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Reducing the Impact of Media Images on Women At Risk For Body Image Disturbance: Three Targeted Interventions

Recent research has shown that exposure to the ideal thin standard of female beauty commonly presented in advertising and the broader media contributes to body image disturbance among women. Researchers have proposed that social comparison processes underlie this phenomenon; women may routinely compare their bodies with images of feminine beauty contained in the media and consequently become less satisfied with their own bodies. This study reports the evaluation of three interventions that were designed to prevent women from experiencing body image disturbance when exposed to media images by interrupting the social comparison process. Experimental data suggest that all three interventions (a) decreased the likelihood of female participants comparing their bodies with media images, and (b) prevented media-induced body image disturbance. The content of the interventions, and implications for the treatment and prevention of body image disturbance and eating disorders are discussed.


  • Albee , G. W. & Gullotta, T. P. (1986). Facts and fallacies about primary prevention. Journal of Primary Prevention, 6, 207–218. CrossrefGoogle Scholar
  • Andersen , A. E. (1985). Practical comprehensive treatment of anorexia nervosa and bulimia. Baltimore, MD: Johns Hopkins University Press. Google Scholar
  • Cash , T. F. & Brown, T. A. (1987). Body image in anorexia nervosa andbulimia nervosa: A review of the literature. Behavior Modification, 11, 487–521. CrossrefGoogle Scholar
  • Cash , T. F. & Henry, P. E. (1995). Women's body images: The results of a national survey in the USA Sex Roles, 33, 19–28. CrossrefGoogle Scholar
  • Cash , T. F. & Lavalle, D. M. (1997). Cognitive-behavioral body-image therapy: extended evidence of the efficacy of a self-directed program. Journal of Rational-Emotive and Cognitive Behavior Therapy, 15, 281–294. CrossrefGoogle Scholar
  • Cash , T. F., Winstead, B. A. & Janda, L. H. (1986). Body image survey report: The great American shape-up. Psychology Today, 24, 30–37. Google Scholar
  • Cohen , J. (1977). Statistical power analysis for the behavioral sciences (Rev. ed.). New York: Academic Press. Google Scholar
  • Cohen , J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Mahwah, NJ: Erlbaum. Google Scholar
  • Evans , N., Gilpin, E., Farkas, A. J., Shenassa, E. & Pierce, J. P. (1995). Adolescents' perceptions of their peers' health norms. American Journal of Public Health, 85, 1064–1069. CrossrefGoogle Scholar
  • Franzoi , S. L. & Herzog, M. E. (1986). The body esteem scale: A convergent and discriminant validity study. Journal of Personality Assessment, 50, 24–31. CrossrefGoogle Scholar
  • Franzoi , S. L. & Shields, S. A. (1984). The Body Esteem Scale: Multidimensional structure and sex differences in a college population. Journal of Personality Assessment, 48, 173–178. CrossrefGoogle Scholar
  • Garner , D. M (1991). Eating Disorder Inventory-2. Odessa, FL: Psychological Assessment Resources, Inc. Google Scholar
  • Garner , D. M., Rockert, W., Olmsted, M. P., Johnson, C. & Coscina, D. V. (1985). Psychoeducational principles in the treatment of bulimia and anorexia nervosa. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of psychotherapy for anorexia nervosa and bulimia (pp. 513–572). New York: Guilford Press. Google Scholar
  • Grant , J. R. & Cash, T. F. (1995). Cognitive-behavioral body image therapy: Comparative efficacy of group and modest-contrast treatments. Behavior Therapy, 26, 69–84. CrossrefGoogle Scholar
  • Hays , W. L. (1993). Statistics (4th ed.). New York: Harcourt Brace Jovanovich. Google Scholar
  • Heinberg , L. J. & Thompson, J. K. (1995). Body image and televised images of thinness and attractiveness: A controlled laboratory investigation. Journal of Social and Clinical Psychology, 14, 325–338. LinkGoogle Scholar
  • Higgins , E. T. (1987). Self-discrepancy: A theory relating self and affect. Psychological Review, 94, 319–340. CrossrefGoogle Scholar
  • Irving , L. M. (1990). Mirror images: Effects of the standard of beauty on the self- and body-esteem of women exhibiting varying levels of bulimic symptoms. Journal of Social and Clinical Psychology, 9, 230–242. LinkGoogle Scholar
