Examining an elaborated sociocultural model of disordered eating among college women: The roles of social comparison and body surveillance

Social comparison (i.e., body, eating, exercise) and body surveillance were tested as mediators of the thin-ideal internalization-body dissatisfaction relationship in the context of an elaborated sociocultural model of disordered eating. Participants were 219 college women who completed two questionnaire sessions 3 months apart. The cross-sectional elaborated sociocultural model (i.e., including social comparison and body surveillance as mediators of the thin-ideal internalization-body dissatisfaction relation) provided a good fit to the data, and the total indirect effect from thin-ideal internalization to body dissatisfaction through the mediators was significant. Social comparison emerged as a significant specific mediator while body surveillance did not. The mediation model did not hold prospectively; however, social comparison accounted for unique variance in body dissatisfaction and disordered eating 3 months later. Results suggest that thin-ideal internalization may not be “automatically” associated with body dissatisfaction and that it may be especially important to target comparison in prevention and intervention efforts.     

Implications of accuracy, sensitivity, and variability of body size estimations to disordered eating

The current study was conducted to investigate the relationships between body size estimations and disordered eating symptomatology. The method of constant stimuli was used to derive three measures of self-perceived body size in 93 women: (1) accuracy of body size estimations (body image distortion); (2) sensitivity in discriminating body size within blocks of trials (body image sensitivity); and (3) variability in making body size estimations between blocks of trials (body image variability). Participants also completed measures of disordered eating. Although body image distortion correlated with dietary restraint and eating concern, body image variability accounted for additional variance in these variables, as well as variance in binge eating. The relationships involving body image variability were found to be mediated by body dissatisfaction and internalization of the thin ideal. Together, these results are consistent with the proposition that body image variability is a significant factor in disordered eating.     

Connecting theory to fat talk: Body dissatisfaction mediates the relationships between weight discrepancy,upward comparison,body surveillance,and fat talk

The fat talk literature is meager in terms of offering theoretical explanations for women's self-disparaging communication. The research presented here sought to establish a relationship between three prominent body image theories – self-discrepancy theory, social comparison theory, and objectification theory – and fat talk by proposing body dissatisfaction as a potential mediating mechanism. Young adult women (N = 201) completed an online questionnaire. As predicted, results revealed that body dissatisfaction significantly mediated the relationships between weight discrepancy, upward comparison, body surveillance and fat talk. Effect size estimates indicated that the size of each indirect effect was medium in magnitude.     

Media exposure, internalization of the thin ideal, and body dissatisfaction: comparing Asian American and European American college females

Internalization of the thin ideal mediates the media exposure-body dissatisfaction relation in young adult European American females. There is little related research on Asian Americans. We used structural equations modeling to test: (1) whether media exposure was associated with body dissatisfaction in Asian American young adult females, (2) internalization of the thin ideal mediated any such association, and (3) whether the mediational model provided equivalent fit for European American and Asian American samples. Participants were 287 college females (154 Asian Americans, 133 European Americans). Internalization of the thin ideal explained the media exposure-body dissatisfaction association equally well for both groups. Results suggest that Asian Americans may be employing unhealthy weight control behaviors, and may be prone to developing eating disorders, at rates similar to European American young adult females. Clinicians need to screen carefully for body dissatisfaction, unhealthy weight control behaviors, and eating disorders in Asian American females.     

Integrating Social Comparison Theory and Self-Esteem within Objectification Theory to Predict Women’s Disordered Eating

This study integrated social comparison theory and self-esteem into the objectification theory framework to broaden our understanding of sexual objectification as it relates to body shame and disordered eating. Women (N?=?274) from a Midwestern U.S. college completed measures of sexual objectification via appearance feedback, body surveillance, body shame, body comparison, self-esteem, and disordered eating. Structural equation modeling indicated that this expanded model fit the data. Appearance feedback predicted body surveillance, body comparison, self-esteem and—unexpectedly—disordered eating. Body surveillance, body comparison, and self-esteem predicted body shame. Furthermore, hierarchical moderated regression revealed that body comparison moderated the body surveillance—disordered eating link; women who frequently monitored their body and compared it to others’ bodies reported the highest disordered eating.     

Body image and eating disorder symptoms in sexual minority men: A test and extension of objectification theory

On the basis of integrating objectification theory research with research on body image and eating problems among sexual minority men, the present study examined relations among sociocultural and psychological correlates of eating disorder symptoms with a sample of 231 sexual minority men. Results of a path analysis supported tenets of objectification theory with the sample. Specifically, findings were consistent with relations posited in objectification theory among sexual objectification experiences, internalization of cultural standards of attractiveness, body surveillance, body shame, and eating disorder symptoms. Within this set of positive relations, internalization of cultural standards of attractiveness partially mediated the link of sexual objectification experiences with body surveillance; body surveillance partially mediated the relation of internalization with body shame; and body shame partially mediated the relation of body surveillance with eating disorder symptoms. In addition to these relations, internalized homophobia was related to greater eating disorder symptoms through body shame, and recalled childhood harassment for gender nonconformity was linked with eating disorder symptoms through a positive series of relations involving internalization of cultural standards of attractiveness, body surveillance, and body shame.     

