Self-Construction,Cognitive Conflicts,and Disordered Eating Attitudes in Young Women

The aim of this study is to identify cognitive variables that predict disordered eating attitudes in a nonclinical sample composed of 50 female university students. Repertory grid technique was used to assess cognitive features of self-construing and cognitive conflicts. Drive for Thinness and Body Dissatisfaction scales from the Eating Disorder Inventory–2 were used as dependent variables, as previous studies suggested that high scores on these scales are associated with the risk of developing or aggravating eating syndromes. Results suggest that drive for thinness can be associated with cognitive conflicts, whereas body dissatisfaction may be higher for those who construct themselves as inadequate and similar to others. In addition, both dependent variables were predicted by being younger and having a higher body mass index.     

Self-report and startle-based measures of emotional reactions to body image cues as predictors of Drive for Thinness and Body Dissatisfaction in female college students

The purpose was to compare self-report and psychophysiological assessment techniques in the measurement of emotional response to body image cues. Female college students (n=53; % Caucasian=53.6; M body mass index=26.1 kg/m2) completed the Eating Disorder Inventory (EDI-3) and viewed photos of themselves both unaltered and morphed to simulate weight gain. Response to the photos was assessed by self-report and the affect modulated startle paradigm. EDI-3 Drive for Thinness (DT) and Body Dissatisfaction (BD) scale scores were correlated with startled amplitude for the largest simulated weight gain photo. Startle eye blink amplitude predicted more variance in DT and BD subscales than self-reported response to the image. The affect modulated startle paradigm may provide unique information in the assessment of eating disorder symptomatology that cannot be captured via self-report techniques, and has potential to inform evaluation of treatment outcomes of eating and body image disorders.     

Exercise commitment and proneness to eating disorders in a group of physical education teachers

The study examined the association of exercise commitment with proneness to eating disorders in 50 physical education teachers who had been practicing various aerobic sports at least three times a week for at least 5 years. Significant coefficients were found between Commitment to Exercise Scale scores, the number of weekly training sessions, and scores on the Eating Disorders Inventory-2 scales measuring Maturity Fears, Social Insecurity, Perfectionism, and Asceticism. However, no relationship was found between the Commitment to Exercise Scale and the Eating Disorders Inventory-2 variables measuring anorexic tendencies (such as Drive for Thinness, Body Dissatisfaction, and Bulimia). Findings suggest the presence of some psychological factors common to both anorexic tendencies and excessive exercising but not complete overlap, so a rather more complex pattern of relationships appears to be mediated by sex and personality characteristics.     

Bulimia nervosa and dietary restraint

Patients with bulimia nervosa were compared with non-bulimic restrained and unrestrained eaters on several questionnaire and interview measures related to eating patterns, preoccupation with dieting and food, and general psychopathology. Bulimic subjects did not differ significantly from non-bulimic restrained eaters on measures of fear of weight gain, dietary restraint, and the Eating Disorders Inventory (EDI) subscales of Drive for Thinness and Body Dissatisfaction, although both groups scored significantly higher on these measures than unrestrained eaters. Subjects with bulimia nervosa differed significantly from both restrained and unrestrained eaters on the Eating Habits Checklist, the Beck Depression Inventory, the EDI total score and Interoceptive Awareness, Introversion and Bulimia subscales, the Three Factor Eating Questionnaire (TFEQ), Disinhibition subscale and the Symptom Checklist 90-revised version. These findings show that bulimic patients may be quite similar to their restrained, non-bulimic counterparts on dietary concern and ideals of slenderness and suggest the importance of including a restrained control group in attempts to isolate the variables that differentiate individuals with the clinical eating disorder from their peers who demonstrate normative discontent about body weight and shape.     

Disordered eating in adolescent males and females: Associations with temperament,emotional and behavioral problems and perceived self-competence

The purpose of this study was to describe similarities and differences for adolescent males and females in the association between disordered eating and temperament, emotional and behavioral problems and perceived self-competence. The study sample consisted of 239 youngsters (47% males), aged 14–20 years. Drive for Thinness (DT), Bulimia (B) and Body Dissatisfaction (BD) were associated with eating disorder (ED) related traits, depression and negative perceived self-competence in both sexes. Further, Bulimia was significantly related with aggressive symptoms in both sexes. Additionally, gender differences with respect to the correlations between DT and B and temperament emerged. DT was more strongly associated with a low behavioral activation (BAS) in males (compared to females), whereas B was more strongly related with low effortful control in females (compared to males). These findings confirm and extend previous research concerning gender differences in disordered eating.     

