Self-compassion moderates the relationship between body mass index and both eating disorder pathology and body image flexibility

Kelly, Allison C.; Vimalakanthan, Kiruthiha; Miller, Kathryn

doi:10.1016/j.bodyim.2014.07.005

Cited by 103 publications

(76 citation statements)

References 35 publications

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“…Thus, a negative body image would mean that self-evaluation is very dependent on shape and/or weight (i.e., over-evaluation of shape and weight). All these descriptions have been linked to body image previously and they are common features among those with ED [2, 39, 41, 42]. The participants often described several components in their evaluations.…”

Section: Discussionmentioning

confidence: 99%

A qualitative analysis of participants’ reflections on body image during participation in a randomized controlled trial of acceptance and commitment therapy

et al. 2016

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BackgroundNegative body image is a risk factor for development and relapse in eating disorders (ED). Many patients continue to be dissatisfied with their body shape or weight after treatment. This study presents a qualitative analysis of written reflections on body image from patients with an ED and a negative body image before and after an Acceptance and Commitment Therapy group treatment at a specialized ED-unit.MethodBefore and after the treatment participants (n = 47) answered a questionnaire with open ended questions on their thoughts on body image. Data were analyzed through conventional content analysis.ResultsBody image meant different things for different participants. For some it had to do with how you evaluate your body, whereas others focused on whether their body image was realistic or not. Some emphasized their relationship with their body, while some described body image as strongly related to global self-esteem. These different views on the concept of body image affected the participants’ descriptions of their own body image, and how they wanted it to change. Body image was considered a state that fluctuated from day to day. After treatment the participants described changes in their body image, for instance perceiving oneself as less judgmental towards one’s body, and a shift in focus to the important things in life.ConclusionsThe participants had different views on body image and how they wished it to change. Thus treatment interventions targeting negative body image needs to address various aspects of this complex construct.Trial registrationThis study is part of an RCT registered 02/06/2014 in Clinical Trials, registration number: NCT02058121.Electronic supplementary materialThe online version of this article (doi:10.1186/s40337-016-0120-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

A qualitative analysis of participants’ reflections on body image during participation in a randomized controlled trial of acceptance and commitment therapy

et al. 2016

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“…It has good reliability related to internal consistency (Cronbach's = .91 -.95), item-total (r = .50 -82), and testretest (r = .80 -.82) (Ferreira et al, 2011;Kurz et al, 2016;Sandoz et al, 2013;Timko et al, 2014). It is correlated with measures of eating disorder psychopathology, general psychopathology, self-compassion, self-esteem, social comparison, body dissatisfaction, body appreciation, BMI, intuitive eating, distress tolerance, internalisation of the thin ideal, psychological flexibility, body checking and body image avoidance (Ferreira et al, 2011;Kelly, Vimalakanthan, & Miller, 2014;Sandoz et al, 2013;Schoenefeld & Webb, 2013;Timko et al, 2014;Wendell, Masuda, & Le, 2012). Eating disorder and dieting samples, in addition to those classified 'at risk' for eating disorders, have significantly lower BI-AAQ scores compared to controls (Ferreira et al, 2011;Masuda, Hill, Tully, & Garcia, 2015;Sandoz et al, 2013;Timko et al, 2014).…”

Section: Participants Completed the Following Measuresmentioning

confidence: 99%

Measures of body image: Confirmatory factor analysis and association with disordered eating.

Pellizzer¹,

Tiggemann

Waller

et al. 2018

Psychological Assessment

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eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. BODY IMAGE & DISORDERED EATING 1 Measures of body image: Confirmatory factor analysis and association with disordered eating Mia Pellizzer Marika Tiggemann Glenn Waller Tracey WadeIn press: Psychological Assessment (21/1/17) BODY IMAGE & DISORDERED EATING 2 AbstractThe current study aimed to examine the factor structure, reliability, and validity of three measures of body image disturbance (body image flexibility, body avoidance, and body checking) considered to be relevant to eating disorder psychopathology, with the aim of determining the optimal structure of each for use in treatment planning and outcome monitoring. Additionally, the study aimed to identify which factors had the strongest association with disordered eating. Participants were 328 female undergraduate university students aged 17-25 years. Confirmatory factor analyses were conducted followed by correlational, regression, and t-test analyses. The original proposed models were retained for the body image flexibility and body checking measures, while an alternative model was supported for the body image avoidance measure. All three solutions were found to have acceptable validity and reliability. Scores on each measure differed significantly between normal and disordered eaters. The body image flexibility measure and selected subscales of the body image avoidance and checking measures had unique associations with eating disorder psychopathology and psychosocial impairment. Results of this study indicate how the assessment of body image can be achieved in treatment of eating disorders in such a way as to reduce participant burden while adequately assessing the body image disturbance that is characteristic of eating disorders.Keywords: Body image; eating disorders; body image flexibility; body image avoidance; body checking; confirmatory factor analysis. Public Significance StatementThe present study advances knowledge in the assessment of body image relevant to eating disorder psychopathology. Suggestions are provided for brief, yet effective measurement that can be applied to research and clinical settings. BODY IMAGE & DISORDERED EATING 3Body image is a multi-faceted construc...

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“…Psychological inflexibility has been identified as a key process underlying a range of psychopathological conditions and behavioural ineffectiveness [29][30][31]. Specifically, psychological inflexibility focused on body image has been recognized as a core dimension implicated in body image difficulties and disordered eating behaviours [26,[32][33][34][35][36].…”

Section: Introductionmentioning

confidence: 99%

Normative body dissatisfaction and eating psychopathology in teenage girls: the impact of inflexible eating rules

et al. 2015

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Purpose: Adolescence has been considered a critical time for the development of body image-related difficulties and disordered eating behaviours, especially in females. Although adherence to eating rules has been linked to disordered eating, literature has not yet explored how the inflexible subscription to those rules impacts on eating psychopathology. Therefore, the aim of the current study was to explore whether inflexible eating impacts on the relationships between weight and body image-related variables, and disordered eating.Methods: Participated in this study 497 female adolescents from the community, aged between 14 and 18 years old, who completed self-report measures.Results: Results revealed that the majority of the participants were dissatisfied with their weight and body shape. Moreover, 6.64% of the participants demonstrated severe eating psychopathology. A path analysis revealed that BMI, body dissatisfaction and social comparisons based on physical appearance impact on disordered eating behaviours, through the mechanism of inflexible adherence to eating rules. This model explained 52% of eating psychopathology's variance. Conclusions:Findings highlight the relevance of body image-related difficulties in adolescence and additionally they emphasise the importance of promoting more flexible attitudes towards eating in prevention and intervention programs with female adolescents.

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Self-compassion moderates the relationship between body mass index and both eating disorder pathology and body image flexibility

Cited by 103 publications

References 35 publications

A qualitative analysis of participants’ reflections on body image during participation in a randomized controlled trial of acceptance and commitment therapy

A qualitative analysis of participants’ reflections on body image during participation in a randomized controlled trial of acceptance and commitment therapy

Measures of body image: Confirmatory factor analysis and association with disordered eating.

Normative body dissatisfaction and eating psychopathology in teenage girls: the impact of inflexible eating rules

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