Vouloir un enfant et de pas parvenir à en concevoir peut constituer pour le couple qui consulte en centre de procréation médicalement assistée (PMA) une véritable épreuve assimilable à une crise de vie voire même à un deuil, celui notamment de la fertilité naturelle. Selon que l'on soit une femme ou un homme, le vécu peut différer. La prise en charge en centre de PMA peut s'accompagner de sentiments ambivalents. Le couple peut débuter les tentatives avec beaucoup d'espoir puis, lorsqu'ils ne sont pas satisfaits, passer par des phases plus négatives. Des tensions peuvent apparaître dans la relation de couple, affectant la communication et le vécu individuel. Certaines études se sont intéressées au vécu de ceux qui consultaient en centre de PMA mais rares sont finalement celles qui, en France, ont sondé leur projet d'enfant de façon précise par le biais de questionnaires. Il en est de même pour leur vécu corporel qui semble souvent délaissé malgré l'impact que peuvent représenter l'infertilité et les traitements associés sur l'identité et l'image du corps, notamment, sur la satisfaction corporelle. Ce travail a donc eu pour objectif d'étudier de façon exploratoire le projet d'enfant ainsi que le vécu corporel des couples consultant en centre de PMA au moyen d'outils complets et récemment soumis à validation. Les individus (N=102, moyenne d'âge=36 ans) ont été rencontrés dans trois centres de PMA (Hôpital Jean Verdier de Bondy, Hôpital Bèclère de Clamart et Hôpital Pellegrin de Bordeaux) et invités à remplir les questionnaires qui leur ont été fournis. Certains couples ont aussi été observés et écoutés lors de leur entretien avec le psychologue de la structure afin de compléter les résultats issus des questionnaires. Ces résultats ont été comparés avec ceux du groupe témoin. Les résultats de cette étude suggèrent qu'il existe des différences de vécu en fonction du genre mais aussi entre le groupe clinique et le groupe contrôle. On note, par exemple, que les individus consultant en centre de PMA sont plus satisfaits de leur apparence corporelle que la population témoin, ce qui va à l'encontre des résultats attendus. Cette étude exploratoire a soulevé de nombreuses questions et montre l'intérêt qu'il y a à s'intéresser au vécu corporel et au projet d'enfant des couples consultant en centre de PMA. Elle offre des perspectives non seulement cliniques mais aussi préventives ainsi que pour des recherches futures en ce qui concerne la problématique infertile. / To will a child without success to get it is a difficult step for couple who consult in Medically Assisted Procreation (MAP) center. This step can be comparable to crisis, or even bereavement, notably the natural fertility mourning. As we are a woman or a man, the personal experience can be different. Ambivalent feelings can come along the coverage of couple in MAP center. Couple can start attempt with lot of hope then, when they are not satisfied, go through negative one. Tensions can appear in the couple relationship, affecting communication and personal experience. Some studies were interested on personal experience of those who consult on MAP center, but French studies assessing child project through questionnaire are scarce. Studies of body dissatisfaction of these peoples are often unaccounted-for despite the involvement of infertility and associated treatment on identity and body dissatisfaction. This work aimed to study, in an exploratory way, child project and physical personal experience of couple consulting in MAP center, through comprehensive and validated tools. Subjects (N=102, M age=36 y.o.) have been chosen in 3 MAP centers (Hospital Jean Verdier at Bondy, Hospital Bèclère at Clamart and Hospital Pellegrin at Bordeaux) and were invited to fill out questionnaires. To complete questionnaires results, some couples have been observed during interview with the psychologist from the hospital. These results have been compared with those from the control group. Results suggest there is a different personal experience according to the gender but also between control group and clinical one. Notably, couples consulting in AMP center are more satisfied of their body appearance than the control group, which is in opposite of expected results. This exploratory study raised numerous questions and shows the interest to study physical personal experience and the child project of couple consulting in AMP center. It gives clinical and precautionary measure prospects as well as future research on infertile problems.

