Prospective associations between body appreciation and indices of psychological well-being in autistic adults from the United Kingdom
This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.
About the autistic author markerLonghurst, P., Modica, C., & Swami, V. (2026). Prospective associations between body appreciation and indices of psychological well-being in autistic adults from the United Kingdom. Body Image, 58, 102160. https://doi.org/10.1016/j.bodyim.2026.102160
This publication is integrated into AutiHub through:
Authors
Abstract
Body appreciation is a central facet of positive body image that has been associated with stronger psychological well-being in the autistic population. While longitudinal evidence suggests a bidirectional relationship between body appreciation and well-being over time in neurotypical populations, existing research in autistic people is limited to cross-sectional study designs. For the first time, therefore, this study examines prospective associations between body appreciation and psychological well-being (operationalised here as self-esteem, life satisfaction, and flourishing, respectively) in 262 autistic adults (aged 19-73 years; M = 38.43) from the United Kingdom. Participants completed two online surveys containing study measures at baseline and at 3-month follow-up. Cross-lagged panel modelling revealed unidirectional and positive associations between body appreciation and subsequent self-esteem and flourishing, but not with life satisfaction. Higher body appreciation at baseline predicted increases in self-esteem and flourishing over time, whereas no reciprocal effects were observed, and no longitudinal associations emerged for life satisfaction. These findings highlight the possible protective role of body appreciation in autistic people, strengthening claims that body appreciation could serve as a viable target of intervention aimed at promoting psychological well-being in autistic populations.
Bibliography cited by this reference
Cited references are imported from external metadata sources when they are available. The list may be partial.
Cited bibliography overview
These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 2 Oct 2026 07:50.
- With a DOI
- 73
- Without a DOI, from raw bibliography text
- 14
- References with detected author names
- 86 / 87 (98.9%)
- Without detected author names
- 1
- Without a structured title
- 0
- Without a stable identifier
- 14
- References with raw author names still to review
- 0
- References with external metadata lookup issues
- 0
- From DOI or external metadata
- 524
- From validated raw bibliography text
- 0
- Raw names already validated
- 0
- Raw names still to review
- 0
-
Paul G. Curran (2016). Methods for the detection of carelessly invalid responses in survey data . Journal of Experimental Social Psychology, 66, 4. Elsevier BV.Crossref OpenAlex
-
Emma Austen , Scott Griffiths (2025). Prospective relationships of body appreciation and functionality appreciation with body dissatisfaction and psychological quality of life among sexual minority men . Body Image, 53, 101884. Elsevier BV.Crossref OpenAlex
-
Yves Rosseel (2012). lavaan: An R package for structural equation modeling . Journal of Statistical Software, 48(2), 1. Foundation for Open Access Statistic.Crossref OpenAlex
-
Laura Avalos , Tracy L. Tylka , Nichole Wood-Barcalow (2005). The Body Appreciation Scale: Development and psychometric evaluation . Body Image, 2(3), 285. Elsevier BV.Crossref OpenAlex
-
Robert C. MacCallum , Michael W. Browne , Hazuki M. Sugawara (1996). Power analysis and determination of sample size for covariance structure modeling . Psychological Methods, 1(2), 130. American Psychological Association (APA).Crossref OpenAlex
-
Michael Ayres , Jeremy R. Parr , Jacqui Rodgers , David Mason *Autistic author. Learn more… , Leah Avery , Darren Flynn (2018). A systematic review of quality of life of adults on the autism spectrum . Autism, 22(7), 774. SAGE Publications.
