, Volume 10, Issue 4, pp 639–649 | Cite as

The Relationship of Mindfulness to Body Shame, Body Responsiveness, and Health Outcomes

  • Jean M. LamontEmail author


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.


Mindfulness 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.


  1. Aadil, M., Cosme, R. M., & Chernaik, J. (2017). Mindfulness-based cognitive behavioral therapy as an adjunct treatment of attention deficit hyperactivity disorder in young adults: a literature review. Cureus, 9, e1269. Scholar
  2. 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. Scholar
  3. 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. Scholar
  4. Andrews, B. (1997). Bodily shame in relation to abuse in childhood and bulimia: a preliminary investigation. British Journal of Clinical Psychology, 36, 41–49. Scholar
  5. Augustus-Horvath, C. L., & Tylka, T. L. (2009). A test and extension of objectification theory as it predicts disordered eating: does women's age matter? Journal of Counseling Psychology, 56, 253–265. Scholar
  6. Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. Scholar
  7. 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. Scholar
  8. Black, D. S., & Slavich, G. M. (2017). Mindfulness meditation and the immune system: a systematic review of randomized controlled trials. Annals of the New York Academy of Science, 1373, 13–24. Scholar
  9. Bojic, S., & Becerra, R. (2017). Mindfulness-based treatment for bipolar disorder: a systematic review of the literature. European Journal of Psychology, 13, 573–598. Scholar
  10. Boyd, J. E., Lanius, R. A., & McKinnon, M. C. (2018). Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence. Journal of Psychiatry & Neuroscience, 43, 7–25. Scholar
  11. Calogero, R. M. (2009). Objectification processes and disordered eating in British women and men. Journal of Health Psychology, 14, 394–402. Scholar
  12. Calogero, R. M., & Pina, A. (2011). Body guilt: preliminary evidence for a further subjective experience of self-objectification. Psychology of Women Quarterly, 35, 428–440. Scholar
  13. 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. Scholar
  14. Cebolla, A., Miragall, M., Palomo, P., Llorens, R., Soler, J., Demarzo, M., García-Campayo, J., & Baños, R. M. (2016). Embodiment and body awareness in meditators. Mindfulness, 7, 1297–1305. Scholar
  15. Chiesa, A., & Serretti, A. (2014). Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Substance Use & Misuse, 49, 492–512. Scholar
  16. 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.
  17. Cox, A. E., Ullrich-French, S., Cole, A. N., & D'Hondt-Taylor, M. (2016). The role of state mindfulness during yoga in predicting self-objectification and reasons for exercise. Psychology of Sport & Exercise, 22, 321–327. Scholar
  18. Cramer, H., Lauche, R., Paul, A., & Dobos, G. (2012). Mindfulness-based stress reduction for breast cancer: a systematic review and meta-analysis. Current Oncology, 19, e343–e352. Scholar
  19. Cramer, H., Lauche, R., Haller, H., Langhorst, J., & Dobos, G. (2015). Mindfulness- and acceptance-based interventions for psychosis: a systematic review and meta-analysis. Global Advances in Health & Medicine, 5, 30–43. Scholar
  20. Crowe, M., Jordan, J., Burrell, B., Jones, V., Gillon, D., & Harris, S. (2016). Mindfulness-based stress reduction for long-term physical conditions: a systematic review. Australian & New Zealand Journal of Psychiatry, 50, 21–32. Scholar
  21. Daigneault, I., Dion, J., Hébert, M., & Bourgeois, C. (2016). Mindfulness as mediator and moderator of post-traumatic symptomatology in adolescence following childhood sexual abuse or assault. Mindfulness, 7, 1306–1315. Scholar
  22. Daubenmier, J. J. (2005). The relationship of yoga, body awareness, and body responsiveness to self-objectification and disordered eating. Psychology of Women Quarterly, 29, 207–219. Scholar
  23. 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. Scholar
  24. 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.
  25. Engs, R. C., & Aldo-Benson, M. (1995). The association of alcohol consumption with self-reported illness. Psychological Reports, 76, 727–736.CrossRefGoogle Scholar
  26. Falagas, M. E., & Kompoti, M. (2006). Obesity and infection. The Lancet: Infectious Diseases, 6, 438–446. Scholar
  27. Fiissel, D. L., & Lafreniere, K. D. (2006). Weight control motives for cigarette smoking: further consequences of the sexual objectification of women? Feminism & Psychology, 16, 327–344. Scholar
  28. Fink, S., Foran, K. A., Sweeney, A. C., & O’Hea, E. L. (2009). Sexual body esteem and mindfulness in college women. Body Image, 6, 326–329. Scholar
  29. 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. Scholar
  30. 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. Scholar
  31. 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. Scholar
  32. 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
  33. Grauerholz, E., & King, A. (1997). Prime time sexual harassment. Violence Against Women, 3, 129–148. Scholar
