Cognitive-behavioral treatment of women's body-image dissatisfaction.

Body-image dissatisfaction is a problem that affects a substantial minority ofwomen and cuts across various diagnostic groups. College women with a significant level ofbody-image dissatisfaction were randomly assigned to either a cognitive-behavioral treatment (CBT) program (n = 15) or to a waiting-list control group (n = 16). The CBT program consisted of six structured, individual sessions that applied cognitive-behavioral procedures to the problem of negative body image. At pretest, posttest, and 7-week foUow-up, multiple aspects of body image and other areas of psychosocial functioning were assessed. Relative to the control condition, the CBT program successfully improved affective body image, weakened maladaptive body-image cognitions, and enhanced social self-esteem and feelings about physical fitness and sexuality. Treatment effects were largely maintained at followup. After posttest, the control group received a 3-week treatment with immediate effects that generally replicated those obtained in the 6-wer program.

[1]  P. Massman,et al.  Cognitive therapy versus systematic desensitization: is one treatment superior? , 1985, Psychological bulletin.

[2]  S. Wolchik,et al.  Treating bulimia: A psychoeducational approach , 1985 .

[3]  H. Lief,et al.  Medical Aspects of Human Sexuality , 1977 .

[4]  H. Eysenck Behavior Therapy Techniques , 1968 .

[5]  Alan E. Kazdin,et al.  Evaluation of behavior therapy: Issues, evidence, and research strategies , 1978 .

[6]  M. Goin,et al.  Changing the Body: Psychological Effects of Plastic Surgery , 1981 .

[7]  P. Lewinsohn,et al.  Depression as a function of levels of desired and obtained pleasure. , 1974, Journal of abnormal psychology.

[8]  J. Berman,et al.  The efficacy of cognitive behavior therapies: a quantitative review of the research evidence. , 1983, Psychological bulletin.

[9]  J. R. Knapp,et al.  Physical attractiveness, physical effectiveness, and self-concept in late adolescents. , 1976, Adolescence.

[10]  Joseph Wolpe,et al.  The practice of behavior therapy , 1969 .

[11]  R. Archer,et al.  Physical Attractiveness and Maladjustment Among Psychiatric Inpatients , 1985 .

[12]  T. Brown,et al.  Body Image in Anorexia Nervosa and Bulimia Nervosa , 1987, Behavior modification.

[13]  A. Farina,et al.  Physical attractiveness and mental illness. , 1977, Journal of abnormal psychology.

[14]  A. Ellis Reason and emotion in psychotherapy , 1962 .

[15]  K. O’grady Sex, physical attractiveness, and perceived risk for mental illness. , 1982, Journal of personality and social psychology.

[16]  W. Hargreaves,et al.  Assessment of client/patient satisfaction: development of a general scale. , 1979, Evaluation and program planning.

[17]  Rex Nettleford Mirror Mirror , 1971 .

[18]  Joseph Wolpe,et al.  The practice of behavior therapy, 2nd ed. , 1973 .

[19]  A. Fallon,et al.  Sex differences in perceptions of desirable body shape. , 1985, Journal of abnormal psychology.

[20]  D. Meichenbaum Stress inoculation training , 1985 .

[21]  Gerald C. Davison,et al.  Clinical Behavior Therapy , 1976 .

[22]  Philip C. Kendall,et al.  Handbook of research methods in clinical psychology , 1982 .

[23]  Philip C. Kendall,et al.  Cognitive-behavioral interventions : theory, research, and procedures , 1979 .

[24]  M. Hersen,et al.  The Clinical psychology handbook , 1983 .

[25]  J. Graham,et al.  The Psychology of cosmetic treatments , 1985 .

[26]  P. Garfinkel,et al.  Anorexia Nervosa : A Multidimensional Perspective , 1982 .

[27]  D. Garner,et al.  Body Image in Anorexia Nervosa: Measurement, Theory and Clinical Implications , 1982, International journal of psychiatry in medicine.

[28]  C. Horton,et al.  Aesthetic surgery: effects of rhinoplasty on the social perception of patients by others. , 1983, Plastic and reconstructive surgery.

[29]  A. Beck Cognitive therapy and the emotional disorders: A. T. Beck , 1987, British Journal of Psychiatry.

[30]  Robert L. Helmreich,et al.  Short forms of the Texas Social Behavior Inventory (TSBI), an objective measure of self-esteem , 1974 .

[31]  Body weight and body image among college women: perception, cognition, and affect. , 1986, Journal of personality assessment.

[32]  A. Summerfield,et al.  Body image: a selective review of existing measurement techniques. , 1982, The British journal of medical psychology.

[33]  T. F. Cash,et al.  Body image, physical attractiveness, and depression , 1985 .

[34]  S. Jourard,et al.  The appraisal of body-cathexis: body-cathexis and the self. , 1953, Journal of consulting psychology.

[35]  Susan Sprecher,et al.  Mirror, Mirror: The Importance of Looks in Everyday Life , 1985 .

[36]  Michael R. Solomon,et al.  The psychology of fashion , 1985 .

[37]  A. Ross,et al.  Relationship of body image to self-concept. , 1968, Journal of consulting and clinical psychology.

[38]  G. Burns,et al.  The role of physical attractiveness in the readjustment of discharged psychiatric patients. , 1986, Journal of abnormal psychology.