This study examines counselors understanding of body fixation (alt: body image fixation) as a social problem among young women aged 15-25 years. Earlier research on this subject highlights the standards and ideals placed on the female body where happiness is associated with a slim body figure. Research has shown that young women that compare their own bodies with others are at higher risk at developing an unhealthy relationship with their body, which can lead to eating disorders. The data for this study was collected through semi-structured interviews with nine counselors from youth clinics, schools and primary healthcare. The results were interpreted and analysed in the light of social constructionist perspective as developed by Berger & Luckmann and Loseke's social constructionist definition of social problems. The results of analysis show that counselors’ understandings of body fixation are constructed and perceived as a problem of body fixation which itself is part of a larger problem. Namely, the cause of body fixation is connected to a variety of factors such as poor self-esteem, parents’ behaviour in relation to their own bodies and the depiction of female body ideals in mass media, among others. Counselors meant that body fixation often becomes problematic as it drives young women to isolation and withdrawal from their social environments. The results reveal several similarities in relation to earlier research on the subject, and we conclude by presenting our own suggestions and ideas for future research within the subject, such as for instance increasing of the awareness of body fixation among young men. / Denna studie behandlar kuratorers uppfattning om kroppsfixering som ett socialt problem hos unga kvinnor i åldern 15-25 år. Tidigare forskning kring ämnet har framförallt belyst samhällets bild av kvinnokroppen genom de rådande kropp- och skönhetsidealen där ett smalhetsideal hör ihop med lycka och framställs som önskvärt. Forskning har visat att unga kvinnor som jämför sin egen kropp med andras ses ha en högre riskfaktor i att utveckla ett osunt förhållande till sin kropp som kan leda till ätstörningar. Datamaterialet för denna studie samlades in genom semistrukturerade intervjuer med nio kuratorer inom ungdomsmottagning eller likvärdig mottagning, skola och primärvården. Resultatet förstods och tolkades med socialkonstruktivistiskts perspektiv utifrån Berger & Luckmann och Loseke´s socialkonstruktivistiska definition om hur ett socialt problem konstrueras. Resultatet av analysen visade att kuratorers uppfattning om kroppsfixering konstruerades och sågs som ett problem i och med att kroppsfixeringen ansågs vara en del av en större problematik. Orsaken till kroppsfixering berodde på en rad olika faktorer såsom dålig självkänsla, föräldrars beteende kring sin egen kropp, massmedias bilder av hur kvinnokroppen ska se ut m.fl. Kuratorerna uppfattade att kroppsfixeringen blev problematisk när den ledde till att de unga kvinnorna isolerade sig själva från sin sociala omgivning. Resultatet visade på många likheter med tidigare forskning som behandlat ämnet och avslutningsvis presenteras våra idéer till vidare forskning inom ämnet bl.a. att belysa kroppsfixering bland unga män.

The concept of self-compassion has been gathering interest for researchers in recent years, as it appears to offer an array of benefits to wellbeing. This study investigated the potential role of self-compassion as a protective factor against disordered eating behaviors. It also examined the mediating roles of three potential variables: body dissatisfaction, perfectionism and contingent self-worth. Given modern representations of the female ideal, failure to achieve or adequately conform to such standards often poses psychological challenges for women and girls. Self-compassion encompasses kind, mindful self-treatment and may be an ideal protective factor against disordered eating. It has also been linked with lower body dissatisfaction, maladaptive perfectionism, and contingent self-worth. The present study found that dissatisfaction with one’s body, as well as a tendency to judge one’s personal worth based on appearance fully mediated the relationship between self-compassion and both restrained and emotional disordered eating respectively. Therefore, a self-compassionate attitude may serve as a protective factor against engaging in disordered eating vis-à-vis strengthening young women’s abilities to look at their bodies in a more compassionate and unconditionally accepting way. / text