-
Ellen L. Hamaker , Rebecca M. Kuiper , Raoul P. P. P. Grasman (2015). A critique of the cross-lagged panel model. Psychological Methods, 20(1), 102-116. American Psychological Association (APA).Crossref OpenAlex
-
Kelly B. Beck , Lauren A. Terhorst , Carol M. Greco , Jamie L. Kulzer , Elizabeth R. Skidmore , Michael P. McCue (2024). Item understanding of common quality of life measures for use with autistic adults . Journal of Autism and Developmental Disorders, 54(7), 2625. Springer Science and Business Media LLC.Crossref OpenAlex
-
Tracy L. Tylka , Nichole L. Wood-Barcalow (2015). The Body Appreciation Scale-2: Item refinement and psychometric evaluation . Body Image, 12, 53-67. Elsevier BV.Crossref OpenAlex
-
Nicole Behrend , Jennifer B. Webb , Petra Warschburger (2024). Explaining the prospective paths from body appreciation to intuitive eating facets: Does body image flexibility serve as a mediator? Body Image, 49, 101710. Elsevier BV.Crossref OpenAlex
-
Lenny R. Vartanian (2009). When the body defines the self: Self-concept clarity, internalization, and body image . Journal of Social and Clinical Psychology, 28(1), 94. Guilford Publications.Crossref OpenAlex
-
Byrne (2016). Structural equation modelling with AMOS: Basic concepts, applications, and programming .Type: OtherCrossref
-
Tracy L. Tylka , Nichole L. Wood-Barcalow (2015). What is and what is not positive body image? Conceptual foundations and construct definition . Body Image, 14, 118-129. Elsevier BV.Crossref OpenAlex
-
Eilidh Cage , Catherine J. Crompton , Sarah Dantas *Autistic author. Learn more… , Khiah Strachan , Rachel Birch *Autistic author. Learn more… , Mark Robinson et al. (2024). What are the autism research priorities of autistic adults in Scotland? Autism, 28(9), 2179-2190. SAGE Publications.
-
Fang Fang Chen (2007). Sensitivity of goodness-of-fit indexes to lack of measurement invariance . Structural Equation Modeling, 14(3), 464. Informa UK Limited.Crossref OpenAlex
-
Cohen (1988). Statistical power for the behavioural sciences .Type: OtherCrossref
-
Ed Diener , Derrick Wirtz , William Tov , Chu Kim-Prieto , Dong-won Choi , Shigehiro Oishi et al. (2010). New Well-being Measures: Short Scales to Assess Flourishing and Positive and Negative Feelings . Social Indicators Research, 97(2), 143-156. Springer Science and Business Media LLC.Crossref OpenAlex
-
Keith F Widaman , Emilio Ferrer , Rand D Conger (2010). Factorial invariance within longitudinal structural equation models: Measuring the same construct across time . Child Development Perspectives, 4(1), 10. Oxford University Press (OUP).Crossref OpenAlex
-
Adrian C. Davis , Samantha A. Fowler , Lisa A. Best , Lilly E. Both (2020). The role of body image in the prediction of life satisfaction and flourishing in men and women . Journal of Happiness Studies, 21(2), 505. Springer Science and Business Media LLC.Crossref OpenAlex
-
Ed Diener , Richard E. Lucas , Christie Napa Scollon (2006). Beyond the hedonic treadmill: Revising the Adaptation Theory of Well-Being . The American Psychologist, 61(4), 305. American Psychological Association (APA).Crossref OpenAlex
-
Michele Deakin , Stephanie Petty , Brett Heasman *Autistic author. Learn more… , Lorna G. Hamilton (2024). A critical reflection on definitions of autistic well‐being . Brain and Behavior, 14(7), e3572-e3572. Wiley.
