Body-related attentional bias as mediator of the relationship between body mass index and body dissatisfaction.
body dissatisfaction
body mass index
body-related attention
eye-tracking
virtual reality
Journal
European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
18
07
2019
revised:
13
02
2020
accepted:
23
02
2020
pubmed:
11
3
2020
medline:
25
11
2020
entrez:
11
3
2020
Statut:
ppublish
Résumé
Body image disturbance, consisting of an affective (body dissatisfaction) and perceptual (body distortion) component, is not only found in eating disorders, but is also present in healthy individuals, affecting their psychological well-being and everyday life. A higher body mass index is associated with higher body dissatisfaction, whereas results in relation to body distortion are mixed. Furthermore, body dissatisfaction is associated with a weight-related attentional bias. This study aimed to investigate the mediating role of a weight-related attentional bias in the relationship between body mass index and body image disturbance. Forty-one college women took part in a virtual reality and eye tracking procedure, in which the illusion of owning a virtual avatar with their body measurements was induced. During this procedure, body-related attentional bias was measured and afterwards body image disturbance was assessed. Mediation analysis revealed that weight-related attentional bias mediated the relationship between body mass index and body dissatisfaction (but not distortion). These findings suggest that modifying weight-related attentional bias would be a useful treatment target for improving body dissatisfaction. In addition, virtual reality technology could serve as an innovative method for modifying attentional bias in an ecologically valid way. HIGHLIGHTS: This Virtual Reality and Eye-Tracking study expands our knowledge about the relation between body mass index, body-related attention and body image disturbances. The results suggest that attentional bias towards weight-related body parts mediates the relation between BMI and body dissatisfaction. On the contrary, the relation between BMI and body distortion was not significant.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
454-464Subventions
Organisme : AGAUR, Generalitat de Catalunya
ID : 2017SGR1693
Pays : International
Organisme : Spanish Ministry of Science and Innovation
ID : PSI2015-70389-R
Pays : International
Informations de copyright
© 2020 John Wiley & Sons, Ltd and Eating Disorders Association.
Références
Alberga, A., Russell-Mayhew, S., von Ranson, K., & McLaren, L. (2016). Weight bias: A call to action. Journal of Eating Disorders, 4(1), 34. https://doi.org/10.1186/s40337-016-0112-4
Alfano, L., Hildebrandt, T., Bannon, K., Walker, C., & Walton, K. (2011). The impact of gender on the assessment of body checking behavior. Body Image, 8(1), 20-25. https://doi.org/10.1016/j.bodyim.2010.09.005
Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. https://doi.org/10.1037//0022-3514.51.6.1173
Bauer, A., Schneider, S., Waldorf, M., Braks, K., Huber, T., Adolph, D., & Vocks, S. (2017). Selective visual attention towards oneself and associated state body satisfaction: An eye-tracking study in adolescents with different types of eating disorders. Journal of Abnormal Child Psychology, 45(8), 1647-1661. https://doi.org/10.1007/s10802-017-0263-z
Bearman, S., Presnell, K., Martinez, E., & Stice, E. (2006). The skinny on body dissatisfaction: A longitudinal study of adolescent girls and boys. Journal of Youth and Adolescence, 35(2), 217-229. https://doi.org/10.1007/s10964-005-9010-9
Brownell, K., Puhl, R., Schwartz, M., & Rudd, L. (2005). Weight bias: Nature, consequences, and remedies. New York, NY: Guilford Publications.
