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Understanding the Role of Self-Judgment in the Association between Body Dissatisfaction and Quality of Life on Normal-Weight and Overweight Portuguese Women

Published online by Cambridge University Press:  22 March 2016

Cláudia Ferreira ,
Patrícia Fortunato ,
Joana Marta-Simões Open the ORCID record for Joana Marta-Simões [Opens in a new window]  and
Inês A. Trindade
Cláudia Ferreira
Affiliation:
Universidade de Coimbra (Portugal)
Patrícia Fortunato
Affiliation:
Universidade de Coimbra (Portugal)
Joana Marta-Simões
Affiliation:
Universidade de Coimbra (Portugal)
Inês A. Trindade*
Affiliation:
Universidade de Coimbra (Portugal)
*
*Correspondence concerning this article should be addressed to Inês A. Trindade. CINEICC - Cognitive and Behavioral Centre for Research and Intervention. Faculty of Psychology and Education Sciences. University of Coimbra - (Portugal). E-mail: ines.almeidatrindade@gmail.com
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Abstract

Literature has demonstrated the negative impact of body image dissatisfaction on women’s quality of life. Nonetheless, it has been suggested that the relationship between body dissatisfaction and women’s well-being is not linear, and that the processes that mediate this association remain unclear. This study aims to clarify the mediator role of self-judgment in the association between negative body image and psychological quality of life, in two groups: normal-weight and overweight women. This cross-sectional study comprised 200 normal-weight and 92 overweight female college students, aged between 18 and 24 years old, that completed self-report instruments of body dissatisfaction, self-judgment, and quality of life. Results showed that women who presented harsher self-judgment about their perceived failures tended to present lower levels in all quality of life domains. Also, results from mediation analyses indicated the relationship between body dissatisfaction and psychological quality of life was significantly mediated by the mechanisms of self-judgment in the two BMI groups (95% CI [–2.41 to –0.04]; 95% CI [–6.35 to –.89]). This mediational model accounted for 28.3% and 40.7% of psychological quality of life in the normal-weight and overweight groups, respectively. These results suggest that a lower ability to deal with one’s failures or inadequacies (e.g., negative evaluation of body image) in a kind and accepting manner may significantly increase the negative impact of body dissatisfaction on one’s psychological quality of life. In this way, it seems that, the focus of interventions should go beyond body dissatisfaction and also target the development of adaptive attitudes (opposed to self-critical attitudes) to deal with negative body-related experiences.

Keywords

body dissatisfactionquality of lifeself-judgmentoverweightcollege women
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 19 , 2016 , E15
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2016 

