“When I feel the worst pain, I look like shit” – body image concerns in persistent pain

2018 ◽  
Vol 18 (3) ◽  
pp. 379-388 ◽  
Author(s):  
Oliver Sündermann ◽  
Karin Rydberg ◽  
Ludwig Linder ◽  
Steven James Linton

Abstract Background and aims Persistent pain is a pervasive condition that is often associated with a distorted body image. Most research into pain and body image investigated neural or physiological correlates (e.g. phantom limb pain), and much less is known about the psychological experience of body image changes in response to pain such as appearance concerns. The aim was to examine body image concerns in people with persistent pain, in particular appearance concerns and related coping behaviours and appearance-related emotions such as anger and shame. Methods Design was cross-sectional and data was collected through in-depth semi-structured interviews with people suffering from persistent musculoskeletal pain (n=7; six females; age=19–56), and analysed with inductive thematic analysis (TA). Results Two main themes were identified: “Relationship to the painful body” and “Dissatisfaction with the body”, each containing three subthemes, along with the side-theme “Appearance concerns affected by pain and mood”. All participants reported appearance concerns, predominantly about their weight and related coping behaviours such as avoidance of mirrors, exercising or dieting and pain-induced mood changes that were associated with a negative body image. Conclusions People with persistent pain report appearance concerns, often related to pain-induced negative mood changes, and reduced functioning. It remains unclear to what extent attitudes towards the body change over time in accordance with pain. A wider concept of body image is required, including the perception of reduced functioning, related appraisals (e.g. “I look weak and old”) and appearance investment.

2016 ◽  
Vol 33 (S1) ◽  
pp. S144-S144
Author(s):  
D. Piacentino ◽  
L. Longo ◽  
A. Pavan ◽  
S. Ferracuti ◽  
R. Brugnoli ◽  
...  

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.


Body Image ◽  
2021 ◽  
Vol 37 ◽  
pp. 50-62 ◽  
Author(s):  
Madelaine Romito ◽  
Rachel H. Salk ◽  
Savannah R. Roberts ◽  
Brian C. Thoma ◽  
Michele D. Levine ◽  
...  

Author(s):  
Iasmim Batista Correia ◽  
Nathalie De Almeida Silva ◽  
Paulo Granges e Silva ◽  
Tarciana Nobre de Menezes

Aging leads to psychological losses and various physical changes that, associated with body-stereotyped patterns imposed by society, can cause disturbances in the body image perception (BIP) in the elderly. The aim of this study was to evaluate BIP in older adults living in the city of Campina Grande / PB and its relationship with different anthropometric and body composition indicators. This cross-sectional study was carried out with older adults of both sexes enrolled in the Family Health Strategy of Campina Grande, PB. BIP was considered as a dependent variable and body mass index (BMI), waist circumference (WC), triceps skinfold (TSF), and arm fat area (AFA) as independent variables. The association between BIP and anthropometric indicators was verified using the Pearson chi-square test (X²), simple and multiple logistic regression, with significance level of p <0.05. Overall, 420 older adults were interviewed (68.1% women), of whom 409 reported their actual body image perception. Regarding the perception of idealized body image, 11 individuals did not respond and 230 were satisfied, since 179 desired another silhouette. Individuals with BMI indicative of overweight / obesity were more likely of showing body image dissatisfaction compared to those with normal weight. Subjects with excessive TSF showed greater body image dissatisfaction in relation to those with normal weight. Women were more likely of showing body image dissatisfaction. Thus, it was observed that variables BMI, TSF and sex were independently associated with body image satisfaction.


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 ◽  
...  

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.


2007 ◽  
Vol 27 (5) ◽  
pp. 701-718 ◽  
Author(s):  
LAURA HURD CLARKE ◽  
MERIDITH GRIFFIN

ABSTRACTFollowing West and Zimmerman's (1987) theoretical understanding of how gender identities are created and maintained, this paper examines the ways in which older women learned from their mothers how ‘to do gender’ through their bodies and specifically their physical appearances. Extracts from semi-structured interviews with 44 women aged 50 to 70 years have been drawn upon to identify and discuss the ways in which women perceive, manage and present their bodies using socially-constructed ideals of beauty and femininity. More specifically, three ways that women learned ‘to do gender’ are examined: from their mothers' criticisms and compliments about their appearance at different stages of the lifecourse; from their mothers' attitudes towards their own bodies when young and in late adulthood; and from the interviewees' own later-life experiences and choices about ‘beauty work’. Interpretative feminism is employed to analyse how the women exercised agency while constructing body-image meanings in a social context that judges women on their ability to achieve and maintain the prevailing ideal of female beauty. The study extends previous research into the influence of the mother-daughter relationship on young women's body image. The findings suggest that mothers are important influences on their daughters' socialisation into body-image and beauty work, and exert, or are perceived to exert, accountability across the life-course.


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