The Relationship of Mindfulness to Body Shame, Body Responsiveness, and Health Outcomes
Body shame, a self-conscious emotion resulting from the perception that one’s body fails to meet cultural body ideals, has predicted a number of negative outcomes in women, including poor physical health outcomes. Prior research has suggested that this may occur because body shame promotes diminished body responsiveness, or the valuing of bodily signals as a source of information, which in turn may lead to poor health-related outcomes. Mindfulness has been shown to ameliorate correlates of body shame (e.g., general shame), to improve attention to internal bodily functions, and to predict better health outcomes. Thus, mindfulness may be associated with better health outcomes via the mechanisms of lower levels of body shame and higher levels of body responsiveness. The current study tested this idea cross-sectionally in a sample of college-aged women (N = 115). Mindfulness was associated with low body shame and high body responsiveness as well as low levels of infections and symptoms and better self-rated health. Moreover, body shame and body responsiveness mediated the relationships between mindfulness and infections and mindfulness and self-rated health even when controlling for BMI and psychiatric conditions. These results provide initial support for the notion that mindfulness may attenuate the effects of body-related variables on health outcomes by decreasing body shame and improving body responsiveness. However, given the limitations of the current study’s cross-sectional design to provide evidence of directionality in the proposed model, future studies are recommended.
KeywordsMindfulness Body shame Body responsiveness Infections Self-rated health
Compliance with Ethical Standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the Bellarmine University IRB and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Conflict of Interest
The author declares no conflict of interest.
- Adams, C. E., McVay, M. A., Kinsaul, J., Benitez, L., Vinci, C., Stewart, D. W., & Copeland, A. L. (2012). Unique relationships between facets of mindfulness and eating pathology among female smokers. Eating Behaviors, 13, 390–393. https://doi.org/10.1016/j.eatbeh.2012.05.009.CrossRefPubMedGoogle Scholar
- Adler, N. E., & Ostrove, J. M. (1999). Socioeconomic status and health: what we know and what we don't. Annals of the New York Academy of Sciences, 896, 3–15. https://doi.org/10.1111/j.1749-6632.1999.tb08101.x.CrossRefPubMedGoogle Scholar
- Andrews, B. (1997). Bodily shame in relation to abuse in childhood and bulimia: a preliminary investigation. British Journal of Clinical Psychology, 36, 41–49. https://doi.org/10.1111/j.2044-8260.1997.tb01229.x.CrossRefPubMedGoogle Scholar
- Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, J. M. G. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15, 329–342. https://doi.org/10.1177/1073191107313003.CrossRefPubMedGoogle Scholar
- Castell, S., Akmatov, M. K., Obi, N., Flesh-Janys, D., Nieters, A., Kemmling, Y., Pessler, F., & Krause, G. (2014). Test-retest reliability of an infectious disease questionnaire and evaluation of self-assessed vulnerability to infections. Bundesgesundheitsblatt, 57, 1300–1307. https://doi.org/10.1007/s00103-014-2045-x.CrossRefGoogle Scholar
- Christopher, M. S., Goerling, R. J., Rogers, B. S., Hunsinger, M., Baron, G., Bergman, A. L., & Zava, D. T. (2016). A pilot study evaluating the effectiveness of a mindfulness-based intervention on cortisol awakening response and health outcomes among law enforcement officers. Journal of Police & Criminal Psychology, 31. https://doi.org/10.1007/s11896-015-9161-x.
- Daubenmier, J. J., Kristeller, J., Hecht, F. M., Maninger, N., Kuwata, M., Jhaveri, K., Lustig, R. H., Kemeny, M., Karan, L., & Epel, E. (2011). Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: an exploratory randomized controlled study. Journal of Obesity, 2011, 1–13. https://doi.org/10.1155/2011/651936.CrossRefGoogle Scholar
- de Jong, M., Lazar, S. W., Hug, K., Mehling, W. E., Hölzel, B. K., Sack, A. T., Peeters, F., Ashih, H., Mischoulon, D., & Gard, T. (2016). Effects of mindfulness-based cognitive therapy on body awareness in patients with chronic pain and comorbid depression. Frontiers in Psychology, 7. https://doi.org/10.3389/fpsyg.2016.00967.
