Body image experiences in the context of chronic pain: An examination of associations among perceptions of pain, body dissatisfaction, and positive body image

Markey, Charlotte N.; Dunaev, Jamie; August, Kristin J.

doi:10.1016/j.bodyim.2019.11.005

Cited by 56 publications

(27 citation statements)

References 39 publications

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“…In general body image research, having a positive body image often means placing less value on physical appearance and more on physical ability and functionality. This brings up a concern for people who are less physically able due to physical pain or other symptoms associated with a disease as it may change how they experience their bodies ( Alleva et al, 2018 ; Markey et al, 2020 ). Perceiving something to be “wrong” with one’s body has been associated with poor body image in a study by Markey et al (2020) which focused on chronic pain.…”

Section: Discussionmentioning

confidence: 99%

“…This brings up a concern for people who are less physically able due to physical pain or other symptoms associated with a disease as it may change how they experience their bodies ( Alleva et al, 2018 ; Markey et al, 2020 ). Perceiving something to be “wrong” with one’s body has been associated with poor body image in a study by Markey et al (2020) which focused on chronic pain. Additionally, Jolly (2011) highlights how symptoms such as pain may leave individuals feeling more uncomfortable and self-conscious based on physical limitations as well as their appearance changes.…”

Section: Discussionmentioning

confidence: 99%

“…Patients identified as exhibiting neuroticism may be presented with mindfulness-based cognitive therapy focusing on emotional regulation, flexibility, and the strengthening of social engagements and supports either by family or non-family members ( Armstrong and Rimes, 2016 ; Olawa and Idemudia, 2020 ). Another intervention can focus on a balance between optimizing physical symptom management ( Markey et al, 2020 ) and function ( Chen et al, 2016 ) before and after treatment, all the while helping patients to change their focus from a preoccupation with their bodies to their adaptation to a new temporary or permanent normal. Patients using denial may be targeted to help improve their capacity to tolerate difficult affect and develop other more adaptive coping such as approach-oriented coping, emotional expression and acceptance ( Stanton et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

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Body Image Concerns in Patients With Head and Neck Cancer: A Longitudinal Study

et al. 2022

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ObjectiveHead and neck cancer (HNC) treatments are known to significantly affect functionality and appearance, leading to an increased risk for body image disturbances. Yet, few longitudinal studies exist to examine body image in these patients. Based on a conceptual model, the current study aimed to determine, in patients newly diagnosed with HNC: (1) the prevalence, level, and course of body image concerns; (2) correlates of upon cancer diagnosis (pre-treatment) body image concerns; (3) predictors of immediate post-treatment body image concerns; and (4) association between body image concerns and levels of anxiety, depression, suicidal ideation, support (i.e., satisfaction with support from physician, social/family wellbeing, and unmet support needs), and alcohol and drug misuse.MethodsTwo hundred and twenty-three (participation rate = 72%), newly diagnosed with a primary HNC were assessed using structured clinical interviews and psychometric measures at three, and 6 months after diagnosis. Primary outcome was 3-month, as it was most salient to body image disturbance. Multiple linear regression analyses were conducted on the potential body image predictors, based on the model.ResultsSixty-eight percent of patients with HNC (n = 148 of 218) presented some level of body image concerns. Body image concerns at baseline (i.e., upon cancer diagnosis, pre-treatment) and post-treatment were significantly related and significantly increased from pre- to post-treatment. Immediately post-treatment (i.e., at 3 month follow-up), 89% (n = 132 of 148) presented some level of body image concerns. Correlates of body image concerns in patients with HNC at baseline included: physical symptom burden, difficulties with communication and eating, coping with the cancer diagnosis using denial, suicidal ideation, and having had a past anxiety diagnosis. When controlling for sociodemographic and medical variables, body image concerns in patients with HNC in the immediate post-treatment were predicted by: baseline body image, physical symptom burden, and neuroticism.ConclusionThis longitudinal study helps identify patients more susceptible to experience body image disturbance following head and neck cancer. Clinicians ought to pay special attention to body image concerns upon cancer diagnosis, physical symptom burden, and neuroticism, and may want to target these factors in future preventive interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Body Image Concerns in Patients With Head and Neck Cancer: A Longitudinal Study

et al. 2022

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“…Traditionally, researchers have focused mainly on body image in women. In recent years, however, increased attention has been paid to male body image (11). Available data express that up to 90% of women, and 61% of men are dissatisfied with their body (12).…”

