Body Image最新文献_第9页

Exploring longitudinal associations between thinness- and muscularity-oriented eating and body image disturbances in Chinese adult women and men 探讨中国成年女性和男性以瘦和肌肉为导向的饮食与身体形象障碍之间的纵向联系

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-07-04 DOI: 10.1016/j.bodyim.2025.101933

Yueyang Xiao , Wesley R. Barnhart , Shijia Wu , Zexuan Jiang , Jason M. Nagata , Jinbo He

Individuals striving for socially promoted thin and muscular body ideals are at risk of developing thinness- and muscularity-oriented eating and body image disturbances. Thinness and muscularity are not mutually exclusive but rather interconnected components of contemporary body ideals. However, prior studies have largely examined these associations within each category (e.g., body fat dissatisfaction with thinness-oriented disordered eating or muscularity dissatisfaction with muscularity-oriented disordered eating), which neglects potential cross-category relationships. The present study, which addressed this research gap, explored these cross-category longitudinal associations at baseline (T1) and 6 months later (T2). Employing gender-specific cross-lagged models, we analyzed data from an online sample of 799 Chinese women and men. We examined four cross-category reciprocal relationships: (1) body fat dissatisfaction with muscularity dissatisfaction, (2) body fat dissatisfaction with muscularity-oriented disordered eating, (3) thinness-oriented disordered eating with muscularity dissatisfaction, and (4) thinness-oriented disordered eating with muscularity-oriented disordered eating. Results revealed gender-specific cross-category associations. Particularly, positive, bidirectional associations were observed among women between thinness- and muscularity-oriented eating and body image disturbances. Among men, the associations were unidirectional, with muscularity-oriented eating and body image disturbances at T1 predicting greater thinness-oriented disordered eating at T2, but not vice versa. These findings advanced existing knowledge of the cross-category relationships between thinness- and muscularity-oriented eating and body image disturbances, with important implications for gender-specific interventions in non-clinical adults. For women, programs should address the reciprocal reinforcement between thinness- and muscularity-oriented eating and body image disturbances, while for men, targeting muscularity-oriented disturbances may help reduce subsequent thinness-oriented disordered eating.

追求社会所推崇的苗条和肌肉的理想身材的人有可能患上以苗条和肌肉为导向的饮食和身体形象紊乱。苗条和肌肉发达并不是相互排斥的，而是当代身体理想中相互联系的组成部分。然而，先前的研究主要是在每个类别内检查这些关联（例如，以瘦为导向的饮食失调的体脂不满或以肌肉为导向的饮食失调的肌肉不满），而忽略了潜在的跨类别关系。本研究弥补了这一研究空白，探讨了基线（T1）和6个月后（T2）的这些跨类别纵向关联。采用性别交叉滞后模型，我们分析了来自799名中国女性和男性的在线样本数据。我们研究了四种跨类别的相互关系：(1)体脂不满意与肌肉不满意，(2)体脂不满意与肌肉导向饮食失调，(3)以瘦为导向的饮食失调与肌肉导向的饮食失调，(4)以瘦为导向的饮食失调与肌肉导向的饮食失调。结果显示了性别特异性的跨类别关联。特别是，在女性中，以瘦和肌肉为导向的饮食与身体形象障碍之间存在积极的双向关联。在男性中，这种关联是单向的，T1时以肌肉为导向的饮食和身体形象障碍预示着T2时更大的以瘦为导向的饮食失调，反之则不然。这些发现推进了现有的以瘦和肌肉为导向的饮食与身体形象障碍之间的跨类别关系的知识，对非临床成人的性别干预具有重要意义。对于女性来说，计划应该解决以瘦和肌肉为导向的饮食和身体形象障碍之间的相互强化，而对于男性来说，针对以肌肉为导向的障碍可能有助于减少随后的以瘦为导向的饮食失调。

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引用次数: 0

Validating the revised male body attitudes scale and examining its prospective associations with eating disorder psychopathology and muscle dysmorphia symptoms in Chinese adult men 验证修订后的男性身体态度量表及其与中国成年男性饮食失调、精神病理和肌肉畸形症状的潜在关联

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-06-28 DOI: 10.1016/j.bodyim.2025.101931

Zexuan Jiang , Siyu Wang , Wesley R. Barnhart , Peiyi Wang , Shijia Wu , Jason M. Nagata , Jinbo He

