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28-01-2024 | Original Article

Self-Reported and Physiological Reactions to Thin and Non-Thin Bodies: Understanding Motivational Processes Associated with Disordered Eating

Auteurs: Samantha Wilson, Adrienne Mehak, Sarah E. Racine

Gepubliceerd in: Cognitive Therapy and Research

Abstract

Background

The present study examined the relative roles of approach and avoidance motivation in eating pathology using a multi-method approach combining self-report and physiological measures. The potential effect of internalized ideals and fears was also investigated.

Methods

Fifty-seven undergraduate women completed a picture-viewing task in which they viewed images of women’s bodies (thin and non-thin) and affective images. Self-report ratings of valence and arousal were measured along with physiological indicators of approach (postauricular reflex) and avoidance (startle blink reflex) motivation.

Results

Greater eating pathology was associated with more negative valence ratings of both thin and non-thin images. There was a significant interaction between valence ratings of non-thin bodies and fear of the unattractive self in relation to eating pathology, such that eating pathology was highest in those who rated non-thin images as more unpleasant and internalized fears of being/becoming unattractive. Thin-ideal internalization did not significantly interact with ratings of thin images to predict eating pathology. There were no significant findings when examining physiological data.

Conclusions

Results from self-report measures suggest that eating pathology is associated with avoidant reactions to both thin and non-thin bodies and highlight the importance of internalized appearance-related fears.

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Aardema, F., Radomsky, A. S., Moulding, R., Wong, S. F., Bourguignon, L., & Giraldo-O’Meara, M. (2021). Development and validation of the multidimensional version of the fear of self questionnaire: Corrupted, culpable and malformed feared possible selves in obsessive-compulsive and body-dysmorphic symptoms. Clinical Psychology & Psychotherapy, 28, 1160–1180. https://doi.org/10.1002/cpp.2565.CrossRef

Ahern, A. L., Bennett, K. M., & Hetherington, M. M. (2008). Internalization of the ultra-thin ideal: Positive implicit associations with underweight fashion models are associated with drive for thinness in young women. Eating Disorders, 16, 294–307. https://doi.org/10.1080/10640260802115852.CrossRefPubMed

Anderson, L. M., Berg, H., Brown, T. A., Menzel, J., & Reilly, E. E. (2021). The role of disgust in eating disorders. Current Psychiatry Reports, 23, 1–12. https://doi.org/10.1007/s11920-020-01217-5.CrossRef

Ata, R. N., & Thompson, J. K. (2010). Weight bias in the media: A review of recent research. Obesity Facts, 3, 41–46. https://doi.org/10.1159/000276547.CrossRefPubMedPubMedCentral

Benning, S. D., Patrick, C. J., & Lang, A. R. (2004). Emotional modulation of the post-auricular reflex. Psychophysiology, 41, 426–432. https://doi.org/10.1111/j.1469-8986.00160.x.CrossRefPubMed

Berg, K. C., Peterson, C. B., Frazier, P., & Crow, S. J. (2012). Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: A systematic review of the literature. International Journal of Eating Disorders, 45, 428–438. https://doi.org/10.1002/eat.20931.CrossRefPubMed

Blumenthal, T. D., Cuthbert, B. N., Filion, D. L., Hackley, S., Lipp, O. V., & Boxtel, A. V. (2005). Committee report: Guidelines for human startle eyeblink electromyographic studies. Psychophysiology, 42, 1–15. https://doi.org/10.1111/j.1469-8986.2005.00271.x.CrossRefPubMed

Bradley, M. M., & Lang, P. J. (1994). Measuring emotion: The self-assessment manikin and the semantic differential. Journal of Behavior Therapy and Experimental Psychiatry, 25, 49–59. https://doi.org/10.1016/0005-7916(94)90063-9.CrossRefPubMed

Brockmeyer, T., Burdenski, K., Anderle, A., Voges, M. M., Vocks, S., Schmidt, H., Wünsch-Leiteritz, W., Leiteritz, A., & Friederich, H. C. (2020). Approach and avoidance bias for thin-ideal and normal-weight body shapes in anorexia nervosa. European Eating Disorders Review, 28, 536–550. https://doi.org/10.1002/erv.2744.CrossRefPubMed

