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Connectome-based predictive modeling of longitudinal development of muscularity-oriented disordered eating and links with childhood maltreatment 肌肉导向进食障碍纵向发展的连接体预测模型及其与儿童虐待的联系。
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-15 DOI: 10.1016/j.bodyim.2025.101984
Bijie Tie , Sai Yao , Yixin Gao , Yang Viki Xu , D.A. Briley , Yunhong Wang , Jinbo He , Jiang Qiu

Objective

Muscularity-oriented disordered eating, characterized by disordered eating symptoms driven by the pursuit of a muscular physique, is an emerging public health concern. Although childhood maltreatment has been linked to thinness-oriented disordered eating, underpinned by the pursuit of a thin ideal, little is known about the longitudinal associations between specific subtypes and muscularity-oriented disordered eating or the neural mechanisms mediating these associations.

Method

This study used two-wave data from an ongoing research project tracking college freshmen at a university in Chongqing, China. At Time 1, 212 participants (Age: M (SD) = 18.87 (0.97) years; 38% men) completed behavioral assessments and resting-state fMRI scans, and 144 returned for follow-up at Time 2. We examined these relationships through connectome-based predictive modeling (CPM) and mediation analysis.

Results

Only childhood physical abuse showed a significant indirect effect on T2 muscularity-oriented disordered eating via T1 muscularity-oriented disordered eating. CPM identified the most significant predictive connections in the dorsolateral prefrontal cortex, inferior frontal gyrus, and cerebellum, with positive muscularity-oriented disordered eating networks primarily linking the salience/limbic network to the cerebellum and the fronto-parietal network to the default mode network. In the brain–behavior model, childhood physical abuse’s effect on muscularity-oriented disordered eating was partly mediated by these CPM-derived networks.

Conclusions

Childhood physical abuse emerged as a predictor of muscularity-oriented disordered eating from both behavioral and neural perspectives. These findings underscore the clinical importance of early identification of childhood physical abuse and support the development of integrated psychological and neurobiological interventions to prevent the development of muscularity-oriented disordered eating.
目的:以肌肉为导向的饮食失调是一个新兴的公共卫生问题,其特征是由追求肌肉体格驱动的饮食失调症状。虽然儿童虐待与追求瘦型饮食失调有关,但对特定亚型与肌肉导向型饮食失调之间的纵向关联或介导这些关联的神经机制知之甚少。方法:本研究使用了一项正在进行的研究项目的两波数据,该项目跟踪了中国重庆一所大学的大一新生。在时间1时,212名参与者(年龄:M (SD) = 18.87(0.97)岁;38%(男性)完成了行为评估和静息状态fMRI扫描,144人在时间2返回随访。我们通过基于连接体的预测建模(CPM)和中介分析来检验这些关系。结果:只有儿童期身体虐待通过T1期肌肉导向型进食障碍对T2期肌肉导向型进食障碍有显著的间接影响。CPM发现在背外侧前额叶皮层、额下回和小脑中存在最显著的预测连接,正向肌肉导向的进食紊乱网络主要将突出/边缘网络连接到小脑,将额顶叶网络连接到默认模式网络。在脑行为模型中,儿童身体虐待对肌肉导向饮食失调的影响部分是由这些cpm衍生的网络介导的。结论:从行为和神经的角度来看,儿童时期的身体虐待是肌肉导向饮食失调的预测因素。这些发现强调了早期识别儿童身体虐待的临床重要性,并支持综合心理和神经生物学干预的发展,以预防肌肉导向的饮食失调的发展。
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引用次数: 0
“It’s an honor to be in this body”: A Black feminist grounded theory of embodiment through yoga among Black womxn “拥有这个身体是一种荣幸”:黑人女性通过瑜伽体现的黑人女权主义理论。
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-15 DOI: 10.1016/j.bodyim.2025.101982
Natalie Malone , Kaylee A. Palomino , Trinda L. Penniston , Nancy Adane , Monyae A. Kerney , Candice N. Hargons
This study qualitatively explored the processes by which Black womxn yoga practitioners (BWYPs) cultivate positive embodiment through their yoga practice. Embodiment in this study referred to the physical and lived experience of the body, shaped by Black feminisms. Participants were N = 30 Black womxn who were short- (≤ five years; n = 11), medium- (five–10 years; n = 10), and long-term (>11 years; n = 9) yoga practitioners. Participants completed individual interviews as part of the Embodied Sexual Health Study – a Black feminist project examining embodiment, sexual health, and yoga among BWYPs in the United States. Data were analyzed using critical-constructivist grounded theory informed by Black feminist qualitative inquiry. Results comprised two categories: “Ever evolving”: Nature of embodiment through yoga and “Finding flow in my body”: Dimensions of embodiment through yoga. The nature of embodiment through yoga outlined the four properties of embodiment for participants: (1) yoga-centered awareness of embodiment, (2) yoga-facilitated access to and aspiration for embodiment, (3) engaging embodiment using yoga, and (4) evolving and refining embodiment with yoga. Dimensions of Embodiment identified five interconnected aspects of embodiment experienced during and outside of a yoga practice: (1) wholistic communion, (2) body harmony, (3) body comfort and safety, (4) body attunement, and (5) body responsiveness. Implications for research and practice centering Black womxn, yoga, and embodiment are discussed.
