Ações autocompassivas e comportamento alimentar perturbado em mulheres: O efeito mediador da apreciação da imagem corporal

Andreia Máximo; Cláudia Ferreira; Joana Marta-Simões

doi:10.7342/ismt.rpics.2017.3.2.58

Authors

Andreia Máximo Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, Portugal http://orcid.org/0000-0002-2853-1503
Cláudia Ferreira Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Universidade de Coimbra, Portugal http://orcid.org/0000-0002-7020-9606
Joana Marta-Simões Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Universidade de Coimbra, Portugal http://orcid.org/0000-0002-7807-8575

DOI:

https://doi.org/10.7342/ismt.rpics.2017.3.2.58

Keywords:

Self-compassionate actions, Self-compassionate motivations, Body appreciation, Disordered eating

Abstract

Objectives: The goal of the present study was to test the mediator effect of body appreciation in the association between self-compassionate engagement and action and disordered eating behaviors. Methods: A total of 360 women from the general population, aged between 18 and 50, participated in this study, by completing online self-report instruments to evaluate self-compassionate engagement and action, body appreciation, and symptoms of eating psychopathology. Descriptive and correlation analysis among the variables in the study were conducted. Additionally, it was tested a path analysis model that hypothesized that the association between self-compassionate actions and disordered eating behaviors was mediated by the ability to accept and appreciate one’s body image. Results: Results revealed positive associations between self-compassionate engagement and action and body appreciation and negative ones between body appreciation and symptoms of eating psychopathology. Path analysis’ results revealed a negative and indirect effect between self-compassionate actions and disordered eating, via body appreciation, which explained 48% of the variance of disordered eating behavior. Conclusions: Present results suggest that self-compassionate actions hold a protective effect on eating behavior through higher levels of respect and appreciation toward body image, despite body weight, shape, and imperfections. The ability to act following self-compassionate motivations seems to contribute to higher levels of body image appreciation, which reflects in a lower susceptibility to adopt disordered eating attitudes and behaviors. The present study seems to represent an important contribution to research and clinical practice and underlines the importance of including strategies to develop self-compassionate and body appreciation competencies in programs to prevent and intervene in the area of eating psychopathology.

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References

Allen, A. B., & Leary, M. R. (2010). Self-compassion, stress, and coping. Social and Personality Psychology Compass, 4(2), 107-118. [Google Scholar] [CrossRef]

Andrew, R., Tiggemann, M., & Clark, L. (2015). The protective role of body appreciation against media-induced body dissatisfaction. Body Image, 15, 98-104. [Google Scholar] [CrossRef]

Avalos, L., Tylka, T. L., & Wood-Barcalow, N. (2005). The Body Appreciation Scale: Development and psychometric evaluation. Body Image, 2(3), 285-297. [Google Scholar] [CrossRef]

Barnard, L. K., & Cury, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289-303. [Google Scholar] [CrossRef]

Braun, T. D., Park, C. L., & Gorin, A. (2016). Self-compassion, body image, and disordered eating: A review of the literature. Body Image, 17, 117-131. [Google Scholar] [CrossRef]

Cohen, J., Cohen, P., West, S. G., & Aiken, S. L. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum Associates. [Google Scholar]

Cunha, M., Xavier, A., & Vitória, I. (2013). Avaliação da auto-compaixão em adolescentes: Adaptação e qualidades psicométricas da Escala de Auto-Compaixão [Assessment of self-compassion in adolescents: Adaptation and psychometric properties of the self-compassion scale]. Revista de Psicologia da Criança e do Adolescente, 4(2), 95-117. [Google Scholar] [URL]

Depue, R. A., & Morrone-Strupinsky, J. V. (2005). A neurobehavioral model of affiliative bonding: Implications for conceptualizing a human trait of affiliation. Behavioral and Brain Sciences, 28(3), 313-395. [Google Scholar] [CrossRef]

Duarte, C., Ferreira, C., Trindade, I. A., & Pinto-Gouveia, J. (2015). Body image and college women's quality of life: The importance of being self-compassionate. Journal of Health Psychology, 20(6), 754-764. [Google Scholar] [CrossRef]

Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. New York, NY: The Guilford Press. [Google Scholar]

Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire?. Journal of Eating Disorders, 16(4), 363-370. [Google Scholar] [CrossRef]