Cash, T., & Deagle, E. (1997). The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: A meta-analysis. International Journal of Eating Disorders, 22(2), 107-126. https://doi.org/10.1002/(sici)1098-108x(199709)22:2<107::aid-eat1>3.3.co;2-y
Cattarin, J., & Thompson, J. (1994). A three-year longitudinal study of body image, eating disturbance, and general psychological functioning in adolescent females. Eating Disorders, 2(2), 114-125. https://doi.org/10.1080/10640269408249107
Cornelissen, K., Bester, A., Cairns, P., Tovée, M., & Cornelissen, P. (2015). The influence of personal BMI on body size estimations and sensitivity to body size change in anorexia spectrum disorders. Body Image, 13, 75-85. https://doi.org/10.1016/j.bodyim.2015.01.001
Cornelissen, K., McCarty, K., Cornelissen, P., & Tovée, M. (2017). Body size estimation in women with anorexia nervosa and healthy controls using 3D avatars. Scientific Reports, 7(1), 15773. https://doi.org/10.1038/s41598-017-15339-z
Freeman, R., Touyz, S., Sara, G., Rennie, C., Gordon, E., & Beumont, P. (1991). In the eye of the beholder: Processing body shape information in anorexic and bulimic patients. International Journal of Eating Disorders, 10(6), 709-714. https://doi.org/10.1002/1098-108x(199111)10:6<709::aid-eat2260100609>3.0.co;2-n
Gardner, R., Jappe, L., & Gardner, L. (2009). Development and validation of a new figural drawing scale for body-image assessment: The BIAS-BD. Journal of Clinical Psychology, 65(1), 113-122. https://doi.org/10.1002/jclp.20526
Gardner, R., Morrell, J., Watson, D., & Sandoval, S. (1990). Eye movements and body size judgments in the obese. International Journal of Eating Disorders, 9(5), 537-544. https://doi.org/10.1002/1098-108x(199009)9:5<537::aid-eat2260090509>3.0.co;2-a
Gutiérrez-Maldonado, J., Ferrer-García, M., Dakanalis, A., & Riva, G. (2018). Virtual reality: Applications to eating disorders. In W. S. Agras & A. H. Robinson (Eds.), The Oxford Handbook of Eating Disorders (2nd ed., pp. 148-153). Oxford, UK: Oxford University Press.
Hagman, J., Gardner, R., Brown, D., Gralla, J., Fier, J., & Frank, G. (2015). Body size overestimation and its association with body mass index, body dissatisfaction, and drive for thinness in anorexia nervosa. Eating and Weight Disorders-Studies On Anorexia, Bulimia And Obesity, 20(4), 449-455. https://doi.org/10.1007/s40519-015-0193-0
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: The Guilford Press.
Jacob, R., & Karn, K. (2018). Eye tracking in human-computer interaction and usability research: Ready to deliver the promises. In R. Radach, J. Hyona, & H. Deubel (Eds.), The mind's eye: Cognitive and applied aspects of eye movement research (1st ed., pp. 573-605). North Holland: Elsevier Science BV.
Jansen, A., Bollen, D., Tuschen-Caffier, B., Roefs, A., Tanghe, A., & Braet, C. (2008). Mirror exposure reduces body dissatisfaction and anxiety in obese adolescents: A pilot study. Appetite, 51(1), 214-217. https://doi.org/10.1016/j.appet.2008.01.011
Jansen, A., Nederkoorn, C., & Mulkens, S. (2005). Selective visual attention for ugly and beautiful body parts in eating disorders. Behaviour Research and Therapy, 43(2), 183-196. https://doi.org/10.1016/j.brat.2004.01.003
Jansen, A., Voorwinde, V., Hoebink, Y., Rekkers, M., Martijn, C., & Mulkens, S. (2016). Mirror exposure to increase body satisfaction: Should we guide the focus of attention towards positively or negatively evaluated body parts? Journal of Behavior Therapy and Experimental Psychiatry, 50, 90-96. https://doi.org/10.1016/j.jbtep.2015.06.002
Jiang, M., & Vartanian, L. (2018). A review of existing measures of attentional biases in body image and eating disorders research. Australian Journal of Psychology, 70(1), 3-17. https://doi.org/10.1111/ajpy.12161