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References

Altabe, M., & Thompson, J. K. (1993). Body image changes during early adulthood. International Journal of Eating Disorders, 13, 323–328.3.0.CO;2-#>CrossRefGoogle ScholarPubMed
Berry, K., Kowalski, K. C., Ferguson, L. J., & McHugh, T. F. (2010). An empirical phenomenology of young adult women exercisers’ body self-compassion. Qualitative Research in Sport and Exercise, 2, 293–312.Google Scholar
Brion, J. M., Leary, M. R., & Drabkin, A. S. (2014). Self-compassion and reactions to serious illness: The case of HIV. Journal of Health Psychology, 19, 218–229. http://dx.doi.org/10.1177/1359105312467391 Google Scholar
Camfield, L., & Skevington, S. M. (2008). On subjective well-being and quality of life. Journal of Health Psychology, 13, 764–775. http://dx.doi.org/10.1177/1359105308093860 Google Scholar
Canavarro, M. C., Simões, M. R., Serra, A. V., Pereira, M., Rijo, D., Quartilho, M., … Carona, C. (2006). WHOQOL-Bref Instrumento de Avaliação da Qualidade de Vida da Organização Mundial de Saúde [WHOQOL-Bref Quality of Life Assessment Instrument from the World Health Organization]. In Simões, M. R., Gonçalves, M. M. & Almeida, L. S. (Coord.), Avaliação Psicológica: 46 Instrumentos válidos para a população portuguesa [Psychological Assessment: 46 valid instruments for the Portuguese population] (Vol. III, pp. 77–100). Coimbra, Portugal: Quarteto.Google Scholar
Castilho, P., & Pinto-Gouveia, J. (2011). Auto-Compaixão: Estudo da validação da Versão Portuguesa da Escala de Auto-Compaixão e da sua relação com as experiências adversas na infância, a comparação social e a psicopatologia [Self-compassion: Validation study of the Portuguese version of the Self-Compassion Scale and its association with early adverse experiences, social comparison and psychopathology]. Psychologica, 54, 203–229.Google Scholar
Cohen, J., Cohen, P., West, S., & Aiken, L. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3 th Ed.), New Jersey, NJ: Lawrence Erlbaum Associates.Google Scholar
Costa, J., Marôco, J., Pinto-Gouveia, J., Ferreira, C., & Castilho, P. (2015). Validation of the psychometric properties of the Self-Compassion Scale. Testing the factorial validity and factorial invariance of the measure among borderline personality disorder, anxiety disorder, eating disorder and general populations. Clinical Psychology and Psychotherapy. http://dx.doi.org/10.1002/cpp.1974 CrossRefGoogle Scholar
Duarte, C., Ferreira, C., Trindade, I. A., & Pinto-Gouveia, J. (2015). Body image and college women’s quality of life: The importance of being self-compassionate. Journal of Health Psychology, 20, 754–764.Google Scholar
Ferreira, C. (2003). Anorexia Nervosa: A expressão visível do invisível. Contributos para a avaliação de atitudes e comportamentos em relação ao peso e à imagem corporal [Anorexia nervosa: The visible expression of the invisible. Contributions for the assessment of attitudes and behaviors in relation to weight and body image]. Unpublished master’s thesis. University of Coimbra. Coimbra, Portugal.Google Scholar
Ferreira, C., & Trindade, I. A. (2015). Body image-related cognitive fusion as a main mediational process between body-related experiences and women's quality of life. Eating and Weight Disorders, 20(1), 91–97. http://dx.doi.org/10.1007/s40519-014-0155-y CrossRefGoogle ScholarPubMed
Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013). Self-compassion in the face of shame and body image dissatisfaction: implications for eating disorders. Eating Behaviors, 14, 207–210. http://dx.doi.org/10.1016/j.eatbeh.2013.01.005 CrossRefGoogle ScholarPubMed
Field, A. (2004). Discovering statistics using SPSS (3 th Ed). London, UK: Sage Publications.Google Scholar
Gilbert, P. (2000). The relationship of shame, social anxiety and depression: The role of the evaluation of social rank. Clinical Psychology & Psychotherapy, 7, 174–189. http://dx.doi.org/10.1002/1099-0879(200007)7:3<174::AID-CPP236>3.0.CO;2-U Google Scholar
Gilbert, P. (2005). Social mentalities: A biopsychosocial and evolutionary reflection on social relationships. In Baldwin, M. W. (Ed.), Interpersonal cognition (pp. 299–335). New York, NY: Guilford.Google Scholar
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: The Guilford Press.Google Scholar
Hoffman, M., & Driscoll, J. (2000). Health promotion and disease prevention: A concentric biopsychosocial model of health status. In Brown, S. D. & Lent RW, R. W. (Eds.), Handbook of counseling psychology. (pp. 532–570). New York, NY: John Wiley Google Scholar
