Functionality appreciation is associated with improvements in positive and negative body image in patients with an eating disorder and following recovery.

Background: Research on body image in eating disorders has predominantly focused on negative body image, only recently shifting to positive body image. Findings suggest that enhancing positive body image can, amongst other things, serve as a protective mechanism against (re)developing a negative body image. One suggested way of enhancing positive body image is to focus on enhancing body functionality appreciation. Although studies show promising effects, this research is mainly conducted in non-clinical samples. Methods: The current study investigated the levels of positive and negative body image in an online community sample of patients with an eating disorder (PAT, n = 227), patients recovered from an eating disorder (REC, n = 102) and controls (HC, n = 175) (self-reported diagnosis, not confirmed). In addition, we tested whether body functionality appreciation was associated with appearance dissatisfaction (negative body image) and body appreciation (positive body image). Results: REC showed similar results to controls to most of the body image measures except for how much importance one places on their appearance (no different between REC and PAT), and how satisfied one is with certain body parts. For this measure, REC scored in-between PAT and HC. We further found functionality appreciation to be significantly associated with of both positive and negative body image, except for appearance evaluation in patients with an eating disorder. Conclusions: This study showed a positive association between body functionality appreciation and positive body image and a negative association between body functionality appreciation and negative body image. Further research is required to investigate the effectiveness of interventions targeting body functionality appreciation in clinical settings. Plain english summary: People with an eating disorder often suffer from a negative body image. This negative body image has been found to be hard to treat. Recently researchers started to not only look at ways to decrease negative body image but also enhance positive body image. It has been found that it is beneficial for people with a negative body image to learn to focus on appreciating the functions of the body (body functionality appreciation), as this leads to a more positive body image. However, this research was done on people without an eating disorder. In this questionnaire study, we looked at whether there is a relationship between body functionality appreciation and body image in patients with a (self-reported) eating disorder diagnosis and those who are recovered from an eating disorder. We found that functionality appreciation is associated with increased positive body image and decreased negative body image in all groups. Further studies should investigate the effectiveness of clinical interventions that focus on body functionality appreciation to enhance body image [ABSTRACT FROM AUTHOR]