Internalization of the thin and muscular body ideal and disordered eating in adolescence: the mediation effects of body esteem

This study investigates body esteem factors (weight-esteem and appearance-esteem) as mediators of the relationship between ‘internalization of the ideal body figure’ and disordered eating behaviors (restrained, emotional and external eating) in a community sample of adolescent males (n = 810) and females (n = 1137) from the Ontario Research on Eating and Adolescent Lifestyles (REAL) study. Mediation models were examined using a bootstrapping approach to test indirect effects and indirect contrasts. In males, weight-esteem partially mediated the relationship between muscular ideal and restrained eating; appearance-esteem partially mediated effects in the emotional and external eating regressions. In females, both weight-esteem and appearance-esteem partially mediated the relationship between thin ideal and all three forms of disordered eating; weight-esteem was a stronger mediator for restrained eating, and appearance-esteem a stronger mediator for emotional and external eating. Body esteem is important to consider for prevention and treatment of disordered eating in both genders.     

Predictive models for understanding body dissatisfaction among young males and females in China

The present study was designed to develop predictive models for understanding body dissatisfaction among young males and females (N=1377) in China. Six factors were assessed, including body mass index (BMI), perception of teasing, social pressure to be thin, appearance comparison, thin-ideal internalization and perceived social support. Variables were examined respectively for males and females. One SEM model, which had good fit indices, was developed for each gender. For both genders, BMI exerted its influence on body image directly and indirectly through perception of teasing. Two sources of sociocultural influence, perception of teasing and social pressure to be thin, also directly predicted body dissatisfaction. Gender differences were found in the relation between mediational mechanisms (social comparison and thin-ideal internalization) and body dissatisfaction. For females but not males, social comparison and internalization acted as weak but significant mediators between sociocultural influence and body image concerns. Implications and limitations are discussed.     

Influence of Mass Media on Body Image and Eating Disordered Attitudes and Behaviors in Females: A Review of Effects and Processes

This article reviews research on the effects of television and magazines on body image and on disordered eating attitudes and behaviors in females. Evidence from different types of studies in the fields of eating disorders, media psychology, health psychology, and mass communication indicates that mass media are an extremely important source of information and reinforcement in relation to the nature of the thin beauty ideal, its importance, and how to attain it. Although considerable research remains to be done, evidence is accumulating that repeated exposure to media and to both direct and indirect (via media's effects on peers, parents, coaches, physicians, etc.) pressures from media to be thin constitute risk factors for body dissatisfaction, concerns over weight and disordered eating behaviors in adolescent girls and young women. To guide further research, as well as the prevention and treatment of disordered eating, we present a figural summary of media effects that integrates moderating and mediating factors such as internalization of the thin beauty ideal, social comparison, and activation of the thinness schema. We argue that risk factor research, prevention, and treatment will benefit from systematic research designed to clarify how the impact of various mass media is shaped by source and receiver/perceiver factors.     

U.S. Muslim women and body image: links among objectification theory constructs and the hijab

This study tested tenets of objectification theory and explored the role of the hijab in body image and eating disorder symptoms with a sample of 118 Muslim women in the United States. Results from a path analysis indicated that individual differences in wearing the hijab were related negatively with reported sexual objectification experiences. Sexual objectification experiences, in turn, had significant positive indirect relations with body surveillance, body shame, and eating disorder symptoms, primarily through the mediating role of internalization. Internalization of cultural standards of beauty also had a significant positive direct relation with body shame and significant positive direct and indirect relations with eating disorder symptoms. By contrast, the direct and indirect relations of body surveillance were significant only when the role of internalization was constrained to 0 (i.e., eliminated), suggesting that internalization of cultural standards of beauty subsumed the hypothesized role of body surveillance in the model. Taken together, these results support some of the tenets of objectification theory with a sample of U.S. Muslim women, point to the importance of internalization of dominant cultural standards of beauty within that framework, and suggest the utility of considering individual differences in wearing the hijab among U.S. Muslim women.     

