---
_id: '13561'
abstract:
- lang: eng
  text: Recovery and clinical outcomes following organ transplantation may be negatively
    influenced by psychological distress. Limited reports from recipients indicate
    that thoughts and feelings related to the donor/transplanted organ - referred
    to as donor and donation images (DDI) - may be a source of such distress. The
    term DDI encompasses all thoughts and emotions that organ recipients associate
    with the donor or the donated organ. However, empirical knowledge of DDI remains
    limited. This quantitative survey involving 407 participants represents the first
    and largest study to quantitatively examine DDI in patients after heart transplantation
    (HTX). The results revealed a very high prevalence of DDI (91%), with occurrences
    reported intermittently and often clustered around the time of transplantation,
    both before and after HTX. Psychological distress predicted the occurrence of
    DDI before and after HTX and almost all emotions experienced and reported pre-HTX
    were associated with higher odds of pre-HTX DDI, suggesting it may be a concurrent
    phenomenon of overall emotional activation. Due to the involvement of emotions
    associated with uncertainty and low personal control, along with high situational
    control, DDI may be a part of coping. Some reported avoiding DDI suggesting that,
    sometimes, they might also represent a stressor. Future studies should further
    investigate the effects of DDI, including its impact on transplant outcome.
author:
- first_name: NM
  full_name: Laskowski, NM
  last_name: Laskowski
- first_name: Georg
  full_name: Halbeisen, Georg
  id: '85780'
  last_name: Halbeisen
  orcid: 0000-0002-9529-2215
- first_name: L
  full_name: Wahlers, L
  last_name: Wahlers
- first_name: K
  full_name: Tigges-Limmer, K
  last_name: Tigges-Limmer
- first_name: G
  full_name: Paslakis, G
  last_name: Paslakis
citation:
  ama: Laskowski N, Halbeisen G, Wahlers L, Tigges-Limmer K, Paslakis G. A large cross-sectional
    study on the prevalence and predictors of donor and donation images in patients
    after heart transplantation. <i>Scientific Reports</i>. 2025;15(1). doi:<a href="https://doi.org/10.1038/s41598-025-07317-7">10.1038/s41598-025-07317-7</a>
  apa: Laskowski, N., Halbeisen, G., Wahlers, L., Tigges-Limmer, K., &#38; Paslakis,
    G. (2025). A large cross-sectional study on the prevalence and predictors of donor
    and donation images in patients after heart transplantation. <i>Scientific Reports</i>,
    <i>15</i>(1). <a href="https://doi.org/10.1038/s41598-025-07317-7">https://doi.org/10.1038/s41598-025-07317-7</a>
  bjps: <b>Laskowski N <i>et al.</i></b> (2025) A Large Cross-Sectional Study on the
    Prevalence and Predictors of Donor and Donation Images in Patients after Heart
    Transplantation. <i>Scientific Reports</i> <b>15</b>.
  chicago: Laskowski, NM, Georg Halbeisen, L Wahlers, K Tigges-Limmer, and G Paslakis.
    “A Large Cross-Sectional Study on the Prevalence and Predictors of Donor and Donation
    Images in Patients after Heart Transplantation.” <i>Scientific Reports</i> 15,
    no. 1 (2025). <a href="https://doi.org/10.1038/s41598-025-07317-7">https://doi.org/10.1038/s41598-025-07317-7</a>.
  chicago-de: Laskowski, NM, Georg Halbeisen, L Wahlers, K Tigges-Limmer und G Paslakis.
    2025. A large cross-sectional study on the prevalence and predictors of donor
    and donation images in patients after heart transplantation. <i>Scientific Reports</i>
    15, Nr. 1. doi:<a href="https://doi.org/10.1038/s41598-025-07317-7">10.1038/s41598-025-07317-7</a>,
    .
  din1505-2-1: '<span style="font-variant:small-caps;">Laskowski, NM</span> ; <span
    style="font-variant:small-caps;">Halbeisen, Georg</span> ; <span style="font-variant:small-caps;">Wahlers,
    L</span> ; <span style="font-variant:small-caps;">Tigges-Limmer, K</span> ; <span
    style="font-variant:small-caps;">Paslakis, G</span>: A large cross-sectional study
    on the prevalence and predictors of donor and donation images in patients after
    heart transplantation. In: <i>Scientific Reports</i> Bd. 15, Nature Publishing
    Group UK (2025), Nr. 1'
  havard: N. Laskowski, G. Halbeisen, L. Wahlers, K. Tigges-Limmer, G. Paslakis, A
    large cross-sectional study on the prevalence and predictors of donor and donation
    images in patients after heart transplantation, Scientific Reports. 15 (2025).
  ieee: 'N. Laskowski, G. Halbeisen, L. Wahlers, K. Tigges-Limmer, and G. Paslakis,
    “A large cross-sectional study on the prevalence and predictors of donor and donation
    images in patients after heart transplantation,” <i>Scientific Reports</i>, vol.