Worldwide. adolescents are at risk of dcvdoping eating disorders since they tire in a process of negot ia( ing important developmental tasks and are thus vulnerable to the internalisation of the thin ideal (Polivy 8: Herman, 2002). Body dissatisfaction, bulimia nnd drive for thinness haw been identified as the primary risk factors related to developing eating disorders (Garner, 2004). Despite the heightened vulnerability during adolescence and societal pressures to be thin. some adolescents are happy with their bodies and arc not body dismtisfied nor have a drive for thinness. Since adolesccnce is associated with negotiating an identity. Berzonsky's (1999) socialcognitive model of identity formation is instrumental in exploring the relationship betn~ccn identity style and factors associated with eating disorders. Furthermore. Berzonsky's (1999) informational identity style (11s) as well as the normative identity style (N IS) are positively correlated LO psychological well-being (PWB) whcreas the diffuse-avoidant identity style (DAIS) is negatively correlated to PWB. Consensus has not been reached with regard to this (Adams et al.. 2001), thus this investigation may provide impomn~ information with regard to the application of identity styles and iii Ryffs (1995) six dimensions of PWB in Suture preventive programmes. This study aimed to investigate thc relalionship between idcnrity styles. the primary eating disorder risk factors, psychological traits associated with eating disorders and the six dimensions of psychological well-being (PWB). Furthermore. it aimed to investigate wllcther the three groups of identity styles diflered significantly in terms of the primary eating disorder risk Faclors, psychological traits associaied with eating disorders and the six dimensions of PWB. Lastly. it aimed to investigate whether different age and race groups of adolescent girls differed significantly in identity style. primary eating disorder risk factors, psychological traits associated \vith eating disorders and PWB. A one-shot cross-sectional survey design was used in which an availability and multicultural sample of adolescent females(n=290) ranging from 13- to 17-year old in grades 9 to 11 attending an English high school in the Gauteng Province was used. They completed the Eating Disorder Inventory3 (EDI-3) (Gamer, 2004). Identity Style Inventory ( E l ) (Berzonsky, 1992). Scales of Psychological Well- Being (SPWB) (Ryff, 1989a). a self-designed biographical qucstiomaire and their b d y Mass Indcx (BMI) was recorded. Significant negative cor~lationsw erc fbund between the dimensions of PWB, eating disorder risk factors and associated psychological traits. Self-acceptance. enviro~unental mastery and positive relations appeared to be key dimensions negatively associated with the prinlary eating disorder risk factors and associated psychological traits. Identity styles did not direr significantly with regard to the primary eating disorder risk factors. however relationships were found between identity styles and some psycl~ologicat traits associated with eating disorders. These included the positive correlalion betwecn the IIS and perfectionism. the negative correlation betwecn the NIS versus personal alienation and interpersonal alienation and the positive correlation between [he DAIS and introceptive delicits. Comparisons between the rhret. identity styles and each of the six dimensions of PWB validarcd that femalc adolescents using an [IS and NIS experience greater levels of P%JB than compared lo their DAIS counterparts. Although age did not impact on the in~plementaliono f identity styles nor the primary eating disorder risk factors and associated psychcllogical traits. the 17-year-old age group experienced greater levels of PWB with regard to autonomy, environmental mastery and personal growth. Furt hcrmore, no significant di fferenccs were found with regard to race, identity styles. the primary eating disorder risk factors and PWB. Black female adolcscents experienced more interpersonal insecurity and maturity fears than the White female adolescents in this study. These findings encourage the development of a regression model identifying protective factors in future research as wcll as constructing an effective preventive programme against eating disorders in female adolescents. / Thesis (M.A. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2007.

