Body Image最新文献_第6页

Pilot trial assessing acceptability, feasibility, and preliminary effects of a body image intervention for adolescents in rural Nicaragua 评估尼加拉瓜农村青少年身体形象干预的可接受性、可行性和初步效果的试点试验

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-01 Epub Date: 2025-09-24 DOI: 10.1016/j.bodyim.2025.101970

Fabienne E. Andres , Tracey Thornborrow , Wienis N. Bowie , Velette Taylor Hebbert , Joshanni Allen Moses , Malcolm Gonzalez , Elvis Calero , Elizabeth H. Evans , Lynda G. Boothroyd

School-based interventions to promote body esteem and media literacy are a cost-effective way to improve body image and foster resilience against appearance pressures across diverse socio-economic contexts. We developed a culturally adapted intervention to promote body esteem and media literacy and piloted it in a two-arm semi-randomized controlled trial. Nicaraguan adolescents in two schools were allocated to receive a four-session, facilitator-delivered, school-based intervention that focused on critiquing appearance ideals, recognizing manipulated images, reducing social comparisons and resisting appearance pressures. Participants in two schools were allocated to the waitlist control condition. A total of 122 adolescents (77 girls, M_age = 13.7, SD = 1.55, range 11–18) answered questionnaires about body satisfaction, internalization of general and athletic ideals, sociocultural pressures, physical appearance comparison and eating attitudes before and one week after the intervention/control period; and completed open-ended questions at six-week follow-up. Throughout the program, they provided both qualitative and quantitative feedback after each session. Additional feedback was gathered from participants, observing teachers, and facilitators during focus groups at post-test to evaluate the program’s acceptability and feasibility. The intervention demonstrated good acceptability and feasibility. Participants showed improvements at post-test for perceived reality of social media and athletic internalization. Key learning points were retained at six-week follow-up. Our culturally adapted body image intervention is a feasible, acceptable, and promising tool to increase body esteem and media literacy in Nicaragua. These results suggest that after careful cultural adaptation, school-based body image interventions can be used in a variety of different cultural and socio-economic contexts.

以学校为基础的促进身体尊重和媒体素养的干预措施是改善身体形象和培养在不同社会经济背景下抵御外貌压力的经济有效方式。我们开发了一种适应文化的干预措施，以促进身体尊重和媒体素养，并在一项两组半随机对照试验中进行了试验。两所学校的尼加拉瓜青少年被分配接受一项由辅导员提供的、以学校为基础的四期干预，重点是批评理想外表、识别被操纵的形象、减少社会比较和抵制外表压力。两所学校的参与者被分配到候补名单控制条件。共122名青少年（77名女生，Mage = 13.7, SD = 1.55，范围11 ~ 18）在干预/控制期前和干预/控制期后1周回答了身体满意度、一般理想和运动理想内化、社会文化压力、外表比较和饮食态度等问卷；并在六周的随访中完成开放式问题。在整个课程中，他们在每次课程结束后都提供定性和定量反馈。在测试后的焦点小组中，从参与者、观察教师和辅导员那里收集了额外的反馈，以评估项目的可接受性和可行性。该干预措施具有良好的可接受性和可行性。参与者在社交媒体感知现实和运动内化的后测中表现出改善。在6周的随访中保留了关键的学习点。我们的文化适应性身体形象干预是一种可行、可接受和有前途的工具，可以提高尼加拉瓜对身体的尊重和媒体素养。这些结果表明，经过仔细的文化适应，以学校为基础的身体形象干预可以在各种不同的文化和社会经济背景下使用。

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引用次数: 0

How self-compassion moderates the associations of body image with eating disorder psychopathology, eating-related psychosocial impairment, and psychological distress: A longitudinal study in Chinese adolescents 自我同情如何调节身体形象与饮食失调、精神病理、饮食相关社会心理障碍和心理困扰的关联：一项针对中国青少年的纵向研究。

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-01 Epub Date: 2025-10-29 DOI: 10.1016/j.bodyim.2025.101989

Zhaoyi Pan , Yuhan Chen , Wesley R. Barnhart , Shuqi Cui , Gui Chen , Feng Ji , Jason M. Nagata , See Heng Yim , Jinbo He