    15, no. 1, 2025, doi: <a href="https://doi.org/10.1038/s41598-025-07317-7">10.1038/s41598-025-07317-7</a>.'
  mla: Laskowski, NM, et al. “A Large Cross-Sectional Study on the Prevalence and
    Predictors of Donor and Donation Images in Patients after Heart Transplantation.”
    <i>Scientific Reports</i>, vol. 15, no. 1, 2025, <a href="https://doi.org/10.1038/s41598-025-07317-7">https://doi.org/10.1038/s41598-025-07317-7</a>.
  short: N. Laskowski, G. Halbeisen, L. Wahlers, K. Tigges-Limmer, G. Paslakis, Scientific
    Reports 15 (2025).
  ufg: '<b>Laskowski, NM u. a.</b>: A large cross-sectional study on the prevalence
    and predictors of donor and donation images in patients after heart transplantation,
    in: <i>Scientific Reports</i> 15 (2025), H. 1.'
  van: Laskowski N, Halbeisen G, Wahlers L, Tigges-Limmer K, Paslakis G. A large cross-sectional
    study on the prevalence and predictors of donor and donation images in patients
    after heart transplantation. Scientific Reports. 2025;15(1).
date_created: 2026-03-25T13:35:53Z
date_updated: 2026-04-10T10:23:20Z
department:
- _id: DEP1500
doi: 10.1038/s41598-025-07317-7
extern: '1'
external_id:
  isi:
  - '001522990200031'
  pmid:
  - '40596616'
intvolume: '        15'
isi: '1'
issue: '1'
language:
- iso: eng
pmid: '1'
publication: Scientific Reports
publication_identifier:
  issn:
  - 2045-2322
publication_status: published
publisher: Nature Publishing Group UK
quality_controlled: '1'
status: public
title: A large cross-sectional study on the prevalence and predictors of donor and
  donation images in patients after heart transplantation
type: scientific_journal_article
user_id: '83778'
volume: 15
year: '2025'
...
---
_id: '13567'
abstract:
- lang: eng
  text: 'This study examines the role of gender role orientation in shaping body ideals
    and its impact on disordered eating and muscle dysmorphic symptoms in women. We
    explore how self-perceived Gender Roles regarding Masculinity and Femininity relate
    to thinness and muscularity ideals and whether these body ideals mediate the relationship
    between Gender Roles and disordered eating behaviors. A cross-sectional online
    survey was conducted with 304 adult women. Participants completed measures assessing
    gender role orientation, body ideals, disordered eating symptoms, and muscle dysmorphic
    symptoms. Mediation analyses were performed. Self-reported Masculinity was associated
    with stronger muscularity ideals, while Femininity predicted a weaker drive for
    muscularity. The mediation analysis showed that muscularity ideals completely
    mediated the relationship between self-perceived Masculinity or Femininity and
    disordered eating symptoms. The study highlights the importance of considering
    Gender Roles and muscularity ideals when examining the development of body image
    concerns and disordered eating behaviors. The findings suggest that promoting
    flexible gender role perceptions could be an effective focus for public health
    interventions aimed at preventing and reducing disordered eating. Future research
    should further investigate these relationships in clinical populations and explore
    additional mediators.Trial registration: This study was preregistered on the Open
    Science Framework (OSF, https//osf.io/efn4v May 6, 2024).'
author:
- first_name: G
  full_name: Brandt, G
  last_name: Brandt
- first_name: M
  full_name: Pahlenkemper, M
  last_name: Pahlenkemper
- first_name: VC
  full_name: Jürgensen, VC
  last_name: Jürgensen
- first_name: MS
  full_name: Lehe, MS
  last_name: Lehe
- first_name: NM
  full_name: Laskowski, NM
  last_name: Laskowski
- first_name: Georg
  full_name: Halbeisen, Georg
  id: '85780'
  last_name: Halbeisen
  orcid: 0000-0002-9529-2215
- first_name: G
  full_name: Paslakis, G
  last_name: Paslakis
citation:
  ama: Brandt G, Pahlenkemper M, Jürgensen V, et al. The impact of masculinity and
    femininity on disordered eating symptoms and the mediating role of muscularity
    ideals. <i>Scientific Reports</i>. 2025;15(1). doi:<a href="https://doi.org/10.1038/s41598-025-19246-6">10.1038/s41598-025-19246-6</a>
  apa: Brandt, G., Pahlenkemper, M., Jürgensen, V., Lehe, M., Laskowski, N., Halbeisen,
    G., &#38; Paslakis, G. (2025). The impact of masculinity and femininity on disordered
    eating symptoms and the mediating role of muscularity ideals. <i>Scientific Reports</i>,
    <i>15</i>(1). <a href="https://doi.org/10.1038/s41598-025-19246-6">https://doi.org/10.1038/s41598-025-19246-6</a>
  bjps: <b>Brandt G <i>et al.</i></b> (2025) The Impact of Masculinity and Femininity
    on Disordered Eating Symptoms and the Mediating Role of Muscularity Ideals. <i>Scientific
    Reports</i> <b>15</b>.