Brown, Z., & Tiggemann, M. (2016). Attractive celebrity and peer images on Instagram: Effect on women’s mood and body image. Body Image, 19, 37–43. https://doi.org/10.1016/j.bodyim.2016.08.007.CrossRefPubMed

Clarke, J., Ramoz, N., Fladung, A. K., & Gorwood, P. (2016). Higher reward value of starvation imagery in anorexia nervosa and association with the Val66Met BDNF polymorphism. Translational Psychiatry, 6(e829), 1–7. https://doi.org/10.1038/tp.2016.98.CrossRef

Cserjési, R., Vermeulen, N., Luminet, O., Marechal, C., Nef, F., Simon, Y., & Lénárd, L. (2010). Explicit vs. implicit body image evaluation in restrictive anorexia nervosa. Psychiatry Research, 175, 148–153. https://doi.org/10.1016/j.psychres.2009.07.002.CrossRefPubMed

Culbert, K. M., Racine, S. E., & Klump, K. L. (2015). Research Review: What we have learned about the causes of eating disorders - a synthesis of sociocultural, psychological, and biological research. Journal of Child Psychology and Psychiatry, 56, 1141–1164. https://doi.org/10.1111/jcpp.12441.CrossRefPubMed

Dalley, S. E., & Buunk, A. P. (2009). Thinspiration vs. fear of fat. Using prototypes to predict frequent weight-loss dieting in females. Appetite, 52, 217–221. https://doi.org/10.1016/j.appet.2008.09.019.CrossRefPubMed

Dodd, D. R., Velkoff, E. A., Forrest, L. N., Fussner, L. M., & Smith, A. (2017). Beauty in the eye of the beholder: Using facial electromyography to examine the association between eating disorder symptoms and perceptions of emaciation among undergraduate women. Body Image, 21, 47–56. https://doi.org/10.1016/j.bodyim.2017.02.002.CrossRefPubMed

Dondzilo, L., Rieger, E., Jayawardena, N., & Bell, J. (2019). Drive for thinness versus fear of fat: Approach and avoidance motivation regarding thin and non-thin images in women. Cognitive Therapy and Research, 43, 585–593. https://doi.org/10.1007/s10608-018-9989-3.CrossRef

Elliot, A. J. (2006). The hierarchical model of approach-avoidance motivation. Motivation and Emotion, 30, 111–116. https://doi.org/10.1007/s11031-006-9028-7.CrossRef

Erdur, L., Weber, C., Zimmermann-Viehoff, F., Rose, M., & Deter, H. C. (2017). Affective responses in different stages of anorexia nervosa: Results from a startle-reflex paradigm. European Eating Disorders Review, 25, 114–122. https://doi.org/10.1002/erv.2502.CrossRefPubMed

Fairburn, C., & Beglin, S. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363–370. https://doi.org/10.1002/1098-108X(199412)16:4%3C363::AID-EAT2260160405%3E3.0.CO;2.CrossRefPubMed

Fairburn, C. G., Cooper, Z., & O’Connor, M. (2008). Eating Disorder Examination (16.0D). In C.G. (Ed.). Cognitive behavior therapy and eating disorders (pp. 265–308). Guilford Press.

Friederich, H. C., Kumari, V., Uher, R., Riga, M., Schmidt, U., Campbell, I. C., Herzog, W., & Treasure, J. (2006). Differential motivational responses to food and pleasurable cues in anorexia and bulimia nervosa: A startle reflex paradigm. Psychological Medicine, 36, 1327–1335. https://doi.org/10.1017/S0033291706008129.CrossRefPubMed

Galmiche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000–2018 period: A systematic literature review. The American Journal of Clinical Nutrition, 109, 1402–1413. https://doi.org/10.1093/ajcn/nqy342.CrossRefPubMed

Grillon, C., & Baas, J. (2003). A review of the modulation of the startle reflex by affective states and its application in psychiatry. Clinical Neurophysiology, 114, 1557–1579. https://doi.org/10.1016/s1388-2457(03)00202-5.CrossRefPubMed

Hayes, A. F. (2022). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (3rd ed.). Guilford Press.

