Body image avoidance: An under-explored yet important factor in the relationship between body image dissatisfaction and disordered eating

Journal of Contextual Behavioral Science

Volumn 3, Issue 3, 2014, Pages 203-211

  Timko, C Alix ^a,b   Juarascio, Adrienne S ^c   Martin, Lindsay M ^a   Faherty, Ashley ^a   Kalodner, Cynthia ^a  

^a TOWSON UNIVERSITY   (United States)

^b UNIVERSITY OF THE SCIENCES   (United States)

^c DREXEL UNIVERSITY COLLEGE OF MEDICINE   (United States)

Author keywords

Body acceptance; Body dissatisfaction; Body image; Experiential avoidance

Indexed keywords

EID: 84955372550     PISSN: 22121447     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jcbs.2014.01.002     Document Type: Article

References (61)

1. Ackard D.M., Croll J.K., Kearney-Cooke A. Dieting frequency among college females: association with disordered eating, body image, and related psychological problems. Journal of Psychosomatic Research 2002, 52(3):129-136.
2. Baer R.A., Fischer S., Huss D.B. Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive and Cognitive-Behavior Therapy 2005, 23(4):281-300. 10.1007/s10942-005-0015-9.
3. Bond F.W., Hayes S.C., Baer R.A., Carpenter K.M., Guenole N., Orcutt H.K., et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire - II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy 2011, 42:676-688.
4. Brannan M.E., Petrie T.A. Moderators of the body dissatisfaction-eating disorder symptomatology relationship: Replication and extension. Journal of Counseling Psychology 2008, 55(2):263-275. 10.1037/0022-0167.55.2.263.
5. Chawla N., Ostafin B. Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review. Journal of Clinical Psychology 2007, 63:871-890. 10.1002/jclp.20400.
6. Clausen L., Rosenvinge J.H., Friborg O., Rokkedal K. Validating the Eating Disorder Inventory-3 (EDI-3): A comparison between 561 female eating disorders patients and 878 females from the general population. Journal of Psychopathology and Behavioral Assessment 2011, 33(1):101-110.
7. Cockell S.J., Geller J., Linden W. The development of a decisional balance scale for anorexia nervosa. European Eating Disorders Review 2002, 10(5):359-375.
8. Corning A.F., Krumm A.J., Smitham L.A. Differential social comparison processes in women with and without eating disorder symptoms. Journal of Counseling Psychology 2006, 53(3):338-349. 10.1037/0022-0167.53.3.338.
9. Fairburn C.G., Cooper Z., Doll H.A., Norman P., O'Connor M. The natural course of bulimia nervosa and binge eating disorder in young women. Archives of General Psychiatry 2000, 57(7):659-665. 10.1001/archpsyc.57.7.659.butryn.
10. Fayet F., Petocz P., Samman S. Prevalence and correlates of dieting in college women: a cross sectional study. International Journal of Women's Health 2012, 4:405-411.
11. Ferreira C., Pinto-Gouveia J., Duarte C. The validation of the Body Image Acceptance and Action Questionnaire: Exploring the moderator effect of acceptance on disordered eating. International Journal of Psychology and Psychological Therapy 2011, 11:327-345.
12. Forman E.M., Butryn M.L., Hoffman K.L., Herbert J.D. An open trial of an acceptance-based behavioral intervention for weight loss. Cognitive and Behavioral Practice 2009, 16:223-235. 10.1016/j.cbpra.2008.09.005.
13. Forman E.M., Herbert J.D. New directions in cognitive behavior therapy: Acceptance-based therapies. General principles and empirically supported techniques of cognitive behavior therapy 2009, 77-101. John Wiley & Sons Inc., Hoboken, NJ US. W.T. O'Donohue, J.E. Fisher, W.T. O'Donohue, J.E. Fisher (Eds.).
14. Garner D.M. The eating disorder inventory-3: professional manual 2004, Psychological Assessment Resources, Lutz, FL.
15. Gloster A.T., Klotsche J., Chaker S., Hummel K.V., Hoyer J. Assessing psychological flexibility: What does it add above and beyond existing constructs?. Psychological Assessment 2011, 23:970-982. 10.1037/a0024135.
16. Gregg J.A., Callaghan G.M., Hayes S.C., Glenn-Lawson J.L. Improving diabetes self-management through acceptance, mindfulness, and values: a randomized controlled trial. Journal of Consulting and Clinical Psychology 2007, 75(2):336.
17. Hayes A.F. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach 2013, Guildford Press, New York.
18. Hayes S.C., Luoma J.B., Bond F.W., Masuda A., Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy 2006, 44(1):1-25. 10.1016/j.brat.2005.06.006.
