Jessica M. Alleva

A Meta-Analytic Review of Stand-Alone Interventions to Improve Body Image

Objective Numerous stand-alone interventions to improve body image have been developed. The present review used meta-analysis to estimate the effectiveness of such interventions, and to identify the specific change techniques that lead to improvement in body image. Methods The inclusion criteria were that (a) the intervention was stand-alone (i.e., solely focused on improving body image), (b) a control group was used, (c) participants were randomly assigned to conditions, and (d) at least one pretest and one posttest measure of body image was taken. Effect sizes were meta-analysed and moderator analyses were conducted. A taxonomy of 48 change techniques used in interventions targeted at body image was developed; all interventions were coded using this taxonomy. Results The literature search identified 62 tests of interventions (N = 3,846). Interventions produced a small-to-medium improvement in body image (d + = 0.38), a small-to-medium reduction in beauty ideal internalisation (d + = -0.37), and a large reduction in social comparison tendencies (d + = -0.72). However, the effect size for body image was inflated by bias both within and across studies, and was reliable but of small magnitude once corrections for bias were applied. Effect sizes for the other outcomes were no longer reliable once corrections for bias were applied. Several features of the sample, intervention, and methodology moderated intervention effects. Twelve change techniques were associated with improvements in body image, and three techniques were contra-indicated. Conclusions The findings show that interventions engender only small improvements in body image, and underline the need for large-scale, high-quality trials in this area. The review identifies effective techniques that could be deployed in future interventions.

Expand Your Horizon: A programme that improves body image and reduces self-objectification by training women to focus on body functionality

This study tested Expand Your Horizon, a programme designed to improve body image by training women to focus on the functionality of their body using structured writing assignments. Eighty-one women (Mage=22.77) with a negative body image were randomised to the Expand Your Horizon programme or to an active control programme. Appearance satisfaction, functionality satisfaction, body appreciation, and self-objectification were measured at pretest, posttest, and one-week follow-up. Following the intervention, participants in the Expand Your Horizon programme experienced greater appearance satisfaction, functionality satisfaction, and body appreciation, and lower levels of self-objectification, compared to participants in the control programme. Partial eta-squared effect sizes were of small to medium magnitude. This study is the first to show that focusing on body functionality can improve body image and reduce self-objectification in women with a negative body image. These findings provide support for addressing body functionality in programmes designed to improve body image.

Body language: affecting body satisfaction by describing the body in functionality terms

With the current studies, we aimed to improve body satisfaction by inducing a functionality-based focus on the body. Objectification theory was used as a guiding framework for this approach. In Study 1, 59 female and 59 male undergraduates and, in Study 2, 118 women between the ages of 30 and 50 years completed a writing assignment to experimentally manipulate their body focus. The writing assignment instructions were to describe what one’s body can do (functionality focus) or what one’s body looks like (appearance focus); a control writing task was also included. Functionality and appearance satisfaction, as well as global self-esteem, were measured at baseline, on test-day, and at a 1-week follow-up. In Study 1, male undergraduates in the functionality condition experienced an increase in functionality satisfaction from baseline to test-day; female undergraduates in the appearance condition experienced a decrease in functionality satisfaction both from baseline to test-day and from baseline to follow-up. In Study 2, women in the functionality condition experienced an increase in functionality satisfaction from baseline to follow-up. The current studies are the first known to experimentally manipulate the functionality-based approach to the body and to investigate its effects on body image—serving to suggest perceived functionality as a potentially fruitful focus for further research and intervention.

A pilot study investigating whether focusing on body functionality can protect women from the potential negative effects of viewing thin-ideal media images

This pilot study explored whether focusing on body functionality (i.e., everything the body can do) can protect women from potential harmful effects of exposure to thin-ideal images. Seventy women (Mage=20.61) completed an assignment wherein they either described the functionality of their body or the routes that they often travel (control). Afterward, participants were exposed to a series of thin-ideal images. Appearance and functionality satisfaction were measured before the assignment; appearance and functionality satisfaction, self-objectification, and body appreciation were measured after exposure. Results showed that participants who focused on body functionality experienced greater functionality satisfaction and body appreciation compared to control participants. Therefore, focusing on body functionality could be a beneficial individual-level technique that women can use to protect and promote a positive body image in the face of thin-ideal images. Research including a condition wherein participants are exposed to (product-only) control images is necessary to draw firmer conclusions.

