Cognitive behavioral therapy for body image and self-care (CBT-BISC) in sexual minority men living with HIV: a randomized controlled trial

OBJECTIVE: Body image disturbance is a distressing and interfering problem among many sexual minority men living with HIV, and is associated with elevated depressive symptoms and poor HIV self-care (e.g., antiretroviral therapy [ART] nonadherence). The current study tested the preliminary efficacy of a newly created intervention: cognitive–behavioral therapy for body image and self-care (CBT-BISC) for this population. METHOD: The current study entailed a 2-arm randomized controlled trial (N = 44) comparing CBT-BISC to an enhanced treatment as usual (ETAU) condition. Analyses were conducted at 3 and 6 months after baseline. The primary outcome was body image disturbance (BDD-YBOCS), and secondary outcomes were ART adherence (electronically monitored via Wisepill), depressive symptoms (MADRS), and global functioning (GAF). RESULTS: At 3 months, the CBT-BISC condition showed substantial improvement in BDD-YBOCS (b = −13.6, SE = 2.7, 95% CI [−19.0, −8.3], p < .001; dppc2 = 2.39); MADRS (b = −4.9, SE = 2.8, 95% CI [−10.6, .70], p = .086; dppc2 = .87); ART adherence (b = 8.8, SE = 3.3, 95% CI [2.0, 15.6], p = .01; dppc2 = .94); and GAF (b = 12.3, SE = 3.2, 95% CI [6.1, 18.6], p < .001; dppc2 = 2.91) compared with the ETAU condition. Results were generally maintained, or improved, at 6 months; although, adherence findings were mixed depending on the calculation method. CONCLUSIONS: CBT-BISC shows preliminary efficacy in the integrated treatment of body image disturbance and HIV self-care behaviors among sexual minority men living with HIV. (APA PsycInfo Database Record (c) 2019 APA, all rights reserved)Funding from this project came from K23MH096647. Author time for Steven A. Safren was supported by K24DA040489 (formally K24MH094214). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health. (K23MH096647; K24DA040489; K24MH094214)Accepted manuscrip

Score Reliability and Factor Similarity of the Sociocultural Attitudes towards Appearance Questionnaire-3 (SATAQ-3) Among Four Ethnic Groups

Background:This study evaluated the score reliability and equivalence of factor structure of the Sociocultural Attitudes towards Appearance Questionnaire-3 (SATAQ-3) [1] in a sample of female college students from the four largest ethnic groups in the USA.Methods:Participants were 1245 women who self-identified as European American/White (n = 543), African American/Black (n = 137), Asian American (n = 317), or Latina/Hispanic (n = 248). All completed the SATAQ-3 and a demographic questionnaire. To test the factor similarity and score reliability across groups, we used exploratory factor analysis and calculated Cronbach’s alphas (respectively).Results:Score reliability was high for all groups. Tests of factor equivalence suggested that the four pre-established factors of the SATAQ-3 (i.e., knowledge, perceived pressure, thin-ideal internalization, athletic-ideal internalization) were similar for women of all ethnic groups. Only two items (20 and 27) did not consistently load on the previously identified scale across all four groups. When scored, African Americans reported significantly less perceived pressure and internalization than all other groups.Conclusions:Results support the use of the SATAQ-3 in female college students of these four ethnicities

The quantification of gender: Anorexia nervosa and femininity

The ways in which Anorexia Nervosa (AN) has been described and explained has differed drastically over time although since it was first named in 1874 it has been primarily associated with women and girls it is argued in this paper that it came to be more fundamentally associated with femininity due to certain disciplinary changes in the psy sciences. The influential psychiatrist Hilde Bruch lamented the loss in clarity of the clinical picture that was the result of psychoanalytic interpretations, to remedy this she reformulated AN into a pathology that was the result of the individual being too determined by external influences. Bruch’s changes increased the emphasis that psychiatrists placed on the relationship between women and their social context and the lack of individual autonomy that many felt. Feminist writers adapted Bruch’s theory to suggest that patriarchal culture was colonizing the lives of women and that social rather than individual change needed to occur. Psychiatrists subsequently developed scales for assessing gender identity which switched the emphasis back onto individuals and rendered gender as an individualised, quantifiable, manipulable object. When reified and individualised in this fashion it became more legitimate to discuss femininity as causative of, and masculinity as a protection against, AN

Evaluating associations between fitspiration and thinspiration content on Instagram and disordered-eating behaviors using ecological momentary assessment: A registered report

This is the peer reviewed version of the following article: Christensen, KA, Forbush, KT, Cushing, CC, Lejuez, CW, Fleming, KK, Swinburne Romine, RE. Evaluating associations between fitspiration and thinspiration content on Instagram and disordered-eating behaviors using ecological momentary assessment: A registered report. Int J Eat Disord. 2021; 54: 1307– 1315. https://doi.org/10.1002/eat.23518, which has been published in final form at https://doi.org/10.1002/eat.23518. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.Introduction Greater use of appearance-focused social media, such as Instagram, is associated with increased body dissatisfaction and eating disorder (ED) symptoms; however, questions remain about the mechanism connecting social media use to disordered-eating behaviors (DEBs). The proposed study evaluates how and for whom exposure to fitspiration or thinspiration on Instagram is associated with DEBs. Methods We will evaluate a hypothesized pathway from Instagram use to disordered-eating mediated by negative affect. We will test how individual differences in internalized weight stigma, trait self-esteem, and trait self-comparison moderate the pathway from social media use to negative affect. We will recruit 175 undergraduate women who report engaging in DEBs on average at least once per week over the past 3 months. Participants will complete a 7-day ecological momentary assessment protocol, during which they will report their Instagram use, affect, and engagement in DEBs. Results Multi-level modeling will be used to assess moderated mediation. Results from this study will provide increased specificity about how Instagram usage is linked to eating pathology and who may be most vulnerable to experiencing distress. Discussion Information about negative affect from Instagram and engagement in DEBs could contribute to the development of Just-In-Time Interventions for problematic social media use