La forte prévalence des troubles des conduites alimentaires (TCA) chez les jeunes femmes et les faibles taux de rémission suite à un traitement ont encouragé les chercheurs à mieux comprendre les facteurs impliqués dans ce trouble mental. L’un des premiers modèles à mettre l’emphase sur des traits de personnalité associés au développement d’un TCA a été proposé par Hilde Bruch (1962, 1973, 1978) et a toujours une grande influence dans la recherche actuelle. Le modèle de Bruch inclue trois facteurs, soit l’insatisfaction corporelle, l’inefficacité et la conscience intéroceptive. Le but de cette thèse est d’apporter un support empirique au modèle de Bruch. En se basant sur une revue extensive des écrits scientifiques, cette thèse vise aussi à déterminer si deux facteurs reliés, soit l’alexithymie et le sentiment d’efficacité personnelle face à l’adoption de conduites alimentaires saines, améliorent la précision du modèle dans la prédiction de symptômes de TCA. Pour répondre empiriquement à cette question, il était d’abord nécessaire de disposer d’un questionnaire évaluant le sentiment d’efficacité personnelle en lien avec les conduites alimentaires qui peut être utilisé dans tout le spectre de présentation des TCA. Ainsi, le Eating Disorder Self-Efficacy Questionnaire (EDRSQ) a été adapté en français et ses propriétés psychométriques ont été évaluées. Une analyse factorielle confirmatoire a révélé une structure bi-factorielle, soit le sentiment d’efficacité personnelle en lien avec l’insatisfaction corporelle et avec l’adoption d’une alimentation normative. Chaque échelle a démontré une bonne fiabilité ainsi qu’une validité de construit cohérente avec la théorie. Par la suite, la capacité des facteurs proposés par Bruch à prédire les symptômes de TCA a été évaluée et comparée à des adaptations du modèle découlant des écrits. Au total, 203 étudiantes de premier cycle universitaire ont complété les versions validées en français du Eating Disorder Inventory 2, du Eating Attitudes Test, et du Toronto Alexithymia Scale en plus du EDRSQ. Les résultats montrent que le modèle de Bruch explique 46% de la variance des symptômes de TCA. Alors que l’insatisfaction corporelle et la conscience intéroceptive démontrent chacun une contribution importante dans la prédiction des symptômes de TCA, il a été démontré que l’inefficacité présente seulement une contribution spécifique négligeable. Le modèle de Bruch est amélioré par la substitution de l’inefficacité par le sentiment d’efficacité personnelle tel que mesuré par le EDRSQ; le modèle explique alors 64% de la variance des symptômes de TCA. Finalement, cette étude démontre que l’alexithymie n’a pas de contribution spécifique dans la prédiction des symptômes de TCA. Ainsi, la combinaison d’une faible conscience intéroceptive, de l’insatisfaction corporelle et d’un faible sentiment d’efficacité personnelle en lien avec les conduites alimentaires est fortement associée aux symptômes de TCA dans un échantillon non-clinique de jeunes femmes. Finalement, les implications conceptuelles et cliniques de ces résultats sont discutées. / High prevalence of Eating Disorders (EDs) amongst young women and poor treatment outcome rates have urged researchers to better understand premorbid factors involved in the pathology. One of the first models to emphasize premorbid personality factors in order to explain eating disorders was proposed by Hilde Bruch (1962, 1973, 1978) and is still very influential in today’s literature. Bruch’s model included three factors, namely body dissatisfaction, ineffectiveness and interoceptive awareness. The purpose of this thesis was to provide an empirical validation of Bruch’s theoretical model. Based on the literature, this thesis also aimed to determine if two related concepts, namely alexithymia and eating self-efficacy, improved the accuracy of the model in predicting ED symptoms. To empirically answer this question, it was first deemed necessary to have an eating self-efficacy questionnaire that could be used within all the spectrum of ED pathology. Therefore, the Eating Disorder Self-Efficacy Questionnaire (EDRSQ) was adapted to French and its’ psychometric properties were assessed. A confirmatory factor analysis revealed a bi-factorial structure, which were Body Image Self-Efficacy and Normative Eating Self-Efficacy. Both scales demonstrated evidence of reliability and theoretically consistent evidence of construct validity. Afterwards, Bruch’s factors ability to predict ED symptoms was assessed and then compared to empirically driven adaptations of the model. A total of 203 undergraduate females completed the Eating Disorder Inventory 2, Eating Attitudes Test, and Toronto Alexithymia Scale, as well as the EDRSQ. The results indicated that Bruch’s model accounted for 46% of the variance in eating symptomatology. While body dissatisfaction and interoceptive awareness both demonstrated an important contribution in predicting ED symptomatology, ineffectiveness was found to have a negligible specific contribution. Bruch’s model was improved by substituting ineffectiveness with eating self-efficacy as measured by the EDRSQ; it then accounted for 64% of the variance in eating disorder symptoms. Finally, this study demonstrated that alexithymia was not a specific predictor of eating disorder symptoms. Thus, a combination of lack of interoceptive awareness, body dissatisfaction and low eating self-efficacy is strongly associated with symptoms of eating disorders in a non-clinical sample of women. Finally, the conceptual and clinical implications of these findings were discussed.

