Mediator Role of Social Appearance Anxiety in the Relationship between Socio-Cultural Attitudes towards Appearance and Body Image Flexibility

Year 2022, Volume: 9 Issue: 2, 332 - 339, 26.03.2022

Sinem Acar

Abstract

This study examines the role of social appearance anxiety in the relationships between socio-cultural pressures, internalization of socio-cultural values, and body image flexibility. Designed as correlational survey research, the study sample comprises 748 students in a university in Turkey. Data of the study is collected with three data collection tools: "Socio-Cultural Attitudes Towards Appearance Scale", “Social Appearance Anxiety Scale”, and “Body Image Flexibility Scale”. A simple mediation model, which was applied with regression-based mediation analysis, shows that social appearance anxiety is a mediator on the relationships between socio-cultural pressures, internalization of socio-cultural values, and body image flexibility.

Keywords

Social appearance anxiety, socio-cultural attitudes towards appearance, body image flexibility, college students

References

• Arslangiray, N. (2013). Üniversite öğrencilerinde beden imajının yordayıcıları olarak bağlanma stilleri ve toplumsal cinsiyet rolleri [Unpublished master’s thesis]. Hacettepe Üniversitesi, Ankara.
• Baş, B. H. (1996). Boyun kanseri nedeni ile ameliyat olan hastalarda ameliyat öncesi ve sonrası beden imajı, benlik saygısı, depresyon durumları ile bakımda hemşirelerin karşılaştıkları güçlüklerin araştırılması [Unpublished master’s thesis]. İstanbul Üniversitesi, İstanbul.
• Büyüköztürk, Ş. (2007). Sosyal bilimler için veri analizi el kitabı. Pegem.
• Cash, T. F., Morrow, J. A., Hrabosky, J. I., & Perry, A. A. (2004). How has body image changed? A cross-sectional investigation of college women and men from 1983 to 2001. Journal of Consulting and Clinical Psychology, 72(6), DOI: 1081.10.1037/0022-006X.72.6.1081
• Cihan, B., Bozo, Ö., Schaefer, L. M., & Thompson, J. K. (2016). Psychometric properties of the sociocultural attitudes towards appearance questionnaire-4-Revised (SATAQ-4R) in Turkish women. Eating Behaviors, 21, 168-171. DOI: 10.1016/j.eatbeh.2016.03.003
• Doğan, T. (2010). Sosyal görünüş kaygısı ölçeği’nin (SGKÖ) Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi, 39(39).
• Goldfield, G. S., Moore, C., Henderson, K., Buchholz, A., Obeid, N., & Flament, M. F. (2010). Body dissatisfaction, dietary restraint, depression, and weight status in adolescents. Journal of School Health, 80(4), 186-192. DOI: 10.1111/j.1746-1561.2009.00485.x
• Gregg, J. A., Callaghan, G. M., Hayes, S. C., & Glenn-Lawson, J. L. (2007). Improving diabetes self-management through acceptance, mindfulness, and values: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 75(2), 336. DOI: 10.1037/0022-006X.75.2.336
• Hart, T. A., Flora, D. B., Palyo, S. A., Fresco, D. M., Holle, C., & Heimberg, R. G. (2008). Development and examination of the social appearance anxiety scale. Assessment, 15(1), 48-59.
• Harris, R. (2016). ACT i kolay öğrenmek (F. Yavuz, Çev.). Litera yayıncılık.
• Hart, E.A., Leary, M.R., & Rejeski W.J. (1989). The measurement of social physique anxiety. Journal of Spar & Exercise Psychology, 11, 94-104.
• Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press.
• He, J., Cai, Z., Chen, X., Lu, T., & Fan, X. (2020). Validation of the Chinese version of the body image acceptance and action questionnaire and the mediating role of body image flexibility in the relationship between body dissatisfaction and psychological distress. Behavior Therapy, doi.org/10.1016/j.beth.2020.07.003.
• Kaya, S. (2019). Kabul ve kararlılık yaklaşımı temelli grup psikoeğitiminin beden imgesi esnekliği üzerindeki etkisi [Unpublished master’s thesis]. Mugla Sitki Kocman University, Mugla.
• Kline, R. B. (2011). Principles and practice of structural equation modelling. Guilford Press.
• Leit, R. A., Pope, H. G., & Gray, J. J. (2001). Cultural expectations of muscularity in men: The evolution of playgirl centrefolds. International Journal of Eating Disorders, 29, 90–93. doi:10.1002/(ISSN)1098-108X