本研究定性地探讨了黑人女性瑜伽练习者(bwyp)通过瑜伽练习培养积极体现的过程。在这项研究中,化身指的是由黑人女权主义塑造的身体的物理和生活体验。参与者是N = 30名黑人女性,她们是短期(≤5年;N = 11)、中期(5 -10年;N = 10)和长期(>11年;N = 9)瑜伽练习者。参与者完成了个人访谈,作为具体化性健康研究的一部分。具体化性健康研究是一个黑人女权主义项目,在美国的bwyp中研究具体化、性健康和瑜伽。数据分析采用了以黑人女性主义定性调查为基础的批判建构主义理论。结果包括两类:“不断进化”:通过瑜伽体现的本质和“在我的身体中找到流动”:通过瑜伽体现的维度。通过瑜伽的体现的本质为参与者概述了体现的四个属性:(1)以瑜伽为中心的体现意识,(2)瑜伽促进了对体现的获取和渴望,(3)用瑜伽参与体现,(4)用瑜伽进化和完善体现。体现的维度确定了在瑜伽练习期间和之外体验的体现的五个相互关联的方面:(1)整体交流,(2)身体和谐,(3)身体舒适和安全,(4)身体调谐,(5)身体反应。以黑人女性、瑜伽和化身为中心的研究和实践的意义进行了讨论。
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引用次数: 0
A scoping review of shame, guilt, and pride in body image: Insights from the body and appearance self-conscious emotions scale 对身体形象中的羞耻、内疚和骄傲的范围审查:来自身体和外表自我意识情绪量表的见解。
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-15 DOI: 10.1016/j.bodyim.2025.101978
Sarah E. Ryan, Alishba Mansoor, Madison F. Vani, Catherine M. Sabiston
The Body and Appearance Self-Conscious Emotions Scale (BASES; Castonguay et al., 2014) is a measure of shame, guilt, authentic pride, and hubristic pride self-conscious emotions. The scale has been widely used, yet details about implementation, outcomes, and contributions to the literature have not been summarized. This scoping review was designed to summarize and examine research utilizing the BASES to identify trends, findings, and gaps, providing recommendations for future research. A total of 2888 documents were reviewed, comprising records identified through database searching and those citing the BASES development article, resulting in 63 studies included in the final review. Data extraction focused on research objectives, scale applications, and key findings. Most studies used the BASES to explore relationships between self-conscious emotions and disordered eating, body ideals, and physical activity. Of the reviewed studies, 46 % used the full scale and 44 % used subscales, often using the authentic pride subscale in isolation or a combination of the shame and guilt subscales. The scale was frequently used in English (67 %), Spanish (10 %), and Polish (6 %) among emerging adults (38 %), adults (32 %) and adolescents (25 %). Significant positive correlations were reported between shame and guilt (r = 0.38–0.96) and authentic and hubristic pride (r = 0.57–0.87). Shame and guilt were generally linked to maladaptive behaviours (e.g., dietary restraint), while authentic and hubristic pride were protective. Investigations of intervention strategies to reduce appearance-related shame and guilt while fostering pride are needed.