  • Irving , L. M., Dupen, J. & Berel, S. (1998). A media literacy program for high school females. Eating Disorders: the Journal of Treatment & Prevention, 6, 119–131. CrossrefGoogle Scholar
  • Jacobi , L. & Cash, T. F. (1994). In pursuit of perfected appearance: Discrepancies among self-ideal percepts of multiple physical attributes. Journal of Applied Social Psychology, 24, 379–396. CrossrefGoogle Scholar
  • Keys , A., Brozek, J., Henschel, A., Mickelsen, O. & Taylor, H. L. (1950). The biology of human starvation. Minneapolis, MN: University of Minnesota Press. Google Scholar
  • Lakoff , R. T. & Scherr, R. L. (1984). Face value: The politics of beauty. Boston: Routledge & Kegan Paul. Google Scholar
  • Levine , M. P., Smolak, L. & Schermer, F. (1996). Media analysis and resistance by elementary school children in the primary prevention of eating problems. Eating Disorders: The Journal of Treatment and Prevention, 4, 310–322. CrossrefGoogle Scholar
  • Lipsey , M. W. (1990). Design sensitivity: Statistical power for experimental research. Newbury Park, CA: Sage. Google Scholar
  • Martin , M. C. & Kennedy, P. F. (1993). Advertising and social comparison: Consequences for female preadolescents and adolescents. Psychology and Marketing, 10, 513–530. CrossrefGoogle Scholar
  • Nisbett , R. E. (1972). Eating behavior and obesity in men and animals. Advances in Psychosomatic Medicine, 7, 173–193. CrossrefGoogle Scholar
  • Polivy , J. & Herman, P. C. (1985). Dieting and binging. American Psychologist, 40, 193–201. CrossrefGoogle Scholar
  • Posavac , H. D., Posavac, S. S. & Posavac, E. J. (1998). Exposure to media images of female attractiveness and concern with body weight among young women. Sex Roles, 34, 187–201. CrossrefGoogle Scholar
  • Richins , M. L. (1991). Social comparison and the idealized images of advertising. Journal of Consumer Research, 18, 71–83. CrossrefGoogle Scholar
  • Rosen , J. C. (1996). Body image assessment and treatment in controlled studies of eating disorders. International Journal of Eating Disorders, 20, 331–343. CrossrefGoogle Scholar
  • Rosen , J. C., Reiter, J. & Orosan, P. (1995). Cognitive behavioral body image therapy for body dysmorphic disorder. Journal of Consulting and Clinical Psychology, 63, 263–269. CrossrefGoogle Scholar
  • Schlundt , D. G. & Johnson, W. G. (1990). Eating disorders assessment and treatment. Boston: Allyn & Bacon. Google Scholar
  • Silberstein , L. R., Striegel-Moore, R. H. & Rodin, J. (1987). Feeling fat: A woman's shame. In H. B. Lewis (Ed.), The role of shame in symptom formation (pp. 89–108). Mahwah, NJ: Erlbaum. Google Scholar
  • Silverstein , B., Perdue, L., Peterson, B. & Kelly, E. (1986). The role of mass media in promoting a thin standard of bodily attractiveness for women. Sex Roles, 14, 519–532. CrossrefGoogle Scholar
  • Stein , D. M. & Reichert, P. (1990). Extreme dieting behaviors in early adolescence. Journal of Early Adolescence, 10, 108–121. CrossrefGoogle Scholar
  • Stice , E., Schupak-Neuberg, E., Shaw, H. E. & Stein, R. I. (1994). Relation of media exposure to eating disorder symptomatology: An examination of mediating mechanisms. Journal of Abnormal Psychology, 103, 836–840. CrossrefGoogle Scholar
  • Stice , E. & Shaw, H. E. (1994). Adverse effects of the media portrayed thin-ideal on women and linkages to bulimic symptomatology. Journal of Social and Clinical Psychology, 13, 288–308. LinkGoogle Scholar
  • Striegel-Moore , R. H., Silberstein, L. R. & Rodin, J. (1986). Toward an understanding of risk factors for bulimia. American Psychologist, 41, 246–263. CrossrefGoogle Scholar
  • Thomas , C. D. & Freeman, R. J. (1990). The body esteem scale: Construct validity of the female subscales. Journal of Personality Assessment, 54, 204–212. CrossrefGoogle Scholar
  • Thompson , J. K. (1990). Body image disturbance: Assessment and treatment. New York: Pergamon. Google Scholar
  • Wood , J. (1989). Contemporary social comparison theory. Psychological Bulletin, 106, 231–248. CrossrefGoogle Scholar
  • Wooley , S. C. & Wooley, O. W. (1984, February). Feeling fat in a thin society. Glamour, 198–252. Google Scholar