Kärkkäinen, U., Mustelin, L., Raevuori, A., Kaprio, J., & Keski-Rahkonen, A. (2018). Do disordered eating behaviours have long-term health-related consequences? European Eating Disorders Review, 26, 22–28. https://doi.org/10.1002/erv.2568.CrossRefPubMed

Khan, S., & Petróczi, A. (2015). Stimulus-response compatibility tests of implicit preference for food and body image to identify people at risk for disordered eating: A validation study. Eating Behaviors, 16, 54–63. https://doi.org/10.1016/j.eatbeh.2014.10.015.CrossRefPubMed

Kollei, I., Leins, J., Rinck, M., Waldorf, M., Kuhn, M., Rauh, E., & Steins-Loeber, S. (2022). Implicit approach-avoidance tendencies toward food and body stimuli absent in individuals with anorexia nervosa, bulimia nervosa, and healthy controls. The International Journal of Eating Disorders, 55, 85–97. https://doi.org/10.1002/eat.23638.CrossRefPubMed

Krieglmeyer, R., Deutsch, R., De Houwer, J., & De Raedt, R. (2010). Being moved: valence activates approach-avoidance behavior independently of evaluation and approach-avoidance intentions. Psychological Science, 21, 607–613. https://doi.org/10.1177/0956797610365131

Lang, P. J. (1995). The emotion probe: Studies of motivation and attention. The American Psychologist, 50, 372–385. https://doi.org/10.1037//0003-066x.50.5.372.CrossRefPubMed

Lang, P. J., & Bradley, M. M. (2010). Emotion and the motivational brain. Biological Psychology, 84, 437–450. https://doi.org/10.1016/j.biopsycho.2009.10.007

Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (1998). Emotion and motivation: Measuring affective perception. Journal of Clinical Neurophysiology, 15, 397–408. https://doi.org/10.1097/00004691-199809000-00004.CrossRefPubMed

Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2008). International affective picture system (IAPS): Affective ratings of pictures and instruction manual. Technical report A-8. Gainsville, FL:University of Florida.

Legenbauer, T., Radix, A. K., Naumann, E., & Blechert, J. (2020). The body image approach test (BIAT): A potential measure of the behavioral components of body image disturbance in anorexia and bulimia nervosa? Frontiers in Psychology, 11(30), 1–10. https://doi.org/10.3389/fpsyg.2020.00030.CrossRef

Leins, J., Waldorf, M., Kollei, I., Rinck, M., & Steins-Loeber, S. (2018). Approach and avoidance: Relations with the thin body ideal in women with disordered eating behavior. Psychiatry Research, 269, 286–292. https://doi.org/10.1016/j.psychres.2018.08.029.

Levinson, C. A., Vanzhula, I. A., & Christian, C. (2019). Development and validation of the eating disorder fear questionnaire and interview: Preliminary investigation of eating disorder fears. Eating Behaviors, 35, 101320. https://doi.org/10.1016/j.eatbeh.2019.101320.CrossRefPubMed

Levitt, D. H. (2003). Drive for thinness and fear of fat: Separate yet related constructs? Eating Disorders, 11, 221–234. https://doi.org/10.1080/10640260390218729.CrossRefPubMed

Lipson, S., & Sonneville, K. (2017). Eating disorder symptoms among undergraduate and graduate students at 12 U.S. colleges and universities. Eating Behaviors, 24, 81–88. https://doi.org/10.1016/j.eatbeh.2016.12.003.CrossRefPubMed

Lydecker, J. A., Cotter, E. W., Palmberg, A. A., Simpson, C., Kwitowski, M., White, K., & Mazzeo, S. E. (2016). Does this tweet make me look fat? A content analysis of weight stigma on twitter. Eating and Weight Disorders, 21, 229–235. https://doi.org/10.1007/s40519-016-0272-x

Mai, S., Gramann, K., Herbert, B. M., Friederich, H. C., Warschburger, P., & Pollatos, O. (2015). Electrophysiological evidence for an attentional bias in processing body stimuli in bulimia nervosa. Biological Psychology, 108, 105–114. https://doi.org/10.1016/j.biopsycho.2015.03.013.CrossRefPubMed