-
Nichole L. Wood-Barcalow , Tracy L. Tylka , Casey L. Augustus-Horvath (2010). “But I Like My Body”: Positive body image characteristics and a holistic model for young-adult women . Body Image, 7(2), 106-116. Elsevier BV.Crossref OpenAlex
-
Ed Diener , Robert A. Emmons , Randy J. Larsen , Sharon Griffin (1985). The satisfaction with life scale . Journal of Personality Assessment, 49(1), 71. Informa UK Limited.Crossref OpenAlex
-
Li‐tze Hu , Peter M. Bentler (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives . Structural Equation Modeling, 6(1), 1. Informa UK Limited.Crossref OpenAlex
-
Jason L. Huang , Paul G. Curran , Jessica Keeney , Elizabeth M. Poposki , Richard P. DeShon (2012). Detecting and deterring insufficient effort responding to surveys . Journal of Business and Psychology, 27(1), 99. Springer Science and Business Media LLC.Crossref OpenAlex
-
Adam W. Meade , Emily C. Johnson , Phillip W. Braddy (2008). Power and sensitivity of alternative fit Indices in tests of measurement invariance . Journal of Applied Psychology, 93(3), 568. American Psychological Association (APA).Crossref OpenAlex
-
Christian Dormann , Mark A. Griffin (2015). Optimal time lags in panel studies . Psychological Methods, 20(4), 489. American Psychological Association (APA).Crossref OpenAlex
-
Richard W. Robins , Holly M. Hendin , Kali H. Trzesniewski (2001). Measuring global self-esteem: Construct validation of a single-item measure and the Rosenberg Self-Esteem Scale . Personality and Social Psychology Bulletin, 27(2), 151. SAGE Publications.Crossref OpenAlex
-
María Fernández , Dominika Zofia Wojcik , Emiliano Díez (2026). Quality-of-life assessment in autistic adults with lower support needs: Gaps and emerging challenges . Frontiers in Psychiatry, 17, 1756393-1756393. Frontiers Media SA.Crossref OpenAlex
-
Roderick P. McDonald , Moon-Ho Ringo Ho (2002). Principles and practice in reporting structural equation analyses . Psychological Methods, 7(1), 64. American Psychological Association (APA).Crossref OpenAlex
-
Flournoy (2017). A better cross-lagged panel model, from Hamaker et al. (2015) .Type: OtherCrossref
-
John J. McArdle (2009). Latent variable modeling of differences and changes with longitudinal data . Annual Review of Psychology, 60(1), 577. Annual Reviews.Type: Article DOI: 10.1146/annurev.psych.60.110707.163612 OpenAlex: https://openalex.org/W2154732345Crossref OpenAlex
-
Matthew Fuller-Tyszkiewicz (2019). Body image states in everyday life: Evidence from ecological momentary assessment methodology . Body Image, 31, 245. Elsevier BV.Crossref OpenAlex
-
David C. Funder , Daniel J. Ozer (2019). Evaluating effect size in psychological research: Sense and nonsense . Advances in Methods and Practices in Psychological Science, 2(2), 156. SAGE Publications.Crossref OpenAlex
-
Diane L. Putnick , Marc H. Bornstein (2016). Measurement invariance conventions and reporting: The state of the art and future directions for psychological research . Developmental Review, 41, 71. Elsevier BV.Crossref OpenAlex
-
Ella Guest , Bruna Costa , Heidi Williamson , Jane Meyrick , Emma Halliwell , Diana Harcourt (2019). The effectiveness of interventions aiming to promote positive body image in adults: A systematic review . Body Image, 30, 10-25. Elsevier BV.Crossref OpenAlex
-
Viren Swami , Laura Weis , David Barron , Adrian Furnham (2018). Positive body image is positively associated with hedonic (emotional) and eudaimonic (psychological and social) well-being in British adults . Journal of Social Psychology, 158(5), 541. Informa UK Limited.Crossref OpenAlex
