Dancing in a culture of disordered eating: A feminist poststructural analysis of body and body image among young girls in the world of dance

Eating disorders among adolescent girls are a public health concern. Adolescent girls that participate in aesthetic sport, such as dance, are of particular concern as they experience the highest rates of clinical eating disorders. The purpose of this study is to explore the experiences of young girls in the world of competitive dance and examine how these experiences shape their relationship with the body; feminist poststructural discourse analysis was employed to critically explore this relationship. Interviews were conducted across Canada with twelve young girls in competitive dance (14–18 years of age) to better understand how the dominant discourses in the world of competitive dance constitute the beliefs, values and practices about body and body image. Environment, parents, coaches, and peers emerged as the largest influencers in shaping the young dancers’ relationship with their body. These influencers were found to generate and perpetuate body image discourses that reinforce the ideal dancer’s body and negative body image.

EXPRESS: Does physical weight alter the mental representation of the body? Evidence from motor imagery in obesity

Objective. Obesity is a clinical condition that impacts severely the physical body. However, evidence related to the mental representation of the body in action is scarce. The few available studies only focus on avoiding obstacles, rather than participants imagining their own body. Method. To advance knowledge in this field, we assessed the performance of twenty-two individuals with obesity compared to thirty individuals with a healthy weight in two tasks that implied different motor (more implicit vs. more explicit) imagery strategies. Two tasks were also administered to control for visual imagery skills, to rule out confounding factors. Moreover, we measured body uneasiness, through a standard questionnaire, as body image negativity could impact on other body representation components. Results. Our findings do not show differences in the motor imagery tasks between individuals with obesity and individuals with healthy weight. On the other hand, some differences emerge in visual imagery skills. Crucially, individuals with obesity did report a higher level of body uneasiness. Conclusions. Despite a negative body image and visual imagery differences, obesity per se does not impact on the representation of the body in action. Importantly, this result is independent from the level of awareness required to access the mental representation of the body.

Clinicopathological, trichoscopic and biochemical parameters in females with patterned hair loss

<p class="abstract"><strong>Background:</strong> Hair has no vital functions in humans but its loss from the scalp can create a sense of negative body image and anxiety. The term ‘female pattern hair loss’ is explained by decrease in hair fiber production and their eventual miniaturization. To evaluate the clinicopathological, trichoscopic and biochemical parameters in females with patterned hair loss.</p><p class="abstract"><strong>Methods: </strong>37 females in age group of 18-45 years complaining of reduction in hair volume with diffuse thinning over the crown were included in our study after applying inclusion and exclusion criteria. Detailed history was taken and clinical examination was done. Written consent and ethical clearance from Institutional Ethical Committee was taken. Ludwig grading, evaluation of other clinical signs of hyperandrogenism and trichoscopy was done. These females then underwent histopathological examination. 10 ml blood was withdrawn to assess anemic, thyroid and hormonal profile in these females.</p><p class="abstract"><strong>Results: </strong>Out of 37 females examined majority of the females had Ludwig grade 1 hair loss. Serum levels of testosterone were found significantly related to clinical signs of hyperandrogenism. Hair diameter variability and peri pilar sign formed the majority in trichoscopy (62.2% each). The most common histopathological finding was perifollicular infiltrate (70.3%).</p><p class="abstract"><strong>Conclusions:</strong> FPHL can contribute to severe psychological distress. Despite its high prevalence, its diagnosis and treatment still impose several difficulties in clinical practice. Although hormonal factors are believed to contribute, its pathogenesis still remains elusive.</p>

Correlational and Experimental Effects of Online Apparel Shopping Behavior on Gaze Behavior, Appearance Attitudes, and Self-Worth in Women

Online apparel shopping is popular among women, with possible negative body image consequences, particularly when the website imagery is body-focused. We investigated both correlational and experimental effects of online apparel shopping on women’s (N = 113) explicitly and implicitly measured self-worth, appearance attitudes, and body gaze behavior. Correlational results showed that online apparel shopping correlates negatively with self-esteem, and positively with appearance attitudes and self-objectification. During a simulated online shopping activity, women who were exposed to a body-focused activewear website felt worse than usual about their looks, when compared to women who were exposed to a non-body focused casualwear website. Unexpectedly, exposure to the activewear website primed lower body gaze towards subsequent images of partially and fully clothed women. Furthermore, gaze behavior did not significantly correlate with any of the other measures. Given that women have a natural tendency to gaze at faces, the deprivation of facial stimuli in the activewear condition presumably led to a compensatory gaze effect, whereby subsequent attention toward bodies was comparably low, possibly as a protective mechanism. These results suggest potential implications of short- and long-term exposure to online apparel imagery, as well as highlighting the complexity of interpreting female gaze behavior.