In the present study, we translated and validated the Revised Male Body Attitudes Scale (MBAS-R) and examined its longitudinal associations with thinness- and muscularity-oriented eating disorder (ED) psychopathology and muscle dysmorphia symptoms in Chinese adult men. A total of 400 Chinese adult men (M_age = 30.24 years, SD = 8.55) were recruited to participate in two sequential phases: a baseline survey and a 6-month follow-up. Using baseline data, exploratory and confirmatory factor analyses supported the original three-factor structure of the MBAS-R (i.e., muscularity, body fat, and height subscales), with the removal of one item. The MBAS-R total scale and subscales showed good internal consistency (McDonald’s ω =.81–.93), adequate test-retest reliability (ICC =.86–.95), and strong construct validity as demonstrated by significant positive associations with eating and body image disturbances, as well as weight and height actual-ideal discrepancies. Using both baseline (N = 400) and follow-up (N = 254) data, longitudinal analyses showed that higher MBAS-R total and/or subscale scores at baseline were significantly associated with higher levels of thinness-oriented ED psychopathology and muscle dysmorphia symptoms at follow-up, but not muscularity-oriented ED psychopathology. The findings of the present study support the sound psychometric properties of the MBAS-R and its use in Chinese adult men, highlighting the prospective role of disturbed body attitudes in relation to greater ED psychopathology and muscle dysmorphia symptoms in Chinese men.

在本研究中，我们翻译并验证了修订男性身体态度量表（MBAS-R），并考察了其与中国成年男性瘦型和肌肉型饮食失调（ED）精神病理和肌肉畸形症状的纵向关联。共招募400名中国成年男性（年龄30.24岁，SD = 8.55）参加两个连续阶段：基线调查和6个月的随访。使用基线数据，探索性和验证性因素分析支持MBAS-R的原始三因素结构（即肌肉量、体脂和身高亚量表），并删除了一个项目。MBAS-R总量表和子量表具有良好的内部一致性（McDonald 's ω = 0.81 - 0.93），足够的重测信度（ICC = 0.86 - 0.95），并且具有较强的结构效度，与饮食和身体形象障碍以及体重和身高实际-理想差异呈显著正相关。使用基线（N = 400）和随访（N = 254）数据，纵向分析显示，基线时较高的MBAS-R总分和/或亚量表得分与随访时较高水平的消瘦型ED精神病理和肌肉畸形症状显著相关，但与肌肉型ED精神病理无关。本研究的结果支持MBAS-R的良好心理测量特性及其在中国成年男性中的应用，强调了在中国男性中，不安的身体态度与更严重的ED精神病理和肌肉畸形症状有关的潜在作用。

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引用次数: 0

Obstacles to forming a positive body image and strategies for overcoming them: A qualitative study of nonbinary individuals’ experiences 形成积极身体形象的障碍及其克服策略：非二元个体经验的定性研究

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-06-28 DOI: 10.1016/j.bodyim.2025.101932

Ashlie N. Johnson , Jennifer L. Paff , Jennifer Harmon , Kristen Morris , Kelly L. Reddy-Best , Piper Kittersong

Although limited research has explored body image trajectories (i.e., how body image evolves across time) among gender-diverse populations, previous studies suggest that nonbinary individuals have distinctive experiences with forming and maintaining positive body image. Moreover, nonbinary individuals, like members of other stigmatized groups, experience unique stressors tied to their marginalized gender identity, though no prior studies have investigated the role of minority stress in positive body image trajectories. The present study employs the gender minority stress framework to explore the obstacles nonbinary individuals face in forming positive body image and the coping strategies foundational to their resilience. We conducted a reflexive thematic analysis of in-depth, semi-structured interviews with 15 nonbinary individuals who scored high on a validated measure of positive body image (the Body Appreciation Scale-2). The analysis revealed eight key obstacles participants encountered as they sought to form a positive body image, such as confining and dangerous anti-LGBTQ+ narratives, gender dysphoria, and familial expectation and religious beliefs. Participants leveraged six coping strategies, such as seeking therapy, resisting comparisons, and nurturing inner kindness and self-consideration to overcome the obstacles they faced. Further, results illustrate how intersectionality with nonbinary identities (e.g., having health concerns or disabilities) creates distinct barriers to positive body image, thereby necessitating a unique, intertwining array of coping strategies. Together, these findings offer a valuable foundation to direct the creation of programs and interventions seeking to build positive body image in nonbinary populations and emphasize the need for diverse samples in positive body image research.

