How evaluative pairings improve body dissatisfaction in adult women: evidence from a randomized-controlled online study

Abstract

Background

Many young women are dissatisfied with their bodies. This study investigated the effect on current body dissatisfaction levels of a newly developed evaluative conditioning procedure that paired self-similar and self-dissimilar images of bodies with positive and neutral affective images, respectively. We hypothesized that learning the contingency that self-similar bodies predict positive affectivity is one process that could aid in explaining how these procedures function.

Methods

Adult women without disordered eating pathology participated in an online experiment with random assignment to an intervention or a control condition. All participants initially rated body images in self-similarity and were subsequently asked to categorize positive and neutral images by valence as quickly and accurately as possible. In the intervention condition, self-similar bodies systematically preceded positive images, and self-dissimilar images preceded neutral images, creating a similar body → positive contingency. Pairings in the control condition were unsystematic such that no contingency was present. We measured categorization latencies and accuracies to infer contingency learning as well as current body dissatisfaction immediately before and after exposure to the pairings. All participants further completed measures of trait body image concerns and disordered eating psychopathology at baseline, which we examined as moderators of an expected relation between condition assignment, contingency learning, and body dissatisfaction improvements.

Results

We analyzed data from N = 173 women fulfilling the inclusion criteria. Moderated mediation analyses showed that assignment to the intervention (vs. control) condition predicted increased similar body → positive contingency learning, which in turn predicted improved body dissatisfaction post-intervention, but only among women with higher pre-existing trait body image concerns or disordered eating levels.

Conclusions

The findings point toward the relevancy of further exploring the utility of pairing procedures. Similar body → positive contingency learning predicted improved body dissatisfaction in individuals with normatively high body image concerns, which suggests pairing procedures could help inform future research on reducing body dissatisfaction.

Supplementary Information

The online version contains supplementary material available at 10.1186/s40337-024-00975-4.

Abstract

Many people are dissatisfied with how their bodies look or how much they weigh. Body dissatisfaction can increase the risk of developing an eating disorder. This study tested a method for reducing body dissatisfaction among women. The method included pairing pictures of bodies judged as similar to one’s own body with positive pictures. For one half of the study participants, we arranged the pairings in a way that one could systematically learn that similar body pictures and positive pictures go together. Compared to the other half of study participants who were shown pairings by chance, we found that study participants indeed learned that similar body pictures and positive pictures go together. Moreover, this learning made participants who were generally dissatisfied with their bodies or who reported disordered eating symptoms more satisfied with their bodies immediately after the procedure. These findings suggest that the method could be further developed, investigated, and used in treating or preventing eating disorders.

Supplementary Information

The online version contains supplementary material available at 10.1186/s40337-024-00975-4.