Although robust evidence supports the protective role of self-compassion in the links between body image, eating disorders (EDs), and mental well-being, previous research has predominantly used cross-sectional designs, focused on Western adult samples, and failed to distinguish between components of self-compassion, namely compassionate and uncompassionate self-responding. To address these gaps, we used a longitudinal design to examine how compassionate and uncompassionate self-responding moderated associations between body image (i.e., body dissatisfaction and body appreciation) and three outcome variables (i.e., ED psychopathology, eating-related psychosocial impairment, and psychological distress) among Chinese adolescents. A sample of 1428 adolescents (607 boys and 821 girls) participated in four waves of assessments over 18 months. A multilevel approach was used to test the moderation effects at within-person, between-person, and cross-levels separately for boys and girls. Results revealed sex-specific patterns: 1) at the within-person level, compassionate self-responding strengthened the associations between body image variables and ED psychopathology in boys, while uncompassionate self-responding weakened the effects of body appreciation on psychosocial impairment in girls; 2) compassionate self-responding attenuated the effects of body dissatisfaction and strengthened the effects of body appreciation at the between-person and/or cross-levels in girls only; 3) uncompassionate self-responding reinforced the links between body appreciation and/or body dissatisfaction and outcome variables in both sexes at the between-person and/or cross-levels. Findings provide a nuanced understanding of the differential aspects of self-compassion in body image, ED psychopathology, and mental health among adolescents, with important implications for culturally informed prevention strategies.

尽管强有力的证据支持自我同情在身体形象、饮食失调（EDs）和心理健康之间的联系中起保护作用，但之前的研究主要采用横断面设计，关注西方成人样本，未能区分自我同情的组成部分，即同情和不同情的自我反应。为了解决这些差距，我们采用纵向设计来研究富有同情心和无同情心的自我反应如何调节中国青少年身体形象（即身体不满和身体欣赏）与三个结果变量（即ED精神病理、饮食相关的社会心理障碍和心理困扰）之间的关联。1428名青少年（607名男孩和821名女孩）参加了为期18个月的四次评估。采用多水平方法分别对男孩和女孩在人内、人间和跨水平上的调节效应进行了测试。结果显示出性别差异：1)在人内水平上，体恤性自我反应强化了男孩身体形象变量与ED精神病理的关联，而非体恤性自我反应削弱了女孩身体欣赏对心理社会障碍的影响；2)仅在女孩中，体恤性自我反应在人际和/或跨层面上减弱了身体不满的影响，增强了身体欣赏的影响；3)冷漠的自我反应强化了身体欣赏和/或身体不满与结果变量之间的联系，在人与人之间和/或跨性别水平。研究结果对自我同情在身体形象、ED精神病理和青少年心理健康方面的不同方面提供了细致的理解，对文化知情的预防策略具有重要意义。

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引用次数: 0

Examining the effects of implicit and internalized weight bias on physical activity cognitions for women in larger bodies 研究内隐和内化体重偏见对体型较大的女性身体活动认知的影响。

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1016/j.bodyim.2025.101995

Jazz Jabbar , Elaine Ori , Kim Gammage , Matthieu Dagenais , Sean Locke

Internalized weight bias occurs when negative perceptions about people in larger bodies are attributed to the self. Women in larger bodies frequently experience and internalize weight bias, which can negatively impact physical activity outcomes. Dual process models suggest that information, like experiences of weight stigma, are processed at two levels: associative and propositional. The purpose of this study was to examine whether internalized weight bias measured at the associative and propositional levels was significantly associated with the tendency to avoid physical activity, the expectation of experiencing weight stigma, and self-regulatory efficacy. Participants (n = 154) were over 18, had a BMI over 25, and self-identified as a woman living in a larger body. Implicit weight bias was measured using a single-category implicit association task, while other variables were measured using validated survey measures. Hierarchical multiple regressions were conducted (step 1: covariates; step 2: implicit weight bias [associative]; step 3: internalized weight bias [propositional]). Both implicit (b = -.285, CI: .13,.44) and internalized weight bias (b = -.205, CI: -.37,-.05) were negatively associated with self-regulatory efficacy in step 3. Contrarily, implicit weight bias was significantly associated with the expectation of experiencing weight stigma (b = .203, CI: -.17,.05) and the tendency to avoid physical activity (b = .148, CI: -.18, 07) in step 2, but became non-significant when internalized weight bias was added in step 3 (b = .737, CI: .62,.85; b = .453, CI: .33,.58). Implicit and internalized weight bias were both associated with physical activity related cognitions. Findings provide insight into factors at the associative and propositional level that may dissuade physical activity participation for women in larger bodies.