- Fredrickson, B. L., & Roberts, T. A. (1997). Objectification theory: toward understanding women's lived experiences and mental health risks. Psychology of Women Quarterly, 21, 173–206. https://doi.org/10.1111/j.1471-6402.1997.tb00108.x.CrossRefGoogle Scholar
- Fredrickson, B. L., Roberts, T.-A., Noll, S. M., Quinn, D. M., & Twenge, J. M. (1998). That swimsuit becomes you: sex differences in self-objectification, restrained eating, and math performance. Journal of Personality & Social Psychology, 75, 269–284. https://doi.org/10.1037/0022-3522.214.171.1249.CrossRefGoogle Scholar
- Frieze, I. H., Olson, J. E., & Russell, J. (1991). Attractiveness and income for men and women in management. Journal of Applied Social Psychology, 21, 1039–1057. https://doi.org/10.1111/j.1559-1816.1991.tb00458.x.CrossRefGoogle Scholar
- Goldsmith, R. E., Gerhart, J. I., Chesney, S. A., Burns, J. W., Kleinman, B., & Hood, M. M. (2014). Mindfulness-based stress reduction for posttraumatic stress symptoms: building acceptance and decreasing shame. Journal of Evidence-Based Complementary & Alternative Medicine, 19, 227–234.CrossRefGoogle Scholar
- Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford.Google Scholar
- Hilton, L., Hempel, S., Ewing, B. A., Apaydin, E., Xenakis, L., Newberry, S., Colaiaco, B., Maher, A. R., Shanman, R. M., Sorbero, M. E., & Maglione, M. A. (2017). Mindfulness meditation for chronic pain: systematic review and meta-analysis. Annals of Behavioral Medicine, 51, 199–213. https://doi.org/10.1007/s12160-016-9844-2.CrossRefPubMedGoogle Scholar
- Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your mind and body to face stress, pain, and illness. New York: Delacourte.Google Scholar
- Marikar Bawa, F. L., Mercer, S. W., Atherton, R. J., Clague, F., Keen, A., Scott, N. W., & Bond, C. M. (2015). Does mindfulness improve outcomes in patients with chronic pain? Systematic review and meta-analysis. British Journal of General Practice, 65, e387–e400. https://doi.org/10.3399/bjgp15X685297.CrossRefGoogle Scholar
- McKinley, N. M., & Hyde, J. S. (1996). The objectified body consciousness scale: development and validation. Psychology of Women Quarterly, 20, 181–215. https://doi.org/10.1111/j.1471-6402.1996.tb00467.x.CrossRefGoogle Scholar
- Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., & Stewart, A. (2012). The multidimensional assessment of interoceptive awareness (MAIA). PLoS One, 7.Google Scholar
- Morone, N. E., Lynch, C. S., Greco, C. M., Tindle, H. A., & Weiner, D. K. (2008). 'I felt like a new person.' The effects of mindfulness meditation on older adults with chronic pain: qualitative narrative analysis of diary entries. The Journal of Pain, 9, 841–848. https://doi.org/10.1016/j.jpain.2008.04.003.CrossRefPubMedPubMedCentralGoogle Scholar
- Noll, S. M., & Fredrickson, B. L. (1998). A mediational model linking self-objectification, body shame, and disordered eating. Psychology of Women Quarterly, 22, 623–636. https://doi.org/10.1111/j.1471-6402.1998.tb00181.x.CrossRefGoogle Scholar
- Okosun, I. S., Choi, S., Matamoros, T., & Dever, G. E. A. (2001). Obesity is associated with reduced self-rated general health status: evidence from a representative sample of White, Black, and Hispanic Americans. Preventive Medicine, 32, 429–436. https://doi.org/10.1006/pmed.2001.0840.CrossRefPubMedGoogle Scholar
- Roberts, T.-A., & Goldenberg, J. L. (2007). Wrestling with nature: an existential perspective on the body and gender in self-conscious emotions. In J. L. Tracy, R. W. Robins, & J. P. Tangney (Eds.), The self-conscious emotions: theory and research (pp. 389–406). New York: Guilford.Google Scholar
- Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68, 29–36. https://doi.org/10.1016/j.jpsychores.2009.03.010.CrossRefPubMedGoogle Scholar
- Sanada, K., Montero-Marin, J., Díez, M. A., Salas-Valero, M., Pérez-Yus, M. C., Morillo, H., Demarzo, M. M. P., García-Toro, M., & García-Campayo, J. (2016). Effects of mindfulness-based interventions on salivary cortisol in healthy adults: a meta-analytical review. Frontiers in Physiology, 7, 471. https://doi.org/10.3389/fphys.2016.00471.CrossRefPubMedPubMedCentralGoogle Scholar
- Silverstein, R. G., Brown, A.-C. H., Roth, H. D., & Britton, W. B. (2011). Effects of mindfulness training on body awareness to sexual stimuli implications for female sexual dysfunction. Psychosomatic Medicine, 73, 817–825. https://doi.org/10.1097/PSY.0b013e318234e628.CrossRefPubMedPubMedCentralGoogle Scholar
- Spitzer, C., Wegert, S., Wollenhaupt, J., Wingenfeld, K., Barnow, S., & Grabe, H. J. (2013). Gender-specific association between childhood trauma and rheumatoid arthritis: a case–control study. Journal of Psychosomatic Research, 74, 296–300. https://doi.org/10.1016/j.jpsychores.2012.10.007.CrossRefPubMedGoogle Scholar
- Strauss, C., Thomas, N., & Hayward, M. (2015). Can we respond mindfully to distressing voices? A systematic review of evidence for engagement, acceptability, effectiveness and mechanisms of change for mindfulness-based interventions for people distressed by hearing voices. Frontiers in Psychology, 6, 1154. https://doi.org/10.3389/fpsyg.2015.01154.CrossRefPubMedPubMedCentralGoogle Scholar
- Tihanyi, B. T., Böőr, P., Emanuelsen, L., & Köteles, F. (2016). Mediators between yoga practice and psychological well-being: mindfulness, body awareness and satisfaction with body image. European Journal of Mental Health, 11, 112–127. https://doi.org/10.5708/EJMH.11.2016.1-2.7.CrossRefGoogle Scholar