Body and Self-Worth: Association Between Body Dissatisfaction and Self-Esteem in Medical Students
DOI:
https://doi.org/10.52379/mcs.v10.792Keywords:
self-esteem, body dissatisfaction, medical students, mental health, BSQ-8CAbstract
Introduction: Body dissatisfaction is a relevant psychological factor in university students’ mental health, particularly in demanding fields such as Medicine. Its association with self-esteem has been widely documented, although evidence from Latin American contexts remains limited. Objective: To analyze the association between body dissatisfaction and self-esteem among medical students, and to explore differences according to sociodemographic and academic variables. Methodology: A cross-sectional study was conducted among medical students. Self-esteem was assessed using the Rosenberg Self-Esteem Scale (RSES), and body dissatisfaction using the Body Shape Questionnaire–8C (BSQ-8C). Descriptive analyses, bivariate comparisons (Mann–Whitney U and Kruskal–Wallis tests), and adjusted linear regression were performed. Results: A significant negative association was found between body dissatisfaction and self-esteem. Body dissatisfaction was higher in women, while self-esteem showed borderline differences by sex. No significant differences in self-esteem were observed across academic years, although body dissatisfaction varied by year. In the multivariate model, body dissatisfaction and history of mental disorders were significantly associated with lower self-esteem, whereas BMI and sex were not significant predictors. Conclusion: Body dissatisfaction emerges as a central factor influencing self-esteem in medical students, with relevant clinical implications. These findings highlight the need for preventive strategies and early interventions targeting mental health in this population.
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References
1. Grogan S. Body image: understanding body dissatisfaction in men, women and children. 4th ed. London: Routledge; 2021.
2. Perloff RM. Social media effects on young women's body image concerns: theoretical perspectives and an agenda for research. Sex Roles. 2014;71(11-12):363-377. https://doi.org/10.1007/s11199-014-0384-6
3. Torales J, Torres A, Sánchez M, O'Higgins M, Amarilla D, Molodynski A, et al. A National Epidemiologic Mixed-methods Study on Depression, Anxiety, Substance Use, Treatment Needs and Barriers and Facilitators to Treatment Among Medical Students. Indian J Psychol Med. 2025:02537176251316798. https://doi.org/10.1177/02537176251316798.
4. Palmeros-Exsome C, González-Chávez GC, León-Díaz R, Carmona-Figueroa YP, Campos-Uscanga Y, Barranca-Enríquez A, et al. Conductas alimentarias de riesgo y satisfacción corporal en estudiantes universitarios mexicanos. Rev Esp Nutr Hum Diet. 2022;26(2):95-103. https://doi.org/10.14306/renhyd.26.2.1484
5. Charishma KS, Gattavali R, Chowdary CN, Anoop K. Risk of eating disorders and its relationship with body mass index and self-esteem among medical student. Int J Res Psychiatry. 2022;2(1):14-17. https://doi.org/10.22271/27891623.2022.v2.i1a.21
6. Reis LBM, Castro GG, Tôrres LRP, Santos RSO, Costa JV, Pereira MG, França DS. Insatisfação corporal e comportamentos de risco para o desenvolvimento de transtornos alimentares: uma avaliação entre estudantes de medicina. Debates em Psiquiatria. 2021;11:1-27. https://doi.org/10.25118/2763-9037.2021.v11.217
7. Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman; 1997.
8. Barrios I, Piris A, Torales J, Viola L. Autoestima en estudiantes de Medicina de la Universidad Nacional de Asunción, Paraguay. An. Fac. Cienc. Méd. (Asunción). 2016;49(2):27-31. https://doi.org/10.18004/anales/2016.049(02)27-032
9. Huguenin FM, de Almeida VAR, Rodrigues MVF, Ferreira MEC, Morgado FFDR. Body image of university students: a systematic review of the characteristics of interventions. Psicol Reflex Crit. 2024;37(1):22. https://doi.org/10.1186/s41155-024-00307-0
10. Torales J, Barrios I. Diseño de investigaciones: algoritmo de clasificación y características esenciales. Med. clín. soc. 2023;7(3):210-235. https://doi.org/10.52379/mcs.v7i3.349
11. Gosling SD, Vazire S, Srivastava S, John OP. Should we trust web-based studies? A comparative analysis of six preconceptions about internet questionnaires. Am Psychol. 2004;59(2):93-104. https://doi.org/10.1037/0003-066X.59.2.93
12. Rosenberg M. Society and the adolescent self-image. Princeton (NJ): Princeton University Press; 1965.
13. Rosenberg M. Society and the adolescent self-image. Rev ed. Middletown (CT): Wesleyan University Press; 1989.
14. Martín-Albo J, Núñiez JL, Navarro JG, Grijalvo F. The Rosenberg Self-Esteem Scale: translation and validation in university students. Span J Psychol. 2007;10(2):458-67. https://doi.org/10.1017/s1138741600006727
15. Cooper PJ, Taylor MJ, Cooper Z, Fairburn CG. The development and validation of the Body Shape Questionnaire. Int J Eat Disord. 1987;6(4):485-494. https://doi.org/10.1002/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O
16. Evans C, Dolan B. Body Shape Questionnaire: derivation of shortened "alternate forms". Int J Eat Disord. 1993;13(3):315-21. https://doi.org/10.1002/1098-108x(199304)13:3<315::aid-eat2260130310>3.0.co;2-3
17. Raich RM, Mora M, Soler A, Avila C, Clos I, Zapater L. Adaptación de un instrumento de evaluación de la insatisfacción corporal. Clin Salud. 1996;7(1):51-66.