内在化的体重偏见发生在对体型较大的人的负面看法归咎于自我的时候。体型较大的女性经常经历并内化体重偏见，这会对体育锻炼产生负面影响。双加工模型表明，信息，如体重病耻感的经验，在两个层次上加工：联想和命题。本研究的目的是检验在联想和命题水平上测量的内化体重偏差是否与避免体育活动的倾向、经历体重耻辱的预期和自我调节效能显著相关。参与者（n = 154）年龄超过18岁，BMI超过25，并且自我认为是一个生活在更大身体中的女性。使用单类别内隐关联任务测量内隐权重偏差，而使用有效的调查测量测量其他变量。进行分层多元回归（步骤1：协变量；步骤2：内隐权重偏差[联想]；步骤3：内隐权重偏差[命题]）。均隐含(b = - 0.285, CI: 0.13，。44)和内化体重偏差（b = - 0.205, CI: - 0.37,- 0.05）与步骤3的自我调节效能呈负相关。相反，隐性体重偏倚与经历体重污名的预期显著相关（b = .203, CI: -.17,）。在步骤2中，b = 0.148, CI: - 0.18, 07)和避免体育活动的倾向（b = 0.737, CI: 0.62, 0.85; b = 0.453, CI: 0.33, 0.58），但在步骤3中加入内化体重偏差后，这种倾向变得不显著（b = 0.737, CI: 0.62, 0.85）。内隐和内化的体重偏差都与身体活动相关的认知有关。研究结果为联想和命题层面的因素提供了见解，这些因素可能会阻碍体型较大的女性参加体育活动。

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引用次数: 0

A moderated-mediated model of family fat talk and eating disorder psychopathology among Chinese adolescents 中国青少年家庭肥胖谈话与饮食障碍精神病理的调节模型。

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-01 Epub Date: 2025-10-16 DOI: 10.1016/j.bodyim.2025.101983

Dan Li , Shuzhen Ruan , Wanyu Wu , Kui Wang , Michael P. Levine

Eating disorder psychopathology is common among Chinese adolescents, but whether and how it is associated with family fat talk is unknown. The present study tested a model linking family fat talk to eating disorder psychopathology through the indirect effects of body dissatisfaction and negative affect. The moderating role of gender in this model was also examined. Questionnaires were completed by 1,049 Chinese middle and high school students (574 girls; mean age = 15.12 years ± 1.22 years). Frequency of family fat talk was positively and strongly associated with eating disorder psychopathology. As predicted, body dissatisfaction and negative affect mediated this association. The entire path model explained nearly 55 % of the variance. The path from family fat talk → body dissatisfaction → eating disorder psychopathology was significantly stronger for girls than boys. Findings of the present study highlight the importance of addressing family fat talk, body dissatisfaction, and emotion regulation ability in eating disorder prevention and interventions.

饮食失调精神病理在中国青少年中很常见，但它是否以及如何与家庭肥胖谈话有关尚不清楚。本研究通过对身体不满和负面情绪的间接影响，检验了一个将家庭肥胖谈话与饮食失调精神病理联系起来的模型。性别在该模型中的调节作用也进行了检验。调查对象为1049名中国初高中学生，其中女生574名，平均年龄15.12岁±1.22岁。家庭肥胖谈话频率与饮食失调精神病理呈显著正相关。正如预测的那样，身体不满和负面影响介导了这种关联。整个路径模型解释了近55% %的方差。从家庭肥胖谈话→身体不满→饮食失调心理病理的路径女生明显强于男生。本研究结果强调了解决家庭肥胖谈话、身体不满和情绪调节能力在饮食失调预防和干预中的重要性。

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引用次数: 0

The appearance-related social media consciousness scale-Italian version (ASMCS-I) in young adults and adults 青少年和成人外表相关社交媒体意识量表意大利版(ASMCS-I

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-01 Epub Date: 2025-09-15 DOI: 10.1016/j.bodyim.2025.101969

Cristian Di Gesto , Sara Bocci Benucci , Giulia Rosa Policardo , Anne Julia Maheux

