Body Image in Bariatric surgery candidates

2017 ◽  
Vol 41 (S1) ◽  
pp. S548-S548
Author(s):  
M.L. Rosta ◽  
F. Porfiri ◽  
A. Zaccaria ◽  
G. Giannetti ◽  
M. Scoppetta ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Eating Disorders ◽  
Body Image ◽  
Psychiatric Symptoms ◽  
Integrated Approach ◽  
Young Female ◽  
The Body ◽  
Self Report ◽  
Psychopathological Symptoms ◽  
Body Uneasiness

IntroductionBody image is a multidimensional concept that has assumed a significant role in eating disorders in which affective and perceptual distortions have been documented. Obesity is not a psychiatric disorder according to DSM-5 but several studies highlighted the presence of body image diseases in obesity.ObjectivesThe aim of this work is to evaluate the presence of body uneasiness in obese seeking for Bariatric surgery and to correlate it with psychopathological symptoms, psychosocial and anamnestic variables.MethodsFrom June 2014 to June 2016, we enrolled 537 Bariatric surgery candidates. Body image was investigated using the Body Uneasiness Test (BUT-A), a 34-item self-report questionnaire which measures weight phobia (WP), body image concerns (BIC), avoidance (A), compulsive self-monitoring (CSM), detachment and depersonalization (D). Psychopathological symptoms and personality traits have been evaluated using SCL90R and MMPI-2.ResultsDescriptive analyzes showed that BUT subscales were altered in most of our sample. Correlations of Pearson underlined significant associations between BUT subscales and SCL90R subscales. No correlation was found between BMI, marital status and BUT scores, while young, female and unemployed people had more difficulties with body.ConclusionsOur data highlight the presence of considerable body uneasiness in obese, correlated with the severity of psychiatric symptoms but independent from the severity of obesity. This seems to reflect the mind-body split detected both in obesity and in eating disorders. Therefore, a multidisciplinary integrated approach including psychological work on cognitive, emotional and perceptual aspects of body image will help patients to improve coping with corporeal changes achieved through surgery.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Anorexia Nervosa and Depression in a Woman Blind since the Age of Nine Months

1993 ◽  
Vol 38 (7) ◽  
pp. 469-471 ◽  
Author(s):  
Clifford W. Sharp
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Major Depression ◽  
Food Intake ◽  
Older Women ◽  
The Body ◽  
Atypical Presentation ◽  
History Of

A woman aged 58 who has been blind since the age of nine months presented with major depression and a 40 year history of an eating disorder characterized by a restriction of food intake and body disparagement. The case is additional evidence that a specifically visual body image is not essential for the development of anorexia nervosa and supports the view that the concept of body image is unnecessary and unproductive in eating disorders. Greater emphasis should be placed on attitudes and feelings toward the body, and the possibility of an eating disorder should be considered in cases of older women with an atypical presentation.

scholarly journals Increased plasticity of the bodily self in eating disorders

2011 ◽  
Vol 42 (4) ◽  
pp. 819-828 ◽  
Author(s):  
E. Eshkevari ◽  
E. Rieger ◽  
M. R. Longo ◽  
P. Haggard ◽  
J. Treasure
Keyword(s):  
Eating Disorders ◽  
Visual Processing ◽  
Subjective Experience ◽  
Emotional Dysregulation ◽  
The Body ◽  
Self Report ◽  
Healthy Controls ◽  
Drive For Thinness ◽  
Maintenance Factors ◽  
Self Objectification

BackgroundThe rubber hand illusion (RHI) has been widely used to investigate the bodily self in healthy individuals. The aim of the present study was to extend the use of the RHI to examine the bodily self in eating disorders (EDs).MethodThe RHI and self-report measures of ED psychopathology [the Eating Disorder Inventory – 3 (EDI-3) subscales of Drive for Thinness, Bulimia, Body Dissatisfaction, Interoceptive Deficits, and Emotional Dysregulation; the 21-item Depression, Anxiety and Stress Scale (DASS-21); and the Self-Objectification Questionnaire (SOQ)] were administered to 78 individuals with an ED and 61 healthy controls.ResultsIndividuals with an ED experienced the RHI significantly more strongly than healthy controls on both perceptual (i.e. proprioceptive drift) and subjective (i.e. self-report questionnaire) measures. Furthermore, both the subjective experience of the RHI and associated proprioceptive biases were correlated with ED psychopathology. Approximately 23% of the variance for embodiment of the fake hand was accounted for by ED psychopathology, with interoceptive deficits and self-objectification significant predictors of embodiment.ConclusionsThese results indicate that the bodily self is more plastic in people with an ED. These findings may shed light on both aetiological and maintenance factors involved in EDs, particularly visual processing of the body, interoceptive deficits, and self-objectification.