  34. Grodsky, E., & Jones, M. T. (2006). Real and imagined barriers to college entry: perceptions of cost. Social Science Research, 36, 745–766. Scholar
  35. Han, B. (2002). Depressive symptoms and self-rated health in community-dwelling older adults: a longitudinal study. Journal of the American Geriatrics Society, 50, 1549–1556. Scholar
  36. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford.Google Scholar
  37. 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. Scholar
  38. Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting & Clinical Psychology, 78, 169–183. Scholar
  39. Judge, T. A., & Cable, D. M. (2011). When it comes to pay, do the thin win? The effect of weight on pay for men and women. Journal of Applied Psychology, 96, 95–112. Scholar
  40. 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
  41. Kearney-Cooke, A., & Striegel-Moore, R. H. (1994). Treatment of childhood sexual abuse in anorexia nervosa and bulimia nervosa: a feminist psychodynamic approach. International Journal of Eating Disorders, 15, 305–319. Scholar
  42. Keng, S.-L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychology Review, 31, 1041–1056. Scholar
  43. Kiecolt-Glaser, J. K., & Glaser, R. (2002). Depression and immune function: central pathways to morbidity and mortality. Journal of Psychosomatic Research, 53, 873–876. Scholar
  44. Kimbrough, E., Magyari, T., Langenberg, P., Chesney, M., & Berman, B. (2010). Mindfulness intervention for child abuse survivors. Journal of Clinical Psychology, 66, 17–33. Scholar
  45. Kozee, H. B., & Tylka, T. L. (2006). A test of objectification theory with lesbian women. Psychology of Women Quarterly, 30, 348–357. Scholar
  46. Kroenke, K., Spitzer, R. L., & Williams, J. (2002). The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64, 258–266.CrossRefGoogle Scholar
  47. Lamont, J. M. (2015). Trait body shame predicts health outcomes in college women: a longitudinal investigation. Journal of Behavioral Medicine, 38, 998–1008. Scholar
  48. Lavender, J. M., Gratz, K. L., & Tull, M. T. (2011). Exploring the relationship between facets of mindfulness and eating pathology in women. Cognitive Behaviour Therapy, 40, 174–182. Scholar
  49. Lin, C. A. (1998). Uses of sex appeals in prime-time television commercials. Sex Roles, 38, 461–475. Scholar
  50. 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. Scholar
  51. Martin, R., Prichard, I., Hutchinson, A. D., & Wilson, C. (2013). The role of body awareness and mindfulness in the relationship between exercise and eating behavior. Journal of Sport & Exercise Psychology, 35, 655–660. Scholar
  52. Maxwell, S. E., & Cole, D. A. (2007). Bias in cross-sectional analyses of longitudinal mediation. Psychological Methods, 12, 23–44. Scholar
  53. McKinley, N. M. (1998). Gender differences in undergraduates' body esteem: the mediating effect of objectified body consciousness and actual/ideal weight discrepancy. Sex Roles, 39, 113–123. Scholar
  54. McKinley, N. M., & Hyde, J. S. (1996). The objectified body consciousness scale: development and validation. Psychology of Women Quarterly, 20, 181–215. Scholar
  55. 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
  56. Milburn, S. S., Carney, D. R., & Ramirez, A. M. (2001). Even in modern media, the picture is still the same: a content analysis of clipart images. Sex Roles, 44, 277–294. Scholar
  57. Milligan, R.-J., & Andrews, B. (2005). Suicidal and other self-harming behaviour in offender women: the role of shame, anger and childhood abuse. Legal & Criminological Psychology, 10, 13–25. Scholar
  58. Moradi, B., & Huang, Y.-P. (2008). Objectification theory and psychology of women: a decade of advances and future directions. Psychology of Women Quarterly, 32, 377–398. Scholar
  59. 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. Scholar
  60. Muehlenkamp, J. J., & Saris-Baglama, R. N. (2002). Self-objectification and its psychological outcomes for college women. Psychology of Women Quarterly, 26, 371–379.CrossRefGoogle Scholar
  61. Nash, R., Fieldman, G., Hussey, T., Lévêque, J.-L., & Pineau, P. (2006). Cosmetics: they influence more than Caucasian female facial attractiveness. Journal of Applied Social Psychology, 36, 493–504. Scholar
  62. 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. Scholar
  63. O’Reilly, G. A., Cook, J. L., Spruijt-Metz, D., & Black, D. A. (2014). Mindfulness-based interventions for obesity-related eating behaviors: a literature review. Obesity Reviews, 15, 453–461. Scholar
  64. 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. Scholar
  65. Olano, H. A., Kachan, D., Tannenbaum, S. L., Mehta, A., Annane, D., & Lee, D. J. (2015). Engagement in mindfulness practices by U.S. adults: sociodemographic barriers. The Journal of Alternative & Complementary Medicine, 21, 100–102. Scholar
  66. Philippe, B., Gervais, S. J., Allen, J., Campomizzi, S., & Klein, O. (2012). Integrating sexual objectification with object versus person recognition: the sexualized-body-inversion hypothesis. Psychological Science, 23, 469–471. Scholar
