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Gepubliceerd in: Journal of Behavioral Medicine 6/2015

23-07-2015

Trait body shame predicts health outcomes in college women: A longitudinal investigation

Auteur: Jean M. Lamont

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2015

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Abstract

Trait body shame impacts psychological health, but its influence on physical health heretofore has not been examined. While body shame may be expected to impact physical health through many mechanisms, this investigation tested whether trait body shame predicts physical health outcomes by promoting negative attitudes toward bodily processes, thereby diminishing health evaluation and ultimately impacting physical health. Correlational (Study 1, N = 177) and longitudinal (Study 2, N = 141) studies tested hypotheses that trait body shame would predict infections, self-rated health, and symptoms, and that body responsiveness and health evaluation would mediate these relationships. In Study 1, trait body shame predicted all three poor health outcomes, and body responsiveness and health evaluation mediated these relationships. Study 2 partially replicated these results while controlling for depression, smoking, and BMI, and longitudinal analyses supported the temporal precedence of trait body shame in the proposed model. Limitations and alternative pathways are discussed.
Literatuur
go back to reference Brown, T. A., Cash, T. F., & Mikulka, P. J. (1990). Attitudinal body-image assessment: Factor analysis of the Body-Self Relations Questionnaire. Journal of Personality Assessment, 55, 135–144.CrossRefPubMed Brown, T. A., Cash, T. F., & Mikulka, P. J. (1990). Attitudinal body-image assessment: Factor analysis of the Body-Self Relations Questionnaire. Journal of Personality Assessment, 55, 135–144.CrossRefPubMed
go back to reference Castell, S., Akmatov, M. K., Obi, N., Flesh-Janys, D., Nieters, A., Kemmling, Y., et al. (2014). Test–retest reliability of an infectious disease questionnaire and evaluation of self-assessed vulnerability to infections. Bundesgesundheitsblatt, 57, 1300–1307. doi:10.1007/s00103-014-2045-x CrossRef Castell, S., Akmatov, M. K., Obi, N., Flesh-Janys, D., Nieters, A., Kemmling, Y., et al. (2014). Test–retest reliability of an infectious disease questionnaire and evaluation of self-assessed vulnerability to infections. Bundesgesundheitsblatt, 57, 1300–1307. doi:10.​1007/​s00103-014-2045-x CrossRef
go back to reference Cole, D. A., & Maxwell, S. E. (2003). Testing mediational models with longitudinal data: Questions and tips in the use of structural equation modeling. Journal of Abnormal Psychology, 112, 558–577.CrossRefPubMed Cole, D. A., & Maxwell, S. E. (2003). Testing mediational models with longitudinal data: Questions and tips in the use of structural equation modeling. Journal of Abnormal Psychology, 112, 558–577.CrossRefPubMed
go back to reference Daubenmier, J., Kristeller, J., Hecht, F. M., Maninger, N., Kuwata, M., Jhaveri, K., et al. (2011). Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: An exploratory randomized controlled study. Journal of Obesity, 2011, 1–13. doi:10.1155/2011/651936 CrossRef Daubenmier, J., Kristeller, J., Hecht, F. M., Maninger, N., Kuwata, M., Jhaveri, K., et al. (2011). Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: An exploratory randomized controlled study. Journal of Obesity, 2011, 1–13. doi:10.​1155/​2011/​651936 CrossRef