Thinking meta-theoretically about the role of internalization in the development of body dissatisfaction and body change behaviors

Internalization of societal standards of physical attractiveness (i.e., internalization of the thin ideal for women and internalization of the mesomorphic ideal for men) is a widely studied and robust risk factor for body dissatisfaction and maladaptive body change behaviors. Substantial empirical research supports internalization as both a mediator and a moderator of the relation between societal influences and body dissatisfaction. In this paper, a primer on mediation and moderation is followed by a review of literature and discussion of the extent to which internalization can theoretically fulfill the roles of both mediation and moderation. The literature review revealed a stark contrast in research design (experimental versus non-experimental design) when alternate conceptualizations of internalization are adopted. A meta-theoretical, moderated mediation model is presented. This model integrates previous research and can inform future empirical and clinical endeavors.     

Psychosocial moderators of the relationship between body dissatisfaction and symptoms of eating disorders: A look at a sample of young Italian women

IntroductionVarious psychosocial variables may affect the strength of the relationship between body image dissatisfaction and women's eating disorder symptomatology.ObjectiveInformed by Tylka (2004) and Brannan and Petrie (2011) research, the current study examined body surveillance and self-esteem as well as three additional theoretically relevant variables (social interaction anxiety, internalization of media ideals and attachment anxiety) as potential moderators of this relationship.MethodA cross-sectional design was used. A sample of 538 young Italian women completed self-report questionnaires.ResultsHierarchical moderated regression indicated that self-esteem buffered the deleterious effects of body dissatisfaction, whereas social interaction anxiety, body surveillance, internalization of media ideals and attachment anxiety intensified the primary body dissatisfaction-eating disorder symptomatology relationship.ConclusionSeveral risk and protective factors were found to interact with body dissatisfaction to influence its relation to women's eating disorder symptomatology. Practical implications and directions for future research are discussed.     

Body dissatisfaction and disordered eating attitudes in 7- to 11-year-old girls: Testing a sociocultural model

We examined the sociocultural model of body dissatisfaction and disordered eating attitude development in young girls for the first time. According to the model, internalizing an unrealistically thin ideal body increases the risk of disordered eating via body dissatisfaction, dietary restraint, and depression. Girls aged 7–11 years (N = 127) completed measures of thin-ideal internalization, body dissatisfaction, dieting, depression, and disordered eating attitudes. Participants’ height and weight were measured and their body mass index calculated. Thin-ideal internalization predicted disordered eating attitudes indirectly via body dissatisfaction, dietary restraint, and depression; it also predicted disordered eating attitudes directly. Path analyses showed that a revised sociocultural model fit well with the data. These data show that a sociocultural framework for understanding disordered eating and body dissatisfaction in adults is useful, with minor modifications, in understanding the development of related attitudes in young girls.     

Effects of parental comments on body dissatisfaction and eating disturbance in young adults: A sociocultural model

This study examined a sociocultural model of the influence of parental comments on body shape and eating concerns among males and females. Questionnaires were completed by 338 undergraduates. Participants reported levels of perceived parental comments, internalization of media ideals, appearance comparison, body dissatisfaction, drive for thinness and bulimia. Results revealed that, regardless of gender, internalization and appearance comparison only partially mediated the relationship between parental comments and the outcome variables. The final model for females explained a larger proportion of the variability in body shape and eating concerns than in males, with positive and negative parental comments directly related to body dissatisfaction and through it to eating outcomes. In males, only negative comments were directly related to body dissatisfaction. These findings highlight the role of parental influences in sociocultural models of the development of body dissatisfaction and eating concerns, and the gender-specific patterns of sociocultural influence.     

The relative contributions of subjective and objective measures of body shape and size to body image and disordered eating in women

This research explored the relative contributions of subjective perceptions of body weight and body shape/proportion, as well as objective measures of body mass index (BMI) and waist-to-hip ratio (WHR) to disordered eating, exercise involvement, and body image. One hundred and fifty-eight female university students completed questionnaires and provided body measurements for this study. Although an interaction between BMI and WHR was found for some measures (i.e., Eating Disorder Examination Questionnaire total and subscale scores), results indicated that BMI was consistently the better objective predictor of disordered eating and body image. Subjective perceptions of body weight and, to a lesser extent, body shape, were found to account for the greatest proportion of variance in the dependent measures (disordered eating, body esteem, and body dissatisfaction). Overall, these results offer more support for sociocultural theories emphasizing the importance of thinness for women, than evolutionary theories emphasizing the role of WHR.     

An evaluation of the Tripartite Influence Model of body dissatisfaction and eating disturbance with adolescent girls

The Tripartite Influence Model of body image and eating disturbance proposes that three formative influences (peer, parents, and media) affect body image and eating problems through two mediational mechanisms: internalization of the thin-ideal and appearance comparison processes. The current study evaluated this model in a sample of 325 sixth through eighth grade girls. Simple path analyses indicated that internalization and comparison fully mediated the relationship between parental influence and body dissatisfaction and partially mediated the relationship between peer influence and body dissatisfaction. Additionally, internalization and comparison partially mediated the relationship between media influence and body dissatisfaction. Six a priori SEM models based on the full Tripartite Influence Model were also evaluated. A resulting model was found to be an adequate fit to the data, supporting the viability of the Tripartite Model as a useful framework for understanding processes that may predispose young women to develop body image disturbances and eating dysfunction.     

