects of different types of body positive content among women. A sample of 176 women, mean (SD) age = 21.77 (2.35) was recruited. Participants viewed body positive stimuli that were grouped into 14 different categories to represent the heterogenous nature of this social media content, including a text only category. Each image was rated in terms of its perceived effect on body image and mood. Findings suggested that the text-only category was rated most highly in terms of generating positive feelings towards the body and positive affect. Moreover, the comparative benefit of the text-only category was larger among women with higher BMI, and participants reporting closer proximity to the images, although not consistently across outcomes. Further work focused on understanding the effects of different types of body positive content is warranted.

与理想化的社交媒体内容相比,身体正面的社交媒体内容,尤其是不包含身体照片的内容,已被证明对身体形象有帮助。然而,正面身体形象的内容多种多样,人们对哪种类型的内容最有帮助知之甚少。本研究考察了女性自我报告的身体形象以及不同类型的身体正面内容对情绪的影响。研究共招募了 176 名女性样本,平均(标清)年龄为 21.77(2.35)岁。受试者观看了 14 个不同类别的身体正面刺激图片,以体现这种社交媒体内容的异质性,其中包括一个纯文字类别。每张图片都会根据其对身体形象和情绪的影响进行评分。研究结果表明,纯文字类图片在产生对身体的积极感受和积极情感方面的评分最高。此外,在体重指数(BMI)较高的女性和报告与图片距离较近的参与者中,纯文字类别的相对益处更大,但在不同结果中并不一致。我们有必要进一步研究不同类型的身体正面内容的效果。
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引用次数: 0
Digital body image interventions for adult women: A meta-analytic review 针对成年女性的数字化身体形象干预:荟萃分析综述。
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-08-01 DOI: 10.1016/j.bodyim.2024.101776
Lauren Conboy , John Mingoia , Amanda D. Hutchinson , Bennett A.A. Reisinger , David H. Gleaves

Although many women experience body dissatisfaction, treatment options that prevent the onset of more serious conditions are limited in accessibility. As such, digital interventions may be an appropriate alternative resource to address restricted treatment options. This study provides statistical syntheses of the evidence for digital body image interventions for non-clinical adult women. A systematic literature search identified 19 studies (N = 2424) that tested the effect of a digital body image intervention compared to a control condition. Study results were synthesised using random effects models, and small to medium statistically significant effect sizes indicated that digital interventions were beneficial in increasing overall global satisfaction (g = 0.43) and reducing cognitive body dissatisfaction (g = 0.36). These meta-analytic findings provide evidence for the efficacy of digital body image interventions for non-clinical adult women. Intervention type was not found to be a statistically significant moderator, which may suggest that a range of intervention types can produce similar reductions in body dissatisfaction. Overall, digital body image interventions may be a feasible option to alleviate body dissatisfaction, particularly for women who may be unable to access conventional treatment.

尽管许多女性都有对身体不满意的经历,但能够预防更严重疾病发生的治疗方案却很有限。因此,数字化干预可能是解决治疗选择受限问题的适当替代资源。本研究对针对非临床成年女性的数字化身体形象干预措施的证据进行了统计综合。通过系统性文献检索,确定了 19 项研究(N = 2424),这些研究测试了数字化身体形象干预与对照条件相比的效果。使用随机效应模型对研究结果进行了综合分析,结果显示,小到中等统计学意义的效应大小表明,数字化干预措施有利于提高整体满意度(g = 0.43)和降低认知上的身体不满意度(g = 0.36)。这些荟萃分析结果为针对非临床成年女性的数字化身体形象干预措施的有效性提供了证据。干预类型在统计学上并不是一个显著的调节因素,这可能表明各种干预类型都能产生类似的身体不满意度降低效果。总的来说,数字化身体形象干预可能是缓解身体不满意度的一个可行选择,尤其是对于那些可能无法获得常规治疗的女性来说。
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引用次数: 0
Translation and psychometric properties of a Polish version of the Body Acceptance by Others Scale-2 (BAOS-2) 波兰语版 "他人对身体接受度量表-2"(BAOS-2)的翻译和心理测量特性。
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-30 DOI: 10.1016/j.bodyim.2024.101771
Justyna Modrzejewska , Jennifer Todd , Kamila Czepczor-Bernat , Adriana Modrzejewska , Julia Wyszomirska , Viren Swami

