Body Image as a Multidimensional Concept: A Systematic Review of Body Image Facets in Eating Disorders and Muscle Dysmorphia
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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For women, societal pressures to conform to an often unattainable standard of thinness are exacerbated by media representations that predominantly feature slender figures as the epitome of beauty and femininity.
“For women, societal pressures to conform to an often unattainable standard of thinness are exacerbated by media representations that predominantly feature slender figures as the epitome of beauty and femininity.”
Constant exposure to a singular body ideal fosters body dissatisfaction and intertwines self-worth with physical appearance in women.
“This constant exposure to a singular body ideal not only fosters an environment ripe for body dissatisfaction but also intertwines self-worth with physical appearance [126].”
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Evaluating new severity dimensions in the DSM‐5 for bulimic syndromes using mixture modeling
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Sorted by citations
Merino, M., Tornero-Aguilera, J. F., Rubio-Zarapuz, A., Villanueva-Tobaldo, C. V., Martín-Rodríguez, A., & Clemente-Suárez, V. J. (2024) · Healthcare · doi:10.3390/healthcare12141396 · Cited by 349 · see citing works
“This constant exposure to a singular body ideal not only fosters an environment ripe for body dissatisfaction but also intertwines self-worth with physical appearance [126].”
Background
- 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
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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