尽管对不同性别人群的身体形象轨迹（即身体形象如何随时间演变）的研究有限，但先前的研究表明，非二元个体在形成和维持积极身体形象方面有着独特的经历。此外，非二元个体，像其他被污名化群体的成员一样，经历着与他们被边缘化的性别认同相关的独特压力源，尽管之前没有研究调查过少数群体压力在积极的身体形象轨迹中的作用。本研究采用性别少数压力框架探讨非二元性别个体在形成积极身体形象时所面临的障碍及其应对策略。我们对15名在积极身体形象（身体欣赏量表-2）的有效测量中得分较高的非二元个体进行了深入的半结构化访谈，并进行了反身性主题分析。该分析揭示了参与者在寻求形成积极的身体形象时遇到的8个主要障碍，比如限制和危险的反lgbtq +叙事、性别焦虑、家庭期望和宗教信仰。参与者利用六种应对策略，如寻求治疗，抵制比较，培养内心的善良和自我考虑来克服他们面临的障碍。此外，研究结果还说明了与非二元身份（例如，有健康问题或残疾）的交叉性如何对积极的身体形象造成明显的障碍，因此需要一种独特的、相互交织的应对策略。总之，这些发现为指导在非二元人群中建立积极身体形象的项目和干预措施的创建提供了有价值的基础，并强调了积极身体形象研究中多样化样本的必要性。

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引用次数: 0

Developing a digital mindfulness-based intervention to improve body image and reduce risk factors for disordered eating: Integrating theory, evidence, and the person-based approach 开发以数字正念为基础的干预措施，改善身体形象，减少饮食失调的风险因素：整合理论、证据和以人为本的方法

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-06-27 DOI: 10.1016/j.bodyim.2025.101925

Emma L. Osborne , Ben Ainsworth , Nic Hooper , Paul Chadwick , Melissa J. Atkinson

Mindfulness-based interventions (MBIs) show promise in improving body image and reducing risk factors for disordered eating, and their digital adaptation offers scalable dissemination. However, low engagement rates in digital MBIs highlight the need for user-centred development. The person-based approach offers a systematic framework for improving engagement by integrating evidence, theory, and users’ perspectives. This paper describes the application of the person-based approach in developing a digital MBI to reduce risk factors for disordered eating in young people. Intervention development occurred in two iterative phases. In Phase 1, we defined the theoretical context and conducted both a qualitative evidence synthesis and a survey study with a qualitative focus to explore the needs, challenges, and perspectives of the target population. In Phase 2, we developed and refined a prototype based on initial feasibility and acceptability testing through advisory group consultation and think-aloud interviews. These informed the guiding principles and logic model. Our theoretical framework identified the skills of decentred awareness and acceptance, emotion regulation, and self-compassion as key intervention components. Determinants of engagement included negative responses to personal practice, difficulty with habit formation, and social support. Survey findings highlighted the need to address misconceptions about body image, particularly the belief that it refers solely to physical appearance and can be improved through appearance-focused strategies. Feedback from the advisory group helped ensure the intervention was clear, user-friendly, and motivating. This novel integration of theory, evidence, and user-centred design methods provides a replicable model for developing engaging, scalable interventions to reduce disordered eating risk.

正念干预（mbi）在改善身体形象和减少饮食失调的风险因素方面显示出希望，它们的数字化适应提供了可扩展的传播。然而，数字mbi的低参与率突出了以用户为中心的开发的必要性。以人为本的方法通过整合证据、理论和用户观点，为提高参与度提供了一个系统框架。本文描述了以人为本的方法在开发数字MBI中的应用，以减少年轻人饮食失调的风险因素。干预开发发生在两个迭代阶段。在第一阶段，我们定义了理论背景，并进行了定性证据综合和定性重点调查研究，以探索目标人群的需求、挑战和观点。在第二阶段，我们通过咨询小组的咨询和畅所欲言的访谈，基于最初的可行性和可接受性测试，开发并完善了原型。这些为指导原则和逻辑模型提供了信息。我们的理论框架确定了非中心意识和接受、情绪调节和自我同情的技能是关键的干预成分。参与的决定因素包括对个人实践的负面反应、习惯形成的困难和社会支持。调查结果强调，有必要纠正人们对身体形象的误解，特别是认为身体形象只指外表，可以通过注重外表的策略来改善。咨询小组的反馈有助于确保干预是明确的、用户友好的和激励的。这种理论、证据和以用户为中心的设计方法的新颖整合为开发有吸引力的、可扩展的干预措施以减少饮食失调风险提供了一个可复制的模型。