  67. Posselt, J. R., Jaquette, O., Bielby, R., & Bastedo, M. N. (2012). Access without equity. Longitudinal analyses of institutional stratification by race and ethnicity, 1972–2004. American Educational Research Journal, 49, 1074–1111. Scholar
  68. Rakowski, W., Fleishman, J. A., Mor, V., & Bryant, S. A. (1993). Self-assessments of health and mortality among older persons: do questions other than global self-rated health predict mortality? Research on Aging, 15, 92–116. Scholar
  69. Riley, K. E., & Kalichman, S. (2015). Mindfulness-based stress reduction for people living with HIV/AIDS: preliminary review of intervention trial methodologies and findings. Health Psychology Review, 9, 224–243. Scholar
  70. Roberts, K. C., & Danoff-Burg, S. (2010). Mindfulness and health behaviors: is paying attention good for you? Journal of American College Health, 59, 165–173. Scholar
  71. 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
  72. Roberts, T.-A., & Waters, P. L. (2004). Self-objectification and that “not so fresh feeling:” feminist therapeutic interventions for healthy female embodiment. Women & Therapy, 27, 5–12. Scholar
  73. 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. Scholar
  74. 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. Scholar
  75. Shennan, C., Payne, S., & Fenlon, D. (2011). What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psycho-Oncology, 20, 681–697. Scholar
  76. Shi, Z., & MacBeth, A. (2017). The effectiveness of mindfulness-based interventions on maternal perinatal mental health outcomes: a systematic review. Mindfulness, 8, 823–847. Scholar
  77. 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. Scholar
  78. Simpson, R., Booth, J., Lawrence, M., Byrne, S., Mair, F., & Mercer, S. (2014). Mindfulness based interventions in multiple sclerosis: a systematic review. BMC Neurology, 14, 15. Scholar
  79. Slopen, N., McLaughlin, K. A., Dunn, E. C., & Koenen, K. C. (2013). Childhood adversity and cell-mediated immunity in young adulthood: does type and timing matter? Brain, Behavior, & Immunity, 28, 63–71. Scholar
  80. 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. Scholar
  81. Stapleton, J., Turrisi, R., Todaro, A., & Robinson, J. K. (2009). Objectification theory and our understanding of indoor tanning. Archives of Dermatology, 145, 1059–1060. Scholar
  82. 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. Scholar
  83. Swim, J. K., Hyers, L. L., Cohen, L. L., & Ferguson, M. J. (2001). Everyday sexism: evidence for its incidence, nature, and psychological impact from three daily diary studies. Journal of Social Issues, 57, 31–53. Scholar
  84. Taylor, B. L., Cavanagh, K., & Strauss, C. (2016). The effectiveness of mindfulness-based interventions in the perinatal period: a systematic review and meta-analysis. PLoS One, 11, e0155720. Scholar
  85. Tiggemann, M., & Williams, E. (2012). The role of self-objectification in disordered eating, depressed mood, and sexual functioning among women: a comprehensive test of objectification theory. Psychology of Women Quarterly, 36, 66–75. Scholar
  86. 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. Scholar
  87. Tomlinson, E. R., Yousaf, O., Vittersø, A. D., & Jones, L. (2018). Dispositional mindfulness and psychological health: a systematic review. Mindfulness, 9, 23–43. Scholar
  88. Tripp, M. M., & Petrie, T. A. (2001). Sexual abuse and eating disorders: a test of a conceptual model. Sex Roles, 44, 17–32.CrossRefGoogle Scholar
  89. Tylka, T. L., & Hill, M. S. (2004). Objectification theory as it relates to disordered eating among college women. Sex Roles, 51, 719–730. Scholar
  90. Watson, L. B., Matheny, K. B., Gagné, P., Brack, G., & Ancis, J. R. (2013). A model linking diverse women’s child sexual abuse history with sexual risk taking. Psychology of Women Quarterly, 37, 22–37. Scholar
  91. Williams, D. R. (1999). Race, socioeconomic status, and health. The added effects of racism and discrimination. Annals of the New York Academy of Sciences, 896, 173–188.CrossRefGoogle Scholar
  92. Wong, J. S., & Penner, A. M. (2016). Gender and the returns to attractiveness. Research in Social Stratification & Mobility, 44, 113–123.CrossRefGoogle Scholar
  93. Woods, H., & Proeve, M. (2014). Relationships of mindfulness, self-compassion, and meditation experience with shame-proneness. Journal of Cognitive Psychotherapy, 28, 20–33. Scholar
  94. Wupperman, P., Neumann, C. S., & Axelrod, S. R. (2008). Do deficits in mindfulness underlie borderline personality features and core difficulties? Journal of Personality Disorders, 22, 466–482. Scholar
  95. Zgierska, A., Rabago, D., Chawla, N., Kushner, K., Koehler, R., & Marlatt, A. (2009). Mindfulness meditation for substance use disorders: a systematic review. Substance Abuse, 30, 266–294. Scholar

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Authors and Affiliations

  1. 1.Department of PsychologyBellarmine UniversityLouisvilleUSA

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