身体和外表自我意识情绪量表(BASES; castonway et al., 2014)是一种衡量羞耻、内疚、真实的骄傲和傲慢的自我意识情绪的量表。该量表已被广泛使用,但有关实施、结果和文献贡献的细节尚未总结。该范围审查的目的是总结和检查利用基础数据库的研究,以确定趋势、发现和差距,为未来的研究提供建议。共审查了2888份文件,包括通过数据库检索确定的记录和引用base开发文章的记录,最终审查了63项研究。数据提取侧重于研究目标、规模应用和关键发现。大多数的研究都是利用基础神经基础来探索自我意识情绪与饮食失调、理想身材和体育活动之间的关系。在回顾的研究中,46% %使用完整量表,44% %使用子量表,通常单独使用真实骄傲子量表,或将羞耻和内疚子量表结合使用。该量表在初出期成人(38 %)、成人(32 %)和青少年(25 %)中常用英语(67 %)、西班牙语(10 %)和波兰语(6 %)。羞耻和内疚(r = 0.38-0.96)与真实和傲慢的骄傲(r = 0.57-0.87)呈显著正相关。羞耻和内疚通常与适应不良行为(例如饮食限制)有关,而真实和傲慢的骄傲则具有保护作用。需要调查干预策略,以减少与外表有关的羞耻和内疚感,同时培养自豪感。
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引用次数: 0
A qualitative insight into the experience of self-oriented body comparison in postpartum women 产后妇女自我导向身体比较体验的定性研究。
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-14 DOI: 10.1016/j.bodyim.2025.101981
Taylor N. Vashro , Katherine A. Thompson , Suzanne E. Mazzeo , Anna M. Bardone-Cone
The postpartum period is a high-risk time for body image disturbances among mothers, given the rapid physical, emotional, and environmental changes experienced. Sociocultural pressures for postpartum women to quickly return to their pre-pregnancy weight and shape are both well documented and associated with disordered eating symptomatology; however, no studies have qualitatively explored self-oriented body comparison postpartum, the experience of comparing one’s postpartum body weight and shape to pre-pregnancy weight and shape. This study qualitatively examined postpartum women’s body image while they engaged in self-oriented body comparison. Thirty-two women, (Mage= 31.62; SD=3.78) years, 87.5 % white, 96.9 % partnered, 84.4 % straight, and 96.9 % with a high school diploma or higher) participated in an expressive writing exercise in which they described their body image while engaging in self-oriented body comparison. Overall, women described their postpartum body image as multidimensional and dialectical, as they often held multiple attitudes towards their body at once. Women highlighted dimensions of their body image unique to the postpartum window and described the impact and salience of body image in their current view of self. Findings contribute to improved understanding of postpartum body image and self-oriented body comparison, inform development of future postpartum body image measures, and could ultimately guide the development of evidence-based guidelines for prevention of negative postpartum body image and associated disordered eating behaviors during this critical period.
产后时期是母亲身体形象障碍的高风险时期,因为经历了快速的身体、情绪和环境变化。产后妇女迅速恢复孕前体重和身材的社会文化压力已得到充分记录,并与饮食失调症状有关;然而,目前还没有研究定性地探讨以自我为导向的产后体重比较,即产后体重和体形与孕前体重和体形比较的体验。本研究定性地考察了产后妇女在进行自我导向的身体比较时的身体形象。32名女性(Mage= 31.62; SD=3.78), 87.5% %白人,96.9% %伴侣,84.4% %异性恋,96.9% %具有高中或更高学历)参加了一项表达性写作练习,她们在进行自我导向的身体比较时描述了自己的身体形象。总体而言,女性对产后身体形象的描述是多维的和辩证的,因为她们经常同时对自己的身体持有多种态度。女性强调了她们的身体形象在产后窗口的独特维度,并描述了身体形象在她们当前的自我观中的影响和突出性。研究结果有助于提高对产后身体形象和自我导向的身体比较的理解,为未来产后身体形象措施的制定提供信息,并最终指导在这一关键时期预防产后消极身体形象和相关饮食失调行为的循证指南的制定。
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引用次数: 0
"Beauty knows no bounds": Exploring the influence of body size and content focus on women's body positivity “美无疆界”:探索体型和内容对女性身体积极性的影响。
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-14 DOI: 10.1016/j.bodyim.2025.101985
Weixi Zeng , Junyi Chen , Yi-Xin Zhou , Nainan Wen
Body positivity is a movement that promotes acceptance and appreciation of all body types. While previous research has explored the role of different model body types in promoting body positivity, there is no clear consensus on whether average-sized or plus-sized models would generate more positive outcomes. Moreover, most studies have focused on Western populations, leaving a gap in understanding within non-Western contexts. Average-sized models are often associated with assimilation effects, whereas plus-sized models are linked to downward comparison effects. Firstly, this study compared the influence of average-sized versus plus-sized models on body appreciation. Secondly, it also investigated how content focus—either aesthetic or functionality-based—influences body appreciation, and whether body size and content focus interact. Finally, the study explored the moderating role of self-esteem in shaping women's responses to model body size and content focus. Based on a 2 (average vs. plus-sized model) × 2 (aesthetic vs. functionality-focused content) experiment with 354 Chinese women (Mage = 31.68, MBMI = 21.46), the findings showed that plus-sized models led to higher levels of body appreciation. Although content focus alone did not yield significant differences, an interaction effect emerged: plus-sized models paired with aesthetic-focused content led to greater body appreciation than the same content presented with average-sized models. Additionally, the study revealed a moderating effect of self-esteem on women's preferences for models and content. Women with high self-esteem preferred average-sized models and aesthetic-focused content, while those with low self-esteem favored plus-sized models and functionality-focused content. These findings have practical implications for promoting positive body image among women.