19. Hayes S.C., Masuda A., Bissett R., Luoma J., Guerrero L. DBT, FAP and ACT: How empirically oriented are the new behavior therapy technologies?. Behavior Therapy 2004, 35(1):35-54. 10.1016/S0005-7894(04)80003-0.
20. Hayes S.C., Pankey J. Experiential avoidance, cognitive fusion, and an ACT approach to anorexia nervosa. Cognitive and Behavioral Practice 2002, 9(3):243-247.
21. Hayes S.C., Strosahl K., Wilson K.G. Acceptance and commitment therapy 2012, Guilford Press.
22. Hayes S.C., Strosahl K.D., Wilson K.G., Bissett R.T., Pistorello J., Toarmino D., et al. Measuring experiential avoidance: A preliminary test of a working model. The psychological Record 2004, 54(4):553-578.
23. Hayes S.C., Wilson K.G., Gifford E.V., Follette V.M., Strosahl K. Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology 1996, 64:1152-1168. 10.1037/0022-006X.64.6.1152.
24. Hill M.L., Masuda A., Latzman R.D. Body image flexibility as a protective factor against disordered eating behavior for women with lower body mass index. Eating Behaviors 2013, 14:336-341.
25. Heffner M., Sperry J., Eifert G.H., Detweiler M. Acceptance and commitment therapy in the treatment of an adolescent female with anorexia nervosa: A case study. Cognitive and Behavioral Practice 2002, 9:232-236. 10.1016/S1077-7229(02)80053-0.
26. Hrabosky J.I., Cash T.F., Veale D., Neziroglu F., Soll E.A., Garner D.M., et al. Multidimensional body image comparisons among patients with eating disorders, body dysmorphic disorder, and clinical controls: A multisite study. Body Image 2009, 6:155-163. 10.1016/j.bodyim.2009.03.001.
27. Juarascio A., Forman E., Timko C.A., Butryn M., Goodwin C. The development and validation of the food craving acceptance and action questionnaire (FAAQ). Eating behaviors 2011, 12(3):182-187.
28. Juarascio A.S., Perone J., Timko C.A. Moderators of the relationship between body image dissatisfaction and disordered eating. Eating Disorders 2011, 19(4):346-354.
29. Juarascio A.S., Shaw J., Forman E.M., Timko C.A., Herbert J.D., Butryn M.L., et al. Acceptance and commitment therapy as a novel treatment for eating disorders an initial test of efficacy and mediation. Behavior Modification 2013, 37(4):459-489.
30. Keyser, J., Sharma, P., Pastelak, N., Wirth-Granlund, L., Testa, C., & Alloy, L. (2009). Do emotional avoidance and fear of emotions relate to disordered eating in undergraduate females. Paper presented at the Association for Behavioral and Cognitive Therapy.
31. Lillis J., Hayes S.C. Measuring avoidance and inflexibility in weight related problems. International Journal of Behavioral Consultation and Therapy 2008, 4(4):348-354.
32. Lowe M.R., Timko C.A. Dieting: really harmful, merely ineffective or actually helpful?. British Journal of Nutrition 2004, 92(1):19-22.
33. Machado P.P., Machado B.C., Gonçalves S., Hoek H.W. The prevalence of eating disorders not otherwise specified. International Journal of Eating Disorders 2007, 40(3):212-217. 10.1002/eat.20358.
34. Massey A., Hill A.J. Dieting and food craving. A descriptive, quasi-prospective study. Appetite 2012, 58(3):781-785.
35. McCracken L.M., Vowles K.E., Eccleston C. Acceptance of chronic pain: component analysis and a revised assessment method. Pain 2004, 107(1):159-166.
36. MacKenzie M.B., Kocovski N.L. 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 2010, 6(3):214-232.
37. Merwin R.M., Timko C., Moskovich A.A., Ingle K., Bulik C.M., Zucker N.L. Psychological inflexibility and symptom expression in anorexia nervosa. Eating Disorders: The Journal of Treatment and Prevention 2011, 19(1):62-82. 10.1080/10640266.2011.533606.
38. Merwin R.M., Zucker N.L., Timko C.A. A pilot study of Acceptance-Based Separated Family Treatment for adolescent anorexia nervosa. Cognitive and Behavioral Practice 2012, 10.1016/j.cbpra.2012.11.001.
39. Orsillo S.M., Batten S.V. ACT as treatment of a disorder of excessive control: Anorexia. Cognitive and Behavioral Practice 2002, 9(3):253-259. 10.1016/S1077-7229(02)80057-8.
40. Orsillo S.M., Roemer L., Lerner J., Tull M.T. Acceptance, mindfulness, and Cognitive-Behavioral Therapy: Comparisons, contrasts, and application to anxiety. Mindfulness and acceptance: expanding the cognitive-behavioral tradition 2004, 66-95. Guilford Press, New York, NY US. S.C. Hayes, V.M. Follette, M.M. Linehan, S.C. Hayes, V.M. Follette, M.M. Linehan (Eds.).
