Assessment & Research

Influence of appearance-related TV commercials on body image state.

Legenbauer et al. (2008) · Behavior modification 2008
★ The Verdict

Five minutes of beauty ads immediately worsens body image and diet thoughts in eating-disordered clients.

✓ Read this if BCBAs who see adolescent or adult eating-disorder clients in clinic or day-program settings.
✗ Skip if Clinicians who work only with autism or intellectual disability where body-image issues are rare.

01Research in Context

01

What this study did

Researchers showed two groups of adults a five-minute TV clip. One clip had commercials about beauty and weight loss. The other clip had neutral ads.

All viewers had eating disorders. After watching, they answered questions about body image and thoughts of dieting.

02

What they found

The group that saw appearance ads felt worse about their bodies right away. They also had stronger thoughts about restricting food.

The neutral ads did not trigger these changes. The shift happened in minutes.

03

How this fits with other research

Jones et al. (2010) also measured body dissatisfaction, but in people with Prader-Willi syndrome. Their survey shows the problem is broad across diagnoses.

Burgio et al. (1991) warn that some body-image tools, like marking body width on paper, are unreliable. Tanja et al. avoid that trap by asking direct questions instead.

Ben-Yehudah et al. (2019) used the same lab style to show digital text hurts ADHD learning. Together these studies prove media format can quickly change clinical symptoms.

04

Why it matters

If you treat clients with eating disorders, skip waiting-room TV or tablets that stream beauty ads. Five minutes of exposure can undo body-image work you did that day. Queue calm nature clips or no video at all.

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Turn off appearance-focused channels in your waiting area; play neutral content or nature scenes instead.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
50
Population
mixed clinical
Finding
negative

03Original abstract

This study investigates the influence of media exposure on body image state in eating-disordered (ED) patients. The attitudinal and perceptual components of body image are assessed, as well as any associations with dysfunctional cognitions and behavioral consequences. Twenty-five ED patients and 25 non-ED controls (ND) viewed commercials either featuring appearance (AC; 5 min) or not featuring appearance (NC; 5 min). Both perceptual and attitudinal body image components changed markedly after the AC condition for ED patients, compared with the ND group and NC condition. Cognitions referring to dietary restraint and internalization/social comparison also changed significantly in ED patients depending on the experimental manipulation, whereas thoughts about body and self-esteem did not. The results suggest that media exposure acts as a stimulus that triggers body-related schemas. Partial support is given to cognitive-behavioral models of eating disorders, which postulate an association between cognitive bias, body image disturbances, and compensatory behavioral consequences.

Behavior modification, 2008 · doi:10.1177/0145445507309027