身体积极是一种促进接受和欣赏所有体型的运动。虽然之前的研究已经探讨了不同体型的模特在促进身体积极性方面的作用,但对于中等身材的模特和大身材的模特是否会产生更积极的结果,并没有明确的共识。此外,大多数研究都集中在西方人群身上,在非西方背景下的理解上留下了空白。平均尺寸模型通常与同化效应有关,而大尺寸模型则与向下比较效应有关。首先,本研究比较了中码模特和大码模特对身体欣赏的影响。其次,它还调查了内容焦点(无论是基于审美还是基于功能)如何影响身体欣赏,以及身体大小和内容焦点是否相互作用。最后,本研究探讨了自尊在塑造女性对模特身材和内容焦点的反应中的调节作用。基于对354名中国女性(Mage = 31.68, MBMI = 21.46)进行的2(平均与大码模特)× 2(审美与功能重点内容)实验,研究结果表明,大码模特对身体的欣赏程度更高。虽然内容关注本身并没有产生显著的差异,但一种交互效应出现了:大码模特搭配以审美为重点的内容,比同样的内容搭配中等身材的模特,会带来更大的身体欣赏。此外,该研究还揭示了自尊对女性对模特和内容的偏好有调节作用。高自尊的女性更喜欢中等身材的模特和以审美为重点的内容,而低自尊的女性更喜欢大身材的模特和以功能为重点的内容。这些发现对于促进女性积极的身体形象具有实际意义。
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引用次数: 0
Associations between sexting behaviours and muscle dysmorphia symptomatology among a Canadian sample of young adults 在加拿大年轻人样本中,性短信行为与肌肉畸形症状之间的联系。
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-13 DOI: 10.1016/j.bodyim.2025.101976
Christy K. Ahn , Jason M. Nagata , Rachel F. Rodgers , Alexander Testa , Kyle T. Ganson
Sexting is increasingly prevalent among young adults and has been linked to body dissatisfaction and disordered eating. However, its relationship with muscle dysmorphia symptoms remains unexplored. This study investigates the association between sexting behaviours and muscle dysmorphia symptomatology in a Canadian sample of young adults aged 18–30 (N = 878). Participants reported their sexting activities over the past 12 months and completed the Muscle Dysmorphic Disorder Inventory (MDDI) to assess muscle dysmorphia symptomatology. Multiple linear regression analyses revealed significant associations between receiving unsolicited photo and video sexts and greater overall muscle dysmorphia symptomatology. Sending photo sexts was also associated with greater total muscle dysmorphia symptoms, Drive for Size, and Functional Impairment. Sending video sexts, however, was associated with greater Drive for Size subscale scores only. Asking for photo sexts was associated with greater total muscle dysmorphia symptoms and Drive for Size, while asking for video sexts did not show any significant associations. None of the sexting behaviours studied were significantly associated with the Appearance Intolerance subscale. These findings suggest that sexting may be associated with muscularity-related body image concerns among young adults, potentially through sociocultural processes prevalent in digital contexts, such as exposure to idealized body norms, appearance-based social comparisons, and the pursuit of external validation via image-based body portrayals. This study contributes to the growing literature on the relationships between online engagement and body image, emphasizing the need for future research and targeted interventions to address the unique societal experiences of young adults in an increasingly technological world.
