Emotion Dysregulation and Body Dissatisfaction in Female Population

The study investigated the relations between body dissatisfaction and emotional dysregulation. This is the first research focusing on the mediating effect of emotional dysregulation on the relationship between negative affect and body dissatisfaction in a Russian female population. It is particularly relevant given that both emotional dysregulation and body dissatisfaction may lead to the emergence of psychopathological symptoms (e.g., depression, self-injurious behavior, and eating disorders). 778 girls and women aged 14–40 years (M=19,8; SE=3,31) participated in the study. The following measures were used: Body Image Questionnaire (Skugarevsky, 2006), Emotional Dysregulation Questionnaire (Polskaya, Razvaliaeva, 2017), Emotion Regulation Questionnaire (Gross, John, 2003; Russian version by Pankratova, Kornienko, 2017) and Positive and Negative Affect Schedule (Watson et al., 1988; Russian version by Osin, 2012). High level of body dissatisfaction was significantly associated with high scores of rumination, avoidance and difficulties in mentalizing from the Emotional Dysregulation Questionnaire, high level of negative affect and low level of positive affect. Respondents with high body dissatisfaction also preferred expressive suppression to cognitive reappraisal for emotion regulation. Regression analysis showed that negative affect (b=0,20; p<0,001) and emotion dysregulation scales — rumination (b=0,66; p<0,001), avoidance (b=0,69; p<0,001) and difficulties in mentalizing (b=0,33; p<0,001) — significantly predicted body dissatisfaction (F(4, 773)=130,8, p<0,001; R2=0,405; R2adj=0,402). Emotion dysregulation scales mediated the effect of negative affect on body dissatisfaction.

1. Durneva M.Yu., Meshkova T.A. Vliyanie sotsiokul'turnykh standartov privlekatel'nosti na formirovanie otnosheniya k telu i pishchevogo povedeniya u devushek podrostkovogo i yunosheskogo vozrasta [Influence of social and cultural standards of attractiveness on the formation of the relationship to the body and eating behaviors in adolescent girls and young women]. Psikhologicheskaya nauka i obrazovanie=Psychological Science and Education, 2013, vol. 18, no. 2, pp. 25–34. (In Russ., аbstr. in Engl.)
2. Erohina E.A., Filippova E.V. Obraz tela i otnoshenie k svoemu telu u podrostkov: semeinye i sotsiokul'turnye faktory vliyaniya (po materialam zarubezhnykh issledovanii) [Elektronnyi resurs]. Sovremennaya zarubezhnaya psikhologiya=Journal of Modern Foreign Psychology, 2019, vol. 8, no. 4, pp. 57–68. DOI:10.17759/jmfp.201908040 (In Russ., аbstr. in Engl.)
3. Osin E.N. Izmerenie pozitivnykh i negativnykh emotsii: razrabotka russkoyazychnogo analoga metodiki   PANAS   [Measuring   Positive   and   Negative   Affect:   Development   of a Russian-language Analogue of PANAS]. Psikhologiya: zhurnal Vysshei shkoly ekonomiki=Psychology. Journal of the Higher School of Economics, 2012, vol. 9, no. 4, pp. 91–110. (In Russ., аbstr. in Engl.)
4. Pankratova A.A., Kornienko D.S. Russkoyazychnaya adaptatsiya oprosnika ERQ (Emotion Regulation Questionnaire) Dzh. Grossa [Russian adaptation of J. Gross ERQ (Emotion Regulation Questionnaire)]. Voprosy psikhologii= The Issues Relevant to Psychology, 2017, no. 5, pp. 139–149. (In Russ., аbstr. in Engl.)
5. Polskaya N.A. Narusheniya emotsional'noi regulyatsii pri samopovrezhdayushchem povedenii [Emotion dysregulation in self-injurious behavior]. Psikhologicheskii zhurnal=Psychological Journal, 2018, Vol. 39, no. 4, pp. 27–37. DOI: 10.31857/ S020595920000067-9 (In Russ., аbstr. in Engl.)
6. Polskaya N.A. Emotsional'naya disregulyatsiya v strukture samopovrezhdayushchego povedeniya [Emotion Dysregulation in the Structure of Self-Injurious Behavior]. Konsul'tativnaya psikhologiya i psikhoterapiya=Counseling Psychology and Psychotherapy, 2018, vol. 26, no. 4, pp. 65–82. DOI: 10.17759/cpp.2018260405 (In Russ., аbstr. in Engl.)