Tyrimo objektas – sąsajos tarp paauglių merginų siekimo atitikti socialinius – kultūrinius išvaizdos lūkesčius, požiūrio į savo kūną ir sveikatai žalingo kūno masės kontrolės elgesio. Problemos pagrindimas: Tiek pasaulyje, tiek Lietuvoje paauglių merginų fizinis aktyvumas turi tendenciją mažėti. Visuomenėje vis labiau formuojasi kūno grožio kultas, kuris labai veikia merginų savo išvaizdos vertinimą. Siekiant atitikti idealus jos imasi dažnai sveikatai žalingų svorio kontrolės būdų. Kūno vertinimas, fizinio aktyvumas bei svorio kontrolė tarp paauglių yra tyrinėtini, nes tokio pobūdžio tyrimai padėtų spręsti gyvensenos problemas, fizinį pasyvumą ir sveikatai žalingą svorio kontrolės elgesį. Tyrimo tikslas – nustatyti sąsajas tarp paauglių merginų siekimo atitikti socialinius – kultūrinius išvaizdos lūkesčius ir požiūrio į savo kūną raiškos ypatumų. Tyrimo uždaviniai: 1. Nustatyti požiūrį į savo kūno raišką merginų KMI bei fizinio aktyvumo grupėse. 2. Palyginti siekimo atitikti socialinius - kultūrinius išvaizdos lūkesčius skirtingo savo išvaizdos vertinimo, KMI, fizinio aktyvumo ir sportinio statuso grupėse. 3. Atskleisti požiūrį į savo kūno sąsajas su socialiniais, savęs vertinimo bei sveikatai žalingo kūno masės reguliavimo veiksniais. 4. Palyginti sveikatai žalingo svorio kontrolės elgesio ir valgymo sutrikimų rizikos pasireiškimus skirtingo KMI ir fizinio aktyvumo paauglių merginų grupėse. Tyrimo metodai ir tiriamieji – anketinei apklausai naudotas klausimynas... [toliau žr. visą tekstą] / The research object – connection between striving to match social and cultural expectations of appearance, attitude towards their own bodies and harmful weight control behavior. Substantiation of a problem: in Lithuania and in all other countries physical activity among adolescent girls tends to be significantly lower. In a society develops the cult of the beautiful body, which has influence on the estimating of their appearance. Trying to be the same like their ideals, they start to use harmful wight control methods. The estimation of body, physical activity and weight control between teens is worth to research, because that kind of inquiry can help to solve today's lifestyle problems, physical passivity and harmful weight control. The aim of my work – to find the connection between teen girls striving to match social and cultural expectation of appearacne and attitude towords their own peculiarities of the body. The tasks of the research: 1. to find expression of attitud to their own body in girls BMI and physical activity groups. 2. to compare striving to match social and cultural expectations of appearance in various estiments of the appearance, BMI, physical activity and sport status groups. 3. to detect the attitudes of their self body with social, self-esteem and harmful weight factors. 4. to compare harmful weight control behavior and the risik of eating disorders in different BMI and physical activity teen girls groups. Research methods and the explored – for the... [to full text]

Eating disorders are debilitating psychiatric conditions which often result in severe impairment in many life domains. The sociocultural model specifies mechanisms through which sociocultural pressure leads to eating pathology among young women (Stice, 1994) and posits that exposure to the Western cultural thin ideal, internalization of the ideal and experience of a difference between self and ideal leads to body dissatisfaction, which is a well validated precursor to eating pathology. The current research examined whether the relationships between awareness of Western appearance ideals, internalization of such ideals, and body dissatisfaction were moderated by family food-related experiences and self-compassion. The current paper also investigated whether the strength of relationships between awareness of Western appearance ideals, internalization of such ideals, and body dissatisfaction are affected by certain types of family food-related experiences. Female university students (N = 106) completed self-report questionnaires. Results indicated that mindfulness, a constituent of self-compassion, moderated the relationship between internalization of cultural thinness standards and body dissatisfaction. In addition, self-compassion, each component of self-compassion and women’s perception of negative maternal family food-related experiences predicted internalization of Western societal norms of thinness, as well as body dissatisfaction. Moreover, women’s perception of negative paternal family food-related experiences predicted body dissatisfaction. Women’s perception of negative maternal commentary predicted internalization of Western beauty standards and body dissatisfaction. Finally, women’s perception of negative paternal commentary and paternal modelling of eating difficulties and body image concerns predicted internalization of those values. Future research should attempt to clarify causal relationships among self-compassion and family food-related experiences within the sociocultural model of eating disorders.