scholarly journals Body image shame in men: Confirmatory Factor Analysis and psychometric properties of the Body Image Shame Scale

2021 ◽  
Author(s):  
Cristiana Duarte ◽  
C. Ferreira
Keyword(s):  
Body Image ◽  
Body Weight ◽  
Psychological Adjustment ◽  
Discriminant Validity ◽  
High Reliability ◽  
The Body ◽  
Self Report ◽  
Convergent And Discriminant Validity ◽  
Confirmatory Factor ◽  
Weight And Shape Concerns

Abstract Purpose Body image shame plays a key role in disordered eating symptoms and psychological adjustment. Nonetheless, research has been mainly focused on women. The Body Image Shame Scale (BISS) was previously developed and tested in a nonclinical sample of women. This study examines the BISS in a male sample comprising students and community participants. Methods Participants were 420 men, who completed the BISS and self-report measures of shame, self-criticism, body weight and shape concerns and psychopathological symptoms. Results The previously identified structure of the BISS, with an external and internal dimension, fitted the data well. All items presented high reliability. The BISS total score and its subscales in men present high construct reliability, and convergent and discriminant validity. Correlation analyses indicated that BISS and its subscales in men present positive associations with general shame and self-criticism, body weight and shape concerns, and with indices of poorer psychological adjustment. Conclusion Findings supported that the BISS is a reliable measure to assess body shame in men.

Body Image and Acceptance of Plastic Surgery Among College Students in South Korea

2021 ◽  
Vol 10 (2) ◽  
pp. 104-115
Author(s):  
Kathy L. Lin ◽  
Vaishali V. Raval ◽  
Ji-Yeon Lee
Keyword(s):  
College Students ◽  
Body Image ◽  
South Korea ◽  
Plastic Surgery ◽  
Cultural Context ◽  
Filial Piety ◽  
The Body ◽  
Negative Evaluation ◽  
Self Report ◽  
Sociocultural Factors

Abstract. Studied more extensively in Western societies, body image in other cultures is less researched. South Korea provides a unique context to examine body image given its flourishing plastic surgery industry, which is indicative of negative body image and plastic surgery acceptance. The current study examined whether relevant sociocultural factors in South Korea (i.e., fear of negative evaluation [FNE] and filial piety [FP]) play a role in the association between body image and acceptance of plastic surgery. College students in South Korea ( n = 227) completed self-report measures of body image, FNE, FP, and acceptance of plastic surgery. Students with plastic surgery experience reported greater FNE and acceptance of plastic surgery than those without. Significant negative indirect effects of body image on acceptance of plastic surgery through FNE were found in the full sample. FP was found to moderate the body image-acceptance of plastic surgery link such that for individuals low in FP, lower body areas satisfaction was associated with greater acceptance of plastic surgery. The findings highlight the importance of understanding body image within a cultural context and provide implications for body image concerns in South Korean individuals.

scholarly journals Effects of Bariatric Surgery on Depression: Role of Body Image

2020 ◽  
Author(s):  
Simone C. Behrens ◽  
Konrad Lenhard ◽  
Florian Junne ◽  
Katrin Ziser ◽  
Jessica Lange ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Body Image ◽  
Depressive Symptoms ◽  
Psychosocial Functioning ◽  
Body Contouring ◽  
The Body ◽  
Negative Evaluation ◽  
Psychological Interventions ◽  
Patient Health

Abstract Background It has been suggested that psychosocial functioning improves after bariatric surgery, but the mechanism of this effect remains unclear. We propose that body image mediates the association between %EWL and improvement in depressive symptoms. Materials and Methods To investigate this hypothesis, we conducted a mediation analysis in longitudinal data from 52 patients after LSG. Results %EWL had no direct effect on depressive symptoms as assessed through the patient health questionnaire (PHQ-9), but a small indirect effect that was mediated through negative evaluation of the body (BIQ-20). Conclusions We interpret this observation in the context of complex individual etiologies of obesity and argue for a stronger focus on psychological interventions in aftercare regimes. This may be specifically relevant for patients with eating disorders or a desire for body contouring surgery.

