A Comprehensive Model of Embodiment in Late Pubertal Female-at-Birth Adolescents: The Role of Body Awareness and Mental Health

Body awareness consists of aesthetic body image, functional body image, and interoception. Previous studies indicated a link between these components of body awareness and mental health. This study aims to clarify the relationship among these variables during the period of pubertal body changes. As puberty progresses, individuals’ perceptions of their bodies shift, which has been associated with a decline in mental health, according to the existing literature. To investigate this issue, a sample of 294 post-pubertal adolescents assigned female at birth completed assessments related to body awareness, mental health, psychosomatic symptoms, gender congruence, and eating disorders. A network analysis was conducted to illustrate the intricate interactions among the observed variables, and a mediation model was utilised to explore how body image influences overall health, with interoception and functional body image acting as mediators. The study identifies three key variables—body image, mental health, and interoception—as central within the network. Additionally, functional body image was significantly associated with other variables in the study. Ultimately, both direct and indirect effects of body image on mental health were found, mediated through interoception and functional body image. The clinical implications emphasise the importance of enhancing awareness of bodily sensations and functions to support psychological well-being, particularly during a developmental stage characterised by challenges related to body image due to rapid changes in puberty.