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Relationships Between Men's and Women's Body Image and Their Psychological, Social, and Sexual Functioning

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listen to this audio on eating disordersBoys and Body Image

The pressures on girls to be thin are well known, but do boys feel the pressure too when it comes to shaping up?

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listen to this audio on eating disordersThe Adonis Complex

From GI Joe to pro wrestling, to magazines to movies, everywhere we look, we see muscular, fit men. Millions of men and boys are feeling pressured to achieve the impossible goal of physical perfection. Men are spending countless hours in the gym, young boys are taking food supplements and diet aids, and many are using dangerous anabolic steroids and black market equivalents to push the limits of their physiques. More and more men are suffering from eating disorders; a recent study found that 40% of Americans who go on compulsive eating sprees are men. Our guests are Dr. Michael J. Pertschuck, the medical director of the eating disorders program at Friends Hospital and Dr. Harrison G. Pope, one of the authors of "The Adonis Complex: The Secret Crisis of Male Body Obsession"

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This research has demonstrated the importance of considering multiple measures of body image, given that different measures were associated with different aspects of psychological, social, and sexual functioning. Social aspects of body image, particularly concerns about how others may evaluate one's body, are a particular area that requires further research. The results of the present research also demonstrated the importance of investigating the effects of body image separately for men and women and for different age groups. This is the first study to demonstrate that body image may play different roles in the lives of different adult populations. Replication of these findings is required, particularly in longitudinal research, in order to explore potential underlying mechanisms to explain the role of body image in the psychological, social, and sexual functioning of men and women at different stages of adult development. The current sample was divided into three broad age categories, on the basis of sample size. Future researchers exploring the development of body image in adulthood should consider theoretically developed stages of adult development when selecting appropriate age categories to investigate. For example, body image may play a different role in the lives of adults 50-65 years than for adults in later years. Smaller, more homogeneous groups may demonstrate differences in the development of body image and highlight specific associations of body image and day-to-day functioning at different ages.

This study was limited by the use of correlational data. Small sample sizes in each group precluded the use of more sophisticated techniques, such as structural equation modeling, which may be employed in future research with larger samples to model relationships between body image and psychological, social, and sexual functioning variables. An investigation of these relationships was beyond the scope of this article, and they were not accounted for in the present analysis, which was focused on understanding which specific aspects of body image were of most relevance to particular aspects of day-to-day functioning. Future researchers may gainfully model the nature of the relationships between different aspects of body image for different populations. It is hoped that increased acknowledgement of the complexity of the body image construct, particularly in relation to the varied roles it plays in the lives of adult men and women, will stimulate further theoretical and empirical development in this area.

Table I. Height, Weight, and BMI by Gender and Age Group

                        Height (cm)

Weight (kg)

Body mass index (BMI)

Age Group

M

SD

M

SD

M

SD

Women
18-29 165.24 7.26 63.08 12.01 23.24 4.35
30-49 164.28 7.42 71.32 17.28 26.43 6.23
50-86 162.54 7.56 69.72 13.29 26.46 5.22
Overall 164.00 7.44 68.63 15.13 25.60 5.63
Men
18-29 179.68 8.03 74.87 12.48 23.18 3.55
30-49 180.45 7.22 83.72 14.14 25.75 3.84
50-86 175.69 7.66 82.26 12.66 26.65 3.30
Overall 178.34 7.87 79.84 13.56 25.13 3.86

Table II. Body Image Scores by Gender and Age Group

Physical attractiveness

Body image satisfaction

Group

M

SD

M

SD

Gender
Women 18.57 3.51 31.23 8.56
Men 18.51 3.57 35.46 7.21
Age  
18-29 19.80 3.68 33.41 7.56
30-49 18.11 3.49 31.73 8.82
50-86 18.00 3.24 34.80 7.95

Body Image Importance

Body concealment

Group M SD M SD
Gender
Women 32.00 7.44 15.40 5.72
Men 30.94 7.61 9.77 4.73
Age
18-29 30.83 7.93 12.12 5.12
30-49 31.60 7.03 14.07 6.39
50-86 31.93 7.77 11.91 6.07

Body improvement

Social physique anxiety

Group M SD M SD
Gender
Women 9.22 3.74 34.50 9.46
Men 8.70 3.70 27.68 8.11
Age
18-29 9.40 3.41 32.47 9.27
30-49 9.05 3.38 32.92 9.95
50-86 8.62 3.45 28.25 8.45

Appearance comparison

Group M SD
Gender
Women 10.98 3.29
Men 9.17 3.35
Age
18-29 11.00 3.48
30-49 10.64 3.25
50-86 8.76 3.18
Table III. Unique Body Image Predictors From Regression Equations That Significantly Increased the Prediction of Psychological Functioning at Step 2 Among Men and Women of Different Age Groups
Unique body
Outcome variable Group image predictors [sr.sup.2]
Self-esteem Women 18-29 None --
                           Women 30-49 Social physique anxiety .06

Body Image Importance

.05
                           Women 50-86 Physical attractiveness .13
                           Men 18-29 Physical attractiveness .07

Body image importance

.07
                           Men 30-49 Body concealment .10
                           Men 50-86 Appearance comparison .08

Body image satisfaction

.07
Depression Women 50-86 Social physique anxiety .08
Anxiety Women 50-86 None --
                           Men 50-86 Appearance comparison .11

Table IV. Unique Body Image Predictors From Regression Equations That Significantly Increased the Prediction of Social and Sexual Functioning at Step 2 Among Men and Women of Different Age Groups

Unique body

Outcome variable Group image predictors  [sr.sup.2]
Social anxiety Women 50-86 Social physique anxiety .08
                                                       Body improvement .07
                                Men 30-49 Appearance comparison .08
Same-sex relations Men 30-49 Physical attractiveness .13
Opposite-sex relations Men 18-29 Body concealment .09
Sexual self-efficacy Men 30-49 Body satisfaction .09
Sexual satisfaction Men 30-49 Appearance comparison .12
                                                   Body concealment .10
                                                       Body satisfaction .08
Sexual optimism Women 30-49 None --
                                Men 30-49 Social physique anxiety .18

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