  chicago: Brandt, G, M Pahlenkemper, VC Jürgensen, MS Lehe, NM Laskowski, Georg Halbeisen,
    and G Paslakis. “The Impact of Masculinity and Femininity on Disordered Eating
    Symptoms and the Mediating Role of Muscularity Ideals.” <i>Scientific Reports</i>
    15, no. 1 (2025). <a href="https://doi.org/10.1038/s41598-025-19246-6">https://doi.org/10.1038/s41598-025-19246-6</a>.
  chicago-de: Brandt, G, M Pahlenkemper, VC Jürgensen, MS Lehe, NM Laskowski, Georg
    Halbeisen und G Paslakis. 2025. The impact of masculinity and femininity on disordered
    eating symptoms and the mediating role of muscularity ideals. <i>Scientific Reports</i>
    15, Nr. 1. doi:<a href="https://doi.org/10.1038/s41598-025-19246-6">10.1038/s41598-025-19246-6</a>,
    .
  din1505-2-1: '<span style="font-variant:small-caps;">Brandt, G</span> ; <span style="font-variant:small-caps;">Pahlenkemper,
    M</span> ; <span style="font-variant:small-caps;">Jürgensen, VC</span> ; <span
    style="font-variant:small-caps;">Lehe, MS</span> ; <span style="font-variant:small-caps;">Laskowski,
    NM</span> ; <span style="font-variant:small-caps;">Halbeisen, Georg</span> ; <span
    style="font-variant:small-caps;">Paslakis, G</span>: The impact of masculinity
    and femininity on disordered eating symptoms and the mediating role of muscularity
    ideals. In: <i>Scientific Reports</i> Bd. 15, Nature Publishing Group UK (2025),
    Nr. 1'
  havard: G. Brandt, M. Pahlenkemper, V. Jürgensen, M. Lehe, N. Laskowski, G. Halbeisen,
    G. Paslakis, The impact of masculinity and femininity on disordered eating symptoms
    and the mediating role of muscularity ideals, Scientific Reports. 15 (2025).
  ieee: 'G. Brandt <i>et al.</i>, “The impact of masculinity and femininity on disordered
    eating symptoms and the mediating role of muscularity ideals,” <i>Scientific Reports</i>,
    vol. 15, no. 1, 2025, doi: <a href="https://doi.org/10.1038/s41598-025-19246-6">10.1038/s41598-025-19246-6</a>.'
  mla: Brandt, G., et al. “The Impact of Masculinity and Femininity on Disordered
    Eating Symptoms and the Mediating Role of Muscularity Ideals.” <i>Scientific Reports</i>,
    vol. 15, no. 1, 2025, <a href="https://doi.org/10.1038/s41598-025-19246-6">https://doi.org/10.1038/s41598-025-19246-6</a>.
  short: G. Brandt, M. Pahlenkemper, V. Jürgensen, M. Lehe, N. Laskowski, G. Halbeisen,
    G. Paslakis, Scientific Reports 15 (2025).
  ufg: '<b>Brandt, G. u. a.</b>: The impact of masculinity and femininity on disordered
    eating symptoms and the mediating role of muscularity ideals, in: <i>Scientific
    Reports</i> 15 (2025), H. 1.'
  van: Brandt G, Pahlenkemper M, Jürgensen V, Lehe M, Laskowski N, Halbeisen G, et
    al. The impact of masculinity and femininity on disordered eating symptoms and
    the mediating role of muscularity ideals. Scientific Reports. 2025;15(1).
date_created: 2026-03-25T13:35:58Z
date_updated: 2026-04-10T11:13:26Z
department:
- _id: DEP1500
doi: 10.1038/s41598-025-19246-6
external_id:
  isi:
  - '001574984300003'
  pmid:
  - '40962913'
intvolume: '        15'
isi: '1'
issue: '1'
language:
- iso: eng
pmid: '1'
publication: Scientific Reports
publication_identifier:
  issn:
  - 2045-2322
publication_status: published
publisher: Nature Publishing Group UK
quality_controlled: '1'
status: public
title: The impact of masculinity and femininity on disordered eating symptoms and
  the mediating role of muscularity ideals
type: scientific_journal_article
user_id: '83778'
volume: 15
year: '2025'
...
