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Psychological and physiological consequences of exposure to mass media in young women - the role of moderators

English title Psychological and physiological consequences of exposure to mass media in young women - the role of moderators
Applicant Munsch Simone
Number 149416
Funding scheme Project funding
Research institution Departement für Psychologie Universität Freiburg
Institution of higher education University of Fribourg - FR
Main discipline Psychology
Start/End 01.01.2014 - 30.06.2017
Approved amount 372'863.00
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Keywords (12)

mass media; emotion regulation; cognitive distortions; body image; thin ideal; negative affect; stress response; moderators; eating disorder; depressive disorders; anxiety disorders; somatoform disorders

Lay Summary (German)

Lead
Massenmedien, die ein unrealistisches Schönheits- und Schlankheitsideal vermitteln, tragen zur Unzufriedenheit mit dem Körper und gestörtem Essverhalten bei jungen Frauen bei. Die Studie untersucht Bedingungen, unter welchen Medien einen negativen Einfluss auf gesunde Frauen und Patientinnen mit psychischen Störungen ausüben. Das Verständnis des Medieneinflusses und die Entwicklung von Interventionen sollen verbessert werden.
Lay summary

Massenmedien, die ein unrealistisches Schönheits- und Schlankheitsideal vermitteln, tragen unter bestimmten Bedingungen zu Unzufriedenheit mit dem Körperbild und gestörtem Essverhalten insbesondere bei jungen Frauen bei. Im Forschungsprojekt wird der Einfluss der alltäglichen Exposition mit Schönheitsidealen in Modezeitschriften auf gesunde sowie an psychischen Störungen (Essstörungen, depressive Störungen, Angststörungen etc.) erkrankten junge Frauen untersucht. Dabei werden die Auswirkungen der Exposition auf das Körperbild, die Stimmung, das Essverhalten und die physiologische Stressreaktionen erfasst. Ein negatives Körperbild begünstigt nebst der Entwicklung von gestörtem Essverhalten auch die Entwicklung von Angst- und depressiven Störungen und ist deswegen von besonderer Relevanz. Im Forschungsprojekt stehen die Rolle kognitiver Verzerrungen, wie die Gleichsetzung von Vorstellungen und Gedanken an Nahrung und idealisierte Körper mit tatsächlichem Verhalten, und die Fähigkeit zur Emotionsregulation im Mittelpunkt des Interesses. Es wird erwartet, dass die resultierenden Ergebnisse zur Differenzierung bereits vorhandener Ätiologiemodelle bezüglich der Entstehung und Aufrechterhaltung eines negativen Körperbildes und dem damit verbundenen Risiko zur Entwicklung von psychischen Störungen, im Speziellen von Essstörungen, beitragen. Diese Erkenntnisse wiederum können in der Früherkennung und Prävention von psychischen Störungen eingesetzt werden. Weiter werden Befunde zu kognitiven und emotionalen Verarbeitungsstilen, welche die Ansprechbarkeit bezüglich der täglich in Massenmedien präsentierten und idealisierten Schönheitsideale beeinflussen, für die Verbesserung von Behandlungsmassnahmen bei Essstörungen eingesetzt.

 

