Thomas F. Cash

Attitudinal Body-Image Assessment: Factor Analysis of the Body-Self Relations Questionnaire

This article presents an analysis of the factor structure of the Body-Self Relations Questionnaire (BSRQ), an attitudinal body-image instrument. Random stratified samples, drawn from a national survey, included 1,064 females and 988 males. In order to evaluate the replicability of the BSRQ factor structure, separate split-sample factor analyses (principal components with varimax rotation) were conducted for each sex. Largely consistent with the conceptual basis of the BSRQ, the resultant factors derived from each analysis were: Appearance Evaluation, Appearance Orientation, Fitness Evaluation, Fitness Orientation, Health Evaluation, Health Orientation, and Illness Orientation. Subsequent concordance analyses revealed marked stability of the factor structure both within and between sexes. Females demonstrated somewhat greater differentiation of body-image attitudes than did males. The utility of the BSRQ is discussed relative to extant body-image measures.

The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: A meta-analysis

OBJECTIVE Although body-image disturbance is among the diagnostic criteria for anorexia nervosa and bulimia nervosa, the nature and extent of this disturbance have not been precisely identified. This is the purpose of this first meta-analysis of extant research on body image and eating disorders. METHOD Using contemporary techniques, the meta-analysis systematically examined 66 studies (from 1974 to 1993) of perceptual and attitudinal parameters of body image among anorexics and bulimics relative to control groups. RESULTS Attitudinal body dissatisfaction, both questionnaire and self-ideal discrepancy measures, produced substantially larger effect sizes than did perceptual size-estimation inaccuracy. Body dissatisfaction measures, whether global or weight/shape related, differentiated bulimic and anorexic groups (with bulimics having more dissatisfaction), whereas perceptual distortion indices did not. Somewhat larger effects occurred with whole-body than with body-part size-estimation assessments. Size distortion among patients with eating disorders appears unlikely to reflect a more generalized sensory/perceptual deficit. DISCUSSION Scientific, conceptual, and clinical implications of these findings are delineated.

Women's body images: The results of a national survey in the U.S.A.

This investigation was a representative survey, conducted in 1993, of the body images of 803 adult women in the United States. Included in the survey instrument were selected subscales from the standardized Multidimensional Body-Self Relations Questionnaire, which had been used in a U.S. survey in 1985. The results indicated substantial levels of body dissatisfaction, possibly surpassing levels observed in the 1985 survey. Nearly one-half of the women reported globally negative evaluations of their appearance and a preoccupation with being or becoming overweight. Whereas age effects were minimal, significant race/ethnicity effects were found, with clearly more positive body images among African American than Anglo or Hispanic women. The social and clinical implications of the findings were discussed.

Body image: past, present, and future

This brief editorial article introduces the new scientific journal, Body Image: An International Journal of Research, and describes its rationale and mission in relation to the history and future of the study of body image and human appearance.

Body images, body‐size perceptions, and eating behaviors among African‐American and white college women

Previous research indicates a lower prevalence of eating disorders within black than white populations. The purpose of this investigation was to examine multiple facets of body image and eating behaviors among 104 African-American and white female college students. Four primary domains assessed in this study were: (a) body-image attitudes, (b) body-image perceptions, (c) weight concerns and eating behaviors, and (d) judgments of the thinness-fatness of varying body sizes. As hypothesized, black females held more favorable bodyimage attitudes than whites, on both global and weight-related body-image affects, cognitions, and behaviors. Moreover, compared with whites, black women held body-size ideals that were less thin and more congruent with their current perceived size. Evidence from the novel Perceptions of Fatness Procedure indicates that black women held less strict criteria for perceiving body fatness. Whites reported more frequent eating restraint and sub-clinical eating dyscontrol. Results are discussed in the context of cultural and developmental influences on the body images of African-American and white women in Western society.