Kelly, Y., Patalay, P., Montgomery, S., & Sacker, A. (2016). BMI development and early adolescent psychosocial well-being: UK Millennium Cohort Study. Pediatrics, 138(6), e20160967-e20160967. https://doi.org/10.1542/peds.2016-0967
Kerr-Gaffney, J., Harrison, A., & Tchanturia, K. (2018). Eye-tracking research in eating disorders: A systematic review. The International Journal of Eating Disorders, 52(1), 3-27. https://doi.org/10.1002/eat.22998
Kredel, R., Vater, C., Klostermann, A., & Hossner, E. (2017). Eye-tracking technology and the dynamics of natural gaze behavior in sports: A systematic review of 40 years of research. Frontiers in Psychology, 8, 1-15. https://doi.org/10.3389/fpsyg.2017.01845
Legenbauer, T., Thiemann, P., & Vocks, S. (2014). Body image disturbance in children and adolescents with eating disorders. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 42(1), 51-59. https://doi.org/10.1024/1422-4917/a000269
Lutz, H. O., Burmeister, C., Ferreira dos Santos, L., Morkisch, N., Dohle, C., & Krüger, J. (2017). Application of head-mounted devices with eye-tracking in virtual reality therapy. Current Directions In Biomedical Engineering, 3(1), 53-56. https://doi.org/10.1109/ICVR.2017.8007455
Matz, P., Foster, G., Faith, M., & Wadden, T. (2002). Correlates of body image dissatisfaction among overweight women seeking weight loss. Journal of Consulting and Clinical Psychology, 70(4), 1040-1044. https://doi.org/10.1037/0022-006x.70.4.1040
Pingitore, R., Spring, B., & Garfieldt, D. (1997). Gender differences in body satisfaction. Obesity Research, 5(5), 402-409. https://doi.org/10.1002/j.1550-8528.1997.tb00662.x
Porras Garcia, B., Ferrer Garcia, M., Olszewska, A., Yilmaz, L., González Ibañez, C., Gracia Blanes, M., … Gutiérrez Maldonado, J. (2019). Is this my own body? Changing the perceptual and affective body image experience among college students using a new virtual reality embodiment-based technique. Journal of Clinical Medicine, 8(7), 925. https://doi.org/10.3390/jcm8070925
Porras-Garcia, B., Ferrer-García, M., Ghita, A., Moreno, M., López-Jiménez, L., Vallvé-Romeu, A., … Gutiérrez Maldonado, J. (2019). The influence of gender and body dissatisfaction on body-related attentional bias. An eye-tracking and virtual reality study. International Journal of Eating Disorders, 52, 1181-1190. https://doi.org/10.1002/eat.23136
Porras-Garcia, B., Ghita, A., Moreno, M., Ferrer-Garcia, M., Pla-Sanjuanelo, J., Bertomeu-Panisello, P., … Gutiérrez-Maldonado, J. (2018). Gender differences in attentional bias after owning a virtual avatar with increased weight. Annual Review of Cybertherapy and Telemedicine, 16, 73-79.
Preston, C., & Ehrsson, H. H. (2014). Illusory changes in body size modulate body satisfaction in a way that is related to non-clinical eating disorder psychopathology. PLoS One, 9(1), e85773. https://doi.org/10.1371/journal.pone.0085773
Puhl, R., & Brownell, K. (2001). Bias, discrimination, and obesity. Obesity Research, 9(12), 788-805. https://doi.org/10.1038/oby.2001.108
Puhl, R., & Heuer, C. (2009). The stigma of obesity: A review and update. Obesity, 17(5), 941-964. https://doi.org/10.1038/oby.2008.636
Reed, D., Thompson, J., Brannick, M., & Sacco, W. (1991). Development and validation of the Physical Appearance State and Trait Anxiety Scale (PASTAS). Journal of Anxiety Disorders, 5(4), 323-332. https://doi.org/10.1016/0887-6185(91)90032-o
Renwick, B., Campbell, I., & Schmidt, U. (2013). Attention bias modification: A new approach to the treatment of eating disorders? International Journal of Eating Disorders, 46(5), 496-500. https://doi.org/10.1002/eat.22107
Rodgers, R., & DuBois, R. (2016). Cognitive biases to appearance-related stimuli in body dissatisfaction: A systematic review. Clinical Psychology Review, 46, 1-11. https://doi.org/10.1016/j.cpr.2016.04.006