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引用次数: 0

Love your body! An exploration of new empowerment discourse as related to body capital, and body image and eating concerns among women 爱你的身体！探索与身体资本、身体形象和女性饮食问题相关的新赋权话语

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-06-27 DOI: 10.1016/j.bodyim.2025.101930

Rachel F. Rodgers

Over the past years, a new discourse referred to as “Love Your Body” (LYB) has emerged as a dominant and important gendered discourse related to women’s appearance within the context of the commercialization of feminism. Although allegedly aiming to promote positive individual-level outcomes among women, including positive body image and self-confidence, the LYB discourse contains multiple contradictions and tensions. Furthermore, it is aligned with the current oppressive system of body capital, which confers privilege on some individuals based on their physical appearance. As such, it may, in contrast, increase pressures on women to continue to adhere to unrealistic appearance ideals, ground their self-worth in their appearance, and undermine efforts of resistance against social appearance-related pressures. In this way, rather than alleviate body image and eating concerns and related body change behaviors, it may exacerbate them and have a detrimental effect on women’s psychological wellbeing and social functioning. In addition, the LYB discourse may have collective negative effects by impeding social change towards equity and social justice. The data related to the effects of the LYB discourse to date are scant, representing an important gap in our understanding of how this discourse and representations of contemporary postmodern femininities may affect women. Increasing our understanding of these effects is important to better understand how this discourse operates as well as its effects at the individual and collective level, and to further inform efforts to decrease sociocultural pressures upon women and to provide them with the critical tools to identify and resist them.

近年来，在女权主义商业化的背景下，“爱你的身体”（Love Your Body， LYB）作为一种与女性外表相关的主流和重要的性别话语出现。虽然据称旨在促进女性积极的个人层面结果，包括积极的身体形象和自信，但LYB话语包含多重矛盾和紧张。此外，它与当前压迫性的身体资本制度是一致的，这种制度赋予一些人以外表为基础的特权。因此，相反，它可能会增加女性继续坚持不切实际的外表理想的压力，将自我价值建立在外表上，并破坏对社会外貌相关压力的抵抗努力。这样一来，非但不能缓解身体形象和饮食问题以及相关的身体改变行为，反而可能加剧这些问题，并对女性的心理健康和社会功能产生有害影响。此外，LYB话语可能会阻碍公平和社会正义的社会变革，从而产生集体负面影响。迄今为止，与LYB话语影响相关的数据很少，这表明我们对当代后现代女性主义的话语和表现如何影响女性的理解存在重要差距。增加我们对这些影响的理解对于更好地理解这种话语是如何运作的以及它在个人和集体层面上的影响是很重要的，对于进一步为减少对妇女的社会文化压力的努力提供信息，并为她们提供识别和抵制这些压力的关键工具。

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引用次数: 0

Genital body image: A brief review and future directions 生殖器身体意象：简要回顾及未来发展方向

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-06-23 DOI: 10.1016/j.bodyim.2025.101929

Gemma Sharp , Isabella McGrath

Genital body image or genital self-image encompasses an individual’s attitudes, feelings, and behaviours surrounding their own genitals. Despite the crucial importance of genitals in propagating the human species, genital body image remains a highly understudied concept in broader body image research. Nevertheless, the existing literature suggests a sizeable percentage of people across the gender spectrum experience dissatisfaction with their genital size, shape and/or form. This paper provides a brief summary of the existing genital body image research, focusing on sociocultural factors of influence such as media representations of genital ideals and peer and partner commentaries on genitals, as well as the impacts of genital body image concerns such as poorer sexual and psychological well-being and consideration of cosmetic genital procedures and surgeries. This paper additionally discusses current educational interventions and programs which aim to promote a positive genital body image. The paper also identifies gaps in current research and important suggestions for future research including greater inclusivity of gender, sexual orientation and ethnic diversity, given often radically different perspectives on genital body image, as well as recognition of the rapidly changing landscape of genital representations in media such as amateur pornography and pornographic content on OnlyFans. The paper concludes with recommendations for the inclusion of genital body image content in existing body image programs and other genital body image intervention needs. We hope that this discussion results in greater recognition of the concept of genital body image and prompts the establishment of new collaborations and initiatives.