Mirror, Mirror, on the Wall...? Contrast Effects and Self-Evaluations of Physical Attractiveness

Several studies confirm the operation of contextual contrast effects on judgments of the physical attractiveness of others. The present experiment was conducted to determine whether contrast effects also occur on self-evaluations of physical attractiveness. Fifty-one female college students rated their own attractiveness and body-parts satisfaction following exposure to same-sexed stimulus persons who either were not physically attractive, were physically attractive, or were designated as attractive professional models. The predicted contrast effect was supported for self-perceived attractiveness but not for body satisfaction. Consistent with social comparison theory, subjects gave lower self-ratings in the attractive versus the not attractive and the professionally attractive stimulus context. Correlational analyses also indicated that self-rated attractiveness was related to several personality variables.

Are black-white differences in females' body dissatisfaction decreasing? A meta-analytic review.

Proponents of the sociocultural model of eating disorders have suggested that ethnic differences in body dissatisfaction may be diminishing as the thin ideal of beauty becomes more widely disseminated among minority women. In a meta-analysis, the authors examined temporal trends in Black-White differences and also examined whether these differences generalize across various age groups and measures. Results confirmed more favorable body image evaluations among Black than White females, with the greatest differences at the age period of the early 20s. Although results confirmed that ethnic differences have diminished, this trend was limited to weight-focused measures. On more global body image measures, ethnic differences actually increased. These results suggest that the relationship between Black-White ethnicity and body image is more complex than previously suggested.

Multidimensional body image comparisons among patients with eating disorders, body dysmorphic disorder, and clinical controls: A multisite study☆

Body image disturbance is considered a core characteristic of eating disorders and body dysmorphic disorder (BDD), however its definition has been unclear within the literature. This study examined the multidimensional nature of body image functioning among individuals with either anorexia nervosa (AN; n=35), bulimia nervosa (BN; n=26), or BDD (n=56), relative to female (n=34) and male (n=36) psychiatric controls. Participants were recruited from 10 treatment centers in the United States and England and completed psychometrically validated and standardized self-report measures of body image. Overall, the AN, BN, and BDD groups were characterized by significantly elevated disturbances in most body image dimensions relative to their gender-matched clinical controls. There was variability, however, in the comparisons among the three groups of interest, including foci of body dissatisfaction and body image coping patterns. On omnibus indices of body image disturbance and body image quality of life, patients with BDD reported more body image impairment than those with eating disorders. Although AN, BN, and BDD are characterized by body image disturbances, similar and partially distinctive cognitive, behavioral, and emotional elements of body image functioning exist among these groups. The studys empirical and clinical implications are considered.

WHY DO WOMEN EXERCISE? FACTOR ANALYSIS AND FURTHER VALIDATION OF THE REASONS FOR EXERCISE INVENTORY '

This investigation examined the factor structure and correlates of the Reasons for Exercise Inventory among 101 exercising women. Subjects completed the 24-item inventory (with one added item), reported their weekly frequency of exercise, and completed two standardized body-image measures. Factor analysis indicated that, with minor modifications, the instrument has an internally consistent structure with four factors of Appearance/Weight Management, Fitness/Health Management, Stress/ Mood Management, and Socializing. Appearance/Weight Management was associated with a more negative body image independent of actual body mass and was the only motive related to self-reported frequency of exercise.

The psychological effects of androgenetic alopecia in men.

BACKGROUND Despite the prevalence of androgenetic alopecia among men, little is known about its psychological effects. OBJECTIVE This investigation examined the psychosocial sequelae that balding men attribute to hair loss and compared balding and nonbalding men in personality functioning. METHODS Subjects included 63 men with modest balding, 40 men with more extensive balding, and 42 nonbalding controls. All anonymously completed a battery of standardized psychological measures. RESULTS Reported effects of balding reflected considerable preoccupation, moderate stress or distress, and copious coping efforts. These effects were especially salient among men with more extensive balding and among younger men, single men, and those with an earlier hair-loss onset. Relative to controls, balding men had less body-image satisfaction yet were comparable on other personality indexes. Personality correlates of the psychological responses to hair loss were identified. CONCLUSION Although most men regard hair loss to be an unwanted, distressing experience that diminishes their body image, balding men actively cope and generally retain the integrity of their personality functioning.