-
Hamaker (2018). How to run the RI-CLPM with MPlus .Type: OtherCrossref
-
Laura Hull , K.V. Petrides , Carrie T. Allison , P. Smith , Simon Baron-Cohen , Meng-Chuan Lai et al. (2017). “Putting on My Best Normal”: Social Camouflaging in Adults with Autism Spectrum Conditions . Journal of Autism and Developmental Disorders, 47(8), 2519-2534. Springer Science and Business Media LLC.Crossref OpenAlex
-
Ellen L. Hamaker (2026). The within-between dispute in cross-lagged panel research and how to move forward . Psychological Methods, 31(1), 56. American Psychological Association (APA).Crossref OpenAlex
-
Tyler J. VanderWeele (2017). On the promotion of human flourishing . Proceedings of the National Academy of Sciences of the United States of America, 114(31), 8148. National Academy of Sciences.Crossref OpenAlex
-
Emeline Han , Katrina Scior , Katerina Avramides , Laura Crane (2022). A systematic review on autistic people's experiences of stigma and coping strategies . Autism Research, 15(1), 12-26. Wiley.Crossref OpenAlex
-
Stefan Palan , Christian Schitter (2018). Prolific.ac—A subject pool for online experiments . Journal of Behavioral and Experimental Finance, 17, 22. Elsevier BV.Crossref OpenAlex
-
Kristin J. Homan , Tracy L. Tylka (2018). Development and exploration of the gratitude model of body appreciation in women . Body Image, 25, 14. Elsevier BV.Crossref OpenAlex
-
David Mason *Autistic author. Learn more… , Helen McConachie , Deborah Garland , Alex Petrou , Jacqui Rodgers , Jeremy R. Parr (2018). Predictors of quality of life for autistic adults . Autism Research, 11(8), 1138. Wiley.
-
Marcus Mund , Steffen Nestler (2019). Beyond the cross-lagged panel model: Next-generation statistical tools for analysing interdependencies across the life course . Advances in Life Course Research, 41, 100249. Elsevier BV.Crossref OpenAlex
-
Hsiao (2003). Analysis of panel data .Type: OtherCrossref
-
Desiree R Jones , Noah Sasson (2026). Intersectional effects of race and gender on first impressions of Black and White autistic adults . Autism, 30(2), 452. SAGE Publications.Crossref OpenAlex
-
Ginny Russell , Will Mandy , Daisy Elliott , Rhianna White , Tom Pittwood , Tamsin Ford (2019). Selection bias on intellectual ability in autism research: a cross-sectional review and meta-analysis . Molecular Autism, 10(1), 9. Springer Science and Business Media LLC.Crossref OpenAlex
-
Kanadlı (2023). The factor structure of the Satisfaction with Life Scale (SWLS): A meta-analytic structural equation modeling . Journal of Measurement and Evaluation in Education and Psychology, 14(4), 472.Type: OtherCrossref
-
So Yoon Kim , Jeong Eun Cheon , Young-Hoon Kim (2025). A cross-cultural examination of blatant and subtle dehumanization of autistic people . Journal of Autism and Developmental Disorders, 55(2), 678. Springer Science and Business Media LLC.Crossref OpenAlex
-
Hyejung Kim , Muhammet Furkan Karakaya , Mandy Skinner , Diana Baker (2025). A systematic literature review of racial disproportionality in autism in the U.S . Journal of Autism and Developmental Disorders, 55(3), 1010. Springer Science and Business Media LLC.Crossref OpenAlex
-
Gary Yu Hin Lam , Sujay Sabnis , Maria Migueliz Valcarlos , Jennifer R. Wolgemuth (2021). A Critical Review of Academic Literature Constructing Well-Being in Autistic Adults . Autism in Adulthood, 3(1), 61-71. SAGE Publications.Crossref OpenAlex
-