Direct link to Lay Summary Last update: 13.01.2014

Responsible applicant and co-applicants

Employees

Publications

Publication
Facial Emotion Recognition Abilities in Women Experiencing Eating Disorders
Wyssen Andrea, Lao Junpeng, Rodger Helen, Humbel Nadine, Lennertz Julia, Schuck Kathrin, Isenschmid Bettina, Milos Gabriella, Trier Stephan, Whinyates Katherina, Assion Hans-Jörg, Ueberberg Bianca, Müller Judith, Klauke Benedikt, Teismann Tobias, Margraf Jürgen, Juckel Georg, Kossmann Christian, Schneider Silvia, Caldara Roberto, Munsch Simone (2019), Facial Emotion Recognition Abilities in Women Experiencing Eating Disorders, in Psychosomatic Medicine, 81(2), 155-164.
Self-reported emotion regulation difficulties are associated with mood but not with the biological stress response to thin ideal exposure
Humbel Nadine, Messerli-Bürgy Nadine, Schuck Kathrin, Wyssen Andrea, Garcia-Burgos David, Biedert Esther, Lennertz Julia, Meyer Andrea H., Whinyates Katherina, Isenschmid Bettina, Milos Gabriella, Trier Stephan, Adolph Dirk, Cwik Jan, Margraf Jürgen, Assion Hans-Jörg, Teismann Tobias, Ueberberg Bianca, Juckel Georg, Müller Judith, Klauke Benedikt, Schneider Silvia, Munsch Simone (2018), Self-reported emotion regulation difficulties are associated with mood but not with the biological stress response to thin ideal exposure, in PLOS ONE, 13(6), e0199769-e0199769.
Cognitive Distortions Associated with Imagination of the Thin Ideal: Validation of the Thought-Shape Fusion Body Questionnaire (TSF-B)
Wyssen Andrea, Debbeler Luka J., Meyer Andrea H., Coelho Jennifer S., Humbel Nadine, Schuck Kathrin, Lennertz Julia, Messerli-Bürgy Nadine, Biedert Esther, Trier Stephan N., Isenschmid Bettina, Milos Gabriella, Whinyates Katherina, Schneider Silvia, Munsch Simone (2017), Cognitive Distortions Associated with Imagination of the Thin Ideal: Validation of the Thought-Shape Fusion Body Questionnaire (TSF-B), in Frontiers in Psychology, 8, 1.
Thought-shape fusion in young healthy females appears after vivid imagination of thin ideals
Wyssen Andrea, Coelho Jennifer S., Wilhelm Peter, Zimmermann Grégoire, Munsch Simone (2016), Thought-shape fusion in young healthy females appears after vivid imagination of thin ideals, in Journal of Behavior Therapy and Experimental Psychiatry, 52, 75-82.
Thought-Shape Fusion in Young Healthy Females Appears after Vivid Imagination of Thin Ideals
Wyssen A. Coelho J. S. Wilhelm P. Zimmermann G. & Munsch S. (2016), Thought-Shape Fusion in Young Healthy Females Appears after Vivid Imagination of Thin Ideals, in Journal of Behavior Therapy and Experimental Psychiatry, 52, 75.
Cognitive biases in response to visual body-related stimuli in eating disorders: study protocol for a systematic review and meta-analysis
Schuck Kathrin, Munsch Simone, Schneider Silvia (2015), Cognitive biases in response to visual body-related stimuli in eating disorders: study protocol for a systematic review and meta-analysis, in Systematic Reviews, 4(1), 103-103.
Wer ist die Schlankste im ganzen Land?
WyssenAndrea, MunschSimone (2015), Wer ist die Schlankste im ganzen Land?, Universitas, Fribourg.
Study protocol: psychological and physiological consequences of exposure to mass media in young women - an experimental cross-sectional and longitudinal study and the role of moderators
Munsch Simone (2014), Study protocol: psychological and physiological consequences of exposure to mass media in young women - an experimental cross-sectional and longitudinal study and the role of moderators, in BMC Psychology, 2(1), 37-37.
Study design: Moderators of psychological and physiological consequences of exposure to mass media in young women – an experimental cross-sectional and longitudinal study.
Munsch Simone (2014), Study design: Moderators of psychological and physiological consequences of exposure to mass media in young women – an experimental cross-sectional and longitudinal study., in BMC Psychology, 2(1), 37.