The 13-item Body Acceptance by Others Scale-2 (BAOS-2) measures generalised perceptions of body acceptance by others. Here, we examined the psychometric properties of a novel Polish translation of the BAOS-2. A sample of 1183 adults (898 women, 285 men; age M = 28.98) from Poland completed a Polish version of the BAOS-2, alongside measures of body appreciation, pressure to conform to appearance ideals, self-compassion, self-esteem, and impression management. Exploratory and confirmatory factor analysis identified a stable unidimensional model of the Polish BAOS-2, with all 13 items retained. Additionally, the Polish BAOS-2 evidenced complete invariance (i.e., through to latent mean invariance) across gender identity. Scores on the BAOS-2 evidenced adequate composite reliability and, in a retest subsample (n = 260), showed complete invariance across four weeks. Evidence of convergent, criterion-related, discriminant, and incremental validity was very strong when based on observed BAOS-2 scores, but weaker when based on latent BAOS-2 scores. Whether examined at the observed or latent level, greater body acceptance by others was consistently and strongly associated with higher body appreciation. These results suggest that the psychometric properties of the Polish BAOS-2 are robust and that this instrument can be confidently utilised in future research with Polish adults.

13个项目的《他人对身体接受度量表-2》(BAOS-2)测量的是他人对身体接受度的普遍看法。在此,我们对 BAOS-2 的波兰语新译本进行了心理计量特性测试。来自波兰的 1183 名成年人(898 名女性,285 名男性;年龄 M = 28.98)完成了波兰语版本的 BAOS-2,同时还完成了对身体欣赏、符合外表理想的压力、自我同情、自尊和印象管理的测量。探索性和确认性因子分析确定了波兰 BAOS-2 的稳定单维模型,保留了全部 13 个项目。此外,波兰 BAOS-2 在不同性别认同中表现出完全不变量(即通过潜平均值不变量)。BAOS-2 的得分显示出足够的综合可靠性,并且在重新测试的子样本(n = 260)中,显示出四周内的完全不变性。在观察 BAOS-2 分数的基础上,收敛效度、标准效度、判别效度和增量效度都非常高,但在观察 BAOS-2 潜在分数的基础上,收敛效度、标准效度、判别效度和增量效度都较低。无论是从观察还是从潜意识的角度来看,他人对身体的接受程度越高,身体欣赏水平越高,两者之间的联系就越紧密。这些结果表明,波兰 BAOS-2 的心理测量特性是可靠的,在未来对波兰成年人的研究中可以放心使用该工具。
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引用次数: 0
Functionality appreciation mediates the association between age and body appreciation over the lifespan in Japan 在日本,功能性鉴赏在年龄与身体鉴赏之间起着中介作用。
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-27 DOI: 10.1016/j.bodyim.2024.101765
Hikari Namatame , Yoko Sawamiya

Previous findings suggest that body appreciation increases with age, whereas body dissatisfaction remains constant across the lifespan. However, the reason for this phenomenon remains unclear. In the present study, we examined the role of functionality appreciation in the association between age and body appreciation among Japanese adults. A community sample of 280 Japanese women and men (20–79 years old) completed an online cross-sectional survey with measures of functionality and body appreciation. Simple mediation analysis (PROCESS; Model 4) demonstrated that age was positively related to body appreciation and this relationship was mediated by functionality appreciation, for women, but not for men. This finding suggests that increased functionality appreciation might be a strategy for increasing body appreciation as we age, but only among women and not among men. It is possible that the adaptive strategies employed by older women could be utilized by younger women. Thus, implementing interventions focused on the enhancement of functionality appreciation might be beneficial for young women.

以往的研究结果表明,身体欣赏会随着年龄的增长而增加,而身体不满意则在整个生命周期中保持不变。然而,造成这种现象的原因仍不清楚。在本研究中,我们研究了功能性欣赏在日本成年人年龄与身体欣赏之间的关联中的作用。280名日本女性和男性(20-79岁)完成了一项在线横断面调查,调查内容包括功能性和身体鉴赏力。简单中介分析(PROCESS;模型 4)表明,年龄与身体鉴赏力呈正相关,而这种关系对女性来说是由功能鉴赏力中介的,但对男性来说不是。这一结果表明,随着年龄的增长,提高功能性鉴赏力可能是一种提高身体鉴赏力的策略,但这只适用于女性,而不适用于男性。年长女性采用的适应策略有可能被年轻女性所利用。因此,实施以提高功能鉴赏力为重点的干预措施可能对年轻女性有益。
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引用次数: 0
The relation between body dysmorphic disorder symptoms and photo-based behaviors: is body appreciation a protective factor? 身体畸形障碍症状与照片行为之间的关系:身体欣赏是保护因素吗?
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-24 DOI: 10.1016/j.bodyim.2024.101764
Paolo Mancin , Marta Ghisi , Andrea Spoto , Silvia Cerea

Body image and social media use seem to be significantly associated. In particular, photo-based behaviors (i.e., photo investment and manipulation) seemed to have a positive relation with negative body image dimensions. On the other hand, positive body image dimensions could demonstrate the role of moderators. However, current available studies did not support these findings consistently. Moreover, available studies did not assess Body Dysmorphic Disorder (BDD) and Muscle Dysmorphia (MD) symptoms. To address these issues, the associations between BDD/MD symptoms and photo-based behaviors and the possible moderation of body appreciation were examined in a sample of 485 social media users (71.1 % women). Findings from hierarchical multiple regressions highlighted that BDD symptoms were significantly associated with photo investment and manipulation, and MD symptoms were significantly associated with photo investment only. Body appreciation demonstrated a moderating role in the relation involving photo investment and BDD symptoms. Current findings supported that photo-based behaviors are significantly associated with negative body image dimensions, while positive body image demonstrated only a marginal protective role.