Markus, H., & Nurius, P. (1986). Possible selves. American Psychologist, 41, 954–969. https://doi.org/10.1037//0003-066X.41.9.954.CrossRef

McComb, S. E., & Mills, J. S. (2022). Eating and body image characteristics of those who aspire to the slim-thick, thin, or fit ideal and their impact on state body image. Body Image, 42, 375–384. https://doi.org/10.1016/j.bodyim.2022.07.017.CrossRefPubMed

Moussally, J. M., Rochat, L., Posada, A., & Van der Linden, M. (2017). A database of body-only computer-generated pictures of women for body-image studies: Development and preliminary validation. Behavior Research Methods, 49, 172–183. https://doi.org/10.3758/s13428-016-0703-7.CrossRefPubMed

Murray, S. B., Treanor, M., Liao, B., Loeb, K. L., Griffiths, S., & Le Grange, D. (2016). Extinction theory & anorexia nervosa: Deepening therapeutic mechanisms. Behaviour Research and Therapy, 87, 1–10. https://doi.org/10.1016/j.brat.2016.08.017.CrossRefPubMed

Prnjak, K., Pemberton, S., Helms, E., & Phillips, J. G. (2020). Reactions to ideal body shapes. The Journal of General Psychology, 147, 361–380. https://doi.org/10.1080/00221309.2019.1676190.CrossRefPubMed

Puhl, R. M., & Lessard, L. M. (2020). Weight stigma in youth: Prevalence, consequences, and considerations for clinical practice. Current Obesity Reports, 9, 402–411. https://doi.org/10.1007/s13679-020-00408-8.CrossRefPubMed

Racine, S. E., Suissa-Rocheleau, L., Martin, S. J., & Benning, S. D. (2021). Implicit and explicit motivational responses to high- and low-calorie food in women with disordered eating. International Journal of Psychophysiology, 159, 37–46. https://doi.org/10.1016/j.ijpsycho.2020.11.CrossRefPubMed

Rieger, E., Dolan, A., Thomas, B., & Bell, J. (2017). The effect of interpersonal rejection on attentional biases regarding thin-ideal and non-thin images: The moderating role of body weight- and shape-based self-worth. Body Image, 22, 78–86. https://doi.org/10.1016/j.bodyim.2017.06.002.CrossRefPubMed

Rodgers, R. F., DuBois, R., Frumkin, M. R., & Robinaugh, D. J. (2018). A network approach to eating disorder symptomatology: Do desire for thinness and fear of gaining weight play unique roles in the network? Body Image, 27, 1–9. https://doi.org/10.1016/j.bodyim.2018.07.004.CrossRefPubMed

Rodgers, R. F., Fischer, L. E., Murray, S. B., & Franko, D. L. (2022a). Integrating fear of fatness into sociocultural models of body image and eating concerns. Eating Behaviors, 46, 101653. https://doi.org/10.1016/j.eatbeh.2022.101653.CrossRefPubMed

Rodgers, R. F., Wertheim, E. H., Paxton, S. J., Tylka, T. L., & Harriger, J. A. (2022b). #Bopo: Enhancing body image through body positive social media- evidence to date and research directions. Body Image, 41, 367–374. https://doi.org/10.1016/j.bodyim.2022.03.008.CrossRefPubMed

Sandt, A. R., Sloan, D. M., & Johnson, K. J. (2009). Measuring appetitive responding with the postauricular reflex. Psychophysiology, 46, 491–497. https://doi.org/10.1111/j.1469-8986.2009.00797.x.CrossRefPubMed

Schaefer, L. M., Burke, N. L., Thompson, J. K., Dedrick, R. F., Heinberg, L. J., Calogero, R. M., Bardone-Cone, A. M., Higgins, M. K., Frederick, D. A., Kelley, M., Anderson, D. A., Schaumberg, K., Nerini, A., Stefanile, C., Dittmar, H., Clark, E., Adams, Z., Macwana, S., Klump, K. L., Vercellone, A. C., Paxton, S. J., & Swami, V. (2015). Development and validation of the sociocultural attitudes towards appearance questionnaire-4 (SATAQ-4). Psychological Assessment, 27, 54–67. https://doi.org/10.1037/a0037917.CrossRefPubMed