Collaboration

Group / person Country
Types of collaboration
Prof. Dr. Clemens Kirschbaum, Technical University Dresden Germany (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Prof. Dr. R. Caldara, University of Fribourg Switzerland (Europe)
- Publication
Prof. Dr. Grégoire Zimmerman, University of Lausanne Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Dr. med. Stephan N. Trier, Private clinic Aadorf Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
Prof. Dr. Stephan Herpertz, Ruhr-University Bochum Germany (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
Prof. Dr. Werner Wirth, Universität Zürich Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Dr.med.Bettina Isenschmid,Psychiatric & Psychoth. unit & clinic for Psychosomatics Hospital Zofingen Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
PD Dr. med. Gabriella Milos, Psychiatric clinic, University Hospital Zurich Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
Prof. Dr. Jennifer Coelho, McGill University Montreal Canada (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
Postgraduales Masterstudium Psychotherapie mit kognitiv-behavioralem und interpersonalem Schwerpunkt Talk given at a conference Therapie der Essstörungen 14.06.2019 Universität Bern, Switzerland Munsch Simone;
Workshop at Landauer Studiengang zur Ausbildung in Kinder- und Jugendlichenpsychotherapie, Universität Koblenz-Landau Individual talk Behandlung von Essstörungen und Adipositas bei Kindern und Jugendlichen 01.07.2017 Landau, Germany Munsch Simone;
Colloquium at Klinik Wyss Individual talk Binge-Eating-Störung (BES). Neue Perspektiven der Behandlung 11.05.2017 Bern, Switzerland Munsch Simone;
Workshop at Weiterbildung in Kognitiver Verhaltenstherapie mit Schwerpunkt Kinder und Jugendliche der Universitäten Zürich und Fribourg Individual talk Essstörungen bei Kindern und Jugendlichen: Ätiologie, Diagnostik und Therapie 03.02.2017 Fribourg, Switzerland Munsch Simone;
46th EABCT Conference on "Roots and present branches of CBT" Talk given at a conference Predictors of children's mental health and relevance for prevention and CBT, Chair 31.08.2016 Stockholm, Sweden Munsch Simone;
46th EABCT conference on "Roots and present branches of CBT" Talk given at a conference Emotion recognition in female patients with eating disorders compared to females with mixed mental disorders and healthy controls 31.08.2016 Stockholm, Sweden Biedert Esther; Munsch Simone; Humbel Nadine; Schneider Silvia; Caldara Roberto;
46th EABCT conference on "Roots and present branches of CBT" Talk given at a conference Influence of emotion regulation on stress responses in eating disorder patients. 31.08.2016 Stockholm, Sweden Biedert Esther; Schneider Silvia; Humbel Nadine; Munsch Simone;
Aadorfer-Fachforum-Psychotherapie Individual talk Perspektiven der Behandlung bei Hinge-Eating-Störung 25.08.2016 Luzern, Switzerland Munsch Simone;
Colloquium der Universitätsklinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Universität Bern Individual talk Neue Entwicklungen in Diagnostik und Behandlung von Essanfällen 15.08.2016 Bern, Switzerland Munsch Simone;
Weiterbildung des Freiburger Netzwerks für Psychische Gesundheit, Zentrum für Kinder- und Jugendpsychiatrie und -psychotherapie Individual talk Aufrechterhaltende Faktoren des gestörten Essverhaltens 02.06.2016 Freiburg, Switzerland Munsch Simone;
Mitgliederversammlung des ENES/Expertennetzwerk Essstörungen, KJPP, Universität Zürich Individual talk Entwicklung in Diagnostik und Therapie der Binge Eating Störung 04.04.2016 Zürich, Switzerland Munsch Simone;
Workshop im Rahmen des Landauer Studienganges zur Ausbildung in Kinder- und Jugendlichenpsychotherapie, Universität Koblenz-Landau Individual talk Behandlung von Essstörungen und Adipositas bei Kindern und Jugendlichen 18.09.2015 Landau, Germany Munsch Simone;
46th EABCT Conference on "Roots and present branches of CBT" Talk given at a conference Eating disorders - what can we learn from psychophysiological maintenance mechanisms for future treatments, Chair 31.08.2015 Stockholm, Sweden Munsch Simone;
Fachtagung Geschlechtsunterschied in Beratung und Therapie des Instituts für Klinische Kinder- und Jugendpsychologie, Universität Zürich Talk given at a conference Rolle dees Körperbilds und Gesellschaft für die Entwicklung von Essstörungen bei Kindern und Jugendlichen 28.08.2015 Zürich, Switzerland Munsch Simone;
Impulsnachmittag 2015 des Schweiz. Fachbverband Adipositas im Kindes- und Jugendalter / akj Talk given at a conference Die Rolle der Familie bei gestörtem Essverhalten und Adipositas bei Kindern und Jugendlichen 28.05.2015 Zürich, Switzerland Munsch Simone;
9. Workshopkongress für Klinische Psychologie und Psychotherapie der DGP Talk given at a conference Kognitionen, Körperbild und gestörtes Essverhalten (Chairs) 15.05.2015 Dresden, Germany Munsch Simone; Schneider Silvia;
Jour fixe des Zentrum für Familienrecht, Fakultät für Rechtswissenschaften, Universität Basel Individual talk Gestörtes Essverhalten und Familie 07.05.2015 Basel, Switzerland Munsch Simone;
Workshop at Weiterbildung in Kognitiver Verhaltenstherapie mit Schwerpunkt Kinder und Jugendliche der Universitäten Zürich und Fribourg Individual talk Essstörungen bei Kindern und Jugendlichen 23.04.2015 Zürich, Switzerland Munsch Simone;
Research colloquium at Center for Clinical Child and Adolescent Psychology Individual talk Eating disorders and treatment 08.08.2014 Columbia University NYC, United States of America Munsch Simone;


Self-organised

Title Date Place
Symposium Fribourg on "Self-regulation in Clinical Psychology" 21.09.2016 Fribourg, Switzerland

Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
«Binge Eating Störung (BES): Aktuelle Behandlungskonzepte und Einbezug neuer Technologien». Seminar am Studiengang Psychotherapie Workshop 11.01.2019 Ruhr-Universität Bochum, Germany Munsch Simone;
„Von den Grundlagen zur Psychotherapie: Trends der Klinisch-Psychologischen Forschung am Beispiel der Essstörungen“. State-of-the-Art Referat. PSY-Kongress Talk 05.09.2018 Bern, Switzerland Munsch Simone;
«Essverhalten und Körperbild im Jugendalter: normative Unzufriedenheit oder Risikofaktor?». Vortrag im Rahmen der Fachtagung „Gelassenheit im Jugendalter: Teenagerphase oder Krise?“ Talk 29.06.2018 Universität Fribourg, Institut für Familienforschung und -beratung, Switzerland Munsch Simone;
36. Symposium der Fachgruppe Klinische Psychologie und Psychotherapie der DGPs: „Körperwahrnehmung und Symptome von gestörtem Essverhalten bei Kinder und Jugendlichen“. Talk 10.05.2018 Universität Koblenz–Landau, Germany Munsch Simone;
«Behandlung von Essstörungen und Adipositas und bei Kindern und Jugendlichen». Workshop im Rahmen des Landauer Studiengangs zur Ausbildung in Kinder- und Jugendlichenpsychotherapie Workshop 30.06.2017 Universität Koblenz-Landau, Germany Munsch Simone;
Essstörungen bei Kindern und Jugendlichen Workshop 03.03.2017 University of Zurich, Switzerland Munsch Simone;


Associated projects

Number Title Start Funding scheme
132045 Binge Eating Disorder in Childhood 01.01.2011 Project funding
138165 Effect of a CBT intervention on leader behavior and well-being 01.12.2011 Project funding

Abstract

1. Summary In today’s modern eloctronical world repeated exposure to thin beauty ideals is part of the daily routine. Data indicate that under certain circumstances, exposure to thin ideals via mass media plays an important role in the development and maintenance of eating disorders (EDs), low self-esteem and depressive feelings in young females [1,2,7]. There are also contradicting results, revealing short-term positive effects of exposure to thin ideals. It is thus important to elucidate the specific circumstances under which exposure to thin ideals develops its detrimental impact and to investigate whether these features are more pronounced in EDs than in other mental disorders also related to negative body image. However, despite the striking clinical relevance of detrimental effects of body dissatisfaction, negative affect and disordered eating behavior [3], the influence of moderators on effects of exposure to the thin ideal in ED samples compared to patients sufferiung from mixed mental disorders such as depression and somatoform disorders and to healthy controls has not yet been examined. Consequently, the current study sets out to investigate the following key questions: (1) Does laboratory induced exposure to thin ideals relate to psychological impairments in terms of body image, affect and eating behavior in 18 to 35 year old female suffering from anorexia and bulimia nervosa (AN, BN) compared to female healthy controls and to a sample of females suffering from mixed mental disorders (depression and somatoform disorders)? (2) How do moderators such as cognitive distortions (“Thought-Shape Fusion, TSF”), [4] and correlates of emotion regulation (ER) moderate the influence of the exposure to thin ideals. (3) Are these characteristics amenable to change after treatment? As a second focus it will be explored how exposure to media promoting the thin ideal relates to biological parameter of stress. We combine questionnaire-based and observational data and include biological measures of stress response such as saliva cortisol, alpha-amylase, heart rate and heart rate variability to assess impact of exposure to the thin ideal. To achieve these interdisciplinary goals, two research groups (Simone Munsch, University of Fribourg, Switzerland; Stephan Herpertz, LWL-University Bochum, Germany) provide their expertise for the investigation of ED pathology, negative affect, cognitive style, emotion regulation and psychological aspects of stress. Stephan Herpertz in collaboration with Prof. C. Kirschbaum (University of Dresden, Germany) contributes to the aspects of the biological stress response. Developmental aspects of body image and risk behavior in youth are covered by Grégoire Zimmermann (University of Lausanne, Switzerland), expertise on mechanisms transporting thin ideals promoted by mass media is guaranteed by W. Wirth, (University of Zurich) and expertise on computerized procedures for ER assessment is represented by Roberto Caldara (University of Fribourg, Switzerland). A sample of 250 female participants including patients with AN, BN, depressive and somatoform disorders, and healthy women will be recruited in three collaborating Clinics in Switzerland and in the Clinic of Psychosomatic Medicine and Psychotherapy, University of Bochum, Germany (SH). This project will provide pertinent findings about the role of moderators influencing the psychological and physiological effects of exposure to thin ideals promoted by mass media in AN and BN patients using an ecologically valid design. Comparing this susceptibility in ED patients to healthy participants and patients suffering from other mental disorder in a cross and longitudinal design will contribute to a better understanding of psychopathological mechanisms maintaining EDs and distinctions from depressive and somatoform disorders. Findings could be used to develop tailored interventions including a training in ER competences as well as cognitive restructuring of distorted beliefs about the own body shape and weight.
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