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      Body image as a global mental health concern

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          Abstract

          Body image concerns related to weight or other dimensions of appearance are now prevalent on a global scale. This paper reviews the theoretical frameworks that account for the global similarities and regional differences in rates and presentation of body image concerns, as well as reviewing the extant data. Given the harmful consequences of body image concerns in terms of mental and physical health, their global burden is high. Interventions to mitigate these concerns at the individual and systemic level are warranted.

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          Most cited references125

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          The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: results of the international body project I.

          This study reports results from the first International Body Project (IBP-I), which surveyed 7,434 individuals in 10 major world regions about body weight ideals and body dissatisfaction. Participants completed the female Contour Drawing Figure Rating Scale (CDFRS) and self-reported their exposure to Western and local media. Results indicated there were significant cross-regional differences in the ideal female figure and body dissatisfaction, but effect sizes were small across high-socioeconomic-status (SES) sites. Within cultures, heavier bodies were preferred in low-SES sites compared to high-SES sites in Malaysia and South Africa (ds = 1.94-2.49) but not in Austria. Participant age, body mass index (BMI), and Western media exposure predicted body weight ideals. BMI and Western media exposure predicted body dissatisfaction among women. Our results show that body dissatisfaction and desire for thinness is commonplace in high-SES settings across world regions, highlighting the need for international attention to this problem.
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            What is and what is not positive body image? Conceptual foundations and construct definition

            A decade ago, research on positive body image as a unique construct was relatively nonexistent, and now this area is flourishing. How and why did positive body image scholarship emerge? What is known about this contemporary construct? This article situates and contextualizes positive body image within Cash's scholarship, eating disorder prevention efforts, feminist influences, strength-based disciplines within psychology, and Buddhism. Extracting insights from quantitative and qualitative research, this article demonstrates that positive body image is (a) distinct from negative body image; (b) multifaceted (including body appreciation, body acceptance/love, conceptualizing beauty broadly, adaptive investment in appearance, inner positivity, interpreting information in a body-protective manner); (c) holistic; (d) stable and malleable; (e) protective; (f) linked to self-perceived body acceptance by others; and (g) shaped by social identities. Complementing what positive body image is, this article further details what positive body image is not to provide a more nuanced understanding of this construct.
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              Exacting beauty: Theory, assessment, and treatment of body image disturbance.

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                Author and article information

                Journal
                Glob Ment Health (Camb)
                Glob Ment Health (Camb)
                GMH
                Cambridge Prisms: Global Mental Health
                Cambridge University Press (Cambridge, UK )
                2054-4251
                2023
                27 February 2023
                : 10
                : e9
                Affiliations
                [1 ]APPEAR, Department of Applied Psychology, Northeastern University , Boston, Massachusetts, USA
                [2 ]Department of Psychiatric Emergency & Acute Care, Lapeyronie Hospital, CHRU Montpellier , Montpellier, France
                [3 ]NICTA, Body Image and Eating Disorders Research Group, Federal University of Juiz de Fora , Juiz de Fora, Brazil
                [4 ]AMBULIM, Eating Disorders Program, Institute of Psychiatry, University of São Paulo , São Paulo, Brazil
                Northeastern University , United States
                University of Gothenburg , Sweden
                Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam , Netherlands
                Johns Hopkins University Bloomberg School of Public Health , United States
                London School of Hygiene & Tropical Medicine , United Kingdom of Great Britain and Northern Ireland
                Author notes
                Author for correspondence: Rachel F. Rodgers, Email: r.rodgers@ 123456northeastern.edu

                I have previously co-authored manuscripts with the first author of this manuscript but have not been involved in the preparation of this manuscript.

                I have personal relationships with some authors. But I do not believe that this have influenced my review.

                Author information
                https://orcid.org/0000-0001-9874-8620
                https://orcid.org/0000-0001-6628-9693
                Article
                S205442512300002X
                10.1017/gmh.2023.2
                9970735
                36861019
                9ef78edf-cd60-4867-b4d7-2a6e8a58f6ec
                © The Author(s) 2023

                This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence ( http://creativecommons.org/licenses/by-nc-sa/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use.

                History
                : 08 August 2022
                : 16 December 2022
                : 24 January 2023
                Page count
                References: 127, Pages: 8
                Categories
                Review
                Etiology
                Epidemiology
                Etiology
                Risks and Protective Factors, Including Social Risk

                body image,appearance,culture,global,mental health
                body image, appearance, culture, global, mental health

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