A Dutch translation and validation of the body appreciation scale-2: An investigation with female university students in the Netherlands

This paper describes a Dutch translation and validation of the Body Appreciation Scale-2 (BAS-2; Tylka & Wood-Barcalow, 2015a), an instrument for assessing key components of positive body image. Dutch-speaking female university students (N=310, Mage=21.31, SD=3.04) completed the Dutch BAS-2. To assess its construct validity, participants also completed measures of appearance satisfaction, functionality satisfaction, self-objectification, self-esteem, and optimistic life orientation. Exploratory factor analysis revealed a one-dimensional factor structure of the Dutch BAS-2, substantiating the BAS-2 factor structure found in samples of U.S., Chinese, and Iranian university students and community adults. Dutch BAS-2 scores also demonstrated good internal consistency (α=.90), convergent validity, and incremental validity. In addition, lower body mass indices were associated with higher Dutch BAS-2 scores. The present findings support the cross-cultural equivalence of the BAS-2 and thus its promise in enabling research on positive body image in diverse cultural contexts.

Seeing ghosts: Negative body evaluation predicts overestimation of negative social feedback

The current study investigated whether negative body evaluation predicts womens overestimation of negative social feedback related to their own body (i.e., covariation bias). Sixty-five female university students completed a computer task where photos of their own body, of a control womans body, and of a neutral object, were followed by nonverbal social feedback (i.e., facial crowds with equal numbers of negative, positive, and neutral faces). Afterward, women estimated the percentage of negative, positive, and neutral social feedback that followed their own body, the control womans body, and the neutral object. The findings provided evidence for a covariation bias: negative body evaluation predicted higher estimates of negative social feedback for womens own body, but not for the other stimuli. Additionally, the covariation bias was not explained by differences in how women interpreted the social feedback (the facial stimuli). Clinical implications of the covariation bias to body image are discussed.

The Functionality Appreciation Scale (FAS): Development and psychometric evaluation in U.S. community women and men

Body functionality has been identified as an important dimension of body image that has the potential to be useful in the prevention and treatment of negative body image and in the enhancement of positive body image. Specifically, cultivating appreciation of body functionality may offset appearance concerns. However, a scale assessing this construct has yet to be developed. Therefore, we developed the Functionality Appreciation Scale (FAS) and examined its psychometric properties among three online community samples totalling 1042 women and men (ns=490 and 552, respectively). Exploratory factor analyses revealed a unidimensional structure with seven items. Confirmatory factor analysis upheld its unidimensionality and invariance across gender. The internal consistency, test-retest reliability, criterion-related, and construct (convergent, discriminant, incremental) validity of its scores were upheld. The FAS is a psychometrically sound measure that is unique from existing positive body image measures. Scholars will find the FAS applicable within research and clinical settings.

Show your best self(ie): An exploratory study on selfie-related motivations and behavior in emerging adulthood

Abstract Although self-presentation has been studied for decades, social networking sites (SNS) such as Facebook have produced novel opportunities for visual online self-presentation. Posting selfies is currently a popular mode of consciously constructing visual online self-presentations, yet most prior research is limited to selfie-posting alone. This study aimed to profile selfie-makers’ motivations and behavior, and examine the extent to which underlying mechanisms preceding selfie-posting are interconnected. Results of a survey (N = 224; 79.9% females; Mage = 21.66, SDage = 2.08) regarding selfie-behavior on SNS (e.g., Facebook and Instagram) characterized selfie-makers in emerging adulthood as mainly concerned with the social aspects of selfies. Entertainment and moment-retention were identified as main motivations for selfie-making. Findings supported the proposed Selfie-Stadium Model, representing various steps of selfie-taking and underlying motives as well as selection and editing before actual posting. This study on profiling selfie-makers and their self-presentation taps into a fairly new media use research domain.

Muttarak's Study Design Cannot Support the Link Between the Body-Positive Movement and Overweight or Obesity

Muttarak (1) compared self-report data collected between 1997 and 2015 concerning people’s BMI, whether they perceived themselves as “about the right weight,” “too heavy,” “too light,” or “not sure,” and whether they reported “currently trying to lose weight,” “trying to gain weight,” or “not trying to change weight.” From 1997 to 2015, a larger proportion of adults classified as having overweight and/or obesity perceived themselves to be “about the right weight” rather than “too heavy.” Those who underestimated their weight were less likely to report trying to lose weight.

Diminishing covariation bias in women with a negative body evaluation and the potential roles of outcome aversiveness and interpretation of social feedback

Women with a more negative body evaluation perceive that their body is associated with more negative social feedback. This covariation bias could reinforce negative body evaluation. We investigated whether covariation bias could be diminished and explored the potential roles of outcome aversiveness and interpretation of negative social feedback associated with ones body. Ninety-seven undergraduate women completed a computer task wherein photos of their body, a control womans body, and a neutral object were followed by negative social feedback or nothing. When the relation between each category and the negative feedback was random, women with a more negative body evaluation perceived more negative feedback following their body. They also experienced negative feedback following their body and the control womans body as more aversive. After a manipulation block, women with a more negative body evaluation no longer perceived more negative feedback for their body. These effects coincided with improvements in state body evaluation.