Appearance-related social media consciousness (ASMC) is defined as the extent to which individuals’ thoughts and behaviors reflect ongoing awareness of whether they might look attractive to a social media audience. In this 3-study paper, we report the Italian validation of the ASMC Scale (ASMCS-I) for adult men and women. In Study 1, content validity was established through interviews (N = 110; 50 % women; M_age=30.22). Study 2 involved 144 participants (66.00 % women, M_age=36.51), with exploratory factor analysis supporting a single-factor solution consistent with the original version of the scale. In Study 3, we administered the ASMCS-I to an additional sample (N = 1008; 66.90 % women, M_age=33.29) to conduct confirmatory factor analyses (CFA) and validity analyses. The CFA supported the single-factor model with good fit indices. ASMCS-I scores demonstrated strong internal consistency, convergent and incremental validity. Convergent validity was found with correlations between the ASMCS-I and body surveillance, body shame, self-objectification, public situational self-awareness, and physical appearance comparison. Incremental validity of the ASMCS-I against body surveillance subscale (independent variables) was demonstrated with depressive and disordered eating symptoms (dependent variables). Finally, ASMCS-I is full invariant across gender and partially across age, indicating that it can be measured using the same scale for both men and women and social media users across different ages. These findings further validate the ASMCS-I as a robust instrument that accurately quantifies body image self-awareness in social media environments. It provides a measurement tool that is essential for advancing research on the psychosocial impact of digital environments on body image assessment.

与外表相关的社交媒体意识（ASMC）被定义为个人的思想和行为反映他们对社交媒体观众是否有吸引力的持续意识的程度。在这篇3项研究的论文中，我们报告了意大利对成年男性和女性的ASMC量表（ASMCS-I）的验证。在研究1中，通过访谈建立内容效度（N = 110；50 %女性；Mage=30.22）。研究2涉及144名参与者（66.00 %女性，Mage=36.51），探索性因素分析支持与原始版本量表一致的单因素解决方案。在研究3中，我们将ASMCS-I应用于另一个样本（N = 1008；66.90 %女性，Mage=33.29）进行验证性因素分析（CFA）和效度分析。CFA支持单因素模型，拟合指标较好。ASMCS-I得分具有较强的内部一致性、收敛性和递增性效度。ASMCS-I与身体监视、身体羞耻、自我物化、公共情境自我意识和外表比较存在趋同效度。ASMCS-I对身体监测量表（自变量）的增量效度在抑郁和饮食失调症状（因变量）中得到证实。最后，ASMCS-I在性别上是完全不变的，在年龄上是部分不变的，这表明它可以使用相同的量表来测量男性和女性以及不同年龄的社交媒体用户。这些发现进一步验证了ASMCS-I是一种可靠的工具，可以准确量化社交媒体环境下的身体形象自我意识。它提供了一种测量工具，对于推进数字环境对身体形象评估的心理社会影响的研究至关重要。

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引用次数: 0

Explaining the associations between adverse childhood experiences and body dissatisfaction through the lens of appearance stigma 从外貌耻辱感的角度解释童年不良经历与身体不满意之间的关系

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-01 Epub Date: 2025-10-31 DOI: 10.1016/j.bodyim.2025.101993

Christina M. Gaggiano , Siyu Wang , Wesley R. Barnhart , Feng Ji , Jinbo He

Empirical research evidence suggests an association between adverse childhood experiences (ACEs) and body dissatisfaction. However, prior research predominantly focused on body fat dissatisfaction, with limited research on muscularity dissatisfaction. Also, limited research has clarified potential pathways between ACEs and body dissatisfaction. To fill these gaps, we examined the relationship between ACEs and both body fat and muscularity dissatisfaction and proposed a theoretical model from the lens of appearance stigma where the experienced (i.e., weight and muscularity teasing) and internalized (i.e., weight and muscularity bias internalization) appearance stigma act as potential pathways. Data were collected online from 800 Chinese adults (n_women = 400, n_men = 400). Bivariate correlation analyses and structural equation modeling (SEM) were conducted separately by gender. Results showed significant positive correlations between ACEs and both body fat and muscularity dissatisfaction in men and women (rs = .24–.30, ps < .001). The proposed model could fully explain the relationships between ACEs and body dissatisfaction for both genders. Specifically, ACEs were associated with higher experienced and internalized appearance stigma, which, in turn, were related to higher body fat and muscularity dissatisfaction. Findings underscore the potential importance of targeting both experienced and internalized appearance stigma to mitigate the potential impact of ACEs on body dissatisfaction.