go back to reference Eaton, W. W., Smith, C., Ybarra, M., Muntaner, C., & Tien, A. (2004). Center for Epidemiologic Studies Depression Scale: Review and revision (CESD and CESD-R). In W. W. Eaton, C. Smith, M. Ybarra, C. Mutaner, & A. Tien (Eds.), The use of psychological testing for treatment planning and outcomes assessment: Instruments for adults (pp. 363–377). Mahwah, NJ: Lawrence Erlbaum. Eaton, W. W., Smith, C., Ybarra, M., Muntaner, C., & Tien, A. (2004). Center for Epidemiologic Studies Depression Scale: Review and revision (CESD and CESD-R). In W. W. Eaton, C. Smith, M. Ybarra, C. Mutaner, & A. Tien (Eds.), The use of psychological testing for treatment planning and outcomes assessment: Instruments for adults (pp. 363–377). Mahwah, NJ: Lawrence Erlbaum.
go back to reference Engs, R. C., & Aldo-Benson, M. (1995). The association of alcohol consumption with self-reported illness. Psychological Reports, 76, 727–736.CrossRefPubMed Engs, R. C., & Aldo-Benson, M. (1995). The association of alcohol consumption with self-reported illness. Psychological Reports, 76, 727–736.CrossRefPubMed
go back to reference Fiissel, D. L., & Lafreniere, K. D. (2006). Weight control motives for cigarette smoking: Further consequences of the sexual objectification of women? Feminism and Psychology, 16, 327–344. doi:10.1177/0959353506067850 CrossRef Fiissel, D. L., & Lafreniere, K. D. (2006). Weight control motives for cigarette smoking: Further consequences of the sexual objectification of women? Feminism and Psychology, 16, 327–344. doi:10.​1177/​0959353506067850​ CrossRef
go back to reference Goldberg, M. S., Scott, S. C., & Mayo, N. E. (2000). A review of the association between cigarette smoking and the development of nonspecific back pain and related outcomes. Health Services Research, 25, 995–1014. doi:10.1016/j.addbeh.2010.06.019 Goldberg, M. S., Scott, S. C., & Mayo, N. E. (2000). A review of the association between cigarette smoking and the development of nonspecific back pain and related outcomes. Health Services Research, 25, 995–1014. doi:10.​1016/​j.​addbeh.​2010.​06.​019
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A Regression-based approach. New York: Guilford. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A Regression-based approach. New York: Guilford.
go back to reference Kemeny, M. E., & Dean, L. (1995). Effects of AIDS-related bereavement on HIV progression among New York City gay men. AIDS Education and Prevention, 7, 36–47.PubMed Kemeny, M. E., & Dean, L. (1995). Effects of AIDS-related bereavement on HIV progression among New York City gay men. AIDS Education and Prevention, 7, 36–47.PubMed
go back to reference Krebs, E. E., Gaynes, B. N., Gartlehner, G., Hansen, R. A., Thieda, P., Morgan, L. C., et al. (2008). Treating the physical symptoms of depression with second-generation antidepressants: A systematic review and metaanalysis. Psychosomatics, 49, 191–198. doi:10.1176/appi.psy.49.3.191 CrossRefPubMed Krebs, E. E., Gaynes, B. N., Gartlehner, G., Hansen, R. A., Thieda, P., Morgan, L. C., et al. (2008). Treating the physical symptoms of depression with second-generation antidepressants: A systematic review and metaanalysis. Psychosomatics, 49, 191–198. doi:10.​1176/​appi.​psy.​49.​3.​191 CrossRefPubMed
go back to reference Kroenke, K., Spitzer, R. L., & Williams, J. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64, 258–266.CrossRefPubMed Kroenke, K., Spitzer, R. L., & Williams, J. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64, 258–266.CrossRefPubMed
go back to reference Moradi, B., Dirks, D., & Matteson, A. V. (2005). Roles of sexual objectification experiences and internalization of standards of beauty in eating disorder symptomatology: A test and extension of objectification theory. Journal of Counseling Psychology, 52, 420–428. doi:10.1037/0022-0167.52.3.420 CrossRef Moradi, B., Dirks, D., & Matteson, A. V. (2005). Roles of sexual objectification experiences and internalization of standards of beauty in eating disorder symptomatology: A test and extension of objectification theory. Journal of Counseling Psychology, 52, 420–428. doi:10.​1037/​0022-0167.​52.​3.​420 CrossRef