41. Paxton S.J., Diggens J. Avoidance coping, binge eating, and depression: An examination of the escape theory of binge eating. International Journal of Eating Disorders 1997, 22:83-87.
42. Pearson A.N., Follette V.M., Hayes S.C. A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice 2012, 19:181-197. 10.1016/j.cbpra.2011.03.001.
43. Powers M.B., Zum Vörde Sive Vörding M.B., Emmelkamp P.G. Acceptance and commitment therapy: A meta-analytic review. Psychotherapy and Psychosomatics 2009, 78:73-80. 10.1159/000190790.
44. Preacher K.J., Hayes A.F. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments and Computers 2004, 36(4):717-731.
45. Rosen J.C., Srebnik D., Saltzberg E., Wendt S. Development of a body image avoidance questionnaire. Psychological Assessment: A Journal of Consulting and Clinical Psychology 1991, 3:32-37. 10.1037/1040-3590.3.1.32.
46. Sandoz E.K., Wilson K.G., Merwin R.M., Kellum K.K. Assessment of Body Image Flexibility: The Body Image-Acceptance and Action Questionnaire. Journal of Contextual Behavioral Science 2013, 2:39-48.
47. Schembre S.M., Nigg C.R., Albright C.L. Race/ethnic differences in desired body mass index and dieting practices among young women attending college in Hawai'i. Hawaii Medical Journal 2011, 70(7 Suppl. 1):32-36.
48. Schoenefeld S.J., Webb J.B. Self-compassion and intuitive eating in college women: Examining the contributions of distress tolerance and body image acceptance and action. Eating Behaviors 2013, 14(4):493-496. 10.1016/j.eatbeh.2013.09.001.
49. Shawyer F., Ratcliff K., Mackinnon A., Farhall J., Hayes S.C., Copolov D. The voices acceptance and action scale (VAAS): Pilot data. Journal of Clinical Psychology 2007, 63:593-606.
50. Stice E., Shaw H.E. Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings. Journal of Psychosomatic Research 2002, 53:985-993. 10.1016/S0022-3999(02)00488-9.
51. Telch C.F., Agras W.S., Linehan M.M. Group dialectical behavior therapy for binge-eating disorder: A preliminary, uncontrolled trial. Behavior Therapy 2002, 31:569-582. 10.1016/S0005-7894(00)80031-3.
52. Thompson J.K., van den Berg P., Roehrig M., Guarda A.S., Heinberg L.J. The Sociocultural Attitudes Towards Appearance Scale-3 (SATAQ-3): Development and validation. International Journal of Eating Disorders 2004, 35:293-304. 10.1002/eat.10257.
53. Timko, C. A., Hormes, J., Roth, E., Limberakis, J., Chekroun, V. (May 2008). One session group intervention for body image dissatisfaction in college women: A comparison of psycho-education, cognitive therapy and acceptance and commitment therapy. In K. Polk (Chair), Body image, psychosis and trauma: a collection of treatment outcome studies. Paper presented at the annual meeting of the Association for Behavior Analysis, Chicago, IL.
54. Timko C.A., England E., Herbert J.D., Forman E. Use of the Implicit Relational Assessment Procedure as a measure of self-esteem. The Psychological Record 2010, 60:679-698.
55. Timko C.A., Merwin R.M., Herbert J.D., Zucker N. Acceptance-based Separated Family Treatment for adolescent anorexia nervosa. Renfrew Perspectives 2013, 1-6.
56. Timko C.A., Perone J. Rigid and flexible control of eating behavior in a college population. Eating Behaviors 2005, 6:119-125.
57. Timko C.A., Perone, Crossfield A. Are you currently on a diet? What respondents mean when they say "yes.". Eating Disorders: The Journal of Treatment and Prevention 2006, 14:157-166.
58. Twamley E.W., Davis M.C. The sociocultural model of eating disturbance in young women: The effects of personal attributes and family environment. Journal of Social and Clinical Psychology 1999, 18(4):467-489.
59. Tylka T.L. The relation between body dissatisfaction and eating disorder symptomatology: An analysis of moderating variables. Journal of Counseling Psychology 2004, 51:178-191. 10.1037/0022-0167.51.2.178.
60. Wanden-Berghe R.G., Sanz-Valero J., Wanden-Berghe C. The application of mindfulness to eating disorders treatment: a systematic review. Eating Disorders 2011, 19:34-48.
61. Wendell J.W., Masuda A., Le J.K. The Role of body image flexibility in the relationship between disordered eating cognitions and disordered eating symptoms among non-clinical college students. Eating Behaviors 2012, 13:240-245.