Age at menarche and digit ratio (2D:4D): relationships with body dissatisfaction, drive for thinness, and bulimia symptoms in women

This study examined the hypothesis that lower prenatal androgen exposure and earlier puberty are associated with more dysfunctional eating attitudes and behaviors. Relationships between both age at menarche (AAM) and 2D:4D (a marker of prenatal androgen exposure), and EDI-2-Body Dissatisfaction, EDI-2-Drive for Thinness, and EDI-2-Bulimia scores, were examined in women using correlations and regressions. Earlier menarche was associated with higher drive for thinness after controlling for BMI and negative affect, but only in women who were not exclusively heterosexual. Higher 2D:4D was associated with higher Bulimia and Body Dissatisfaction scores, but only in exclusively heterosexual women, and relationships disappeared when covariates were controlled. Later AAM and higher 2D:4D were unique predictors of higher Bulimia scores for exclusive heterosexuals when BMI was controlled. These findings suggest future research should examine sexual orientation as a mediator or moderator of prenatal and postnatal organizational hormonal effects on women's disordered eating attitudes and behaviors.     

Differences in body esteem by weight status,gender, and physical activity among young elementary school-aged children

Body satisfaction is important for the prevention of disordered eating and body image disturbances. Yet, little is known about body esteem and what influences it among younger children. The purpose of this study was to evaluate body esteem and the relationships between body esteem, weight, gender, and physical activity in elementary school children. A total of 214 third graders in a U.S. Midwestern state participated in this correlational study. The Body Mass Index-for-age, the Body Esteem Scale (BES), BE-Weight, BE-Appearance, and a Physical Activity Checklist were used to examine the relationships between the variables using bivariate correlations and analysis of variance. While children's body esteem did not differ by physical activity, important interactions were identified between weight status and gender in global body esteem and BE-Appearance. It is critical to examine attitudes about weight and appearance and the relationship between body esteem and self-esteem further among middle childhood-aged children.     

An evaluation of the reliability and construct validity of eating disorder measures in White and Black women

Most measures of eating disorder symptoms and risk factors were developed in predominantly White female samples. Yet eating disorders affect individuals of all racial and ethnic backgrounds. Black women appear more vulnerable to certain forms of eating pathology, such as binge eating, and less susceptible to other eating disorder symptoms and risk factors, such as body dissatisfaction, compared with their White peers. Despite concern that extant measures do not adequately assess eating concerns among Black women, the construct validity of scores on most of these measures has not been adequately examined within this population. This study included 2,208 Black and White women who completed the following: the Binge Eating Scale (BES), the Eating Disorder Diagnostic Scale (EDDS), the Eating Attitudes Test-26 (EAT-26), the Eating Disorder Inventory Body Dissatisfaction and Drive for Thinness subscales, the Bulimia Test-Revised (BULIT-R), the Multidimensional Body-Self Relations Questionnaire-Appearance Evaluation subscale (MBSRQ-AE), and the Objectified Body Consciousness Scale (OBCS). Most measures yielded internally consistent scores in both races. Confirmatory factor analyses indicated that loadings for some measures, including the EAT-26 and EDDS, were not invariant across groups and thus do not assess equivalent constructs in White and Black women. However, others, including the BULIT-R, BES, OBCS, and MBSRQ-AE, exhibited factorial invariance in both races. Results suggest scores are likely not equivalent across races for several popular measures of eating disorder symptoms and risk factors. Thus, it is recommended that researchers and clinicians obtain additional information regarding racial/cultural factors when using these instruments with Black women.     

Effects of a 6-week aerobic dance intervention on body image and physical self-perceptions in adolescent girls

Research examining the impact of physical activity on body image dissatisfaction and physical self-perceptions has been both limited and equivocal. The current research investigated the effects of 6-week aerobic dance on these variables with 50 British schoolgirls aged 13–14 years. A cross-over design was used with two equivalent groups taught normal physical education and aerobic dance in a different order. The Body Attitude Questionnaire (BAQ) and Children and Youth Physical Self-Perception Profile (CY-PSPP) were administered as pre, mid and post-test to each participant in each group before the first intervention, at the change over and after 12 weeks. The results of this study revealed that participation in 6 weeks of aerobic dance significantly reduced body image dissatisfaction (Attractiveness, Feeling Fat, Salience and Strength and Fitness) and enhanced physical self-perceptions (Body Attractiveness and Physical Self-Worth), although these improvements were not sustained. The implications and future research directions are discussed.     