Eating disorders and disordered eating habits and behaviors were measured using the Eating Disorders Inventory-3 Referral Form (EDI-3 RF). The sample consisted of 159 elite, collegiate student athletes, males and females, aged 18 to 22. Five sports were represented, including basketball, gymnastics, soccer, swimming & diving, and volleyball. Overall, findings support the position that athletes, as a distinct population, and specifically female athletes and those that participate in lean sports, are at an increased risk for disordered eating behaviors and diagnosable eating disorders. Of the 159 total athletes that completed the questionnaire, 33% (n=53) of the athletes sampled met one or more referral criteria based on reported behavior in the 3 months prior. A total of 37 athletes were referred to professional healthcare providers for meeting criteria of disordered eating behavior according the the Eating Disorder Inventory-3 Referral Form.

Worldwide. adolescents are at risk of dcvdoping eating disorders since they tire in a process of negot ia( ing important developmental tasks and are thus vulnerable to the internalisation of the thin ideal (Polivy 8: Herman, 2002). Body dissatisfaction, bulimia nnd drive for thinness haw been identified as the primary risk factors related to developing eating disorders (Garner, 2004). Despite the heightened vulnerability during adolescence and societal pressures to be thin. some adolescents are happy with their bodies and arc not body dismtisfied nor have a drive for thinness. Since adolesccnce is associated with negotiating an identity. Berzonsky's (1999) socialcognitive model of identity formation is instrumental in exploring the relationship betn~ccn identity style and factors associated with eating disorders. Furthermore. Berzonsky's (1999) informational identity style (11s) as well as the normative identity style (N IS) are positively correlated LO psychological well-being (PWB) whcreas the diffuse-avoidant identity style (DAIS) is negatively correlated to PWB. Consensus has not been reached with regard to this (Adams et al.. 2001), thus this investigation may provide impomn~ information with regard to the application of identity styles and iii Ryffs (1995) six dimensions of PWB in Suture preventive programmes. This study aimed to investigate thc relalionship between idcnrity styles. the primary eating disorder risk factors, psychological traits associated with eating disorders and the six dimensions of psychological well-being (PWB). Furthermore. it aimed to investigate wllcther the three groups of identity styles diflered significantly in terms of the primary eating disorder risk Faclors, psychological traits associaied with eating disorders and the six dimensions of PWB. Lastly. it aimed to investigate whether different age and race groups of adolescent girls differed significantly in identity style. primary eating disorder risk factors, psychological traits associated \vith eating disorders and PWB. A one-shot cross-sectional survey design was used in which an availability and multicultural sample of adolescent females(n=290) ranging from 13- to 17-year old in grades 9 to 11 attending an English high school in the Gauteng Province was used. They completed the Eating Disorder Inventory3 (EDI-3) (Gamer, 2004). Identity Style Inventory ( E l ) (Berzonsky, 1992). Scales of Psychological Well- Being (SPWB) (Ryff, 1989a). a self-designed biographical qucstiomaire and their b d y Mass Indcx (BMI) was recorded. Significant negative cor~lationsw erc fbund between the dimensions of PWB, eating disorder risk factors and associated psychological traits. Self-acceptance. enviro~unental mastery and positive relations appeared to be key dimensions negatively associated with the prinlary eating disorder risk factors and associated psychological traits. Identity styles did not direr significantly with regard to the primary eating disorder risk factors. however relationships were found between identity styles and some psycl~ologicat traits associated with eating disorders. These included the positive correlalion betwecn the IIS and perfectionism. the negative correlation betwecn the NIS versus personal alienation and interpersonal