scholarly journals The comments of voices on the appearance of patients with psychosis: ‘the voices tell me that I am ugly’

BJPsych Open ◽  
2019 ◽  
Vol 5 (5) ◽  
Author(s):  
Felicity Waite ◽  
Rowan Diamond ◽  
Nicola Collett ◽  
Eleanor Chadwick ◽  
Emily Bold ◽  
...  

Background There are high rates of obesity and low self-esteem in patients with psychosis. The occurrence of negative voice content directly about appearance is therefore plausible. Derogatory comments about appearance are likely to be distressing, increase depression and contribute to social withdrawal. Aims To systematically assess the occurrence of voice content regarding appearance and identify correlates. Method Sixty patients experiencing verbal auditory hallucinations at least once a week in the context of non-affective psychosis completed a measure assessing positive and negative voice content about appearance. They also completed assessments about body image, self-esteem, psychiatric symptoms and well-being. Results Fifty-five (91.7%) participants reported hearing voices comment on their appearance. A total of 54 (90%) patients reported negative voice content about their appearance with 30 (50%) patients experienced negative appearance comments on a daily basis. The most common negative comment was ‘the voices tell me that I am ugly’ (n = 48, 80%). There were 39 (65%) patients who reported positive voice content on appearance. The most frequent positive comment was ‘I look as nice as other people’ (n = 26, 43.3%). Negative voice content about appearance was associated with body image concerns, paranoia, voice hearing severity, depression, worry, negative self-beliefs and safety-seeking behaviours. Positive appearance voice content was associated with greater body esteem and well-being and lower levels of depression and insomnia. Conclusions Voice content about appearance is very common for patients seen in clinical services. Negative voice content may reflect – and subsequently reinforce – negative beliefs about one's appearance, low self-esteem, worry and paranoia. Declaration of interest None.

Kinesiology ◽  
2016 ◽  
Vol 48 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Ferenc Köteles ◽  
Maria Kollsete ◽  
Hannah Kollsete

The research aimed at studying relationships between characteristics of CrossFit training (time elapsed from starting with training, weekly session frequency) and indicators of well-being, self-esteem, body awareness, satisfaction with body image, and perceived body competence. Participants, 186 Norwegian individuals (57.5% female; mean age: 28.9±7.81 years) regularly participating in CrossFit, completed online surveys (WHO-5 Well-being Scale, PANAS, Rosenberg Self-Esteem Scale, Body Awareness Questionnaire, Body Image Ideals Questionnaire, Body Competence Scale, motivations for doing CrossFit). Weekly frequency of CrossFit sessions was not connected with positive affect (Kendall tau_b=-.02, p=.766), negative affect (-.01, p=.861), or well-being (.10, p=.068) in the correlation analysis. Similarly, overall CrossFit experience (duration x frequency) was not related to global self-esteem (Kendall tau_b=.01, p=.778), body awareness (-.04, p=.379), body image dissatisfaction (.04, p=.423), and body competence (-.07, p=.184). In the regression analysis, well-being was connected with male gender (β=-.205, p<.01), time elapsed from starting with CrossFit (β=-0.178, p<.05), dissatisfaction with body image (β=-.218, p<.01), and body awareness (β=.149, p<.05). Global self-esteem was related to age (β=.164, p<.05), body competence (β=.152, p<.05), and body image dissatisfaction (β=-.276, p<.001). CrossFit training was not connected with higher levels of psychological functioning (well-being, affect, body awareness, and self-esteem) and satisfaction with body image.


2018 ◽  
Vol 159 (9) ◽  
pp. 363-369
Author(s):  
Dóra Antal-Uram ◽  
László Harsányi ◽  
Dóra Perczel-Forintos

Abstract: Inflammatory bowel disease (Crohn’s disease and colitis ulcerosa) is a chronic, long-term condition that causes chronic inflammation in the digestive tract, and shows an increasing incidence and prevalence worldwide. Changes in disease activity over time affect psychological distress which increases the risk of exacerbations. Beside somatic symptoms (such as abdominal pain, diarrhoea and weight loss), psychiatric comorbidity (in particular major depression, anxiety, social phobia) is common in patients with Crohn’s disease. This case study illustrates the management and stabilization of a 21-year-old adult male patient with active Crohn’s disease and with severe psychiatric comorbidity. The patient was diagnosed with avoidant personality disorder and dysruptive mood dysregulation disorder based on the results of psychodiagnostics (SCID-II structured clinical interview, MMPI personality inventory and disease-specific clinical questionnaires such as Beck Depression Inventory, Beck Hopelessness Scale, Social Cognition Questionnaire, Anger Expression Scale, Cognitive Emotion Regulation Questionnaire, Rosenberg Self-Esteem Scale). The main aim of psychotherapy is to increase the adherence to pharmacotherapy, to promote psychosocial functioning, to improve well-being and to enhance adaptive coping strategies. Low-intensity cognitive-behavioural psychotherapy was used which included psychoeducation, motivational interview, behavioural activation, patient diary, cognitive restructuring, problem-solving training, and family consulting. Twenty-five sessions were held weekly in outpatient form and 3 sessions of crisis intervention after the surgery at the hospital. The efficacy of the treatment was measured by self-reported questionnaires at baseline and at two follow-up sessions which corroborated a very significant decrease in the severity of depression, hopelessness, while emotional regulation and self-esteem became more adaptive. The remission of the above-mentioned psychiatric symptoms resulted in the improvement of the pharmacotherapy adherence and the quality of life. Low-intensity psychosocial interventions are proven to be an effective way of delivering evidence-based psychotherapy. Orv Hetil. 2018; 159(9): 363–369.


