Understanding the role of positive body image during digital interventions for eating disorders: Secondary analyses of a randomized controlled trial

Linardon, Jake, Tylka, Tracy L., Burnette, C. Blair, Shatte, Adrian, and Fuller-Tyszkiewicz, Matthew (2022) Understanding the role of positive body image during digital interventions for eating disorders: Secondary analyses of a randomized controlled trial. Body Image, 43. pp. 1-7.

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Abstract

Despite growing interest in the possible link between positive body image and eating disorder (ED) symptoms, little is known about what role this adaptive construct plays in ED treatment. This study investigated whether: (1) interventions principally designed to target ED psychopathology also lead to improvements in positive body image indices (i.e., body appreciation, functionality appreciation, and body image flexibility); (2) changes in ED symptoms correlate with changes in positive body image, both concurrently and prospectively; and (3) baseline positive body image levels moderate the degree of symptom improvement. Secondary analyses from a randomized controlled trial on digital interventions for EDs (n=600) were conducted. Intervention participants reported greater increases in the three positive body image constructs than the control group (ds=0.15-0.41). Greater pre-post reductions in ED psychopathology and binge eating were associated with greater pre-post improvements in positive body image indices. However, earlier reductions in ED psychopathology and binge eating did not predict later improvements in positive body image at follow-up. None of the positive body image constructs at baseline moderated degree of symptom change. Standard ED interventions can cultivate a more positive body image, although this is not explained by earlier symptom reduction. Understanding the mechanisms through which ED interventions enhance positive body image is needed.

Item ID: 81612
Item Type: Article (Research - C1)
ISSN: 1873-6807
Keywords: Eating disorders; Positive body image; Body appreciation; Body image flexibility; Randomized controlled trial; Binge eating; Digital interventions; Functionality appreciation
Copyright Information: © 2022 Elsevier Ltd. All rights reserved.
Funders: National Health and Medical Research Council (NHMRC)
Projects and Grants: NHMRC APP1196948
Date Deposited: 16 Apr 2024 05:44
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420302 Digital health @ 30%
52 PSYCHOLOGY > 5201 Applied and developmental psychology > 520199 Applied and developmental psychology not elsewhere classified @ 40%
46 INFORMATION AND COMPUTING SCIENCES > 4601 Applied computing > 460102 Applications in health @ 30%
SEO Codes: 20 HEALTH > 2004 Public health (excl. specific population health) > 200409 Mental health @ 50%
22 INFORMATION AND COMMUNICATION SERVICES > 2204 Information systems, technologies and services > 220402 Applied computing @ 40%
22 INFORMATION AND COMMUNICATION SERVICES > 2204 Information systems, technologies and services > 220407 Human-computer interaction @ 10%
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