An Examination of Social Media and the Tripartite Influence Model of Body Image Disturbance

The Tripartite Influence Model of body image disturbance demonstrates that parents, peers, and media play a role in the development of body image dissatisfaction and eating disorder psychopathology. Research suggests that parents, peers, and media play direct roles on the development of body dissatisfaction and eating disorder psychopathology in females as well as indirect roles through mediated relationships with appearance comparisons and thin ideal internalization. A form of media gaining recent attention is social media. Although there is limited research on social media and body image, studies suggest that use of social media is related to body dissatisfaction and eating disorder psychopathology. The current study examined the relationship between social media use, body image dissatisfaction, and eating disorder psychopathology using the conceptual framework of the Tripartite Influence Model. Participants were 746 undergraduate females of ages 18-30 at three Southern California universities and one university in North Dakota. Results indicated that there was a small, positive relationship between social media use and body dissatisfaction. Appearance comparison negatively moderated the relationship between social media use and body dissatisfaction. There was no relationship found between social media use and eating disorder psychopathology. These findings highlight the need to further examine the relationships found between social media use and body dissatisfaction. The impact of social media use on specific cognitive processes, such as appearance comparisons and maladaptive thoughts, can be targeted in future interventions to address body image and eating disorder psychopathology

Instagram Use and Its Effect on Well-Being and Self-Esteem

Over the last ten years, social media has become an integral facet of modern society. In particular, image-based social networking sites such as Instagram have become increasingly popular among adolescents and young adults. However, despite this proliferation of use, the literature remains divided regarding the potential impacts of social media, particularly in regards to image-based platforms. The present study sought to analyze the relationship between social media usage patterns and its subsequent effects on user self-esteem and well-being. However, the study’s results show that, despite the existing literature, intensity of Instagram use serves as a mediating variable in this relationship. The study’s results show that it is intensity of use, not usage patterns, that determine user outcomes. Finally, the results show that users who engage with Instagram more intensely exhibit higher levels of self-esteem and well-being than users who do not use the application intensely

Understanding adolescent girls’ vulnerability to the impact of the mass media on body image and restrained eating behaviour: the role of media type, body perfect internalisation and materialism

There is a strong body of psychological research implicating the mass media in the aetiology of adolescent girls’ negative body image and eating behaviours. The present thesis aims to extend this research by examining potential factors – namely, media type, body perfect internalisation and materialism – that make girls more vulnerable to the negative impact of the mass media. An initial meta-analysis (Chapter 3) collated the findings of existing research examining the impact of ‘body perfect’ media on adolescents’ body image; examining gender, age and media type as moderators of this effect. Chapter 4 examined the relative roles of both media type and media model identification (a key dimension of body perfect internalisation), within the mass media and body image relationship. Using both survey and experimental methods (N = 199), it was found that adolescent girls’ habitual tendency to identify with media models, was a more potent vulnerability factor within the mass media and body image relationship, than media type. Due to the limitations associated with existing measures of body perfect internalisation, a new measure of body perfect internalisation was developed in Chapter 5 (N =373), which was subsequently utilised in the final experiments of the thesis. Chapter 6 demonstrated that acute music video exposure had a more potent negative impact on girls’ body image than still media images (N = 142); an effect that was fully mediated by wishful character identification and also moderated by body perfect internalisation. Chapter 7 consists of two studies that demonstrate the important role which materialism plays within the mass media, body image and eating behaviour relationship. In Study 1, structural equation modelling identified a direct pathway between materialism and restrained eating that was independent of body image (N = 199). This finding was further replicated in an exposure experiment, which demonstrated that brief exposure to materialistic media causes acute diet-like behaviours in adolescent girls (N = 180)

Appearance Comparison and Body Dissatisfaction of Expatriate Women in Bangkok, Thailand

Body dissatisfaction has a powerful influence in mental and physical wellbeing in women. It has been linked to depression, anxiety and eating disorders. The current study examined how relocating to Thailand was related to body dissatisfaction in expatriate women through appearance comparison. In Thailand, the average female BMI is roughly 15% less than those of women from the USA and the UK. Previous research has shown that women have the tendency to compare themselves unfavorably with other women who were slimmer, even though it was negatively influencing their body image and mental well-being. The current study examined the role of appearance comparison in development of body dissatisfaction in female expatriates who relocated to Thailand (n=107) by sampling those who were working and living in Bangkok. The Physical Comparison Scale – Revised, the Body Scale Questionnaire and the Stunkard Body Figure Scale were applied to this sample. The result implied that the frequency of appearance comparison in this sample remained at similar rates regardless of the length of time spent in Bangkok. Frequent appearance comparison was linked to higher levels of body dissatisfaction, this is consistent with previous studies’ findings. It was also found in this sample that the level of body dissatisfaction was significantly linked to the perceived body discrepancy between the actual body shape, the ideal body shape and the perceived body shape of the average Thai woman