go back to reference Moradi, B., & Huang, Y.-P. (2008). Objectification theory and psychology of women: A decade of advances and future directions. Psychology of Women Quarterly, 32, 377–398.CrossRef Moradi, B., & Huang, Y.-P. (2008). Objectification theory and psychology of women: A decade of advances and future directions. Psychology of Women Quarterly, 32, 377–398.CrossRef
go back to reference Okosun, I. S., Choi, S., Matamoros, T., & Dever, G. E. A. (2001). Obesity is associated with reduced self-rated general health status: Evidence from a representative sample of White, Black, and Hispanic Americans. Preventive Medicine, 32, 429–436. doi:10.1006/pmed.2001.0840 CrossRefPubMed Okosun, I. S., Choi, S., Matamoros, T., & Dever, G. E. A. (2001). Obesity is associated with reduced self-rated general health status: Evidence from a representative sample of White, Black, and Hispanic Americans. Preventive Medicine, 32, 429–436. doi:10.​1006/​pmed.​2001.​0840 CrossRefPubMed
go back to reference Powell, P. A., Simpson, J., & Overton, P. G. (2013). When disgust leads to dysphoria: A three-wave longitudinal study assessing the temporal relationship between self-disgust and depressive symptoms. Cognition and Emotion, 27, 900–913. doi:10.1080/02699931.2013.767223 CrossRefPubMed Powell, P. A., Simpson, J., & Overton, P. G. (2013). When disgust leads to dysphoria: A three-wave longitudinal study assessing the temporal relationship between self-disgust and depressive symptoms. Cognition and Emotion, 27, 900–913. doi:10.​1080/​02699931.​2013.​767223 CrossRefPubMed
go back to reference Rakowski, W., Fleishman, J. A., Mor, V., & Bryant, S. A. (1993). Self-assessments of health and mortality among older persons: Do questions other than global self-rated health predict mortality? Research on Aging, 15, 92–116. doi:10.1177/0164027593151005 CrossRef Rakowski, W., Fleishman, J. A., Mor, V., & Bryant, S. A. (1993). Self-assessments of health and mortality among older persons: Do questions other than global self-rated health predict mortality? Research on Aging, 15, 92–116. doi:10.​1177/​0164027593151005​ CrossRef
go back to reference Roberts, T.-A., & Goldenberg, J. L. (2007). Wrestling with nature: An existential perspective on the body and gender in self-conscious emotions. In J. L. Tracy, R. W. Robins, & J. P. Tangney (Eds.), The self-conscious emotions: Theory and research (pp. 389–406). New York: Guilford. Roberts, T.-A., & Goldenberg, J. L. (2007). Wrestling with nature: An existential perspective on the body and gender in self-conscious emotions. In J. L. Tracy, R. W. Robins, & J. P. Tangney (Eds.), The self-conscious emotions: Theory and research (pp. 389–406). New York: Guilford.
go back to reference Tangney, J. P., Mashek, D., & Stuewig, J. (2005). Shame, guilt, and embarrassment: Will the real emotion please stand up? Psychological Inquiry, 16, 44–48. Tangney, J. P., Mashek, D., & Stuewig, J. (2005). Shame, guilt, and embarrassment: Will the real emotion please stand up? Psychological Inquiry, 16, 44–48.
go back to reference Tangney, J. P., Wagner, P., & Gramzow, R. (1992). Proneness to shame, proneness to guilt, and psychopathology. Journal of Abnormal Psychology, 101, 469–478.CrossRefPubMed Tangney, J. P., Wagner, P., & Gramzow, R. (1992). Proneness to shame, proneness to guilt, and psychopathology. Journal of Abnormal Psychology, 101, 469–478.CrossRefPubMed
Metagegevens
Titel
Trait body shame predicts health outcomes in college women: A longitudinal investigation
Auteur
Jean M. Lamont
Publicatiedatum
23-07-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-015-9659-9

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