实证研究证据表明，不良童年经历（ace）与身体不满之间存在关联。然而，先前的研究主要集中在对身体脂肪的不满上，对肌肉不满的研究有限。此外，有限的研究已经阐明了ace和身体不满之间的潜在途径。为了填补这些空白，我们研究了ace与身体脂肪和肌肉不满之间的关系，并从外表耻辱感的角度提出了一个理论模型，其中经验（即体重和肌肉取笑）和内化（即体重和肌肉偏见内化）外表耻辱感作为潜在途径。在线收集了800名中国成年人（女性400人，男性400人）的数据。双变量相关分析和结构方程模型（SEM）分别按性别进行。结果显示，ace与男性和女性体脂和肌肉不满意程度呈正相关（rs = .24 -）。30日,ps & lt; 措施)。所提出的模型可以充分解释ace与两性身体不满之间的关系。具体来说，ace与更高的经验和内化的外表耻辱感有关，而外表耻辱感又与更高的体脂和肌肉不满有关。研究结果强调了针对经验和内化的外表耻辱感的潜在重要性，以减轻ace对身体不满的潜在影响。

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引用次数: 0

Assessment and adaptation of the model of gratitude, body appreciation, and intuitive eating among Brazilian women 巴西女性感恩、身体欣赏和直觉饮食模式的评估与适应

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.bodyim.2025.101988

Tassiana Aparecida Hudson , Pedro Henrique Berbert de Carvalho , Ana Carolina Soares Amaral , Maria Elisa Caputo Ferreira

The body gratitude and appreciation model suggests that women who experience gratitude tend to have greater body appreciation and engage in more intuitive eating. This relationship is mediated by a lower investment of their self-worth in appearance and others’ approval, as well as a reduced tendency to compare their bodies and food choices. Given the limited theoretical research on the development of positive body image among the Brazilian population, this study tested this model using structural equation modeling with a sample of 2136 Brazilian university women aged 18–35 years. The model demonstrated a good fit to the data, with all paths being significant. Mediation analyses indicated that gratitude was indirectly associated with body appreciation and intuitive eating through reduced investment in appearance and others’ approval, and lower levels of body and eating comparison. Notably, the majority of gratitude's effect on body appreciation was direct, accounting for 72.72 % of the total effect. These findings underscore the central role of body appreciation in the model and offer a theoretical foundation for future research focused on promoting positive body image in this population.

身体感恩和欣赏模型表明，经历过感恩的女性往往对身体有更强的欣赏能力，并且会更直觉地进食。这种关系是由他们在外表和他人认可上的自我价值投资较少，以及比较自己的身体和食物选择的倾向减少所介导的。鉴于巴西人口中积极身体形象发展的理论研究有限，本研究使用结构方程模型对2136名年龄在18-35岁的巴西大学女性样本进行了测试。该模型与数据拟合良好，所有路径均显著。中介分析表明，感恩通过减少对外表和他人认可的投入，以及较低的身体和饮食比较水平，与身体欣赏和直觉性饮食间接相关。值得注意的是，感恩对身体欣赏的影响主要是直接的，占总影响的72.72% %。这些发现强调了身体欣赏在模型中的核心作用，并为未来的研究提供了理论基础，重点是在这一人群中促进积极的身体形象。

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引用次数: 0

Validating the body talk scale among Chinese early adolescents and exploring its longitudinal relationship with body appreciation 中国早期青少年身体谈话量表的验证及其与身体欣赏的纵向关系

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-01 Epub Date: 2025-11-21 DOI: 10.1016/j.bodyim.2025.102003

Haoqian Li , Jingjing Wang , Dong Yang

Early adolescents’ body image disturbances are closely linked to eating disorder risk, with body talk being a key social correlate of body image. This study addressed two gaps: (1) validating the Body Talk Scale (BTS) in Chinese early adolescents, and (2) clarifying the dynamic directionality between body talk and body appreciation (BA). Study 1 enrolled 553 early adolescents (M_age = 12.85, SD = 0.45, 38.70 % females). Exploratory and confirmatory factor analyses, reliability test, convergent validity test and measurement invariance test all supported the BTS’s three-factor structure (negative fat talk [NFT], negative muscle talk [NMT], positive body talk [PBT]) with good reliability and validity. Study 2 conducted a 4-wave diary study on 265 adolescents (M_age = 12.91, SD = 0.47, 42.64 % females). Dynamic structural equation modeling revealed a bidirectional positive cycle between PBT and BA, unidirectional and negative prediction of NFT by BA, and no directional association between NMT and BA. Males had higher NMT baselines than females. Our work addresses the identified gaps by validating the BTS in Chinese early adolescents and revealing dimension-specific body talk-body appreciation interactions. The PBT-BA virtuous cycle and BA→NFT unidirectional link further offer practical implications for body image interventions.