A quantitative study of body-related attitudes in patients with anorexia and bulimia nervosa

1992 ◽  
Vol 22 (4) ◽  
pp. 961-969 ◽  
Author(s):  
David I. Ben-Tovim ◽  
M. Kay Walker
Keyword(s):  
Eating Disorders ◽  
Bulimia Nervosa ◽  
Quantitative Study ◽  
The Body ◽  
Self Report ◽  
Large Sample ◽  
Weight And Shape Concerns ◽  
Body Attitudes ◽  
Extreme Responses ◽  
Diverse Groups

SynopsisThe Ben-Tovim Walker Body Attitudes Questionnaire (BAQ) is a psychometrically sound self-report instrument for assessing women's attitudes towards their own bodies. The BAQ responses of a large sample of patients with eating disorders (ED) diagnosed in accordance with DSM-III-R criteria were compared with those from a normative population and from diverse groups of psychiatrically and physically ill patients. The ED group was distinct, and showed extreme responses in the area of weight and shape concerns. But a better discrimination between the ED and other populations was achieved using subscales that related to ‘body disparagement’ (an intense loathing of the body) and ‘attractiveness’, rather than to weight and shape concerns. ED patients may have a more pervasive disturbance in body-related attitudes than is currently widely accepted. Patients with anorexia and bulimia nervosa showed very similar attitudes despite the symptomatic differences between the groups.

Characterization of eating behavior disorders in school-aged children and adolescents: a population-based study

2016 ◽  
Vol 29 (3) ◽  
Author(s):  
Ana Márcia Tenório de Souza Cavalcanti ◽  
Ilma Kruze Grande de Arruda ◽  
Emilly Anne Cardoso Moreno de Lima ◽  
Waldemar Brandão Neto ◽  
Estela Maria Leite Meirelles Monteiro ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Female Gender ◽  
The Body ◽  
Eating Behaviours ◽  
Cross Sectional ◽  
Eating Pattern ◽  
Compulsive Eating ◽  
Restrictive Eating ◽  
School Aged Children

Abstract Objective: Cross-sectional study to assess the characteristics of the risk behaviors for eating disorders (EDs) in school children between 10 and 14 years of age in the city of Recife, Pernambuco, Brazil. Methods: 1405 school-aged children were assessed, using the Eating Behaviours and Body Image Test (EBBIT) to screen for EDs. The normality of the continuing variables was tested using the Kolmogorov-Smirnov test with Lilliefors correction. They were described as medians and interquartile intervals (25 and 75th percentiles). Results: The criteria that represented a condition of anorexia and/or bulimia nervosa were considered as strong indicators of risk for EDs in school-aged children who indicated the following behaviors with scores superior to the 75th percentile on the scales: “compulsive eating” 3.0% (CI95% 2.2–4.0); “dissatisfaction with body image/restrictive eating” 1.3% (CI95% 0.8–2.0); children scoring superior to the 30th percentile, “compulsive eating” + “dissatisfaction with body image/restrictive eating”, 0.6% (CI95% 0.3–1.2); and superior to the 50th percentile; “compensatory behavior for hyperphagia” 6.7% (CI95% 5.4–8.1). In addition, greater vulnerability of the female gender was perceived, as well as an increase in the preliminary risk factors of EDs, such as advanced age, dissatisfaction with the body image linked to restrictive behaviors and the compulsive establishment of an eating pattern. Conclusion: This study shows the dimension of the problem in this ecological context and the urgent need for intervention programs, developed among different sectors, from the perspective of the adolescents’ empowerment to prevent and minimize the vulnerability factors of the eating disorders.

scholarly journals Susceptibility to Eating Disorders Among Collegiate Female Student–Athletes

2014 ◽  
Vol 49 (3) ◽  
pp. 406-410 ◽  
Author(s):  
Cherilyn N. McLester ◽  
Robin Hardin ◽  
Stephanie Hoppe
Keyword(s):  
Health Care ◽  
Eating Disorders ◽  
Body Image ◽  
Health Care Providers ◽  
Student Athletes ◽  
Female Student ◽  
Self Esteem ◽  
The Body ◽  
Self Concept ◽  
Care Providers