7. Pol'skaya N.A., Razvalyaeva A.Yu. Razrabotka oprosnika emotsional'noi disregulyatsii [The development of the “Emotion Dysregulation” Questionnaire]. Konsul'tativnaya psikhologiya i psikhoterapiya=Counseling Psychology and Psychotherapy, 2017, vol. 25, no. 4, pp. 71–93. DOI: 10.17759/cpp.2017250406. (In Russ., abstr. in Engl.)
8. Razvalyaeva    A.Yu.,    Pol'skaya     N.A.     Russkoyazychnaya     adaptatsiya     metodik «Chuvstvitel'nost' k otverzheniyu iz-za vneshnosti» i «Strakh negativnoi otsenki vneshnosti» [Validating Appearance-Based Rejection Sensitivity and Fear of Negative Appearance Evaluation Scales in the Russian Sample]. Konsul'tativnaya psikhologiya i psikhoterapiya=Counseling Psychology and Psychotherapy, 2020, vol. 28, no. 4, pp. 118–143. DOI: 10.17759/cpp.2020280407 (In Russ., abstr. in Engl.)
9. Skugarevskii O.A. Narusheniya pishchevogo povedeniya [Eating disorders: monograph]. Minsk: BGMU, 2007. 340 p. (In Russ.)
10. Skugarevskii O.A., Sivukha S.V. Obraz sobstvennogo tela: razrabotka instrumenta dlya otsenki [Developing a scale to assess body image]. Psikhologicheskii zhurnal=Psychological Journal, 2006, vol. 10, no. 2, pp. 40–48. (In Russ.)
11. Tarkhanova P.M., Kholmogorova A.B. Sotsial'nye i psikhologicheskie faktory fizicheskogo perfektsionizma i neudovletvorennosti svoim telom [Social and Psychological Factors of Physical Perfectionism and Body Dissatisfaction]. Psikhologicheskaya nauka i obrazovanie=Psychological Science and Education, 2011, vol. 16, no. 5, pp. 52–60. URL: https://psyjournals.ru/psyedu/2011/n5/48716.shtml (Accessed: 18.02.2021). (In Russ., аbstr. in Engl.)
12. Faustova A.G., Yakovleva N.V. Problemy definitsii i izmereniya normativnoi neudovletvorennosti telom v klinicheskoi psikhologii [The problems of definition and measurement of normative dissatisfaction with a body in clinical psychology]. Lichnost' v menyayushchemsya mire: zdorov'e, adaptatsiya, razvitie=Personality in a changing world: health, adaptation, development, 2017, vol. 5, № 3(18), pp. 359–380. (In Russ., in Engl.)
13. Kholmogorova A.B., Tarkhanova P.M. Standarty vneshnosti i kul'tura: rol' fizicheskogo perfektsionizma i ego posledstviya dlya zdorov'ya podrostkov i molodezhi [Standards of appearance and culture: The role of physical perfectionism and its consequences for the health of adolescents and young people]. Voprosy psikhologii=The Issues Relevant to Psychology, 2014, no. 2, pp. 52–65. (In Russ.)
14. Yakubovskaya D.K., Pol'skaya N.A. Ideal «khudogo tela» i samoob"ektivatsiya v sotsial'nykh media [Thinness ideal and self-objectivation in the social media]. In VII Vserossiiskaya nauchno-prakticheskaya konferentsiya po psikhologii razvitiya (chteniya pamyati L.F. Obukhovoi) «Vozmozhnosti i riski tsifrovoi sredy». Sbornik materialov konferentsii (tezisov) (g. Moskva, 12–13 dekabrya 2019 g.)=VII All-Russian scientific and practical conference in developmental psychology (in the memory of Lyudmila F. Obukhova) “Opportunities and risks in the digital world”. Conference proceedings], vol. 2. Moscow: bubl of MSUPE, 2019, pp. 368–371. (In Russ.)
15. Aldao A., Nolen-Hoeksema S., Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 2010, vol. 30, no. 2, pp. 217–237. DOI: 10.1016/j.cpr.2009.11.004
16. Asberg K., Wagaman A.L. Emotion regulation abilities and perceived stress as predictors of negative body image and problematic eating behaviors in emerging adults. American Journal of Psychology, 2010, vol. 6, no. 1, pp. 193–217.