青少年早期的身体形象障碍与饮食失调的风险密切相关，身体谈话是身体形象的一个关键社会关联。本研究填补了两个空白：(1)验证了中国早期青少年身体谈话量表（BTS）的有效性；(2)阐明了身体谈话与身体欣赏（BA）之间的动态方向性。研究1招募了553名早期青少年（Mage = 12.85,SD = 0.45，女性38.70 %）。探索性和验证性因子分析、信度检验、收敛效度检验和测量不变性检验均支持BTS的三因素结构（负脂肪谈话[NFT]、负肌肉谈话[NMT]、正身体谈话[PBT]）具有良好的信度和效度。研究2对265名青少年进行了四波日记研究（Mage = 12.91,SD = 0.47,42.64 %女性）。动态结构方程模型显示PBT与BA之间存在双向正循环，BA对NFT的预测呈单向负循环，而NMT与BA之间无方向性关联。男性的NMT基线高于女性。我们的工作通过验证中国早期青少年的BTS和揭示特定维度的身体谈话-身体欣赏相互作用来解决已确定的差距。PBT-BA的良性循环和BA→NFT的单向联系进一步为身体形象干预提供了实际意义。

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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

Body Image

Pub Date : 2025-12-01 Epub 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

Unjust treatment, unfamiliar body, and unrealistic body standards: A qualitative investigation of body image, racism, and eating during pregnancy and postpartum among Black, African American, and Afro-Caribbean individuals 不公正的待遇、不熟悉的身体和不现实的身体标准：黑人、非裔美国人和非裔加勒比人孕期和产后身体形象、种族主义和饮食的定性调查

IF 5.4 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-12-01 Epub Date: 2025-09-05 DOI: 10.1016/j.bodyim.2025.101956

Marianna L. Thomeczek, Kelsie T. Forbush, Alesha Doan, Sarah Johnson-Munguia, Sonakshi Negi, Emily E. Like, Sierra Bilyeu

The perinatal period, which includes pregnancy and postpartum, is associated with body-image disturbance and increased risk of eating disorder (ED) onset or relapse. ED diagnoses that are most common in the perinatal period are also more prevalent among Black individuals compared to other races. However, existing ED screening tools may miss important cultural nuances within the Black population. There is little data on whether ED screening tools are effective at detecting body-image or eating issues among Black individuals, perinatal individuals, or the intersections between these groups. The purpose of this study was to conduct qualitative interviews with Black, African American, and Afro-Caribbean pregnant or postpartum individuals (N = 21, M_age=32.81) about their experiences with body-image and ED concerns during the perinatal period and to obtain their feedback on two existing ED screening measures. The overarching goal of the study was to gather participant input to inform the development of a culturally congruent perinatal ED screening tool. Transcribed interviews were analyzed using an iterative, multi-phased inductive approach based on constructivist grounded theory. Data were organized into two themes: 1) “Baby Runs the Body,” and 2) "Too small, too big, and don’t start me on my nose!” Feedback on existing ED screening tools was organized into a Cultural Congruence theme. Eating and body-image concerns were widely endorsed by participants, and participants expressed a desire for culturally informed support for eating and body-image concerns. Results demonstrated the need for perinatal ED screening. Future perinatal ED screening should incorporate feedback from participants to promote cultural inclusivity.

围产期，包括怀孕和产后，与身体形象障碍和饮食失调（ED）发作或复发的风险增加有关。与其他种族相比，在围产期最常见的ED诊断在黑人中也更为普遍。然而，现有的ED筛查工具可能会忽略黑人人群中重要的文化差异。关于ED筛查工具在黑人、围产期个体或这些群体之间的交叉点中是否有效检测身体形象或饮食问题的数据很少。本研究的目的是对黑人、非裔美国人和非洲裔加勒比人孕妇或产后个体（N = 21,Mage=32.81）进行定性访谈，了解她们在围产期对身体形象和ED的担忧经历，并获得她们对两种现有ED筛查措施的反馈。该研究的总体目标是收集参与者的意见，以告知文化一致的围产期ED筛查工具的发展。访谈记录采用基于建构主义理论的迭代、多阶段归纳方法进行分析。数据被组织成两个主题：1)“婴儿控制身体”，2)“太小，太大，不要让我鼻子着地！”对现有ED筛查工具的反馈被组织成一个文化一致性主题。饮食和身体形象问题得到了参与者的广泛支持，参与者表达了对饮食和身体形象问题的文化知情支持的愿望。结果表明围产期ED筛查的必要性。未来围产期ED筛查应纳入参与者的反馈，以促进文化包容性。

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