• Levinson, R., Powell, B., & Steelman, L. (1986). Social location, significant others and body image among adolescents. Social Psychology Quarterly, 49, 330–337. doi:10.2307/2786772
• Konstanski, M., & Gullone, E. (1998). Adolescent body image dissatisfaction: relationships with self-esteem, anxiety, and depression controlling for body mass. Journal of Child Psychology and Psychiatry, 39(02), 255-262. DOI: 10.1017/S0021963097001807
• MacKenzie, M. B., & Kocovski, N. L. (2010). Self-reported acceptance of social anxiety symptoms: Development and validation of the social anxiety acceptance and action questionnaire. International Journal of Behavioral Consultation and Therapy, 6(3), 214. DOI: 10.1037/h0100909
• Montgomery, K., Norman, P., Messenger, A. G., & Thompson, A. R. (2016). The importance of mindfulness in psychosocial distress and quality of life in dermatology patients. British Journal of Dermatology, 175(5), 930-936. DOI: 10.1111/bjd.14719
• Noles, S. W., Cash, T. F., & Winstead, B. A. (1985). Body image, physical attractiveness, and depression. Journal of Consulting and Clinical Psychology, 53(1), 88. DOI: 10.1037/0022-006X.53.1.88
• Oktan, V. (2012). Beden imajı ve reddedilme duyarlılığının öznel iyi oluşu yordama gücü. Eğitim Bilimleri ve Uygulama, 11(22), 119-134.
• Oktan, V., & Şahin, M. (2010). Kız ergenlerde beden imajı ile benlik saygısı arasındaki ilişkinin incelenmesi. Uluslararası İnsan Bilimleri Dergisi, 7, 1-12.
• Perey, I., & Koenigstorfer, J. (2020). Appearance comparisons and eating pathology: A moderated serial mediation analysis exploring body image flexibility and body appreciation as mediators and self-compassion as moderator. Body Image, 35, 255-264. DOI: 10.1016/j.bodyim.2020.09.008
• Sabucedo, P. (2017). The Psychological Flexibility Model from a cultural perspective: an interpretative analysis of two Native American healing rituals. International Journal of Culture and Mental Health, 10(4), 367-375. DOI: 10.1080/17542863.2017.1323935
• Sandoz, E. K., Wilson, K. G., Merwin, R. M., & Kellum, K. K. (2013). Assessment of body image flexibility: the body image-acceptance and action questionnaire. Journal of Contextual Behavioral Science, 2(1-2), 39-48.
• Sandoz, E.K., Wilson, K.G., & DuFrene, T. (2010). Acceptance and commitment therapy for eating disorders: A process-focused guide to treating anorexia and bulimia. New Harbinger Publications.
• Schaefer, L. M., Harriger, J. A., Heinberg, L. J., Soderberg, T., & Kevin Thompson, J. (2017). Development and validation of the sociocultural attitudes towards appearance questionnaire‐4‐revised (SATAQ‐4R). International Journal of Eating Disorders, 50(2), 104-117. DOI: 10.1002/eat.22590
• Shepherd, L., Reynolds, D. P., Turner, A., O’Boyle, C. P., & Thompson, A. R. (2019). The role of psychological flexibility in appearance anxiety in people who have experienced a visible burn injury. Burns, 45(4), 942-949. DOI: 10.1016/j.burns.2018.11.015
• Stice, E., and Agras, W. S. (1998). Predicting onset and cessation of bulimic behaviors during adolescence: a longitudinal grouping analysis. Behavioral Therapy, 29, 257–276. doi: 10.1016/s0005-7894(98)80006-3
• Tang, C., Cooper, M., Wang, S., Song, J., & He, J. (2020). The relationship between body weight and dietary restraint is explained by body dissatisfaction and body image inflexibility among young adults in China. Eating and Weight Disorders-Studies on Anorexia, Bulimia, and Obesity, 1-8.
• Thompson, J.K., & Stice, E. (2001). Thin-ideal internalization: Mounting evidence for a new risk factor for body-image disturbance and eating pathology. Current Directions in Psychological Science, 10, 181–183.
• Wendell, J. W., Masuda, A., & Le, J. K. (2012). The role of body image flexibility in the relationship between disordered eating cognitions and disordered eating symptoms among non-clinical college students. Eating behaviors, 13(3), 240-245. DOI: 10.1016/j.eatbeh.2012.03.006