Body Image among Special Groups: Obese Women, Female Athletes, and Lesbians

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Risk factors associated with body image distress

  • Age of obesity onset

    • childhood onset obesity → higher body dissatisfaction

    • currently severely obese: childhood onset = adult onset

    • formerly severely obese: childhood onset > adult onset

  • Stigma, discrimination, and teasing

    • internalize social stigma and blame themselves

    • stigmatization and discrimination → negative body image, social anxiety, low self-esteem, depression, less life satisfaction

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Negative behavioral consequences of obesity

  • Unhealthy weight control behavior

    • tend to use unhealthy weight loss behavior (diet pills, laxatives, diuretics, self-induced vomiting)

    • weight-related teasing → unhealthy weight loss beavior

  • Bing eating

    • tend to binge due to physiological factors, psychological factors, and social factors

    • teasing → binge eating

  • Decline in physical activity

    • less likely to engage in physical activity and more likely to engage in sedentary activity → reciprocal causality (vicious cycle)

    • social barriers to physical activity (lack of role model, embarrassment)

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Competitive sport and professional dance

  • maintaining low weight to achieve optimal performance

  • ultraslender body shape has advantage due to aesthetic standard of thin and petite physique

  • 1/3 of female athletes in college have disordered eating

  • High drive for thinness but better body image maybe because demanding pressure of sports rather than thin ideal and/or their already thin body

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Competitive sport and professional dance

Stirling et al. (2012)

  • Retired elite female rhythmic gymnasts experienced weight gain upon retirement (=normal weight)

  • body dissatisfaction, negative body image, guilty feeling

  • negative post experience with food and weight

  • ongoing weight loss behaviors (food restriction, calorie counting, laxatives/diuretics use)

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Recreational exercise

  • exercising negatively correlated with body satisfaction as they exercise to purge calorie intake = greater appearance investment

  • excessive exercise associated with greater body-image disturbance than moderate exercise

  • females wit anxiety and perfectionism tend to exercise for appearance-related reasons

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Lesbians and body image

  • lesbians weigh more than straight women

  • findings are mixed

  • physical condition AND weight concerns related to self-esteem

  • lesbians exercise to maintain health and improve fitness, rather than appearance-related reasons

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Factors moderating lesbian body image

  • level of involvement in lesbian communities

    • (social support is a protective factor)

  • there may be discrepancy between what they’re supposed to believe and what they actually feel

    • Lesbians view dieting as oppressive. Lesbians that dieted in the past have lower body-esteem and higher dissatisfaction overall