2014 ◽  
Vol 26 (3) ◽  
pp. 333-338 ◽  
Author(s):  
Kullaya Pisitsungkagarn ◽  
Nattasuda Taephant ◽  
Ploychompoo Attasaranya

Abstract Aim: Body image satisfaction significantly influences self-esteem in female adolescents. Increased reports of lowered satisfaction in this population have raised concerns regarding their compromised self-esteem. This research study, therefore, sought to identify a culturally significant moderator of the association between body image satisfaction and self-esteem in Thai female adolescents. Orientation toward self-compassion, found to be particularly high in Thailand, was examined. Materials and methods: A total of 302 Thai female undergraduates from three large public and private universities in the Bangkok metropolitan area responded to a set of questionnaires, which measured demographic information, body image satisfaction, self-compassion, and self-esteem. Data were analyzed using correlation and multiple regression analyses. Self-compassion was tested as a moderator of the relationship between body image satisfaction and self-esteem. Results: Although its effect was relatively small, self-compassion significantly moderated the positive relationship between body image satisfaction and self-esteem. The relationship became less stringent for those with high self-compassion. Discussion: The cultivation of self-compassion was recommended in female adolescents. In addition to moderating the association between body image satisfaction and self-esteem, the benefits to health and well-being of generalizing this cultivation are discussed.


2020 ◽  
pp. 49-52
Author(s):  
Simran Arya ◽  
Madhu Jain ◽  
Shuchi Jain ◽  
Tej Bali Singh

Background: Polycystic ovary syndrome (PCOS) have serious health issues, affecting female health, causing body disfigurement, lowers self- esteem decreases the quality of life and, lifelong health consequences related to metabolic disorders. Objective: The objective of the study was to evaluate, 'the impact of various clinical features of PCOS namely obesity, hirsutism, acne, menstrual irregularities on psychological well-being in adolescent girls'. Material and methods: A cross-sectional study conducted in the adolescent clinic, BHU. Tools used for data collection were a self-structured questionnaire which includes socio-demographic status, menstrual history, and anthropometric assessment. Hirsutism was assessed by the Ferriman-Gallwey scoring system, acne by the Global acne grading system, self-esteem by Rosenberg self-esteem scale, and body image by Body Image Concern Inventory scale. Statistical analysis was done by SPSS version '22'. Results: Findings of multiple regression analysis suggests that adolescent girls with hirsutism experienced poorer self-esteem (β= -2.621, p=0.01) and greater body dissatisfaction (β= 0.258, p= 0.02) than adolescents girls without hirsutism. Furthermore, obese adolescents had a lower level of self-esteem (β= -0.056, p=0.01) and negative body image (β= 0.748, p=0.01) compared with non- obese PCOS adolescents. Adolescent girls with menstrual irregularities had higher body dissatisfaction (β=0.143, p=0.05) than patients with a regular cycle. Conclusion: PCOS in adolescents having obesity, menstrual irregularities, and features of hyper-androgenism have a profound effect on psychological well being. So, the recognition of the early signs of PCOS during adolescence and early treatment can improve the quality of life.


Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Maria Piedade Brandão ◽  
Annettte Quinto Romani ◽  
Frantitsek Sudzina ◽  
Inger Glavind Bo ◽  
Bent Egberg Mikkelsen

BACKGROUND: Appropriate body image self-perceptions provide a good help to increase the feeling of personal well-being, thus having an important impact on health. Universities, having an important role in shaping of the future workers, represent an important setting to approach health issues. OBJECTIVE: This study determined to what extent different types of students in higher education (four categories of students were created: “self-secure”, “perfect”, “destructive” and “apologetic”) are likely to adopt different health risk behaviors. METHODS: A cross-sectional study in a sample of students from five European Universities in the 2016/2017 academic year was conducted. Based on the combination of body image perception and body mass index, four types of students were identified: “self-secure” (overweight students with a good self-esteem); “perfect” (underweight students with a good self-esteem); “destructive” (overweight students with a poor self-esteem); “apologetic” (underweight students with a poor self-esteem). RESULTS: The study reveals that the defined types of students differed in terms of risk behavior. When the control was included, the “self-secure” student type had a reduced likelihood of being on a diet (22.3%) and physically active (17.8%) than other students (p <  0.001). CONCLUSIONS: The results of this paper raise concerns about the future because the body dissatisfaction of the college student could be a big impact in long term whether at collective, personally or even professionally.