Ulrich Orth , D. Angus Clark , M. Brent Donnellan , Richard W. Robins (2021). Testing prospective effects in longitudinal research: Comparing seven competing cross-lagged models . Journal of Personality and Social Psychology, 120(4), 1013. American Psychological Association (APA).Crossref OpenAlex
-
Jake Linardon , Cleo Anderson , Zoe McClure (2023). Body appreciation predicts better mental health and well-being. A short-term prospective study . Body Image, 45, 20. Elsevier BV.Crossref OpenAlex
-
Jeroen D. Mulder , Ellen L. Hamaker (2021). Three extensions of the random intercept cross-lagged panel model . Structural Equation Modeling, 28(4), 638. Informa UK Limited.Crossref OpenAlex
-
Jake Linardon , Zoe McClure , Tracy L. Tylka , Matthew Fuller-Tyszkiewicz (2022). Body appreciation and its psychological correlates: A systematic review and meta-analysis . Body Image, 42, 287-296. Elsevier BV.Crossref OpenAlex
-
Gregory D. Webster , Jennifer L. Howell , James A. Shepperd (2022). Self-esteem in 60 s: The Six-Item State Self-Esteem Scale (SSES-6) . Assessment, 29(2), 152. SAGE Publications.Crossref OpenAlex
-
Longhurst (2026). Body image in neurodivergent communities .Type: OtherCrossref
-
Eric Rubenstein , Sarah Furnier (2021). #Bias: The Opportunities and Challenges of Surveys That Recruit and Collect Data of Autistic Adults Online . Autism in Adulthood, 3(2), 120-128. SAGE Publications.Crossref OpenAlex
-
Phaedra Longhurst *Autistic author. Learn more… , Jane E. Aspell , Jennifer Todd , Viren Swami (2025). Body appreciation mediates the association between satisfaction with autistic identity and flourishing in autistic adults . Body Image, 53, 101876. Elsevier BV.
-
Longhurst (2023). "There's no separating my view of my body from my autism": A qualitative study of positive body image in autistic individuals . Body Image, 48.Type: OtherCrossref
-
Helga Bjørnøy Urke , Ingrid Holsen , Torill Larsen (2021). Positive youth development and mental well-being in late adolescence: The role of body appreciation. Findings from a prospective study in Norway . Frontiers in Psychology, 12, 696198-696198. Frontiers Media SA.Crossref OpenAlex
-
Phaedra Longhurst *Autistic author. Learn more… , Jennifer Todd , Jane E. Aspell , Viren Swami (2024). Psychometric evaluation of a revised version of the body appreciation scale-2 for autistic adults (BAS-2A) . Body Image, 49, 101706. Elsevier BV.
-
Melissa Maye , Brian A. Boyd , Frances Martínez-Pedraza , Alycia Halladay , Audrey Thurm , DAVID S. MANDELL (2022). Biases, barriers, and possible solutions: Steps towards addressing autism researchers’ under-engagement with racially, ethnically, and socioeconomically diverse communities . Journal of Autism and Developmental Disorders, 52(9), 4206. Springer Science and Business Media LLC.Crossref OpenAlex
-
Richard E. Lucas (2023). Why the cross-lagged panel model is almost never the right choice . Advances in Methods and Practices in Psychological Science, 6(1). SAGE Publications.Crossref OpenAlex
-
Oliver Lüdtke , Alexander Robitzsch (2022). A comparison of different approaches for estimating cross-lagged effects from a causal inference perspective . Structural Equation Modeling: A Multidisciplinary Journal, 29(6), 888. Informa UK Limited.Crossref OpenAlex
-
Emily F. Rothman , Laura Graham Holmes , Reid Caplan *Autistic author. Learn more… , Melody Chiang , Brandy Haberer , Nick Gallop et al. (2022). Healthy Relationships on the Autism Spectrum (HEARTS): A feasibility test of an online class co-designed and co-taught with autistic people . Autism, 26(3), 690. SAGE Publications.