Fairburn, C. G., & Cooper, Z. (1993) Eating disorder examination. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment and treatment (12th ed., pp. 317-360). New York, NY: Guilford Press. [Google Scholar]

Ferreira, C., Matos, M., Duarte, C., & Pinto-Gouveia, J. (2014). Shame memories and eating psychopathology: The buffering effect of self-compassion. European Eating Disorders Review, 22(6), 487-494. [Google Scholar] [CrossRef]

Gilbert, P. (1993). Defence and safety: Their function in social behaviour and psychopathology. British Journal of Clinical Psychology, 32(2), 131-153. [Google Scholar] [CrossRef]

Gilbert, P. (2005) Compassion and cruelty: A biopsychosocial approach. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 3-74). London: Routledge. [Google Scholar]

Gilbert, P. (2009). The compassionate mind: A new approach to life’s challenges. London: Constable-Robinson. [Google Scholar]

Gilbert, P. (2010). Compassion focused therapy: Distinctive features. London: Routledge. [Google Scholar]

Gilbert, P. (2015). The evolution and social dynamics of compassion. Social and Personality Psychology Compass, 9(6), 239-254. [Google Scholar] [CrossRef]

Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualization, research and use in psychotherapy (pp. 263-325). London: Routledge. [Google Scholar]

Gilbert, P., Catarino, F., Duarte, C., Matos, M., Kolts, R., Stubbs, J., . . . Basran, J. (2017). The development of compassionate engagement and action scales for self and others. Journal of Compassionate Health Care, 4(4), 1-24. [Google Scholar] [CrossRef]

Goss, K., & Gilbert, P. (2002). Eating disorders, shame and pride: A cognitive–behavioural functional analysis. In P. Gilbert & J. Miles (Eds.), Body shame: Conceptualisation, research and treatment (pp. 219-255). New York, NY: Routledge. [Google Scholar]

Halliwell, E. (2013). The impact of thin idealized media images on body satisfaction: Does body appreciation protect women from negative effects?. Body Image, 10(4), 509-514. [Google Scholar] [CrossRef]

Halliwell, E. (2015). Future directions for positive body image research. Body Image, 14, 177-189. [Google Scholar] [CrossRef]

Halliwell, E., & Diedrichs, P. C. (2014). Testing a dissonance body image intervention among young girls. Health Psychology, 33(2), 201-204. [Google Scholar] [CrossRef]

Heffernan, M., Griffin, M. T. Q., McNulty, S. R., & Fitzpatrick, J. J. (2010). Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 16(4), 366-373. [Google Scholar] [CrossRef]

Homan, K. J., & Tylka, T. L. (2015). Self-compassion moderates body comparison and appearance self-worth's inverse relationships with body appreciation. Body Image, 15, 1-7. [Google Scholar] [CrossRef]

Kelly, A. C., & Stephen, E. (2016). A daily diary study of self-compassion, body image, and eating behavior in female college students. Body Image, 17, 152-160. [Google Scholar] [CrossRef]

Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York, NY: Guilford Press. [Google Scholar]

Longe, O., Maratos, F. A., Gilbert, P., Evans, G., Volker, F., Rockliff, H., & Rippon, G. (2010). Having a word with yourself: Neural correlates of self-criticism and self-reassurance. NeuroImage, 49(2), 1849-1856. [Google Scholar] [CrossRef]

Macbeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545-552. [Google Scholar] [CrossRef]

Machado, P. P. P., Martins, C., Vaz, A. R., Conceição, E., Bastos, A. P., & Gonçalves, S. (2014). Eating Disorder Examination Questionnaire: Psychometric properties and norms for the Portuguese population. European Eating Disorders Review, 22(6), 448-453. [Google Scholar] [CrossRef]

Marta-Simões, J., Ferreira, C., & Mendes, A. L. (2016). Exploring the effect of external shame on body appreciation among Portuguese young adults: The role of self-compassion. Eating Behaviors, 23, 174-179. [Google Scholar] [CrossRef]

Marta-Simões, J., Mendes, A. L., Trindade, I. A., Oliveira, S., & Ferreira, C. (2016). Validation of the Body Appreciation Scale-2 for Portuguese women [Abstract proceeding]. BMC Health Services Research, 16(Suppl. 3), 82-1186. [Google Scholar] [CrossRef]