Unveiling Metabolic Phenotype Alterations in Anorexia Nervosa through Metabolomics

Anorexia nervosa (AN) is a mental disorder characterized by an intense fear of weight gain that affects mainly young women. It courses with a negative body image leading to altered eating behaviors that have devastating physical, metabolic, and psychological consequences for the patients. Although its origin is postulated to be multifactorial, the etiology of AN remains unknown, and this increases the likelihood of chronification and relapsing. Thus, expanding the available knowledge on the pathophysiology of AN is of enormous interest. Metabolomics is proposed as a powerful tool for the elucidation of disease mechanisms and to provide new insights into the diagnosis, treatment, and prognosis of AN. A review of the literature related to studies of AN patients by employing metabolomic strategies to characterize the main alterations associated with the metabolic phenotype of AN during the last 10 years is described. The most common metabolic alterations are derived from chronic starvation, including amino acid, lipid, and carbohydrate disturbances. Nonetheless, recent findings have shifted the attention to gut-microbiota metabolites as possible factors contributing to AN development, progression, and maintenance. We have identified the areas of ongoing research in AN and propose further perspectives to improve our knowledge and understanding of this disease.

‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents

Background Due to the prevalence and associated adverse health consequences of negative body image among adolescents globally, there is a need to develop acceptable, effective, and scalable interventions. School-based body image interventions delivered by trained teachers show promise in reducing negative body image in adolescents. However, there is currently a lack of evidenced-based body image interventions for use in low- and middle-income countries (LMICs). This paper outlines a protocol for the development and evaluation of Dove Confident Me Indonesia: Single Session, a single-session, teacher-led body image intervention for Indonesian adolescents. Method The effectiveness of the intervention will be evaluated using a cluster randomised controlled trial design. Due to the COVID-19 pandemic, the trial will be conducted online. Trained teachers or school guidance counsellors will deliver the intervention. Self-report questionnaires will be collected at three time points: baseline, post-intervention, and two-month follow-up. The primary outcome is body esteem. Secondary outcomes are internalisation of appearance ideals, mood, engagement in life activities, tendency to engage in appearance comparisons, and skin shade satisfaction. A minimum of 1000 participants will provide 95% power to detect small-to-medium intervention effects. To account for attrition and potential internet issues, the sample will comprise of 2000 Indonesian adolescents in grades 7–9, attending state junior high schools in Surabaya, East Java. Quantitative and qualitative data on acceptability of the intervention will also be collected from teachers and students. Additionally, fidelity of lesson implementation will be assessed. This project received ethical approval from the Universitas Indonesia and the University of the West of England. The intervention will be disseminated in junior high schools throughout Indonesia via UNICEF’s Life Skills Education (LSE) programme, which will be freely available for teachers to download. Discussion This paper presents Dove Confident Me Indonesia: Single Session, a culturally adapted school-based intervention designed to improve Indonesian adolescents’ body image. It details the plan for evaluation, highlighting the strengths and limitations of the proposed study design. It will be informative for others aiming to adapt evidence-based school curricula to promote well-being among adolescents in LMICs. Trial registration NCT04665557. Registered 11th December 2020.

The Effects of Media and Peers on Negative Body Images of Chinese College Students: Multiple Mediating Effects of Appearance Comparison and Internalization of the Thin-Ideal

Background Negative body image is a common psychological phenomenon among Chinese college students, which should arouse our attention. Peers and media are important factors that influence personal negative body image. This study explores the mechanism of media and peers on the negative body image of Chinese college students. Methods 461 college students (173 identifying as male, 234 identifying as female) were investigated by using the Revised Social and Cultural Attitude Questionnaire of Appearance, Appearance Comparison Scale, Peer Impact Scale and Negative Body Image Scale. Results The results are as follows: (1) Correlation analysis shows that except media attention is not significantly correlated with negative body images, all other variables are significantly positively correlated; (2) Path analysis shows that the direct effect of media attention on negative body image is not significant, while the direct effect of peer impact is significant, and both of them have indirect effects through the mediate role of appearance comparison and internalization of the thin-ideal. Additionally, appearance comparison and internalization of the thin-ideal act as a chain mediation between negative body image and media attention, peer impact. Conclusions The research shows just paying attention to the information of the perfect body in the media will not produce negative body image, but paying attention to the media and peer talks about the body may cause college students to compare appearances and internalize the standards for a good shape, leading to their negative evaluation of themselves.