Kearns, B., Ara, R., Young, T., & Relton, C. (2013). Association between body mass index and health-related quality of life, and the impact of self-reported long-term conditions – cross-sectional study from the south Yorkshire cohort dataset. BMC Public Health, 13, 1009. http://dx.doi.org/10.1186/1471-2458-13-1009 CrossRefGoogle ScholarPubMed
Kelly, A. C., Vimalakanthan, K., & Miller, K. E. (2014). Self-compassion moderates the relationship between body mass index and both eating disorder pathology and body image flexibility. Body Image, 11, 446–453. http://dx.doi.org/10.1016/j.bodyim.2014.07.005 Google Scholar
Kline, R. (1998). Principles and practice of structural equation modeling. New York, NY: The Guilford Press.Google Scholar
Leary, M. R., Tate, E. B., Adams, C. E., Batts, A. A., & Hancock, J. (2007). Self compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92, 887–904. http://dx.doi.org/10.1037/0022-3514.92.5.887 Google Scholar
Luce, K. H., Crowther, J. H., & Pole, M. (2008). Eating Disorder Examination Questionnaire (EDE-Q): Norms for undergraduate women. International Journal of Eating Disorders, 41, 273–276. http://dx.doi.org/10.1002/eat.20504 CrossRefGoogle ScholarPubMed
Magnus, C. M. R., Kowalski, K. C., & McHugh, T. L. F. (2010). The role of self-compassion in women’s self-determined motives to exercise and exercise-related outcomes. Self and Identity, 9, 363–382. http://dx.doi.org/10.1080/15298860903135073 Google Scholar
Mond, J., Mitchison, D., Latner, J., Hay, P., Owen, C., & Rodgers, B. (2013). Quality of life impairment associated with body dissatisfaction in a general population sample of women. BMC Public Health, 13, 920. http://dx.doi.org/10.1186/1471-2458-13-920 CrossRefGoogle Scholar
Neff, K. D. (2003a). Development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. http://dx.doi.org/10.1080/15298860309027 Google Scholar
Neff, K. D. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101. http://dx.doi.org/10.1080/15298860309032 CrossRefGoogle Scholar
Neff, K. D. (2004). Self-compassion and psychological well-being. Constructivism in the Human Sciences, 9, 27–37.Google Scholar
Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: Two different ways of relating to oneself. Journal of Personality, 77, 23–50. http://dx.doi.org/10.1111/j.1467-6494.2008.00537.x Google Scholar
Pinto-Gouveia, J., Ferreira, C., & Duarte, C. (2014). Thinness in the pursuit for social safeness: An integrative model of social rank mentality to explain eating psychopathology. Clinical Psychology & Psychotherapy, 21, 154–165. http://dx.doi.org/10.1002/cpp.1820 Google Scholar
Puhl, R. M., & Heuer, C. A. (2009). The stigma of obesity: A review and update. Obesity, 17, 941–964. http://dx.doi.org/10.1038/oby.2008.636 Google Scholar
Rozin, P., Bauer, R., & Catanese, D. (2003). Attitudes to food and eating in American college students in six different regions of the United States. Journal of Personality & Social Psychology, 85(1), 132–141. http://dx.doi.org/10.1037/0022-3514.85.1.132 Google Scholar
Stice, E., & Shaw, H. E. (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings. Journal of Psychosomatic Research, 53, 985–993. http://dx.doi.org/10.1016/S0022-3999(02)00488-9 Google Scholar
Stice, E., Marti, C. N., & Durant, S. (2011). Risk factors for onset of eating disorders: Evidence of multiple risk pathways from an 8-year prospective study. Behaviour Research and Therapy, 49, 622–627. http://dx.doi.org/10.1016/j.brat.2011.06.009 Google Scholar
Sypeck, M. F., Gray, J. J., Etu, S. F., Ahrens, A. H., Mosimann, J. E., & Wiseman, C. V. (2006). Cultural representations of thinness in women, redux: Playboy magazine’s depictions of beauty from 1979 to 1999. Body Image: An International Journal of Research, 3, 229–235. http://dx.doi.org/10.1016/j.bodyim.2006.07.001 Google Scholar
Thompson, J. K., & Altabe, M. N. (1991). Psychometric qualities of the figure rating scale. International Journal of Eating Disorders, 10, 615–619. http://dx.doi.org/10.1002/1098-108X(199109)10:5%3C615::AID-EAT2260100514%3E3.0.CO;2-K Google Scholar
WHOQOL GROUP (1998). Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine, 28, 551–558.CrossRefGoogle Scholar
WHO (2000). The World Health Report 2000. Obesity – Preventing and managing the global epidemic . Geneva. Switzerland: Author.Google Scholar