生殖器身体形象或生殖器自我形象包括一个人对自己生殖器的态度、感受和行为。尽管生殖器官在人类物种繁殖中具有至关重要的作用，但在更广泛的身体形象研究中，生殖器身体形象仍然是一个高度未被充分研究的概念。然而，现有的文献表明，在性别范围内，相当大比例的人对自己生殖器的大小、形状和/或形式感到不满。本文简要总结了现有的生殖器身体形象研究，重点关注社会文化因素的影响，如媒体对生殖器理想的表现和同伴和伴侣对生殖器的评论，以及生殖器身体形象问题的影响，如较差的性和心理健康以及对生殖器美容手术和手术的考虑。本文还讨论了目前旨在促进积极的生殖器身体形象的教育干预和计划。这篇论文还指出了当前研究中的差距和对未来研究的重要建议，包括性别、性取向和种族多样性的更大包容性，考虑到对生殖器身体形象的经常完全不同的观点，以及对媒体中生殖器表现的快速变化的认识，如业余色情和OnlyFans上的色情内容。本文最后提出了将生殖器身体形象内容纳入现有身体形象计划和其他生殖器身体形象干预需求的建议。我们希望这次讨论能使人们更加认识到生殖器身体形象的概念，并促使建立新的合作和倡议。

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引用次数: 0

The practice of yoga and associations with embodiment, body image, internalized weight stigma, and disordered eating in a population-based sample of young adults 在以人群为基础的年轻人样本中，瑜伽的练习及其与体现、身体形象、内化体重耻辱感和饮食失调的联系

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-06-23 DOI: 10.1016/j.bodyim.2025.101928

Dianne Neumark-Sztainer , Melanie Wall , Zhijun Zhang , Nicole Larson , Kaitlyn Adams , Niva Piran

This study explores the prevalence of yoga practice and associations with embodiment, internalized weight stigma, body satisfaction, unhealthy weight control behaviors, and binge eating in a diverse population-based sample. Data were collected as part of the Eating and Activity over Time (EAT) study. Participants include 994 adults (mean age: 27.6; range: 24–35), with high percentages from marginalized ethnic/racial and low-income backgrounds. Cross-sectional and five-year longitudinal analyses were conducted. Approximately one-fifth (18.6 %) of participants practiced yoga in the past year, with 11.8 % practicing regularly (≥ 30 min per week in the past year). The prevalence of practicing yoga regularly differed across gender (highest in women and gender minorities), education (higher at higher levels of education), and BMI (lower in yoga practitioners), but not across ethnicity/race or age. Practicing yoga regularly was consistently associated with greater embodiment and, in most analyses, with lower internalized weight stigma and higher body satisfaction. Disordered eating behaviors were equally high, or higher, among regular yoga practitioners as compared to non-practitioners, with some differences across analytic models. Findings provide support for the connection between yoga and embodiment, as well as embodiment and disordered eating. Yoga that promotes a sense of embodiment is likely to help reduce disordered eating.

本研究探讨了瑜伽练习的流行程度及其与体现、内化体重耻辱感、身体满意度、不健康体重控制行为和暴饮暴食之间的联系。数据是作为饮食和活动随时间（EAT）研究的一部分收集的。参与者包括994名成年人(平均年龄：27.6岁；范围：24-35)，来自边缘民族/种族和低收入背景的比例很高。进行了横断面和五年纵向分析。大约五分之一（18.6 %）的参与者在过去一年中练习瑜伽，11.8 %的参与者定期练习（过去一年中每周≥30 分钟）。定期练习瑜伽的流行程度因性别（女性和性别少数群体最高）、教育程度（教育程度越高）和身体质量指数（瑜伽练习者越低）而异，但没有因种族/种族或年龄而异。在大多数分析中，经常练习瑜伽始终与更强的体现有关，并且与更低的内在体重耻辱感和更高的身体满意度有关。与不练习瑜伽的人相比，经常练习瑜伽的人饮食失调的比例同样高，甚至更高，在分析模型中存在一些差异。研究结果为瑜伽和化身之间的联系，以及化身和饮食失调之间的联系提供了支持。瑜伽促进了一种体现感，可能有助于减少饮食失调。