2014 ◽  
Vol 10 (2) ◽  
pp. 301-317 ◽  
Author(s):  
Elena Gatti ◽  
Chiara Ionio ◽  
Daniela Traficante ◽  
Emanuela Confalonieri

Puberty is a very important process for adolescents. Physiological changes and body modifications lead to great vulnerability. This vulnerability is connected to the adolescent’s perceptions of the uncertainty of outcomes due to the transformation of their infant body into an adult one. This cross-sectional study aims to better understand whether body image perception and satisfaction influence self-esteem in a sample of Italian male and female adolescents. A total of 242 adolescents (120 male and 122 female individuals) aged 11 to 17 years (M= 13.33;SD= 1.7) completed the study measures. Quantitative and qualitative instruments were used. In particular, adolescents completed self-report questionnaires to assess their pubertal status (Pubertal Developmental Scale, Peterson, Crockett, Richards, & Boxer, 1988), their body esteem (Body Esteem Scale, Mendelson, Mendelson, & White, 2001), their body image (Body Image Satisfaction Questionnaire, Rauste-von Wright, 1989), and their self-esteem (Rosenberg Self-Esteem Scale, Rosenberg,1965). Adolescent were also invited to depict themselves to assess their body representations by completing the Drawing Me test (Confalonieri, 2011). Results from MANOVAs confirm that gender and age are two factors that influence body image perception and satisfaction. SEM analyses show that good self-esteem is reached through good body satisfaction following different trajectories in male and female individuals. Data from adolescents’ body representations obtained via drawings confirm that females are more concerned about their body changes and about the appearance of secondary sexual features than males. This research, stressing the influence of various individual factors and highlighting the psychological distress and dissatisfaction of adolescents, especially females, confirms the importance of studying this topic in order to generate preventive measures to help adolescents through this developmental task.


Author(s):  
Manuel De Gracia ◽  
Patricia Trujano ◽  
Carlos Nava ◽  
Gilberto Limón

Background: The general framework of this research is that the sociocultural context and socio-economic conditions in different countries representing the macro-system of the transactional model of health, with varying degrees of cultural and linguistic familiarity and contact history. Culturally bound definitions of what is desirable and attractive play an important role in body image formation.Methods: The aim of this cross-cultural study was to evaluate the different effects of general self-esteem, eating attitudes and behaviors, and the subjective perception of body image in two representative samplings of urban pre-adolescents (9-12 years old). All the participants were given the following tests: LAWSEQ, ChEAT-26, CFD, and BEStudy.Results: The multiple linear regression analysis showed the relative contribution of each independent variable: the LAWSEQ score explained 12.8% of the variance of the BES score, followed by the BMI (9.3%), the ChEAT-26 score (9.1%), and the CFD (7.8%). The results showed a differential profile between the two samplings.Conclusions: General self-esteem was the strongest predictive variable associated with higher levels of body esteem, while habits and behaviors related to worry about food and the choice of a thinner body image ideal were predictive of lower body esteem, regardless of the nationality, sex, or age of the participants. 


2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Marwa Abd El-fatah Ali El-slamoni ◽  
Hanem AbdElkhalek Ahmed ◽  
Azza Elsayed Abdelfatah Arafat

Abstract Background Over the last 10 years, social media has become an integral facet of modern society. Self-presentation and body satisfaction are related to social media and its impact on users’ levels of well-being and self-esteem. This study aimed to compare selfie-related concepts (self-esteem and body image) and behaviors (selfie habits and patterns, the motives for using the selfie, and attitude about selfie) between samples of Egyptians and Saudis student nurses. To attain this research aim, a comparative research design study was conducted between 7th of October and 5th of November 2020. This study was conducted in the two countries: Kingdom of Saudi Arabia (KSA) (College of Nursing, Taif University) and Egypt (Faculty of Nursing, Zagazig University). A sample of 300 students was included in two countries: KSA and Egypt. Socio-demographic data sheet, patterns of selfie use scale, self-confidence questionnaire (SCQ), and body image scale. Results Results revealed that the Egyptian students were higher in number of selfies per day than Saudi students and the majority of Saudi group like to put their selfies on Instagram. Conclusion The current study deduced that Egyptian students as regard selfie habits and patterns had a higher number of selfies per day than Saudi students, also the majority of the Saudi group as regard selfie habits like to put their selfies on Instagram with a statistically significant difference. As regards the motives for using the selfie, the reasons for taking selfies were significantly higher in Saudi nursing students than in Egyptian students regarding depression and sadness. As well, significantly higher in Egyptian than in Saudi nurse students was related to motivates that their selfies on social media often contain comments or answers, the relationship between the number of selfie-taking and gender was a statistically significant difference between the two genders in both Egyptian and Saudi groups with increasing taking selfie among Egyptian females and Saudi males.


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