Screening for Eating Disorders in Undergraduate Women: Norms and Validity of the Spanish Version of the Eating Disorder Examination Questionnaire (EDE-Q)

The purpose of this investigation was to examine the internal consistency reliability and the convergent validity of the Spanish version of the Eating Disorder Examination Questionnaire (EDE-Q) and to provide EDE-Q norms for Spanish undergraduate women. Seven hundred eight college women, aged 18–30 years, volunteered to complete the EDE-Q, BSQ and EDI-2. Satisfactory internal consistency for the four subscales and the global score of the EDE-Q was obtained (Cronbach’s α ≥ .81). The EDI-2 Drive for Thinness and Body Dissatisfaction subscales and the BSQ global factor score correlated highly and positively with the corresponding EDE-Q subscales (r ≥ .72). Average scores, standard deviations and percentile ranks for the raw EDE-Q subscales and data on the occurrence of binge eating and compensatory behaviors are presented. Most of these values were lower than those found in other non-European developed countries. Results support the satisfactory internal consistency and convergent validity of the Spanish version of the EDE-Q. Lower scores in EDE-Q subscales suggest the need to study a lower cut-off point for clinical significance in Spanish college women. These data will help clinicians and researchers to interpret the EDE-Q scores of college women in Spain.     

Changes in body dissatisfaction relative to gender and age: the modulating character of BMI

This study examines the level of body satisfaction in adolescents, and its association with age, sex and body mass index. A non-clinical group was made up of 935 adolescents (484 boys and 451 girls), aged between 10 and 18 years. The body image was assessed by the Body Dissatisfaction scale within the Eating Disorder Inventory (Garner, 1998, 2004) and by the indirect indicator Ideal Body Mass Index. The results showed that the Body Mass Index is an important covariable in the study of body dissatisfaction. Body dissatisfaction mean values increased in the female sample. The males' values did not change throughout adolescence.     

The Color-A-Person Body Dissatisfaction Test: stability, internal consistency, validity, and factor structure

Stability, internal consistency, validity, and factor structure of the Color-A-Person Body Dissatisfaction Test (CAPT) were assessed. Two- and 4-week test-retest correlations for college students and alpha coefficients for students and eating-disorder patients ranged from .70 to .89. Factor structure was unaffected by gender and clinical status. Correlations were mostly between -.40 and -.60 with Rosenberg's (1965) Self-Esteem Scale and Secord and Jourard's (1953) Body Cathexis Scale (BCS). Men higher on Body Mass Index (BMI) liked upper body parts; women higher on BMI disliked lower body parts. Treatment for bulimia affected both body image tests comparably.     

Gender-based differential item functioning in common measures of body dissatisfaction

Many widely used measures of body image were developed using all-female samples and thus may not adequately capture the male experience of body dissatisfaction. The current study examined differential item functioning (DIF) in three commonly-used measures of body image: The Body Shape Questionnaire (N = 590, 39.7% male), the Body Dissatisfaction subscale of the Eating Disorders Inventory (N = 529, 44.6% male), and the Shape and Weight Concern subscales of the Eating Disorders Examination Questionnaire (N = 1116, 43.5% male). Participants completed a series of measures evaluating body image and eating pathology. Results evidenced statistically significant DIF in several of the items; one item met criteria for clinically significant DIF. While most items did not evidence clinically elevated levels of DIF, additional evaluation is necessary in order to determine overall quality of the measures in terms of capturing the experience of male body image concerns.     

Body dissatisfaction and irrational beliefs

To test the hypothesis that the irrational evaluative beliefs, postulated by Rational-Emotive Behavior Therapy, are associated with body dissatisfaction, 94 women (21 diagnosed with an eating disorder, 38 with high body dissatisfaction but without an eating disorder, and 35 with low body dissatisfaction) completed the Survey of Personal Beliefs and the Eating Disorders Inventory. Analysis showed no significant difference in body dissatisfaction between the Eating Disordered and High Body Dissatisfaction subgroups. No significant correlations between body dissatisfaction and irrational beliefs were found for the Eating Disordered subgroup. For the High Body Dissatisfaction subgroup, significant but low correlations were found between scores on body dissatisfaction and irrational standards for self and others and with negative self-rating. In terms of irrational beliefs the Eating Disordered and High Body Dissatisfaction subgroups showed a significantly greater tendency towards Catastrophizing, Low Frustration Tolerance, and Negative self-rating, compared to the controls, without any significant difference between the former two groups. The Eating Disordered subgroup but not the High Body Dissatisfaction subgroup differed significantly from the controls in terms of more Self-directed demands.     

Mind over muscle? Sex differences in the relationship between body image change and subjective and objective physical changes following a 12-week strength-training program

This study examined sex differences in body image change and its correlates over the course of a 12-week strength-training program. Participants were 28 men and 16 women (M age = 21.6, SD = 2.4) who completed pre- and post-intervention measures of body image (Body Areas Satisfaction Scale, Social Physique Anxiety Scale, and Drive for Muscularity Scale) and subjective and objective assessments of body fat, muscularity, and strength. They participated in a 12-week, 5-day/week full-body progressive resistance training program. Significant body image improvements were found for both sexes (p < .05). Correlates of body image change varied somewhat between the sexes. For men, body image improvements were correlated only with subjective physical changes. For women, body image improvements were correlated with subjective physical changes as well as objective increases in strength. These results suggest that although men and women derive body image improvements from strength training, they may benefit for different reasons.     

