The Relationship between Alexithymia, Dysmorphic Concern, and Exercise Addiction: The Moderating Effect of Self-Esteem

As with other addictions, exercise addiction can severely impact individuals’ lives and have significant psychophysical consequences. Consequently, the study of the mechanisms involved in this psychopathological condition has great clinical and practical relevance. Therefore, the goal of the present study was to explore the risk factors and protective factors for exercise addiction, with a particular focus on the roles of alexithymia, body image concerns, and self-esteem. A sample of 288 regular exercisers (mean age = 28.35 years, SD = 8.26; 72% females, 18% males) completed the Exercise Addiction Inventory, 20-Item Toronto Alexithymia Scale, Body Image Concern Inventory, and Rosenberg Self-Esteem Scale. Data were analyzed by implementing a moderated mediation model. Results showed a significant and positive association between alexithymia and exercise addiction, totally mediated by body image concerns. Furthermore, self-esteem showed a relevant moderating effect, such that at high levels of self-esteem the effect of alexithymia on body image concerns became insignificant. Such data have important implications, highlighting some core variables on which it might be useful to keep a focus in order to elaborate tailored interventions, from both preventive and treatment perspectives.

Nurses’ and midwives’ perspectives on how the pursuit for the ‘perfect’ body image affects their own breastfeeding practices: a qualitative study in Ghana

Background Body image concerns have been widely documented in the literature as one reason why most women shorten the breastfeeding duration of their infants. Negative body image concerns among breastfeeding mothers may lead to depressive symptoms. There is a paucity of literature on how body image affects the breastfeeding practices of nurses and midwives. Therefore, this study explored the perspectives of breastfeeding nurses and midwives on how their body image affected their breastfeeding practices. Methods A qualitative design was used in this study. Five focus group discussions were conducted with each group having five members. The study was conducted in the Greater Accra Region of Ghana between November and December of 2020. Participants were recruited into the study using a purposive sampling method. Focus group sessions were audiotaped and transcribed verbatim. Data were analyzed using a content analysis. Results Three main themes emerged from the data analysis: body image concerns and breastfeeding, sociocultural pressures and breastfeeding and coping strategies. Participants had concerns regarding weight gain due to the need to eat adequately while breastfeeding. Body image concerns included increase in abdominal size, sagging breasts and generalized weight gain. These concerns and pressures negatively affected the breastfeeding practices of participants. Body image concerns reflected sociocultural pressures such as negative comments from loved ones and in the social media. The coping strategies adopted by the mothers were self-motivation and the love they had for their children. Conclusions The perspectives of breastfeeding nurses and midwives on the ways their body image affected their breastfeeding practices identified the need for support in order to successfully breastfeed.

Protective and Risk Factors in Exercise Addiction: A Series of Moderated Mediation Analyses

For a minority of individuals, exercise may become excessive and lead to an addictive behaviour. To better understand the processes by which exercise could become an addiction, the present study examined the risk and protective factors of exercise addiction among regular exercisers, by investigating the role of drive for thinness, bulimia, body dissatisfaction, body image concerns, and self-esteem. A sample of 319 Italian regular exercisers (Mage = 30.78 years, SD = 11.98) completed the Italian versions of the Exercise Addiction Inventory, Eating Disorder Inventory-3 Referral Form, Body Image Concern Inventory, and Rosenberg Self-Esteem Scale. Data were analyzed by implementing a series of moderated mediations. Drive for thinness, bulimia, and body dissatisfaction were positively associated with exercise addiction. An indirect path was found in each of these relationships, which included the mediation of body image concerns, as well as a significant moderation of self-esteem in the associations between drive for thinness, bulimia, body dissatisfaction, and the mediator. High self-esteem appeared to be a protective factor. The higher the level of self-esteem, the less indirect the effects of thinness drive, bulimia, body dissatisfaction, and body image concerns were on exercise addiction. Such findings contribute to a better understanding concerning the risk and protective factors of excessive exercise, and may have important practical implications in structuring interventions to reduce risk of developing exercise addiction, as well as orienting future research.

