The Role of Body Image on Psychosocial Outcomes in People With Diabetes and People With an Amputation

McDonald, Sarah; Sharpe, Louise; MacCann, Carolyn; Blaszczynski, Alex

doi:10.3389/fpsyg.2020.614369

Cited by 11 publications

(12 citation statements)

References 73 publications

(21 reference statements)

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“…Similarly, in youth and young adults of both genders with T1D, body dissatisfaction was described as positively correlated with depressive symptoms (r = 0.71, p < 0.01) (Peterson et al, 2018) and with greater diabetes-specific negative affect (b = 0.05, p < 0.01) (Rancourt et al, 2019). For adults with diabetes (T1 and T2), body image experience, psychological investment in physical appearance, and self-ideal discrepancy predicted psychosocial outcomes such as anxiety, depression, and quality of life (χ 2 = 48.80, p = 0.003; estimate = 0.102) (McDonald et al, 2021). Individuals with T1D with high diabetes distress reported greater shape (test value NR, p < 0.001) and weight (test value NR, p < 0.001) concerns than those with low or moderate distress, regardless of age; among these individuals, those younger than 18 years with high distress perceived a larger current body shape than those with low or moderate distress (test value NR, p < 0.001) (Powers et al, 2017).…”

Section: Psychological Dimensionsmentioning

confidence: 96%

“…Other evidence indicated that adolescents' self-concept in the area of physical appearance mediated both the link between maternal weight and shape concerns and adolescent eating disturbances (pr = 0.42, p = 0.00005) as well as the link between mother-daughter relationships and adolescent eating disturbance status (pr = 0.25, p = 0.003) (Maharaj et al, 2003). For adult individuals with diabetes, body image disturbances mediated the relationship between personal investment in appearance and psychosocial outcomes (estimate = 0.102) and partially mediated the relationship between self-ideal discrepancy and psychosocial outcomes (estimate = 0.185) (χ 2 = 48.80, p = 0.003) (McDonald et al, 2021). For single (not involved in a romantic relationship) adolescents, body image was found to mediate the association between family climate and changes in glycemic control (b = 0.24, p = 0.007) (Hartl et al, 2015).…”

Section: Psychological Dimensionsmentioning

confidence: 98%

“…The number of participants with T1D across studies ranges from 13 (Herpertz et al, 2001) to 629 (Baechle et al, 2014). Of the 51 papers included in this literature review, three studies were conducted with adults (19 years and older) (Herpertz et al, 2001;Mcdonald et al, 2021;Rockliffe-Fidler & Kiemle, 2003); 14 had samples comprising both adolescents [according to the WHO's (1986) definition from ages 10 to 19] and adults (e.g., Bachmeier et al 2020;Rancourt et al, 2019;Robertson et al, 2020); 27 studies were conducted with adolescents only (e.g., Araia et al, 2020;Hartl et al, 2015;Peterson et al, 2018;Wilson et al, 2015); six studies used a sample comprising both children and adolescents (e.g., Olmsted et al, 2008;Peducci et al, 2019); and one study sample consisted exclusively of children (Troncone et al, 2016). In terms of gender, 12 studies were conducted with only female participants (e.g., Gawlik et al, 2016;O'Brien et al, 2011), and 38 with both male and female participants (e.g., Benioudakis, 2020;Verbist & Condon, 2019;Wilson et al, 2015).…”

Section: Synthesis Of Study Characteristicsmentioning

confidence: 99%

“…The majority of the studies (n = 29) were cross sectional in design (e.g., O'Brien et al, 2011;Philippi et al, 2013;Powers et al, 2017); 18 were case-control studies (e.g., Falcão & Francisco, 2017;Troncone et al, 2020a) and four were longitudinal studies (e.g., Hartl et al, 2015;Troncone et al, 2018). In terms of sample composition, 24 studies had a sample consisting only of individuals with T1D (e.g., Blicke et al, 2015;de Wit et al, 2012); 14 studies had samples with both T1D and control participants (e.g., Baechle et al, 2014;Falcão & Francisco, 2017); four studies had samples of T1D adolescents and their parents (e.g., Eilander et al, 2017;Troncone et al 2020b); three studies had participants with T1D and T2D (Bachmeier et al 2020;Herpertz et al, 2001;Rockliffe-Fidler & Kiemle, 2003); and six studies had participants with T1D and other illnesses (e.g., individuals with rheumatic arthritis, bonefracture patients, individuals with an amputation, individuals with an eating disorder -ED) (e.g., Kaminsky & Dewey, 2013Mcdonald et al, 2021).…”