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引用次数: 0

Exploring the protective role of visual and verbal disclaimers on social networks users’ positive body image: An experimental study 探索视觉和言语免责对社交网络用户正面身体形象的保护作用：一项实验研究

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-06-18 DOI: 10.1016/j.bodyim.2025.101927

Amanda Nerini , Anna Cardelli , Camilla Matera

Given that positive body image is correlated with a wide range of well-being indicators, it is important to develop effective strategies to protect users of social networks (SN) from potentially harmful SN content. This experimental study aimed to assess the impact of exposure to digitally altered images of young women, combined with verbal and visual disclaimers, on positive body image (body appreciation, body functionality appreciation and body satisfaction). For this study, 270 female SN users (M = 21.55; SD=3.31) were exposed to one of four conditions: Control (neutral images), only edited images (images of digitally altered women’s bodies), visual disclaimer (images of comparisons between pre and post-edited women’s bodies), visual + verbal disclaimer (images of comparisons between retouched and unretouched women’s bodies accompanied by a verbal disclaimer). Partially in line with our hypotheses, analyses of covariance (ANCOVA) showed that participants exposed to the visual disclaimer or visual + verbal disclaimer conditions reported higher body satisfaction than those in the control group. The body satisfaction of women in the control group did not differ from that of women who saw only edited images. Moreover, no differences emerged between participants in the visual + verbal disclaimer condition and those in the visual disclaimer condition. Contrary to our hypotheses, the results indicated no impact on body appreciation or body functionality appreciation. These findings may have implications for the development of strategies aimed at increasing body satisfaction among young female users of SN.

鉴于积极的身体形象与广泛的幸福指标相关，制定有效的策略来保护社交网络（SN）用户免受潜在有害的SN内容的影响是很重要的。本实验研究的目的是评估年轻女性接触数字修改的图像，结合口头和视觉免责声明，对积极的身体形象（身体欣赏，身体功能欣赏和身体满意度）的影响。在本研究中，270名女性SN用户(M = 21.55；SD=3.31)的参与者被暴露在以下四种条件中的一种：对照（中性图片）、仅编辑过的图片（数字修改过的女性身体图片）、视觉免责声明（编辑前和编辑后的女性身体对比图片）、视觉+口头免责声明（修饰过和未修饰过的女性身体对比图片，并附有口头免责声明）。与我们的假设部分一致，协方差分析（ANCOVA）显示，接触视觉免责或视觉+口头免责条件的参与者报告的身体满意度高于对照组。控制组的女性对身体的满意度与只看编辑过的照片的女性没有什么不同。此外，在视觉+口头免责条件下的参与者与视觉免责条件下的参与者之间没有差异。与我们的假设相反，结果表明对身体欣赏或身体功能欣赏没有影响。这些发现可能对制定旨在提高年轻女性SN用户身体满意度的策略具有启示意义。

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引用次数: 0

Demedicalizing baldness: An experimental, mixed methods study 脱药治疗秃顶：一项实验性混合方法研究

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-06-18 DOI: 10.1016/j.bodyim.2025.101926

Josip Razum , Glen S Jankowski , Dirk Kranz

Baldness is a common bodily change most men experience. It is extensively medicalized. Specifically, it is depicted as a negative disease that only a profitable industry’s cosmetic, pharmaceutical and other products can ‘treat’. This study aimed to assess whether a short demedicalization intervention, an evidence-based text of around 400 words, could promote acceptance among balding men. An international sample of 350 balding men completed a mixed-method, experimental, survey. Participants were randomized into 1 of 3 conditions with text that medicalized baldness (presented it as a disadvantageous disease requiring ‘treatment’ akin to anti-baldness advertising), that demedicalized baldness (presented it neutrally in an evidenced-based manner emphasizing informed consent) or with no text (control). Quantitative scale responses indicated lower medicalized coping and higher acceptance coping, but no differences in distress among participants exposed to demedicalized information. The medicalized information did not have an effect on any of the quantitative scales. Participants also qualitatively reported feeling more informed, more accepting, less distressed and less misled in the demedicalized condition than the medicalized condition. Despite negative pressures around baldness, a short demedicalized intervention may be useful to promote more informed, accepting and positive responses to baldness. Such an intervention is scalable and could be distributed easily (e.g., via online articles or videos). Future research should test the feasibility of lengthier interventions to demedicalize baldness and other bodily aspects (e.g., cellulite, genital variation and height).