身体形象与社交媒体的使用似乎有显著关联。特别是,基于照片的行为(即照片投资和操纵)似乎与负面身体形象维度呈正相关。另一方面,积极的身体形象维度可能会起到调节作用。然而,目前现有的研究并没有一致地支持这些发现。此外,现有研究并未对身体畸形障碍(BDD)和肌肉畸形(MD)症状进行评估。为了解决这些问题,我们对 485 名社交媒体用户(71.1% 为女性)进行了抽样调查,研究了 BDD/MD 症状与基于照片的行为之间的关联,以及身体欣赏可能起到的调节作用。分层多元回归的结果表明,BDD 症状与照片投资和操纵行为显著相关,而 MD 症状仅与照片投资显著相关。在照片投资与 BDD 症状的关系中,身体鉴赏起着调节作用。目前的研究结果表明,基于照片的行为与负面身体形象显著相关,而正面身体形象只起到微弱的保护作用。
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引用次数: 0
The impact of yoga on body image in adults: A systematic review of quantitative studies 瑜伽对成年人身体形象的影响:定量研究的系统回顾。
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-23 DOI: 10.1016/j.bodyim.2024.101772
Neil Rupani , Justin Miller , Julyssa A. Renteria , Kristopher E. Kaliebe

Evidence suggests that yoga can be used as an intervention to improve body image. This systematic review evaluates the evidence of the efficacy of yoga in improving body image among adults. Authors followed PRISMA guidelines, searching Pubmed, Ovid MEDLINE, Embase, Cochrane, CINHAL, PsycInfo, and grey literature up to December 2, 2023 and identifying 446 unique records. Eligibility criteria included English-language, peer-reviewed studies with quantitative data on adult populations. Twenty-nine studies were eligible for inclusion and were evaluated for methodological quality using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach. Interventions focused solely on yoga varied in length, frequency, and style. Our synthesis revealed that yoga is associated with improved body satisfaction and appreciation, as well as reduced body dissatisfaction, across diverse adult populations, including those with clinical or subclinical levels of body dissatisfaction. Most low- and moderate-quality studies reported significant improvements, and some suggested a dose-response relationship. However, the evidence is limited by methodological weaknesses, such as a lack of blinding and inadequate reporting. Despite these limitations, findings support yoga as a promising intervention for improving body image in adults. Future research should aim for methodologically rigorous studies that use validated outcome measures and more inclusive populations.

有证据表明,瑜伽可用作改善身体形象的干预措施。本系统性综述评估了瑜伽在改善成年人身体形象方面的疗效证据。作者遵循 PRISMA 指南,检索了 Pubmed、Ovid MEDLINE、Embase、Cochrane、CINHAL、PsycInfo 以及截至 2023 年 12 月 2 日的灰色文献,共识别出 446 条唯一记录。资格标准包括针对成人群体的定量数据的英语同行评审研究。有 29 项研究符合纳入条件,并采用建议、评估、发展和评价分级法(GRADE)对研究方法的质量进行了评估。仅以瑜伽为重点的干预措施在时间长度、频率和风格上各不相同。我们的综述显示,瑜伽与提高身体满意度和欣赏度以及降低身体不满意度有关,适用于不同的成年人群,包括那些有临床或亚临床身体不满意度的人群。大多数低质量和中等质量的研究报告显示,瑜伽能显著改善身体状况,其中一些研究还表明存在剂量反应关系。然而,由于方法上的缺陷,如缺乏盲法和报告不充分,这些证据受到了限制。尽管存在这些局限性,研究结果还是支持瑜伽作为一种有希望改善成年人身体形象的干预措施。未来的研究应以方法严谨的研究为目标,使用有效的结果测量方法和更具包容性的人群。
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引用次数: 0
Social media and body image: Relationships between social media appearance preoccupation, self-objectification, and body image 社交媒体与身体形象:社交媒体外貌先入为主、自我物化和身体形象之间的关系
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-16 DOI: 10.1016/j.bodyim.2024.101767
Kyle M. Brasil , Callie E. Mims , Mary E. Pritchard , Ryon C. McDermott