Section: Synthesis Of Study Characteristicsmentioning

confidence: 99%

“…Of the three studies conducted with adults with T1D (19 years and older), two focused directly on the presence of body image problems, finding high frequency of dissatisfaction with their body (Rockliffe-Fidler & Kiemle, 2003) and no worsening of body dissatisfaction after 2 years (test value NR, p > 0.05) (Herpertz et al, 2001). The remaining study focused less on the occurrence of body image problems, instead evaluating body image as a mediator and a predictor of psychological outcomes (Mcdonald et al, 2021).…”

Section: Age Differencesmentioning

confidence: 99%

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Body Image Problems in Individuals with Type 1 Diabetes: A Review of the Literature

et al. 2021

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Despite type 1 diabetes' (T1D) potential influence on adolescents' physical development, the occurrence of body image problems of adolescents with diabetes remains unclear. No research synthesis has yet addressed this issue. This study aims to systematically evaluate the empirical evidence concerning body image in individuals with T1D in order to provide an overview of the existing literature. Using PRISMA methodology, 51 relevant studies that fulfilled the eligibility criteria were found, the majority of them (N = 48) involving youth. The findings varied across studies: 17 studies indicated that in youth with T1D, body dissatisfaction was common and that body concerns were generally greater in youth with T1D than in controls; nine studies did not find any differences in body image problems between participants with and without T1D; three studies described higher body satisfaction in youth with diabetes than in controls; and three studies reported mixed results. Body concerns in individuals with T1D were often found to be associated with negative medical and psychological functioning. The variability and limits in assessment tools across studies, the overrepresentation of female subjects, and the fact that most research in this field is based on cross-sectional data are stressed in the interpretation of these mixed findings. Future research directions that could improve the understanding of body image concerns and clinical implications are discussed.

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Section: Psychological Dimensionsmentioning

confidence: 96%

Section: Psychological Dimensionsmentioning

confidence: 98%

Section: Synthesis Of Study Characteristicsmentioning

confidence: 99%

Section: Synthesis Of Study Characteristicsmentioning

confidence: 99%

Section: Age Differencesmentioning

confidence: 99%

See 3 more Smart Citations

Body Image Problems in Individuals with Type 1 Diabetes: A Review of the Literature

et al. 2021

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Body image and perception among adults with and without phantom limb pain

Beisheim‐Ryan

Hicks

Pohlig

et al. 2022

PM&R

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Background Following lower‐limb amputation, phantom limb pain (i.e., pain perceived as coming from the amputated portion of the limb) is common. Phantom limb pain may be associated with impaired body image and perception, which may be targets for rehabilitative intervention. Objective To compare measures of body image and perception between adults with and without phantom limb pain post amputation and evaluate associations between measures of body image and perception and phantom limb pain. Design Survey. Setting Online, remote assessment. Participants Seventy‐two adults ≥1 year post unilateral lower‐limb loss (n = 42 with phantom limb pain, n = 30 without phantom limb pain or pain in the remaining portion of the limb). Interventions Not applicable. Main Outcome Measures Self‐reported outcome measures assessing body image (i.e., Amputee Body Image Scale‐Revised), perceptual disturbances associated with the phantom limb (i.e., a modified Bath Complex Regional Pain Syndrome Body Perception Disturbance Scale), and prosthesis satisfaction (i.e., Trinity Amputation and Prosthesis Experience Scale) were administered; participants with phantom limb pain reported pain interference via the Brief Pain Inventory‐Short Form. Between‐group comparisons of self‐reported outcome measure scores were conducted using Mann Whitney U or chi‐square tests, as appropriate (a = .05). Results Compared to peers without phantom limb pain, adults with phantom limb pain reported more negative body image; increased phantom limb ownership, attention, and awareness; and reduced prosthesis satisfaction and embodiment (U = 175.50–364.00, p < .001 to .034). Disturbances in phantom limb perception (i.e., size, weight, pressure, temperature) were similar between groups (p = .086 to >.999). More negative body image was associated with increased phantom limb pain interference (τb = .25, p = .026). Conclusions Adults with phantom limb pain demonstrate more negative body image and hypervigilance of the phantom limb as compared to peers with nonpainful phantom sensations. Mind‐body treatments that target impaired body image and perception may be critical interventions for adults with phantom limb pain.

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