alienation and the positive correlation between [he DAIS and introceptive delicits. Comparisons between the rhret. identity styles and each of the six dimensions of PWB validarcd that femalc adolescents using an [IS and NIS experience greater levels of P%JB than compared lo their DAIS counterparts. Although age did not impact on the in~plementaliono f identity styles nor the primary eating disorder risk factors and associated psychcllogical traits. the 17-year-old age group experienced greater levels of PWB with regard to autonomy, environmental mastery and personal growth. Furt hcrmore, no significant di fferenccs were found with regard to race, identity styles. the primary eating disorder risk factors and PWB. Black female adolcscents experienced more interpersonal insecurity and maturity fears than the White female adolescents in this study. These findings encourage the development of a regression model identifying protective factors in future research as wcll as constructing an effective preventive programme against eating disorders in female adolescents. / Thesis (M.A. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2007.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-09-26T11:56:29Z No. of bitstreams: 1 giselleteixeiramaulerdorio.pdf: 1906661 bytes, checksum: d2c04e715b00189f3b3e4709b03915f5 (MD5) / Approved for entry into archive by Diamantino Mayra (mayra.diamantino@ufjf.edu.br) on 2016-09-26T20:31:44Z (GMT) No. of bitstreams: 1 giselleteixeiramaulerdorio.pdf: 1906661 bytes, checksum: d2c04e715b00189f3b3e4709b03915f5 (MD5) / Made available in DSpace on 2016-09-26T20:31:44Z (GMT). No. of bitstreams: 1 giselleteixeiramaulerdorio.pdf: 1906661 bytes, checksum: d2c04e715b00189f3b3e4709b03915f5 (MD5) Previous issue date: 2016-07-27 / Atualmente, vive-se uma epidemia da obesidade. Como o estereótipo de beleza caracteriza-se pelo corpo magro, ser obeso pode gerar uma imagem corporal negativa de si mesmo. O presente estudo tem como objetivo avaliar a imagem corporal e obesidade em estudantes de uma Instituição de Ensino Superior particular, em Juiz de Fora - MG. Este estudo se caracteriza como quantitativo e transversal. Para tanto, esta pesquisa foi dividida em duas etapas: na primeira, foi realizada uma triagem inicial nos alunos da Instituição, a fim de determinar quais destes apresentavam obesidade; na segunda etapa, foram aplicados os seguintes instrumentos nos indivíduos obesos: Escala de figuras de silhuetas, BSQ, BCQ, MBCQ, BDI e IPAQ, validados para a população adulta. Estes instrumentos avaliaram a imagem corporal atual e ideal, a insatisfação corporal, os comportamentos de checagem corporal em mulheres e homens, depressão e nível de atividade física, respectivamente. Também foram coletados dados sociodemográficos e antropométricos. Da primeira etapa deste estudo participaram 2376 alunos. Da segunda etapa, participaram 199 alunos classificados como obesos, a partir do IMC autorreferido coletado na primeira etapa. Verificaram-se elevados coeficientes de consistência interna dos questionários utilizados. De maneira geral, os resultados da primeira etapa deste estudo apontaram baixo percentual de alunos com obesidade. Já os resultados da segunda etapa apontaram confiabilidade nos dados autorreferidos de altura, embora exista uma tendência a subestimar a massa corporal em ambos os sexos. A caracterização da amostra mostrou elevado índice de obesidade entre as mulheres, consumo de álcool e refrigerantes. Além disso, foi notado alto percentual de obesos na família, realização de tratamentos para emagrecer, percepção do estado de saúde ruim, presença de dor e sedentarismo. Esses resultados mostraram hábitos pouco saudáveis nos indivíduos obesos. Foi verificada diferença estatisticamente significativa dos valores médios de imagem corporal, entre a percepção de imagem corporal atual e a ideal. Esses resultados mostraram existir insatisfação corporal em ambos os sexos. Tanto obesos satisfeitos como insatisfeitos apresentaram a mesma percepção da imagem corporal. O tamanho da diferença observada entre a imagem corporal atual e ideal foi de elevada magnitude. Observou-se forte correlação da insatisfação corporal com a depressão. Os obesos insatisfeitos com a