Slof-Op't Landt, M. C. T., van Furth, E. F., van Beijsterveldt, C. E. M., Bartels, M., Willemsen, G., de Geus, E. J., & Boomsma, D. I. (2017). Prevalence of dieting and fear of weight gain across ages: A community sample from adolescents to the elderly. International Journal of Public Health, 62, 911–919. https://doi.org/10.1007/s00038-017-0948-7.CrossRefPubMed

Smith, C. A. (2012). The confounding of fat, control, and physical attractiveness for women. Sex Roles, 66, 628–631. https://doi.org/10.1007/s11199-011-0111-5

Spring, V. L., & Bulik, C. M. (2014). Implicit and explicit affect toward food and weight stimuli in anorexia nervosa. Eating Behaviors, 15, 91–94. https://doi.org/10.1016/j.eatbeh.2013.10.017.CrossRefPubMed

Stice, E. (2001). A prospective test of the dual-pathway model of bulimic pathology: Mediating effects of dieting and negative affect. Journal of Abnormal Psychology, 110, 124–135. https://doi.org/10.1037//0021-843x.110.1.124.CrossRefPubMed

Theory, assessment, and treatment of body image disturbance. American Psychological.

Thompson, J. K., Heinberg, L. J., Altabe, M., & Tantleff-Dunn (1999). S. Exacting beauty: Theory, assessment, and treatment of body image disturbance. American Psychological Association.

Thompson, J. K., & Stice, E. (2001). Thin-ideal internalization: Mounting evidence for a new risk factor for body-image disturbance and eating pathology. Current Directions in Psychological Science, 10, 181–183. https://doi.org/10.1111/1467-8721.00144.CrossRef

van Hoeken, D., & Hoek, H. W. (2020). Review of the burden of eating disorders: Mortality, disability, costs, quality of life, and family burden. Current Opinion in Psychiatry, 33, 521–527. https://doi.org/10.1097/YCO.0000000000000641.CrossRefPubMedPubMedCentral

Verma, J. P. (2016). One way repeated measures design. In J. P. Verma (Ed.), Repeated measures design for empirical researchers (pp. 72–90). John Wiley & Sons, Inc.

Watson, K. K., Werling, D. M., Zucker, N. L., & Platt, M. L. (2010). Altered social reward and attention in anorexia nervosa. Frontiers in Psychology, 1, 1–8. https://doi.org/10.3389/fpsyg.2010.00036

Wilson, S. (2020). Fear of self in eating disorders. Journal of Obsessive Compulsive and Related Disorders, 27, 100562. https://doi.org/10.1016/j.jocrd.2020.100562.CrossRef

Wilson, S., Acar, M., Hirji, R., & Racine, S. E. (submitted). Unattractive, corrupted, and culpable feared self-themes: Expanding our understanding of self-concept in individuals with eating pathology. PsyArXiv. https://doi.org/10.31234/osf.io/3beqr

Wilson, S., Mehak, A., & Racine, S. E. (2023). Exposure to thin and non-thin bodies elicits ‘feeling fat’: Validation of a novel state measure. Eating Behaviours, 48, 1–6. https://doi.org/10.1016/j.eatbeh.2022.101700

Woud, M. L., Anschutz, D. J., Van Strien, T., & Becker, E. S. (2011). Measuring thinspiration and fear of fat indirectly. A matter of approach and avoidance. Appetite, 56, 451–455. https://doi.org/10.1016/j.appet.2010.12.012.CrossRefPubMed

Titel: Self-Reported and Physiological Reactions to Thin and Non-Thin Bodies: Understanding Motivational Processes Associated with Disordered Eating
Auteurs: Samantha Wilson
Adrienne Mehak
Sarah E. Racine
Publicatiedatum: 28-01-2024
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-024-10466-0

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Abstract

Background

Methods

Results

Conclusions

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