17. Berking M. Wupperman P. Emotion regulation and mental health: Recent findings, current challenges, and future directions. Current Opinion in Psychiatry, 2012, vol. 25, no. 2, pp. 128–34. DOI: 10.1097/YCO.0b013e3283503669
18. Cash T.F. Cognitive-behavioral perspectives on body image. In T.F. Cash, L. Smolak (eds.), Body Image: A Handbook of Science, Practice, and Prevention. New York: The Guilford Press, 2011, pp. 39–47.
19. Cuesta-Zamora C., González-Martí I., García-López L.M. The role of trait emotional intelligence in body dissatisfaction and eating disorder symptoms in preadolescents and adolescents. Personality and Individual Differences, 2018, vol. 126, pp. 1–6. DOI: 10.1016/j.paid.2017.12.021
20. De Berardis D., Carano A., Gambi F. et al. Alexithymia and its relationships with body checking and body image in a non-clinical female sample. Eating Behaviors, 2007, vol. 8, no. 3, pp. 296–304. DOI: 10.1016/j.eatbeh.2006.11.005
21. Dyl J., Kittler J., Phillips K.A. et al. Body dysmorphic disorder and other clinically significant body image concerns in adolescent psychiatric inpatients: Prevalence and clinical characteristics. Child Psychiatry and Human Development, 2006, vol. 36, no. 4, pp. 369–382. DOI: 10.1007/s10578-006-0008-7
22. Frederick D.A., Jafary A.M., Gruys K. et al. Surveys and the epidemiology of body image dissatisfaction. In T. Cash (ed), Encyclopedia of Body Image and Human Appearance. Waltham, MA: Academic Press, 2012, pp. 766–774. DOI: 10.1016/B978-0-12-384925- 0.00121-8
23. Ganesan S., Ravishankar S.L., Ramalingam S. Are body image issues affecting our adolescents? A cross-sectional study among college going adolescent girls. Indian Journal of Community Medicine, 2018, vol. 43, no. 5, pp. 42–46. DOI: 10.4103/ijcm.IJCM_62_18
24. Ginsberg R.L., Tinker L., Jingmin L. et al. Prevalence and correlates of body image dissatisfaction in postmenopausal women. Women & Health, 2016, vol. 56, no. 1, pp. 23–47. DOI: 10.1080/03630242.2015.1074636
25. Gordon K.H., Holm-Denoma J.M., Troop-Gordon W. et al. Rumination and body dissatisfaction interact to predict concurrent binge eating. Body Image, 2012, vol. 9, no. 3, pp. 352–357. DOI: 10.1016/j.bodyim.2012.04.001
26. Gratz K.L., Roemer L. Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 2004, vol. 26, no. 1, pp. 41–54. DOI: 10.1007/s10862-008-9102-4
27. Grogan S. Body image development in adulthood. In T.F. Cash, L. Smolak (eds.), Body Image: A Handbook of Science, Practice, and Prevention. New York: The Guilford Press, 2011, pp. 93–100.
