Does Comparison of Self with Others Influence Body Image Among Adult Women? An Experimental Study in Naturalistic Settings

Overview

Journal Eat Weight Disord

Publisher Springer

Date 2021 Apr 26

PMID 33900564

Citations 2

Authors

Victoria Laker

Glenn Waller

Affiliations

Soon will be listed here.

Abstract

Background And Objectives: It has been suggested that body comparison is a safety behavior in eating disorders. This experimental study investigates the causal impact of upward and downward body comparison on body image, eating pathology, self-esteem, anxiety and mood. It also considers whether trait body comparison and eating pathology are associated with responsiveness to upward and downward comparison.

Methods: Thirty-nine women participated. Each completed trait comparison and eating pathology measures. Following this, each participant spent an hour (on different days) making an upward, downward or neutral comparison in a naturalistic setting. After each condition, the participant completed measures of body satisfaction, self-esteem, anxiety, depression and eating pathology.

Results: Participants were significantly less satisfied with their bodies following upward comparison. Both upward and downward comparison were associated with particularly negative effects if an individual had greater trait eating concerns. The effects of downward comparison were correlated with increased anxiety.

Limitations: The sample was lacking in diversity. Compliance with the experimental tasks was not strictly monitored.

Conclusions: Upward comparison resulted in lower body satisfaction, but downward comparison did not result in positive effects. However, trait eating concerns and comparison influenced the impact of both forms of comparison. Body comparison should be a target for treatment in CBT for eating disorders, particularly where the individual has a strong tendency to make comparisons with other people.

Level Of Evidence: Level III: Evidence obtained from well-designed cohort or case-control analytic studies.

Citing Articles

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Daily Bi-directional effects of women's social media-based appearance comparisons, body satisfaction, and disordered eating urges.

Portingale J, Girardin S, Liu S, Fuller-Tyszkiewicz M, Krug I J Eat Disord. 2024; 12(1):129.

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References

Krones P, Stice E, Batres C, Orjada K . In vivo social comparison to a thin-ideal peer promotes body dissatisfaction: a randomized experiment. Int J Eat Disord. 2005; 38(2):134-42. DOI: 10.1002/eat.20171. View

Lin L, Soby M . Appearance comparisons styles and eating disordered symptoms in women. Eat Behav. 2016; 23:7-12. DOI: 10.1016/j.eatbeh.2016.06.006. View

Hamel A, Zaitsoff S, Taylor A, Menna R, Le Grange D . Body-related social comparison and disordered eating among adolescent females with an eating disorder, depressive disorder, and healthy controls. Nutrients. 2012; 4(9):1260-72. PMC: 3475236. DOI: 10.3390/nu4091260. View

Fitzsimmons-Craft E, Bardone-Cone A, Harney M . Development and validation of the Body, Eating, and Exercise Comparison Orientation Measure (BEECOM) among college women. Body Image. 2012; 9(4):476-87. DOI: 10.1016/j.bodyim.2012.07.007. View

Arroyo A . Connecting theory to fat talk: body dissatisfaction mediates the relationships between weight discrepancy, upward comparison, body surveillance, and fat talk. Body Image. 2014; 11(3):303-6. DOI: 10.1016/j.bodyim.2014.04.006. View

Myers T, Crowther J . Social comparison as a predictor of body dissatisfaction: A meta-analytic review. J Abnorm Psychol. 2009; 118(4):683-98. DOI: 10.1037/a0016763. View

Leahey T, Crowther J, Mickelson K . The frequency, nature, and effects of naturally occurring appearance-focused social comparisons. Behav Ther. 2007; 38(2):132-43. DOI: 10.1016/j.beth.2006.06.004. View

Mond J, Hay P, Rodgers B, Owen C . Quality of life impairment in a community sample of women with eating disorders. Aust N Z J Psychiatry. 2012; 46(6):561-8. DOI: 10.1177/0004867411433967. View

Blechert J, Nickert T, Caffier D, Tuschen-Caffier B . Social comparison and its relation to body dissatisfaction in bulimia nervosa: evidence from eye movements. Psychosom Med. 2009; 71(8):907-12. DOI: 10.1097/PSY.0b013e3181b4434d. View

10.

Halliwell E, Dittmar H . The role of self-improvement and self-evaluation motives in social comparisons with idealised female bodies in the media. Body Image. 2007; 2(3):249-61. DOI: 10.1016/j.bodyim.2005.05.001. View

11.

Leahey T, Crowther J, Ciesla J . An ecological momentary assessment of the effects of weight and shape social comparisons on women with eating pathology, high body dissatisfaction, and low body dissatisfaction. Behav Ther. 2011; 42(2):197-210. PMC: 3491066. DOI: 10.1016/j.beth.2010.07.003. View

12.

Kroenke K, Spitzer R, Williams J . The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16(9):606-13. PMC: 1495268. DOI: 10.1046/j.1525-1497.2001.016009606.x. View

13.

Buss D, Schmitt D . Sexual strategies theory: an evolutionary perspective on human mating. Psychol Rev. 1993; 100(2):204-32. DOI: 10.1037/0033-295x.100.2.204. View

14.

Fardouly J, Diedrichs P, Vartanian L, Halliwell E . Social comparisons on social media: the impact of Facebook on young women's body image concerns and mood. Body Image. 2015; 13:38-45. DOI: 10.1016/j.bodyim.2014.12.002. View

15.

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

16.

Kertz S, Bigda-Peyton J, Bjorgvinsson T . Validity of the Generalized Anxiety Disorder-7 scale in an acute psychiatric sample. Clin Psychol Psychother. 2012; 20(5):456-64. DOI: 10.1002/cpp.1802. View

17.

Galioto R, Crowther J . The effects of exposure to slender and muscular images on male body dissatisfaction. Body Image. 2013; 10(4):566-73. DOI: 10.1016/j.bodyim.2013.07.009. View

18.

Laker V, Waller G . The development of a body comparison measure: the CoSS. Eat Weight Disord. 2019; 25(4):879-888. DOI: 10.1007/s40519-019-00698-5. View

19.

Arigo D, Schumacher L, Martin L . Upward appearance comparison and the development of eating pathology in college women. Int J Eat Disord. 2013; 47(5):467-70. DOI: 10.1002/eat.22240. View

20.

Tatham M, Turner H, Mountford V, Tritt A, Dyas R, Waller G . Development, psychometric properties and preliminary clinical validation of a brief, session-by-session measure of eating disorder cognitions and behaviors: The ED-15. Int J Eat Disord. 2015; 48(7):1005-15. DOI: 10.1002/eat.22430. View