Cited by 79Eating Disorders and BehaviorsBody Image and Dysmorphia StudiesNutrition, Health and Food Behavior

Body Image as a Multidimensional Concept: A Systematic Review of Body Image Facets in Eating Disorders and Muscle Dysmorphia

Prnjak, Katarina, Jukic, Ivan, Mitchison, Deborah, Griffiths, Scott, Hay, Phillipa·2022·Body Image

Abstract

Body image disturbance is core to the psychopathology of eating disorders (EDs), and related disorders such as muscle dysmorphia (MD). Global measures of body image fail to quantify specific aspects of body image disturbance that characterizes EDs, and may be differentially associated to outcomes. The aim of this systematic review was to provide an overview of specific body image facets and synthesize findings from controlled studies that compared clinical ED/MD and control-comparison groups in body image disturbance. One-hundred sixty-seven studies met inclusion criteria, and reported on comparisons among 30,584 individuals in 28 body image facets, which were more broadly grouped into evaluative, perceptual, cognitive-affective and motivational categories for the purpose of the present review. Effect sizes were calculated as Cohen's d for every comparison between ED and control groups. Body dissatisfaction (evaluative category) was the most prevalent facet assessed across studies (62 %), and differences between clinical and control groups were the largest in this category, especially for bulimia nervosa (d = 1.37). Scarcity of studies with male and MD clinical samples, and use of single-item and non-validated measures, should encourage development of instruments for body image facets pertinent to EDs and MD that can be validly applied across gender.

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Crossref · 10.1016/j.bodyim.2022.07.006

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Authors
Prnjak, K., Jukic, I., Mitchison, D., Griffiths, S., & Hay, P.
Affiliations
  • Western Sydney University (AU)
  • The University of Melbourne (AU)
  • Camden and Campbelltown Hospitals (AU)
Corresponding author
Prnjak, Katarina
Venue
Body Image
Publisher
Elsevier BV
Published
2022-09
Volume
42
Pages
347-360
ISSN
1740-1445 (ISSN-L)
OpenAlex
W4289333426
Cited by
79
References
129
Citations by year
2026: 23 · 2025: 26 · 2024: 18 · 2023: 12
FWCI
2.33
Type
journal article
Language
en
Open access
closed
Locations
  • Body Image (publishedVersion)
  • PubMed (publishedVersion)
  • OPUS - Open Publications of UTS Scholars (University of Technology Sydney) (submittedVersion)
Funders
  • National Health and Medical Research Council
  • Australian Medical Council
  • New South Wales Institute of Psychiatry
  • Australian Research Council
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
eating disorders, muscle dysmorphia, body dissatisfaction, bulimia nervosa, body perception, gender differences
MeSH terms
Anorexia Nervosa, Feeding and Eating Disorders, Body Image, Humans, Male, Muscles, Bulimia Nervosa

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