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Does Body Checking Regulate Emotions? An Experimental Study on Appearance- and Health-Related Body Checking.

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Body checking (BC) in healthy individuals does not reduce negative affect as hypothesized. This study found BC increased negative affect and pathology, challenging theories of short-term relief in eating disorders (EDs), body dysmorphic disorder (BDD), and illness anxiety disorder (IAD).

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body checkingbody dysmorphic disordereating disorderillness anxietysafety behavior

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Behavioral Science

Background:

  • Body checking (BC) is prevalent in healthy individuals and those with eating disorders (EDs), body dysmorphic disorder (BDD), and illness anxiety disorder (IAD).
  • Etiological models suggest BC provides short-term negative affect reduction, drawing from obsessive-compulsive disorder research.
  • Empirical evidence on negative affect reduction from BC is inconsistent, necessitating further investigation.

Purpose of the Study:

  • To experimentally test the etiological models of BC in healthy females.
  • To investigate the short-term effects of ED-, BDD-, and IAD-related BC on negative affect and disorder-specific pathology.
  • To compare the effects of specific BC tasks with a control checking condition.

Main Methods:

  • A cross-over laboratory experiment was conducted with 102 healthy females.
  • Participants underwent a 10-minute BC task (ED-, BDD-, or IAD-related) or a control task (checking vase characteristics).
  • Negative affect and disorder-specific pathology were assessed before and after each task.

Main Results:

  • BC tasks led to increased negative affect and disorder-specific pathology.
  • The control checking condition resulted in a reduction of negative affect and pathology.
  • These findings contradict the hypothesis of short-term negative affect reduction from BC.

Conclusions:

  • The theory of negative affect reduction through compulsive checking may not apply to BC in healthy populations.
  • BC appears dysfunctional in the short term for individuals without diagnosed disorders.
  • This study provides evidence against the proposed etiological models for BC in healthy individuals.