Roefs, A., Jansen, A., Moresi, S., Willems, P., van Grootel, S., & van der Borgh, A. (2008). Looking good. BMI, attractiveness bias and visual attention. Appetite, 51(3), 552-555. https://doi.org/10.1016/j.appet.2008.04.008
Schwartz, M., & Brownell, K. (2004). Obesity and body image. Body Image, 1(1), 43-56. https://doi.org/10.1016/s1740-1445(03)00007-x
Serino, S., Pedroli, E., Keizer, A., Triberti, S., Dakanalis, A., Pallavicini, F., … Riva, G. (2016). Virtual reality body swapping: A tool for modifying the allocentric memory of the body. Cyberpsychology, Behavior, and Social Networking, 19(2), 127-133. https://doi.org/10.1089/cyber.2015.0229
Smeets, E., Jansen, A., & Roefs, A. (2011). Bias for the (un)attractive self: On the role of attention in causing body (dis)satisfaction. Health Psychology, 30(3), 360-367. https://doi.org/10.1037/a0022095
Smith, E., & Rieger, E. (2006). The effect of attentional bias toward shape- and weight-related information on body dissatisfaction. International Journal of Eating Disorders, 39(6), 509-515. https://doi.org/10.1002/eat.20291
Smith, E., & Rieger, E. (2009). The effect of attentional training on body dissatisfaction and dietary restriction. European Eating Disorders Review, 17(3), 169-176. https://doi.org/10.1002/erv.921
Stice, E., & Bearman, S. (2001). Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: A growth curve analysis. Developmental Psychology, 37(5), 597-607. https://doi.org/10.1037/0012-1649.37.5.597
Stice, E., & Whitenton, K. (2002). Risk factors for body dissatisfaction in adolescent girls: A longitudinal investigation. Developmental Psychology, 38(5), 669-678. https://doi.org/10.1037//0012-1649.38.5.669
Svaldi, J., Bender, C., Caffier, D., Ivanova, V., Mies, N., Fleischhaker, C., & Tuschen-Caffier, B. (2016). Negative mood increases selective attention to negatively valenced body parts in female adolescents with anorexia nervosa. PLoS One, 11(4), 1-18.
Svaldi, J., Caffier, D., & Tuschen-Caffier, B. (2011). Attention to ugly body parts is increased in women with binge eating disorder. Psychotherapy and Psychosomatics, 80(3), 186-188. https://doi.org/10.1159/000317538
Thaler, A., Geuss, M. N., Mölbert, S. C., Giel, K. E., Streuber, S., Romero, J., … Mohler, B. J. (2018). Body size estimation of self and others in females varying in BMI. PLoS One, 13(2), e0192152. https://doi.org/10.1371/journal.pone.0192152
Tuschen-Caffier, B., Bender, C., Caffier, D., Klenner, K., Braks, K., & Svaldi, J. (2015). Selective visual attention during mirror exposure in anorexia and bulimia nervosa. PLoS One, 10(12), e0145886. https://doi.org/10.1371/journal.pone.0145886
Warschburger, P., Calvano, C., Richter, E., & Engbert, R. (2015). Analysis of attentional bias towards attractive and unattractive body regions among overweight males and females: An eye-movement study. PLoS One, 10(10), e0140813. https://doi.org/10.1371/journal.pone.0140813
Washington, R. L. (2011). Childhood obesity: Issues of weight bias. Preventing Chronic Disease, 8(5), A94.
Weinberger, N., Kersting, A., Riedel-Heller, S., & Luck-Sikorski, C. (2016). Body dissatisfaction in individuals with obesity compared to normal-weight individuals: A systematic review and meta-analysis. Obesity Facts, 9(6), 424-441. https://doi.org/10.1159/000454837
Williamson, D., White, M., York-Crowe, E., & Stewart, T. (2004). Cognitive-behavioral theories of eating disorders. Behavior Modification, 28(6), 711-738. https://doi.org/10.1177/0145445503259853
Wojtowicz, A., & von Ranson, K. (2012). Weighing in on risk factors for body dissatisfaction: A one-year prospective study of middle-adolescent girls. Body Image, 9(1), 20-30. https://doi.org/10.1016/j.bodyim.2011.07.004
World Health Organization. (2004). International statistical classification of diseases and related health problems, Tenth Revision, Vol. 2 (2nd ed.). Geneva: WHO.