Section: Introductionmentioning

confidence: 99%

Correlation Between Gender Differences and Anthropometric Indicators with Body Image Dissatisfaction Among Adults in Ardabil City

Ghannadiasl

2021

Jundishapur J Health Sci

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Background: Body image dissatisfaction has been rising in recent years. Despite the large body of evidence on body image, few studies have directed gender comparisons of body image in Iran. Objectives: This study aimed to investigate body image dissatisfaction and its correlation with anthropometric indicators and body composition in men and women. Methods: Following a cross-sectional design, 95 females and 95 males (age range: 18 - 50 years and body mass index: 18.5 - 40.0 kg/m2) who attended a nutrition clinic in Ardabil city were recruited using a convenience sampling method. Anthropometric measurements were achieved while participants were lightly clothed with no shoes. The body fat percentage, visceral fat level, and visceral fat area were measured using a bioelectrical impedance analysis. The body image was evaluated using the Multidimensional Body Self-Relation Questionnaire (MBSRQ). Data analysis was administered using SPSS, and a two-tailed P-value less than 0.05 was considered statistically significant. Results: The appearance orientation (females: 4.04 ± 0.57 vs. males: 3.72 ± 0.49, P-value < 0.001) and illness orientation (females: 3.70 ± 0.74 vs. males: 3.41 ± 0.83, P-value = 0. 01) subscales scores were higher in women than men. A negative association was observed between appearance orientation subscale score with anthropometric indicators and body composition. In contrast, the subjective weight, overweight preoccupation, and health evaluation subscales scores were positively correlated with anthropometric measurement and body composition. Conclusions: This study investigated body image dissatisfaction in a small sample of Iranians. Gender was an important factor in determining body image subscales. Thus, health interventions should be specially designed.

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“…An important motivation for adolescents and young adults to engage in aerobic exercise (AE) is to improve fitness, body composition and physical appearance [ 6 , 7 ], all of which are parameters that have an impact on bodily perception as conceptualized by the ‘body image’ (BI) construct. The BI definition covers perceptions, thoughts, feelings, and attitudes an individual has towards the own body [ 8 , 9 ] and this definition includes appearance aspects [ 10 ], individual perception of body functionality [ 11 ], perception of self-esteem, body shape and fitness [ 12 , 13 , 14 ]. While studies have mainly focused on the perceptual aspects of BI in association with, e.g., eating disorders or pain [ 15 , 16 , 17 ], recently more attention was given to the attitudinal dimensions of BI like evaluative-affective and cognitive-behavioral aspects [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Body Image Relates to Exercise-Induced Antinociception and Mood Changes in Young Adults: A Randomized Longitudinal Exercise Intervention

Maurer

Deckert

Levenig

et al. 2020

IJERPH

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Background: An important motivation for adolescents and young adults to engage in aerobic exercise (AE) is to improve fitness, body composition and physical appearance. These parameters have an impact on bodily perception as conceptualized by the ‘body image’ (BI) construct. AE is known to have positive effects on pain perception, mood, and body image (BI). However, no study has hitherto investigated their interrelationship within one study. Methods: Participants were randomly assigned to an intervention group (IG, n = 16, 6 months of AE) or a passive control group (CG, n = 10). Frankfurt Body-Concept Scales (FKKS), Positive and Negative Affect Scale (PANAS), State and Trait Anxiety Inventory, warmth and heat pain thresholds (WPT, HPT), pain tolerance, and graded exercise test data from baseline (T0) and the end of the intervention (T6) were analyzed using a paired t-test (p < 0.05). Results: A significant increase in the BI dimension ‘physical efficacy’ was identified from T0 to T6, which correlated positively with PANAS Positive Affect Scale and HPT. Conclusion: Data in young adults undergoing AE indicate that changes in the BI sub-category ‘physical efficacy’ are closely linked with changes in positive affect and antinociception. These novel findings suggest that BI plays a role in antinociception and positive affect.

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Body image experiences in the context of chronic pain: An examination of associations among perceptions of pain, body dissatisfaction, and positive body image

Cited by 56 publications

References 39 publications

Body Image Concerns in Patients With Head and Neck Cancer: A Longitudinal Study

Body Image Concerns in Patients With Head and Neck Cancer: A Longitudinal Study

Correlation Between Gender Differences and Anthropometric Indicators with Body Image Dissatisfaction Among Adults in Ardabil City

Body Image Relates to Exercise-Induced Antinociception and Mood Changes in Young Adults: A Randomized Longitudinal Exercise Intervention

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