The DOI matches its Crossref record; 87 of the 88 references it cites were found in a registry or an index.
The effectiveness of interventions aiming to promote positive body image in adults: A systematic review
Open accessAbstract
Theory suggests promoting positive body image (PBI) through interventions would have a significant impact on health and well-being. However, little is known about the effectiveness of existing interventions. This review aimed to identify and assess the evidence of effectiveness of interventions to increase PBI in adults. Database searches were conducted using CINAHL Plus, Medline, PsychINFO, Wiley Online Library, and SCOPUS. Application of inclusion criteria and data extraction were conducted by two reviewers. Methodological quality was assessed using the Effective Public Health Practice Project Quality Assessment Tool, and narrative synthesis was conducted. Fifteen studies, evaluating 13 interventions, were included. Three studies, evaluating one online writing-based functionality intervention, were judged to have strong methodological quality and had evidence of improving body appreciation, body esteem, and functionality satisfaction. Six moderate quality studies found interventions using intuitive eating, CBT, self-compassion, and exercise improved PBI. There was limited evidence of effectiveness of interventions for men, suggesting future research is needed to better understand PBI mechanisms in men. Lack of heterogeneity of outcome measures is discussed as a limitation. Findings suggest existing interventions are effective at increasing aspects of PBI among women and support the development of interventions that target multiple components of PBI.
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“Cognitive behavioral therapy is vital in this effort, as it helps individuals unravel negative perceptions and adopt healthier attitudes toward their bodies [206].”
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“Questions and strategies from cognitive dissonance-based (Stice et al. 2019), self-compassion (Braun et al. 2016), and body positivity (Guest et al. 2019) interventions that counter thinness ideals and weight stigma may further assist patients in challenging negative beliefs about the consequences…”
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“EYH already showed promising findings across several populations (Guest et al. 2019).”
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“…and positive social support have demonstrated efficacy in enhancing body appreciation and reducing social appearance anxiety—leading to improved life satisfaction (Guest et al., 2019; Jim´enez-Garc´ıa et al., 2025; Linardon, Messer, and Tylka, 2023; Matera et al., 2024; Ong and S¨undermann, 2022).”
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“…interventions include those focused on enhancing body appreciation alongside an attention to the functionality of one’s body, as well as interventions focused on increasing self-compassion and mindful/intuitive eating (Alleva et al., 2015 ; Guest et al., 2019 ; Rahimi-Ardabili et al., 2018).”
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“Prior to this workshop, participants received a handout to define key body image terms and also a lay sum-mary of a literature review examining positive body interventions for the general population (Guest et al. 2019).”
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“Among adults, interventions such as cognitive behavioral therapy, self-compassion-based programs, exer - cise interventions, and online writing-based functionality interventions have shown beneficial effects (Guest et al., 2019 , for a systematic review).”
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“…ideals, (2) pay attention to their body’s needs, and (3) protect themselves from negative body messages related to appearance (such as the portrayal of idealized appearances and promotion of diet culture, for instance; Guest et al., 2019; Tylka & Wood-Barcalow, 2015b; Wood-Barcalow et al., 2010).”
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Metadata
- Authors
- Guest, E., Costa, B., Williamson, H., Meyrick, J., Halliwell, E., & Harcourt, D.
- Affiliations
- University of the West of England (GB)
- Corresponding author
- Guest, Ella
- Venue
- Body Image
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 30
- Pages
- 10-25
- ISSN
- 1740-1445 (ISSN-L)
- OpenAlex
- W2944371810
- Cited by
- 184
- References
- 88
- Citations by year
- 2026: 31 · 2025: 35 · 2024: 35 · 2023: 20 · 2022: 24 · 2021: 18 · 2020: 17 · 2019: 4
- FWCI
- 2.48
- Type
- journal article
- Language
- en
- Open access
- green
- eprints.uwe.ac.uk
- Licence
- Locations
- Body Image (publishedVersion)
- PubMed (publishedVersion)
- UWE Research Repository (UWE Bristol) (acceptedVersion, cc-by-nc-nd)
- UWE Research Repository (UWE Bristol) (submittedVersion, cc-by-nc-nd)
- Funders
- University of the West of England
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- positive body image, body image interventions, body appreciation, body esteem, intuitive eating, cognitive behavioral therapy, self-compassion, exercise intervention, men's body image, female body image, intervention effectiveness
- MeSH terms
- Adult, Body Image, Empathy, Female, Humans, Male, Self Concept, Exercise
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