Body Image Concerns and Associated Impairment Among Adults Seeking Body Contouring Following Bariatric Surgery

Background The current study examined a range of body image concerns and associated distress and impairment in patients who have undergone bariatric surgery and are seeking subsequent body contouring surgery following bariatric surgery. Objectives Individuals seeking body contouring were hypothesized to endorse a broad pattern of body image concerns and that overall body image concern would be associated with greater impairment and disability. Methods Participants were 56 adults seeking body contouring surgery after bariatric surgery. Participants completed a self-report questionnaire designed for the present study to assess body image concerns specific to patients who have undergone bariatric surgery and a battery of established measures of disability, impairment, and eating-disorder psychopathology. Results The most commonly endorsed concerns were related to loose skin (body dissatisfaction, feeling embarrassed in public, and skin rashes) whereas the least endorsed items included concerns related to scars from bariatric surgery (body dissatisfaction, avoidance of social situations, and difficulty concentrating). Participants endorsed a broad pattern of frequent distress and impairment related to physical body image changes post-bariatric surgery. Greater body image concerns were associated significantly with higher levels of disability, work-related impairment, and eating-disorder psychopathology. Conclusions Patients seeking body contouring surgery reported a range of body image concerns with significant associated distress, disability, and impairment related to physical changes post-bariatric surgery. The present findings underscore that while bariatric surgery is effective for reducing weight and metabolic disturbances, additional interventions for addressing body image concerns that are frequently distressing and impairing may be needed.

Prediction of Death Anxiety Based on Body Image Concerns Mediated by Disease Perception in Patients With Breast Cancer

Background Fear of death and its associated anxiety are among the effective factors of mental health in patients with cancer. The present study aimed to predict death anxiety based on body image concerns mediated by disease perception in patients with breast cancer. Methods In this descriptive correlation study, Templer's Death Anxiety Scale, Littleton’s Body Image Concern Inventory, and Broadbent's Brief Illness Perception Questionnaire were used to collect data. The statistical population included all patients with breast cancer in Abadan city in 2020 who referred to medical centers for six months. A total of 200 of which were selected as the sample of the study using convenience sampling. The proposed model was evaluated using path analysis with AMOS software. Results The results showed that there was a significant association between body image and disease perception (β = 0.33, P = 0.001), and death anxiety (β = 0.57, P = 0.001), and between disease perception and death anxiety (β = 0.39, P = 0.001). There was a relationship between body image and death anxiety through the mediating role of disease perception in patients with breast cancer (P = 0.009). Conclusion According to the results of the study, the relationship of body image with death anxiety through the mediation of disease perception had a good fit and is an important step in identifying the factors affecting the death anxiety of patients with breast cancer.

Self-body recognition and attitudes towards body image in younger and older women

Despite the fact that ageing causes dramatic changes in bodily appearance, little is known about how self-body recognition changes across life span. Here, we investigated whether older, compared to younger women, differed in the ability of recognising their own than other women’s body parts and whether this effect was associated to negative body image dispositions. Twenty-eight young (Mage: 25.93 years, SDage = 4.74) and 25 middle-aged (Mage: 54.36 years, SDage = 4.54) women completed an implicit task consisting of visual matching of self and others’ body parts and an explicit self–other body discrimination task. Stimuli comprised of images of body parts of the participant and of other age- and BMI-matched models, which were presented in the original size or modified to look rounder or thinner. Measures of adiposity (i.e. BMI), body image concerns and appearance-related worries for specific body parts and for the whole body were also collected. Whilst both groups showed a self-body advantage in the implicit, but not in the explicit task, the advantage was notably bigger for the younger group. However, the implicit self-advantage was higher in those middle-aged women that displayed more body image concerns and worries for specific body parts. Furthermore, the two groups were comparably less able in recognising their body parts when presented thinner as compared to rounder or in their actual size. Overall, these findings open the possibility that, as women age, their implicit self-recognition abilities may decline in association with more negative body image dispositions.