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.
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