Mikulincer, M., & Shaver, P. R. (2005). Attachment security, compassion, and altruism. American Psychological Society, 14(1), 34-38. [Google Scholar] [CrossRef]

Neff, K. D. (2003a). Development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223-250. [Google Scholar] [CrossRef]

Neff, K. D. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85-101. [Google Scholar] [CrossRef]

Neff, K. D. (2008). Self-compassion: Moving beyond the pitfalls of a separate self-concept. In H. A. Wayment & J. J. Bauer (Eds.), Transcending self-interest: Psychological explorations of the quiet ego (pp. 95-105). Washington: APA. [Google Scholar]

Neff, K. D. (2009). Self-compassion. In M. Leary & H. Rick (Eds.), Handbook of individual differences in social behavior (pp. 561-573). New York, NY: Guilford Press. [Google Scholar] [URL]

Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self‐compassion program. Journal of clinical psychology, 69(1), 28-44. [Google Scholar] [CrossRef]

Neff, K. D., & Lamb, L. M. (2009). Self-compassion. In S. Lopez (Ed.), The encyclopedia of positive psychology (pp. 864-867). Oxford: Blackwell Publishing. [Google Scholar] [PDF]

Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007). Self-compassion and its link to adaptive psychological functioning. Journal of Research in Personality, 41(1), 139-154. [Google Scholar] [CrossRef]

Neff, K. D., Pisitsungkagarn, K., & Hsieh, Y. P. (2008). Self-compassion and self-construal in the United States, Thailand, and Taiwan. Journal of Cross-Cultural Psychology, 39(3), 267-285. [Google Scholar] [CrossRef]

Panksepp, J. (1998). Affective neuroscience: The foundations of human and animal emotions. New York: Oxford University Press. [Google Scholar]

Pinto-Gouveia, J., Ferreira, C., & Duarte, C. (2014). Thinness in the pursuit for social safeness: An integrative model of social rank mentality to explain eating psychopathology. Clinical Psychology & Psychotherapy, 21(2), 154-165. [Google Scholar] [CrossRef]

Poínhos, R., Franchini, B., Afonso, C., Correia, F., Teixeira, V. H., Moreira, P., . . . Almeida, M. D. V. (2009). Alimentação e estilos de vida da população portuguesa: Metodologia e resultados preliminares [Alimentation and life styles of the Portuguese population: Methodology and preliminary results]. Alimentação Humana, 15(3), 43-61. [Google Scholar] [URL]

Rodrigues, C. (2016). Adaptação e validação da Escala dos Atributos e Ações Compassivas para adolescentes [Adaptation and validation of the Compassionate Attributes and Actions Scales for adolescents] (Master’s thesis, Instituto Superior Miguel Torga, Coimbra). [Google Scholar] [Handle]

Smolak, L., & Cash, T. F. (2011). Future challenges for body image science, practice, and prevention. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (Vol. 2, pp. 471-478). New York, NY: Guilford Press. [Google Scholar]

Spade, J. Z., & Valentine, C. G. (2008). The kaleidoscope of gender: Prisms, patterns, and possibilities. Thousand Oaks, CA: Pine Forge Press. [Google Scholar]

Swami, V., Hadji-Michael, M., & Furnham, A. (2008). Personality and individual difference correlates of positive body image. Body Image, 5(3), 322-325. [Google Scholar] [CrossRef]

Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Pearson. [Google Scholar]

Tylka, T. (2012). Positive psychology perspective on body image. In T. F. Cash (Ed.), Encyclopedia of body image and human appearance (Vol. 2, pp. 657-663). London: Elsevier. [Google Scholar]

Tylka, T. L., Nichole, L., & Wood-Barcalow, N. L. (2015a). What is and what is not positive body image? Conceptual foundations and construct definition. Body Image, 14, 118-129. [Google Scholar] [CrossRef]

Tylka, T. L., Nichole, L., & Wood-Barcalow, N. L. (2015b). The Body Appreciation Scale-2: Item refinement and psychometric evaluation. Body Image, 12, 53-67. [Google Scholar] [CrossRef]

Wasylkiw, L., MacKinnon, A. L., & MacLellan, A. M. (2012). Exploring the link between self-compassion and body image in university women. Body Image, 9(2), 236-245. [Google Scholar] [CrossRef]