Nearly 85 % of emerging adults report using at least one social media site. Research suggests that viewing and internalizing unrealistic body ideals often displayed online may pose harmful effects on young people’s body image. However, studies on the relationships between social media usage and body image have predominantly focused on women’s drive for thinness. We sought to explore the relationships between social media appearance-related preoccupation (SMARP), body shame and surveillance, and drives for leanness, muscularity, and thinness, specifically examining the moderating role of gender within these relationships. Data from 939 undergraduate students (n = 240 men) were analyzed using multigroup structural equation modeling. Surveillance significantly mediated the positive associations between SMARP and drive for leanness for women and men. For SMARP and drive for muscularity, surveillance was a mediator for men only. Shame emerged as a significant mediator of the positive association between SMARP and drive for thinness for women and men. Moderated mediation was supported, such that the indirect effect of SMARP on drive for thinness was significantly stronger for women. These results suggest that for men in particular, SMARP is not necessarily associated with increased drives for leanness and muscularity unless men are also engaging in body surveillance.

近 85% 的新兴成年人表示至少使用过一个社交媒体网站。研究表明,观看网上经常展示的不切实际的身体理想并将其内化,可能会对青少年的身体形象造成有害影响。然而,有关社交媒体的使用与身体形象之间关系的研究主要集中在女性对瘦身的追求上。我们试图探究社交媒体上与外貌相关的先入为主(SMARP)、身体羞耻感和监视,以及对瘦弱、肌肉发达和苗条的追求之间的关系,特别是性别在这些关系中的调节作用。我们使用多组结构方程模型分析了来自 939 名本科生(n = 240 名男生)的数据。对于女性和男性而言,监督在 SMARP 与瘦身驱动力之间的正相关关系中起着重要的中介作用。对于 SMARP 和肌肉驱动力,监控仅对男性起中介作用。羞耻感是女性和男性 SMARP 与瘦的驱动力之间正相关关系的重要中介。调和中介作用得到了支持,因此,SMARP 对瘦身驱动力的间接影响对女性而言明显更强。这些结果表明,特别是对男性而言,除非男性也参与身体监控,否则 SMARP 不一定与瘦身和肌肉驱动力的增加有关。
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引用次数: 0
“You started working out to get a flat stomach and a fat a$$”: A content analysis of fitspiration videos on TikTok "你开始健身是为了拥有平坦的腹部和肥胖的屁股":对 TikTok 上健身视频的内容分析
IF 5.2 1区 心理学 Q1 PSYCHIATRY Pub Date : 2024-07-15 DOI: 10.1016/j.bodyim.2024.101769
Samantha Pryde , Eva Kemps , Ivanka Prichard

Fitspiration presents idealised bodies to viewers, emphasising a fit ideal to women and a muscular ideal to men. Previous content analyses have focused on images from Instagram, with research yet to examine video content on TikTok or verify the accuracy of the diet and exercise information posted by fitness influencers. This content analysis examined 200 videos from popular TikTok fitspiration hashtags (fitness, fitspo, gymtok, fittok). Two independent coders used a standardised codebook containing definitions and examples for coding. Overall, 78 % of videos showed only women, and 10 % of videos showed only men. Videos of women included both fit and thin idealised bodies, whole body and specific body part objectification, harmful themes, and promoted appearance-related reasons for exercise more frequently than videos containing men. Videos of men included muscular idealised bodies and objectification through face obscurity (excluding the face from view) more frequently than videos of women. Most videos were posted by fitness influencers, and 60 % of videos presented incorrect or harmful information. Findings suggest that fitspiration TikTok content contains characteristics known to negatively impact body image and highlights gendered differences in content themes. Further investigation is required on the promotion of appearance reasons to exercise, and the credibility of information and content creators.

健身启示向观众展示理想化的身材,强调女性的健美理想和男性的肌肉理想。以往的内容分析主要集中在 Instagram 上的图片,尚未对 TikTok 上的视频内容进行研究,也未验证健身影响者发布的饮食和锻炼信息的准确性。本内容分析研究了 TikTok 上流行的健身启发标签(fitness、fitpo、gymtok、fittok)中的 200 个视频。两名独立的编码员使用包含定义和示例的标准化编码手册进行编码。总体而言,78% 的视频中只有女性,10% 的视频中只有男性。与男性视频相比,女性视频中既有健美的理想化身体,也有消瘦的理想化身体;既有全身物化,也有特定身体部位物化;既有有害主题,也有宣传与外表有关的锻炼理由。与女性视频相比,男性视频中出现肌肉发达的理想化身材和通过遮挡脸部(不显示脸部)进行物化的频率更高。大多数视频是由健身影响者发布的,60% 的视频提供了不正确或有害的信息。研究结果表明,fitpiration TikTok 内容包含已知会对身体形象产生负面影响的特征,并突出了内容主题的性别差异。还需要进一步调查推广锻炼的外观理由以及信息和内容创作者的可信度。
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引用次数: 0
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