The effects of exposure to slender and muscular images on male body dissatisfaction

This research examined the effects of appearance-based comparisons to muscular and slender idealized male bodies and the contribution of internalization and social comparison to change in body dissatisfaction. Participants were 111 male undergraduates who completed measures of body dissatisfaction, internalization, and social comparison and viewed images of either muscular or slender men in advertisements or product-only advertisements. Results indicated that exposure to both muscular and slender images was associated with an increase in body dissatisfaction, with no significant differences in the change in body dissatisfaction between the two image conditions. Internalization and trait social comparison were each associated with an increase in body dissatisfaction; however, upward social comparison was only a significant predictor of a change in body dissatisfaction for the males who viewed muscular images. These results highlight the impact of slender models on young men's body dissatisfaction and support the examination of media literacy interventions with this population.     

Body dissatisfaction,disordered eating,fashion magazines,and clothes: A cross‐cultural comparison between Australian and Italian young women

While a great deal of research has investigated the body image concerns of women in Western English‐speaking countries, there has been relatively little research attention paid to non‐English‐speaking countries. The present study aimed to investigate body dissatisfaction and disordered eating across similarly constituted samples from two different cultures, Australia and Italy. Australia and Italy are similar in many ways, including frequent and obvious portrayals of thin media ideals for women, but represent very different cultures with respect to language and the roles of the family, meals, and fashion. Questionnaires were developed to assess the internalization of thin ideals, fashion magazine exposure, and the importance of clothes, in addition to containing measures of body dissatisfaction, dieting, and disordered eating symptomatology. Factor analysis of the clothing measure produced two clear factors: the personal importance of clothes, and the social importance of clothes. The questionnaires were completed by 140 Australian and 95 Italian female university students of psychology or the humanities. It was found that the Italian women had significantly lower BMI scores than the Australian women because they weighed less. Few group differences in body dissatisfaction or dieting were obtained, but the Australian women scored higher than the Italian women on disordered eating. Contrary to prediction, clothes were rated as more important by Australian than by Italian women. Nevertheless, the personal importance of clothes predicted internalization of thin ideals and body dissatisfaction in both samples, while the social importance of clothes was a negative predictor. Fashion magazine consumption, in contrast, predicted body dissatisfaction and disordered eating only for Australian women, but not for Italian women. Thus the study has demonstrated that the same variables may play different roles in the Australian and Italian cultural contexts. More generally, the cross‐cultural comparison of relationships between variables may contribute to a greater understanding of the genesis of body image concerns across cultures.     

Preliminary examination of a couple-based eating disorder prevention program

The purpose of the current study was to investigate a new dissonance-based prevention program that is based on the dual pathway model of eating disorders within the context of an individual's romantic relationship. A total of 209 dating couples participated in a couple-based prevention program or an assessment-only condition and completed measures of body dissatisfaction, thin-ideal internalization, disordered eating, negative affect, and relationship satisfaction at two time points (approximately one week apart) and approximately half of the sample completed 1-month follow-up measures. The prevention program significantly reduced several key risk factors for eating disorders such as environmental pressures to be thin, internalization of the thin and athletic ideals, state body dissatisfaction, and actual-ideal body discrepancy. Initial support was found for the inclusion of couples in eating disorder prevention programs as a successful way of addressing the thin ideal and its detrimental effects for women.     

Holding fat stereotypes is associated with lower body dissatisfaction in normal weight Caucasian women who engage in body surveillance

This study examined the moderating effect of body surveillance on the relationship between fat stereotype endorsement and body dissatisfaction in normal weight women. Participants (N = 225) completed online measures of fat stereotyping, body surveillance, body dissatisfaction, and internalized thin ideals. After accounting for thin ideals, body surveillance moderated the relationship between fat stereotypes and body dissatisfaction. Contrary to hypotheses, higher fat stereotype endorsement predicted lower body dissatisfaction in women with higher body surveillance. Conversely, higher fat stereotype endorsement predicted greater body dissatisfaction in women with lower body surveillance. Thus, endorsing fat stereotypes appears protective against body dissatisfaction in normal weight women who extensively engage in body surveillance. For women who hold fat stereotypes and report high body surveillance, we propose that downward appearance comparison may create a contrast between themselves and the people with overweight whom they denigrate, thus improving body dissatisfaction.