Context: Research has suggested that the prevalence of young women with eating disorders (EDs) is increasing, but determining the exact prevalence of EDs within the female student–athlete (FS-A) population is difficult. Looking at certain traits may help us to identify their level of susceptibility to developing an ED. Objective: To determine the susceptibility of FS-As to EDs in relation to self-concept, including self-esteem and body image. Design: Cross-sectional study. Setting: Athletic training and health centers at National Collegiate Athletic Association Division I, II, and III institutions via e-mail questionnaire correspondence. Patients or Other Participants: A total of 439 FS-As from 17 participating institutions completed the questionnaires. The sample was primarily white (83.1%) and underclass (61.8%). Main Outcome Measure(s): The questionnaire consisted of 4 parts: 3 subscales of the Eating Disorder Inventory-2, the Rosenberg Self-Esteem Scale, the Body Cathexis Scale, and demographic items. Results: A total of 6.8% of FS-As were susceptible to anorexia and 1.8% were susceptible to bulimia. The majority of FS-As (61%) reported normal self-esteem levels, whereas 29.4% had high self-esteem. Overall, 64.5% were satisfied and 23% were very satisfied with their body image. Conclusions: These results are generally positive in that they suggest FS-As have high levels of self-concept and are at low risk to develop EDs. However, these findings do not mean that all concerns should be dismissed. Although more than 90% of the respondents were not susceptible to an ED, there are still FS-As who may be. Athletic departments should evaluate their FS-As' levels of self-concept so that their susceptibility to EDs can be addressed. The emotional aspect of health care should be included in providing holistic care for student–athletes. Athletic trainers often are the primary health care providers for FS-As, so they should be made aware of this concern.

Body image and eating disorders are common in professional and amateur athletes using performance and image-enhancing drugs (pieds). A cross-sectional study

2016 ◽  
Vol 33 (S1) ◽  
pp. S144-S144
Author(s):  
D. Piacentino ◽  
L. Longo ◽  
A. Pavan ◽  
S. Ferracuti ◽  
R. Brugnoli ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Body Dysmorphic Disorder ◽  
The Body ◽  
Activity Levels ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Amateur Athletes ◽  
Image Enhancing ◽  
Psychopathological Disorders

IntroductionThe use of Performance and Image-Enhancing Drugs (PIEDs) is on the increase and appears to be associated with several psychopathological disorders, whose prevalence in unclear.Objectives/AimsWe aimed to evaluate the differences–if any–in the prevalence of body image disorders (BIDs) and eating disorders (EDs) in PIEDs users athletes vs. PIEDs nonusers ones.MethodsWe enrolled 84 consecutive professional and amateur athletes (35.8% females; age range = 18–50), training in several sports centers in Italy. They underwent structured interviews (SCID I/SCID II) and completed the Body Image Concern Inventory (BICI) and the Sick, Control, One, Fat, Food Eating Disorder Screening Test (SCOFF). Mann-Whitney U test and Fisher's exact test were used for comparisons.ResultsOf the 84 athletes, 18 (21.4%) used PIEDs. The most common PIEDs were anabolic androgenic steroids, amphetamine-like substances, cathinones, ephedrine, and caffeine derivatives (e.g. guarana). The two groups did not differ in socio-demographic characteristics, but differed in anamnestic and psychopathological ones, with PIEDs users athletes being characterized by significantly (P-values < 0.05) higher physical activity levels, consuming more coffee, cigarettes, and psychotropic medications (e.g. benzodiazepines) per day, presenting more SCID diagnoses of psychiatric disorders, especially Substance Use Disorders, Eating Disorders, Body Dysmorphic Disorder (BDD), and General Anxiety Disorders, showing higher BICI scores, which indicate a higher risk of BDD, and higher SCOFF scores, which suggest a higher risk of BIDs and EDs.ConclusionsIn PIEDs users athletes body image and eating disorders, and more in general psychopathological disorders, are more common than in PIEDs nonusers athletes.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The effect of body image preoccupation on decision making in eating disorders

2020 ◽  
Author(s):  
Jakub Onysk ◽  
Peggy Seriès
Keyword(s):  
Decision Making ◽  
Eating Disorders ◽  
Body Image ◽  
Eating Disorder ◽  
The Body ◽  
Body Image Disturbance ◽  
Model Based ◽  
Healthy Control ◽  
Body Image Issues ◽  
Reinforcement Learning Model

AbstractEating disorders are associated with one of the highest mortality rates among all mental disorders, yet there is very little research about them within the newly emerging and promising field of computational psychiatry. As such, we focus on investigating a previously unexplored, yet a core aspect of eating disorders – body image preoccupation. We continue a freshly opened debate about model-based learning in eating disorders and perform a study that utilises a two-step decision-making task and a reinforcement learning model to understand the effect of body image preoccupation on model-based learning in a subclinical eating disorder population, as recruited using Prolific. We find a significantly reduced model-based contribution in the body image disturbance task condition in the eating disorder group as compared to a healthy control. We propose a new digital biomarker that significantly predicts disordered eating, and body image issues.

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