Body image experiences in the context of chronic pain: An examination of associations among perceptions of pain, body dissatisfaction, and positive body image

Although body image research has recently begun to examine positive body image and ways to improve body image, it remains unclear the extent to which these findings generalize to individuals who experience chronic pain. With this in mind, this study examined individuals with chronic pain conditions (N = 278, M_age = 36.75, SD = 11.56), including their reports of their ability to control, manage, and accept their pain. Participants also completed assessments of four facets of body image: perceptions of body functionality, body appreciation, appearance evaluation, and body satisfaction. Results indicated that pain acceptance was the most consistent, unique predictor of these body image constructs, after controlling for the other pain facets, as well as body mass index, gender, and age. These findings have implications for improving body image among people with chronic pain; it appears that controlling or altering pain may be less relevant to body image than is how individuals cope with pain.