Coping with “Bad Body Image Days”: Strategies from first-year young adult college women

The purpose of this qualitative study was to understand how college women cope with body image concerns, a topic which has rarely been studied. Semi-structured interviews with first-year female college students (N = 30) revealed common strategies used for body image coping as well as their perceived effectiveness. While exercise was most frequently cited, other coping strategies included healthy eating, appearance changing, talking to friends or family, religion/spirituality, spending time alone, getting out and doing something, and self-acceptance. One of the emerging themes was participation in a cycle of eating as a result of body image concerns, and then feeling bad about themselves for eating. Participants identified that women in this cycle either adopt a self-defeatist attitude, believing they can do nothing about their appearance, or engage in self-improvement strategies, including goal setting. Far more women reported coping strategies that reflected avoidance or appearance fixing motives rather than acceptance.

► First-year college women were interviewed about body image coping strategies.
► Participating in a cycle of eating then feeling bad was common for many women.
► More women used avoidant coping and appearance fixing strategies.
► Positive rational acceptance was infrequently used among the women.