-
Sean Mackinnon , Robin Curtis , Roisin O'Connor (2022). Tutorial in longitudinal measurement invariance and cross-lagged panel models using lavaan . Meta-Psychology, 6, 1. Linnaeus University.Crossref OpenAlex
-
Ulrich Orth , Laurenz L. Meier , Janina Larissa Bühler , Laura C. Dapp , Samantha Krauss , Denise Messerli et al. (2024). Effect size guidelines for cross-lagged effects. Psychological Methods, 29(2), 421-433. American Psychological Association (APA).Crossref OpenAlex
-
Elizabeth Pellicano , Unsa Fatima , Gabrielle Hall *Autistic author. Learn more… , Melanie Heyworth *Autistic author. Learn more… , Wenn Lawson *Autistic author. Learn more… , Rozanna Lilley et al. (2022). A capabilities approach to understanding and supporting autistic adulthood . Nature Reviews Psychology, 1(11), 624-639. Springer Science and Business Media LLC.
-
Jeroen D. Mulder (2023). Power analysis for the random intercept cross-lagged panel model using the powRICLPM R-package . Structural Equation Modeling, 30(4), 645. Informa UK Limited.Crossref OpenAlex
-
Christopher Modica , Abigail E. Markley (2024). Reciprocal longitudinal associations between positive body image and wellbeing among early-adult women . Body Image, 51, 101770. Elsevier BV.Crossref OpenAlex
-
Elizabeth Pellicano , Dawn Adams , Laura Crane , Calliope Holingue , Connie Allen , Katherine Almendinger *Autistic author. Learn more… et al. (2024). Letter to the Editor: A possible threat to data integrity for online qualitative autism research . Autism, 28(3), 786. SAGE Publications.
-
Elizabeth Pellicano , Melanie Heyworth *Autistic author. Learn more… (2023). The Foundations of Autistic Flourishing . Current Psychiatry Reports, 25(9), 419-427. Springer Science and Business Media LLC.
-
Vishnu KK Nair , Warda Farah *Autistic author. Learn more… , Mildred Boveda (2026). Is neurodiversity a Global Northern White paradigm? Autism, 30(2), 544-551. SAGE Publications.
-
Viren Swami , Ulrich S. Tran , Stefan Stieger , Toivo Aavik , Hamed Abdollahpour Ranjbar , Sulaiman Olanrewaju Adebayo et al. (2023). Body appreciation around the world: Measurement invariance of the Body Appreciation Scale-2 (BAS-2) across 65 nations, 40 languages, gender identities, and age groups . Body Image, 46, 449. Elsevier BV.Crossref OpenAlex
-
Viren Swami , Martin Voracek , Jennifer Todd , Adrian Furnham , George Horne , Ulrich S. Tran (2024). Positive self-beliefs mediate the association between body appreciation and positive mental health . Body Image, 48, 101685. Elsevier BV.Crossref OpenAlex
-
Stephanie Petty , Amy Ellis (2024). The meaning of autistic movements . Autism, 28(12), 3015. SAGE Publications.Crossref OpenAlex
-
R Core Team (2022). R: A language and environment for statistical computing [Computer software] . R Foundation for Statistical Computing.Type: OtherCrossref
-
Jennifer S. Singh , Susan Brasher , Jennifer Sarrett , Brian Barger , Karen Guerra , Laura J. Dilly et al. (2026). Structural, institutional, and interpersonal racism: calling for equity in autism research and practice . Journal of Racial and Ethnic Health Disparities, 13(1), 671-688. Springer Science and Business Media LLC.Crossref OpenAlex
-
(2026). Handbook of diversity in body image .Type: OtherCrossref
-
David Willinger , Stefan Stieger , Viren Swami (2026). Validation of a short-form, state version of the Body Appreciation Scale-2 (SBAS-2SF) for use in experience sampling method (ESM) studies . Body Image, 57, 102101. Elsevier BV.Crossref OpenAlex
-
Tabachnick (2019). Using Multivariate Statistics .Type: OtherCrossref
-
Tan (2025). Making space for autistic people with ‘complex support needs’: Recommendations for inclusive research practices . PsyArVix.Type: OtherCrossref
-
Tylka (2019). Body Appreciation .Type: OtherCrossref
-
Tylka (2018). Overview of the field of positive body image .Type: OtherCrossref