28. Gross J.J. Emotion Regulation: Сurrent status and future prospects. Psychological Inquiry: An International Journal for the Advancement of Psychological Theory, 2015, vol. 26, no. 1, pp. 1–26. DOI: 10.1080/1047840X.2014.940781
29. He J., Sun S., Zickgraf H.F. et al. Meta-analysis of gender differences in body appreciation. Body Image, 2020, vol. 33, pp. 90–100. DOI: 10.1016/j.bodyim.2020.02.011
30. Hughes E.K., Gullone E. Emotion regulation moderates relationships between body image concerns and psychological symptomatology. Body Image, 2011, vol. 8, no.   3, pp. 224–231. DOI: 10.1016/j.bodyim.2011.04.001
31. Marengo D., Longobardi C. Highly visual social media and internalizing symptoms in adolescence: The mediating role of body image concerns. Computers in Human Behavior, 2018, vol. 82, pp. 63–69. DOI: 10.1016/j.chb.2018.01.003
32. Matthiasdottir E., Jonsson S.H., Kristjansson A.L. Body weight dissatisfaction in the Icelandic adult population: a normative discontent? European Journal of Public Health, 2012, vol. 22, no. 1, pp. 116–121. DOI: 10.1093/eurpub/ckq178
33. McComb S.E., Mills J. Young women's body image following upwards comparison to Instagram models: The role of physical appearance perfectionism and cognitive emotion regulation. Body Image, 2021, vol. 38, pp. 49–62. DOI: 10.1016/j.bodyim.2021.03.012
34. Muehlenkamp J., Brausch A. Body image as a mediator of non-suicidal self-injury in adolescents. Journal of Adolescence, 2011, vol. 35, no. 1, pp. 1–9. DOI: 10.1016/ j.adolescence.2011.06.010
35. Muehlenkamp J., Peat C., Claes L. et al. Self-Injury and disordered eating: expressing emotion dysregulation through the body. Suicide & Life-Threatening Behavior, 2012, vol. 42, no. 4, pp. 416–425. DOI: 10.1111/j.1943-278X.2012.00100.x
36. Palmeroni N., Luyckx K., Verschueren M. et al. Body dissatisfaction as a mediator between identity formation and eating disorder symptomatology in adolescents and emerging adults. Psychologica Belgica, 2020, vol. 60, no. 1, pp. 328–346. DOI: 10.5334 /pb.564
37. Perloff R.M. Social media effects on young women’s body image concerns: Theoretical perspectives and an agenda for research. Sex Roles, 2014, vol. 71, no. 11-12, pp. 363–377. DOI: 10.1007/s11199-014-0384-6
38. Ricciardelli L.A., McCabe M.P. Children’s body image concerns and eating disturbance: A review of the literature. Clinical Psychology Review, 2001, vol. 21, no. 3, pp. 325–344. DOI: 10.1016/s0272-7358(99)00051-3
39. Rosewall J.K., Gleaves D.H., Latner J.D. An examination of risk factors that moderate the body dissatisfaction-eating pathology relationship among New Zealand adolescent girls. Journal of Eating Disorders, 2018, vol. 6, no. 1, pp. 1–10. DOI: 10.1186/s40337-018-0225-z
40. Selby E.A., Anestis M.D., Joiner T.E. Understanding the relationship between emotional and behavioral dysregulation: Emotional cascades. Behaviour Research and Therapy, 2008, vol. 46, no. 5, pp. 593–611. DOI: 10.1016/j.brat.2008.02.002
41. Stice E., Gau J.M., Rohde P. et al. Risk factors that predict future onset of each DSM– 5 eating disorder: Predictive specificity in high-risk adolescent females. Journal of Abnormal Psychology, 2017, vol. 126, no. 1, pp. 38–51. DOI: 10.1037/abn0000219
42. Striegel-Moore R.H., Silberstein L.R. et al. Toward an understanding of risk factors for bulimia. American Psychologist, 1986, vol. 41, no. 3, pp. 246–263. DOI: 10.1037//0003- 066X.41.3.246
43. Thompson J.K., Stice E.   Thin-ideal internalization: Mounting evidence for a new risk factor for body-image disturbance and eating pathology. Current Directions in Psychological Science, 2001, vol. 10, no. 5, pp. 181–183. DOI: 10.1111/1467-8721.00144
44. Tiggemann M. Considerations of positive body image across various social identities and special populations. Body Image, 2015, vol. 14, pp. 168–176. DOI: 10.1016/j.bodyim.2015.03.002
45. Timko C.A., Juarascio A.S., Martin L.M. et al. Body image avoidance: An under- explored yet important factor in the relationship between body image dissatisfaction and disordered eating. Journal of Contextual Behavioral Science, 2014, vol. 3, no. 3, pp. 203–211. DOI: 10.1016/j.jcbs.2014.01.002
46. Walker D.C., White E.K., Srinivasan V. A meta-analysis of the relationships between body checking, body image avoidance, body image dissatisfaction, mood, and disordered eating. International Journal of Eating Disorders, 2018, vol. 51, no. 8, pp. 1–26. DOI: 10.1002/eat.22867
47. Wertheim E.H., Paxton S.J. Body image development in adolescent girls. In T.F. Cash, L. Smolak (Eds.), Body Image: A Handbook of Science, Practice, and Prevention. New York: The Guilford Press, 2011, pp. 76–84.