秃顶是大多数男人都会经历的一种常见的身体变化。它被广泛地医疗化了。具体来说，它被描述为一种负面疾病，只有盈利行业的化妆品、药品和其他产品才能“治疗”。这项研究旨在评估一个简短的去医学化干预，一个大约400字的基于证据的文本，是否可以促进秃顶男性的接受。350名国际秃顶男子完成了一项混合方法的实验性调查。参与者被随机分为三种情况，一种是医学化秃顶（将其描述为一种需要“治疗”的不利疾病，类似于反秃顶广告），另一种是非医学化秃顶（以基于证据的中立方式强调知情同意），另一种是没有文字（对照组）。定量量表结果显示，非医疗化信息暴露的被试在痛苦程度上没有差异，但医疗化应对水平较低，接受性应对水平较高。医学化的信息对任何定量量表都没有影响。参与者还定性地报告说，在非医疗化条件下，他们比医疗化条件下更了解情况、更接受、更少痛苦和更少被误导。尽管围绕秃顶的负面压力，短期的非药物化干预可能有助于促进更多的知情，接受和积极的秃顶反应。这种干预是可扩展的，可以很容易地分发（例如，通过在线文章或视频）。未来的研究应该测试更长时间干预的可行性，以使秃顶和其他身体方面（如脂肪团、生殖器变异和身高）去医学化。

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引用次数: 0

The body mass index: What’s the use? 身体质量指数：有什么用？

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image

Pub Date : 2025-06-13 DOI: 10.1016/j.bodyim.2025.101924

K. Aly Bailey , Meredith Bessey , Larkin Lamarche , Meridith Griffin

The body mass index (BMI) is a ubiquitous metric frequently used in body image research: as a correlate, covariate, descriptor, and more. However, the racist history of the measure is often unknown or unacknowledged. BMI was coined by Ancel Keys who used Adolphe Quetelet’s statistics of weight and height, later becoming a measurement of so-called “health.” Eugenics founder Francis Galton used Quetelet’s statistics to determine the abnormal, in a concerted effort to eliminate bodies seen as “unfit.” The BMI has been used to compare bodies to white masculinist ideals for decades (e.g., in insurance coverage, healthcare access), which is something body image scholars must reckon with if our collective goal is to subvert unrealistic, harmful, and damaging beauty ideals—not inadvertently validate them. In body image research to date, BMI use/usefulness helped unpack the complex relationship between negative and positive body image(s): BMI is consistently related to both. However, it has also been overused, and we argue—uncritically and inappropriately used—since it misses the root issue: fat discrimination and weight stigma. Thinking with critical race theorist Sara Ahmed’s (2019) work on “use,” we open a conversation on the potential implications of use/disuse of BMI. We outline the use, usefulness, and used-upness of BMI and offer reflections on what it means to be a critical user or outright refuser of this metric.

身体质量指数（BMI）是身体形象研究中经常使用的普遍指标：作为相关性、协变量、描述符等。然而，这项措施的种族主义历史往往不为人知或不被承认。BMI是由安塞尔·基斯（Ancel Keys）根据阿道夫·奎特莱（Adolphe Quetelet）的体重和身高统计数据创造的，后来成为衡量所谓“健康”的一种指标。优生学的创始人弗朗西斯·高尔顿使用奎特雷的统计数据来确定异常，以共同努力消除被视为“不健康”的身体。几十年来，BMI一直被用来将身体与白人男性主义理想进行比较（例如，在保险覆盖范围、医疗保健获取方面），如果我们的共同目标是颠覆不切实际的、有害的、破坏性的美丽理想，而不是无意中证实它们，那么身体形象学者必须考虑到这一点。在迄今为止的身体形象研究中，BMI的使用/有用性有助于解开消极和积极身体形象之间的复杂关系：BMI始终与两者相关。然而，它也被过度使用，我们认为——不加批判和不恰当地使用——因为它忽略了根本问题：肥胖歧视和体重耻辱。结合批判性种族理论家萨拉·艾哈迈德（2019）关于“使用”的研究，我们就使用/不使用BMI的潜在影响展开了一场对话。我们概述了BMI的用途、有用性和使用率，并提供了对成为该指标的关键用户或完全拒绝该指标的意义的思考。

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