imagem corporal apresentam elevado grau de depressão (p<0,001). Os resultados da presente pesquisa mostraram que os obesos insatisfeitos com a imagem corporal apresentam maior número de dores, maior tempo em atividades sentado, são os que menos realizam atividades físicas e apresentam maiores valores de checagem corporal. Já os resultados do instrumento IPAQ, correlacionaram-se negativamente com a insatisfação corporal. Quanto mais ativo o indivíduo, menos insatisfeito ele estará com a sua imagem corporal. Assim, os resultados do presente estudo evidenciam para a necessidade de orientação dos universitários obesos para um estilo de vida saudável e a oferta de programas de atividades físicas que visem à redução do excesso de peso e depressão. Sugere-se novas pesquisas que vinculem a imagem corporal, inatividade física e depressão à obesidade, no público em geral. / An obesity epidemic is currently noticed among society. Since the stereotype of beauty is characterized by having a thin body, being obese can lead to a negative body image regarding one’s own body. This study aims at evaluating body image and obesity among students of a private higher education institution, in the city of Juiz de Fora, in the state of Minas Gerais, Brazil. This is characterized as being a quantitative, cross-sectional study. Therefore, this study was divided into two stages: first, an initial screening was performed on the students of the institution in order to determine which of these were obese; in the second stage, the following instruments were applied to the obese individuals: Silhouette Scale Figures, BSQ, BCQ, MBCQ, BDI and IPAQ validated for the adult population. These instruments assessed both the current and the ideal body images, body dissatisfaction, body checking behaviors in women and men, depression and level of physical activity, respectively. Demographic and anthropometric data were also collected. A total of 2,376 students participated in the first stage of the study. As for the second stage, 199 students classified as being obese took part in the study, based on the self-reported BMI collected in the first stage. High internal consistency coefficients were noticed regarding the questionnaires used. Overall, the results of the first stage of this study show a low percentage of obese students. As for the second stage, results showed reliability in terms of the self-reported data for height, although a tendency to underestimate body mass in both genders was noticed. The characterization of the sample showed high rates of obesity among women, as well as high consumption of alcohol and soft drinks. In addition, a high percentage of obese individuals was noticed within the family, as well as treatments for weight loss, perception of poor health, pain and inactivity. These results showed unhealthy habits among the obese individuals. There was a statistically significant difference in the mean values when comparing the currently perceived and ideal body images. These results showed body dissatisfaction in both genders. Both satisfied and dissatisfied obese individuals had the same body image perception. High magnitude was noticed regarding the size of the difference between the current and the ideal body images. A strong correlation was shown between body dissatisfaction and depression. Obese individuals dissatisfied with their body images have a high degree of depression (p <0.001). The results of this study showed that obese individuals dissatisfied with their body images have more pain, spend more time performing sitting activities, present the lowest amount of physical activities and have the highest values for body checking behaviors. As for the results of the IPAQ instrument, a negative correlation was shown with body dissatisfaction. The more active the individual, the less dissatisfied they will be with their body image. Thus, the results of this study indicate the need for guiding obese students towards a healthy lifestyle, as well as providing them with physical activity programs aimed at reducing their overweight and depression. It also suggests further research binding body image, physical inactivity and depression caused by obesity among the individuals in general.