性短信在年轻人中越来越普遍,并与身体不满和饮食失调有关。然而,其与肌肉畸形症状的关系尚不清楚。本研究调查了加拿大18-30岁年轻人的性短信行为与肌肉畸形症状之间的关系(N = 878)。参与者报告了他们过去12个月的性短信活动,并完成了肌肉畸形障碍量表(MDDI),以评估肌肉畸形的症状。多元线性回归分析显示,收到未经请求的照片和视频色情短信与更大的整体肌肉畸形症状之间存在显著关联。发送照片短信也与更大的肌肉畸形症状、体型驱动和功能障碍有关。然而,发送视频色情短信只与更大的尺寸驱动子量表得分有关。索要照片色情短信与更大的肌肉畸形症状和体型驱动有关,而索要视频色情短信则没有显示出任何显著的关联。所研究的性短信行为中,没有一项与“外貌不耐受”分量表有显著关联。这些发现表明,性短信可能与年轻人对肌肉相关的身体形象的担忧有关,这可能是通过数字环境中普遍存在的社会文化过程产生的,例如暴露于理想化的身体规范、基于外表的社会比较,以及通过基于图像的身体描绘追求外部验证。这项研究为越来越多的关于在线参与与身体形象之间关系的文献做出了贡献,强调了未来研究和有针对性的干预措施的必要性,以解决日益科技化的世界中年轻人独特的社会体验。
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引用次数: 0
The development and validation of the social media sexual objectification scale among Chinese heterosexual young women 中国异性恋年轻女性社交媒体性物化量表的开发与验证
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-10 DOI: 10.1016/j.bodyim.2025.101977
Qinglong Guo , Min Lang , Huicun Duan , Hong Chen
In recent years, an increasing number of researchers have shown interest in sexual objectification on social media and its harmful outcomes. However, reliable instruments to measure sexual objectification within the social media context remain limited. This research describes the development and validation of the Social Media Sexual Objectification Scale (SMSOS) among Chinese heterosexual young women across two studies. Study 1 (N = 590) employed exploratory graph analysis to identify a four-factor structure: Direct Sexual Objectification, Reduction to Sexual Object, Reduction to Body Appearance, and Objectifying Other Women. Study 2 (N = 508) confirmed this structure through confirmatory factor analysis. In Study 1, SMSOS total and subscale scores were correlated with thin-ideal internalization, self-objectification, body shame, appearance-related social media consciousness, body image inflexibility, eating disorders, and acceptance of cosmetic surgery, demonstrating satisfactory criterion-related validity. In Study 2, the SMSOS explained additional variance in self-objectification and body shame beyond existing measures (Online Sexual Objectification Experiences scale, Objectification of Others Questionnaire, and Pervasive Body Gaze subscale), indicating sufficient incremental validity. Additionally, the SMSOS and its subscales showed adequate internal consistency reliability and 4-week test-retest reliability (N = 98). As a newly validated measure of social media sexual objectification, SMSOS provides researchers with a tool to advance the study in this field.