18. Torales J, Barrios I, Amadeo G, Ebner B, Figueredo V, Garbett M, García O, Vittale F, González I, Samudio M. Satisfacción corporal en bailarinas y no bailarinas. Mem. Inst. Investig. Cienc. Salud. 2017; 15(2):79-84.
19. Mapi Research Trust. BSQ-8C – Body Shape Questionnaire 8C version 1.0: scaling and scoring. Version 0.2. Lyon: Mapi Research Trust; 2024.
20. Mapi Research Trust. Linguistic validation guidance of a Clinical Outcome Assessment (COA). Lyon: Mapi Language Services; 2020.
21. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec;25(24):3186-91. https://doi.org/10.1097/00007632-200012150-00014
22. Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013 Apr;35(2):121-6. https://doi.org/10.4103/0253-7176.116232
23. Lwanga SK, Lemeshow S. Sample size determination in health studies: a practical manual. Geneva: World Health Organization; 1991.
24. Linardon J, McClure Z, Tylka TL, Fuller-Tyszkiewicz M. Body appreciation and its psychological correlates: A systematic review and meta-analysis. Body Image. 2022;42:287-296. https://doi.org/10.1016/j.bodyim.2022.07.003
25. Vincente-Benito I, Ramírez-Durán MDV. Influence of Social Media Use on Body Image and Well-Being Among Adolescents and Young Adults: A Systematic Review. J Psychosoc Nurs Ment Health Serv. 2023;61(12):11-18. https://doi.org/10.3928/02793695-20230524-02
26. Divecha CA, Simon MA, Asaad AA, Tayyab H. Body Image Perceptions and Body Image Dissatisfaction among Medical Students in Oman. Sultan Qaboos Univ Med J. 2022;22(2):218-224. https://doi.org/10.18295/squmj.8.2021.121
27. Mallaram GK, Sharma P, Kattula D, Singh S, Pavuluru P. Body image perception, eating disorder behavior, self-esteem and quality of life: a cross-sectional study among female medical students. J Eat Disord. 2023;11(1):225. https://doi.org/10.1186/s40337-023-00945-2
28. Foster T, Eaton M, Probst Y. The relationship between internalised weight bias and biopsychosocial outcomes in children and youth: a systematic review. J Eat Disord. 2024;12(1):38. https://doi.org/10.1186/s40337-023-00959-w
29. Alfonso-Fuertes I, Alvarez-Mon MA, Sanchez Del Hoyo R, Ortega MA, Alvarez-Mon M, Molina-Ruiz RM. Time Spent on Instagram and Body Image, Self-esteem, and Physical Comparison Among Young Adults in Spain: Observational Study. JMIR Form Res. 2023;7:e42207. https://doi.org/10.2196/42207
30. Varaona A, Alvarez-Mon MA, Serrano-Garcia I, Díaz-Marsá M, Looi JCL, Molina-Ruiz RM. Exploring the Relationship Between Instagram Use and Self-Criticism, Self-Compassion, and Body Dissatisfaction in the Spanish Population: Observational Study. J Med Internet Res. 2024;26:e51957. https://doi.org/10.2196/51957
31. Merino M, Tornero-Aguilera JF, Rubio-Zarapuz A, Villanueva-Tobaldo CV, Martín-Rodríguez A, Clemente-Suárez VJ. Body Perceptions and Psychological Well-Being: A Review of the Impact of Social Media and Physical Measurements on Self-Esteem and Mental Health with a Focus on Body Image Satisfaction and Its Relationship with Cultural and Gender Factors. Healthcare (Basel). 2024;12(14):1396. https://doi.org/10.3390/healthcare12141396
32. Abdoli M, Schiechtl E, Rosato MS, Mangweth-Matzek B, Cotrufo P, Hüfner K. Body image, self-esteem, emotion regulation, and eating disorders in adults: a systematic review. Neuropsychiatr. 2025;39(3):118-132. https://doi.org/10.1007/s40211-025-00544-4.
33. Suarez-Albor CL, Galletta M, Gómez-Bustamante EM. Factors associated with eating disorders in adolescents: a systematic review. Acta Biomed. 2022;93(3):e2022253. https://doi.org/10.23750/abm.v93i3.13140
34. Bonfanti RC, Melchiori F, Teti A, Albano G, Raffard S, Rodgers R, et al. The association between social comparison in social media, body image concerns and eating disorder symptoms: A systematic review and meta-analysis. Body Image. 2025;52:101841. https://doi.org/10.1016/j.bodyim.2024.101841
35. Karam JM, Bouteen C, Mahmoud Y, Tur JA, Bouzas C. The Relationship between Social Media Use and Body Image in Lebanese University Students. Nutrients. 2023;15(18):3961. https://doi.org/10.3390/nu15183961
36. Yang Z, Yang Z, Ou W, Zeng Q, Huang J. Effects of Physical Activity Interventions on Physical Self-Perception in College Students: A Systematic Review and Meta-Analysis. J Phys Act Health. 2024;21(10):990-1007. https://doi.org/10.1123/jpah.2024-0055
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Los datos están disponibles previa solicitud al autor de correspondencia, Iván Barrios (jbarrios@fcmuna.edu.py).
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Copyright (c) 2026 Julio Torales, Antonio Ventriglio, João Mauricio Castaldelli-Maia, Tomás Caycho-Rodríguez, Gladys Estigarribia, Marcelo O’Higgins, Victoria Ocampo-Rojas, Camila Martínez-Villalba, Tamara Horvath-Mereles, Eva Giménez-Legal, Iván Barrios
This work is licensed under a Creative Commons Attribution 4.0 International License.