Psychometric properties of Yelland and Tiggemann's Drive for Muscularity Scale

The purpose of the current study was to examine the dimensionality and validity of Yelland and Tiggemann's Drive for Muscularity Scale (YT-DMS). Participants were college students (305 women, M(AGE)=20.15 years, SD=4.00; 356 men, M(AGE)=20.24 years, SD=3.85) who completed the YT-DMS, the Drive for Muscularity Attitudes Questionnaire, the Drive for Leanness Scale, the Drive for Thinness Scale, and a socio-demographic questionnaire. Results indicated the YT-DMS had a stable unidimensional factor structure in both genders, and the pattern of relationships generally supported the measure's criterion and construct validity. These results reveal the YT-DMS has promise, but helps identify possible areas for improvement, such as a greater focus on sampling the content domain associated with the drive for muscularity.     

Mindfulness, body image, and drive for muscularity in men

Studies have shown that dispositional mindfulness, a construct characterized by awareness and attention to present moment experiences, is associated with body image constructs in women. However, little is known about the relationship between dispositional mindfulness and body image among men. Therefore, this study examined the unique associations between dispositional mindfulness and three body image variables in men: overall appearance evaluation, satisfaction with distinct body areas, and drive for muscularity. Undergraduate men (N=296) completed the Multidimensional Body Self-Relations Questionnaire-Appearance Scales, the Drive for Muscularity Scale, the Mindful Attention Awareness Scale, and the Positive and Negative Affect Schedule. A series of hierarchical regression analyses revealed that mindfulness was uniquely associated with all three body image variables after accounting for body mass index and negative affect. Results are discussed with regard to the potential role of dispositional mindfulness in body dissatisfaction among men.     

Effects of a 6-week circuit training intervention on body esteem and body mass index in British primary school children

Research examining the impact of physical activity on children's body image has been limited and equivocal. The current researchers examined the effect of 6-week circuit-based training on body esteem and body mass index (BMI) in 68 British children (34 boys and 34 girls, aged 10–11 years, 16% overweight, 7% obese). The Body Esteem Scale for Children (BES-C) was administered to both the intervention group and control group, pre, post and 6 weeks post the intervention. BMI was directly assessed from height and body mass pre- and post-intervention. The results of this study revealed that, as compared to the control group, participation in 6-week circuit training significantly improved body esteem scores post-intervention. However, these scores were not sustained 6 weeks post-intervention. The improvement in body esteem scores from pre- to post-intervention was greater for girls as compared to boys. Additionally, BMI decreased significantly in the intervention group compared to the control group.     

Perceived Control, Drive for Thinness, and Food Consumption: Anorexic Tendencies as Displaced Reactance

Although loss of perceived control has been implicated in the development of eating disorders, previous research has not directly tested the relationship between perceived control and food consumption. This study investigated the hypothesis that individuals with anorexic tendencies react to low perceived control by restricting food intake as a means of regaining a sense of control. Forty female undergraduates who scored either low or high on the Drive for Thinness Scale (Garner & Olmsted, 1984) were led to believe they would be participating in two separate studies. Perceived control was experimentally manipulated such that half of the subjects experienced low control and half experienced high control over a social situation. Under the guise of a second experiment, subjects tasted breakfast cereals and completed measures relevant to eating and body image. Results showed that subjects who were high in drive for thinness (DT) who experienced low control ate less sweetened cereal and planned to eat less at dinner than high DT subjects who experienced high control. Low DT subjects were unaffected by the control manipulation. The results are discussed in terms of displaced reactance.     

Body attitudes and eating behaviors of female clothing sales personnel

Recent research suggests that social standards for ideal female beauty are related to negative body-image and dieting among young women. We hypothesized that women who work in settings that emphasize physical appearance (women's fashion clothing sales) would have more disturbed body attitudes and eating behaviors than college women. Sales personnel (n = 21) and students (n = 25) answered questions about their occupational status, weight, and demographic characteristics, and completed the Body-esteem Scale and the Eating Disorder Inventory. Weight and scores on the two scales were similar in both groups except that sales personnel reported more dissatisfaction with their body parts on the Body dissatisfaction scale of the Eating Disorder Inventory. Among sales personnel, those who perceived their appearance to be of greater importance in their work also reported more concern about dieting and weight, as reflected on the Drive for thinness subscale of the Eating Disorder Inventory. Results are discussed with regard to situational influences on women's body attitudes and their implications for eating behaviors.