近年来,越来越多的研究人员对社交媒体上的性物化及其有害后果表现出兴趣。然而,在社交媒体背景下衡量性物化的可靠工具仍然有限。本研究通过两项研究描述了社交媒体性物化量表(SMSOS)在中国异性恋年轻女性中的发展和验证。研究1 (N = 590)采用探索性图形分析确定了四因素结构:直接性物化、性客体还原、身体外观还原和其他女性物化。研究2 (N = 508)通过验证性因子分析证实了这一结构。在研究1中,SMSOS总分和子量表得分与瘦理想内化、自我物化、身体羞耻、外貌相关的社交媒体意识、身体形象僵化、饮食失调和接受整容手术相关,显示出令人满意的标准相关效度。在研究2中,SMSOS解释了自我物化和身体羞耻在现有测量(在线性物化体验量表、他人物化问卷和普遍身体凝视子量表)之外的额外差异,表明有足够的增量效度。此外,SMSOS及其分量表具有足够的内部一致性信度和4周重测信度(N = 98)。作为一种最新验证的社交媒体性物化测量方法,SMSOS为研究人员提供了一种工具来推进这一领域的研究。
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引用次数: 0
(Re)connecting mind and body: Efficacy of mindfulness and self-compassion interventions for enhancing body image. A systematic review of randomized trials (再)连接身心:正念和自我同情干预对增强身体形象的效果。随机试验的系统回顾。
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-07 DOI: 10.1016/j.bodyim.2025.101974
Alba Gutiérrez-Cabrero, Marian González-García
Evidence suggests that first- and second-generation mindfulness-based interventions (MBIs) can improve body image concerns in adolescents and adults. However, a systematic review of such interventions is lacking. The aim of this study is to synthesize evidence from randomized controlled trials evaluating the efficacy of both first- and second-generation MBIs in reducing negative body image and enhancing positive body image. Database searches were conducted in PubMed, CoChrane, Proquest Thesis & Dissertations and ScienceDirect up to August 2025, identifying 3394 records. After screening, 43 studies met eligibility criteria (n = 7979) and were evaluated for methodological quality following PRISMA guidelines. Of them, 16 (37.2 %) evaluated first-generation MBIs, while the remaining 27 studies (55.8 %) examined second-generation MBIs, with self-compassion being the most commonly used intervention. Only one study used both generations. Both first- and second-generation interventions demonstrated moderate to large effect sizes in most studies, with 94 % reporting significant improvements in at least one body image outcome. The methodological quality, assessed using the JBI tool, was rated as having either low risk of bias or some concerns in nearly 70 % of the studies. These findings highlight the global efficacy of MBIs for reducing negative body image and improving positive body image, while also underscoring the need for future research to employ more methodologically rigorous designs, multidimensional outcome measures, and greater inclusion of diverse sex, gender, and ethnic groups.
有证据表明,第一代和第二代正念干预(MBIs)可以改善青少年和成年人对身体形象的担忧。然而,缺乏对这些干预措施的系统回顾。本研究的目的是综合来自随机对照试验的证据,评估第一代和第二代MBIs在减少消极身体形象和增强积极身体形象方面的疗效。截至2025年8月,在PubMed、CoChrane、Proquest Thesis & dissertation和ScienceDirect中进行了数据库检索,确定了3394条记录。筛选后,43项研究符合资格标准(n = 7979),并按照PRISMA指南对方法学质量进行了评估。其中16项(37.2% %)评估了第一代mbbi,而其余27项(55.8% %)研究了第二代mbbi,其中自我同情是最常用的干预措施。只有一项研究使用了两代人。在大多数研究中,第一代和第二代干预都显示出中等到较大的效果,94% %报告至少有一种身体形象结果显着改善。使用JBI工具评估的方法学质量在近70% %的研究中被评为具有低偏倚风险或存在一些问题。这些发现强调了MBIs在减少消极身体形象和改善积极身体形象方面的全球功效,同时也强调了未来研究需要采用更严格的方法设计,多维结果测量,并更多地包括不同性别,性别和种族群体。
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引用次数: 0
Aspects of body image as moderators and mediators in the relationship between minority stress and depression among diverse LGBTQIA+ identities 不同LGBTQIA+身份的少数群体压力与抑郁关系中,身体形象各方面的调节和中介作用
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-04 DOI: 10.1016/j.bodyim.2025.101975
Joel Bates , Nadia Maalin , Tracey Thornborrow
LGBTQIA+ (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, Intersex, Asexual, plus) individuals are at higher risk of adverse mental health outcomes than cisgender heterosexual (cishet) individuals due to experiences of minority stress. In the current study, we compared levels of appearance anxiety, depressive symptoms, body appreciation and self-esteem among LGBTQIA+ and cishet individuals. Further, among LGBTQIA+ individuals, we tested a hybrid theoretical model to examine the protective effects of body appreciation and self-esteem in the relationships between minority stress, appearance anxiety, and depression. A total of 581 participants (aged 16–65) completed demographic and psychometric measures, including the Minority Stress Measure, Body Appreciation Scale-2, Rosenberg Self-Esteem Scale, Physical Appearance State and Trait Anxiety Scale, and Beck Depression Inventory, via an online survey. Results confirmed that LGBTQIA+ individuals had poorer mental health outcomes than cishet participants, characterised by higher levels of depressive symptoms and appearance anxiety, and lower body appreciation and self-esteem. Further, our hybrid model showed that LGBTQIA+ individuals with lower body appreciation and self-esteem were particularly vulnerable to appearance anxiety and depression related to minority stress, whilst body appreciation reduced the impact of minority stress on depression. These findings may inform potential directions for interventions targeted towards LGBTQIA+ populations.