Therapeutic Outcome of Self-Control and Social Interaction Interventions on Negative Body Image among in-school Adolescents with Low Health literacy in Southwest Nigeria

Low health literacy is found to be consistently associated with negative body image. This study examined the effectivenessof Self-Control Therapy (SCT) and Social Interaction Skills Training (SIST) in managing negative body image among senior secondary school students with low health literacy in Southwest Nigeria. The design is pretest-post-test, control group quasi-experimental while the factorial matrix adopted was 3×2×3. Through multi-stage sampling, three Catholic Senior Secondary Schools in Southwest Nigeria were selected. Ninety (90) students, (Males=34, Females= 56) with age range of 14 years to 16 years were randomly selected and assigned to treatment conditions. The experimental groups were exposed to ten Sessions of treatments while the control group served as a comparison group. Body Self-Image Questionnaire-Short Form (BSIQ-SF) (α=0.83), Health Literacy Scale(α=0.88), and Rosenberg Self Esteem Scale (α=0.81) were used for data collection while Analysis of Covariance (ANCOVA) and Bonferroni test were used for data analysis. Results showed a significant main effect of the treatments on the negative body image of the adolescents (F (2, 90) = 1602.50; partial η2=0.98). Participants in SCT had the least adjusted post-test mean score (34.07), followed by SIST (35.23) and control (66.13) groups. Sex of the participants had no significant interaction effect on the treatment outcome. Participants with high self-esteem had a better reduction in managing negative body image (44.27) than those with moderate self-esteem (44.51) and low self-esteem (47.30). A two-way interaction effect of treatments and self-esteem was found. This result provides support for the use of SCT and SIST to manage negative body image of senior secondary school students. These two therapies are therefore, recommended to stakeholders as viable therapies for the treatment of negative body image.

Pathological Skin Picking: Phenomenology and Associations With Emotions, Self-Esteem, Body Image, and Subjective Physical Well-Being

Pathological skin picking (PSP) refers to the repetitive manipulation of the skin causing wounds, scars, emotional distress, and social impairment. Skin picking disorder was first recognized as a distinct disorder in the DSM-5 and is still understudied in terms of phenomenology, etiology, and associated consequences. However, the body-related pathology suggests that the relation to the own body might be a crucial factor in PSP. Previous studies provided first insights that affected individuals show a more negative body image and lower self-esteem than healthy individuals. The present study sought to investigate skin picking phenomenology, related emotions as well as associations with self-esteem, body image, and subjective physical well-being. The study was conducted as an open online study, and recruitment was generally targeted to individuals of full age and in addition specifically to individuals with PSP. A total of 363 individuals (82.9% female; age: M = 32.6, SD = 13.92) participated and answered various self-report measures. Nearly half of the sample exceeded the cutoff score for pathological skin picking (N = 163; 44.9%). The results suggest that boredom, bodily tension and strong negative feelings often precede PSP episodes. During the episode most individuals seem to experience a loss of control, trance and positive feelings. After the PSP episode, shame, guilt, anger and anger toward themselves are most prominent. As expected, skin picking severity was positively associated with body image disturbances and negatively with self-esteem, and subjective physical well-being. When controlling for depressive symptoms, all associations were reduced, but those with body image disturbances (r = 0.44; p &lt; 0.001), self-esteem (r = −0.27; p &lt; 0.001), subjective physical well-being (r = −0.22; p &lt; 0.001), and peace of mind (r = 0.30; p &lt; 0.01) remained significant. Moreover, greater skin damage due to skin picking was moderately associated with higher body image disturbances. The results indicate that PSP severity is associated with a negative body image and low self-esteem, and suggest that it may be warranted to consider these aspects in the development of future interventions for PSP. However, relations with body image and self-esteem should be examined in longitudinal studies investigating causal relationships between body image, self-esteem and skin picking. Moreover, PSP phenomenology and the role of specific emotions should be investigated in more detail.

Computational Journalism Analysis on Young Adults' Body Images and Attitudes Toward Plastic Surgery

Computational journalism, especially social media analysis, is a very popular field in computational science. This study was conducted to explore and analyze the impact of the intensity of the exposure to social media on young Thai adults' body images and attitudes toward plastic surgery. The purposive sampling method was used for choosing 250 young Thai men and women aged 21 to 40 who used Facebook and/or Instagram on a regular basis. Online survey questionnaires were posted on Facebook for one month to achieve the results. It was found that young Thai adults frequently and heavily used both social media. Having appearance pressure from and repeated social comparison with idealistic media images, a considerable number of participants displayed more negative self-perceptions and engaged in appearance-changing strategies through increased appearance investment. The results showed that the more these young adults were exposed to social media, the more they were likely to develop a negative body image of themselves, which later caused their attitude toward plastic surgery to be positive.