LGBTQIA+ (女同性恋、男同性恋、双性恋、跨性别者、酷儿/质疑者、双性人、无性恋者)个体由于少数群体压力的经历比顺性异性恋者(cishet)个体有更高的不良心理健康结果风险。在本研究中,我们比较了LGBTQIA+ 和cishet个体的外表焦虑、抑郁症状、身体欣赏和自尊水平。此外,在LGBTQIA+ 个体中,我们检验了一个混合理论模型,以检验身体欣赏和自尊在少数民族压力、外表焦虑和抑郁之间的关系中的保护作用。581名参与者(年龄16-65岁)通过在线调查完成了人口统计学和心理测量,包括少数民族压力测量、身体欣赏量表-2、罗森伯格自尊量表、外貌状态和特质焦虑量表以及贝克抑郁量表。结果证实,LGBTQIA+ 个体的心理健康状况比cishet参与者差,其特征是抑郁症状和外表焦虑水平更高,身体欣赏和自尊水平较低。此外,我们的混合模型显示,低身体欣赏和自尊的LGBTQIA+ 个体特别容易受到与少数民族压力相关的外表焦虑和抑郁,而身体欣赏降低了少数民族压力对抑郁的影响。这些发现可能为针对LGBTQIA+ 人群的干预提供潜在的方向。
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The pressure to be ‘Fair and Lovely’: Exploring the contributing factors to body dissatisfaction and disordered eating among South Asian women and girls in the UK 追求“美丽可爱”的压力:探究导致英国南亚女性和女孩对自己身材不满和饮食失调的因素
IF 5.4 1区 心理学 Q1 PSYCHIATRY Pub Date : 2025-10-03 DOI: 10.1016/j.bodyim.2025.101971
Hannah Kate Lewis , Dhanisha Vora , Nadia Craddock , Una Foye , Erica Cini , Mark Freestone
Little is known about culturally relevant factors contributing to body dissatisfaction and disordered eating among British South Asians, despite data indicating a high prevalence of eating disorders in this population. This study explored contributing factors to body dissatisfaction and disordered eating among young British South Asian women (n = 15). One focus group (n = 3) and semi-structured interviews (n = 12) were conducted online with South Asian women aged between 18 and 29 (Mage = 21.6 years). Participants were recruited through charity social media channels and community groups as well as via an eating disorder treatment pathway at a London NHS Trust. Using reflexive thematic analysis, we generated themes reflecting risk factors which were then situated on a macro-level (e.g. colourism, targeted public health campaigns), meso-level (e.g. cultural meanings of food, religion), and micro-level (e.g. pubertal timings and PCOS) framework. Based on our findings, we identified ways to develop more culturally sensitive body image interventions and eating disorder prevention strategies and provide insights to support eating disorder treatment modifications for South Asian women in the UK. Further, we highlight a need for community-based initiatives to raise awareness and overcome stigma associated with body dissatisfaction and disordered eating within South Asan communities.
尽管有数据表明,英国南亚人饮食失调的患病率很高,但人们对导致英国南亚人对身体不满和饮食失调的文化相关因素知之甚少。这项研究探讨了英国南亚年轻女性对身体不满和饮食失调的影响因素(n = 15)。一个焦点小组(n = 3)和半结构化访谈(n = 12)对年龄在18至29岁(年龄= 21.6岁)的南亚女性进行了在线调查。参与者是通过慈善社交媒体渠道和社区团体以及伦敦NHS信托基金的饮食失调治疗途径招募的。使用反身性主题分析,我们生成了反映风险因素的主题,这些风险因素随后位于宏观层面(如肤色歧视、有针对性的公共卫生运动)、中观层面(如食物、宗教的文化意义)和微观层面(如青春期时间和多囊卵巢综合征)框架。基于我们的研究结果,我们确定了开发更具文化敏感性的身体形象干预和饮食失调预防策略的方法,并为支持英国南亚女性饮食失调治疗修改提供了见解。此外,我们强调需要以社区为基础的举措,以提高认识,克服与身体不满和饮食失调相关的耻辱在南牙山社区。
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Body Image
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