Considering J.Lo and Ugly Betty: a qualitative examination of risk factors and prevention targets for body dissatisfaction, eating disorders, and obesity in young Latina women

Latina women are vulnerable to poor body image, eating disorders, and obesity, particularly during the college years. This study sought to identify common cultural antecedents of these concerns in order to inform the development of prevention programs for this population. Six groups of university students who identified as Latina (N=27) discussed cultural aspects of body image, eating disorders, and obesity. Thematic analysis identified four main themes: (a) cultural disparities in body-ideal, including the influence of the media and acculturation issues; (b) messages about body shape and weight received by family, peers, and society; (c) difficulties making healthy eating and physical activity choices as a function of college life; and (d) the influence of peers and potential male partners on body satisfaction and body-ideals. These results have implications for the development of programs targeting body dissatisfaction and risk for eating disorders and obesity in Latina college women.     

Investigation of Body Comparison Among Adolescent Girls1

Grade differences in appearance and nonappearance social comparisons, and targets for body comparison were examined in adolescent girls. A model describing potential contributors to, and consequences of, body comparison tendency was examined. Girls (n= 545) completed measuring social comparisons, targets for comparisons, dieting in response to comparisons, body attitudes, eating patterns, psychological variables, height, and weight. Appearance and nonappearance social comparisons increased with age. Girls reported comparing their bodies most frequently with peers and fashion models. Body comparison tendency was significantly predicted by: importance of thinness, internalization of socio‐cultural ideal, friend concern with weight, body image instability, competitiveness, grade, public self‐consciousness, perfectionism, and family concern with weight. Predictors of dieting in response to body comparison were also explored.     

Body Image Comparisons on Social Networking Sites and Chinese Female College Students’ Restrained Eating: The Roles of Body Shame,Body Appreciation,and Body Mass Index

Body image comparisons on social networking sites (SNS) have been found to be associated with disordered eating among western young women, however, the inner mechanism driving this association is largely unknown. Based on social comparison, sociocultural, and objectification theories, the present study aimed to investigate the association between body image comparisons on SNS and restrained eating, as well as the mediating role of body shame and the moderating roles of body appreciation and body mass index (BMI) among Chinese young adult women. A sample of 567 Chinese college women were recruited to complete a questionnaire assessing body image comparisons on SNS, body shame, body appreciation, restrained eating, and information about weight and height. Results showed that body image comparisons on SNS were positively associated with restrained eating and that body shame significantly mediated this association. Furthermore, body appreciation and BMI each moderated the association between body shame and restrained eating as well as the association between body image comparisons on SNS and restrained eating. These results not only have theoretical implications, but also provide guidance for prevention interventions targeting negative body image and disordered eating among college women.

     

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.     

Cross‐cultural,population‐based study on adolescent body image and eating distress in Japan and Finland

This cross‐sectional population‐based survey compares the prevalence of self‐reported body image and eating distress symptoms among adolescents in Japan and Finland, and associations between emotional/behavioral problems, body image and eating distress from a cross‐cultural perspective. The study included 1,840 Japanese and 1,135 Finnish 8th grade students. The self‐reported questionnaire included the Body Image and Eating Distress Scale and Strengths and Difficulties Questionnaire (SDQ). The female adolescents from both Finland and Japan reported much greater dissatisfaction with, and concern about, their bodies than the males and Japanese females expressed even higher distress than Finnish females. High levels of body image and eating distress were associated with psychiatric problems measured with the SDQ. There was a significant three‐way interaction effect of body image and eating distress, gender and country with SDQ peer problems and prosocial behavior.     

THE RELATIONSHIP BETWEEN FEMININE GENDER ROLE STRESS, BODY IMAGE, AND EATING DISORDERS

The Feminine Gender Role Stress (FGRS) scale was used in two studies to determine whether eating disorders could be linked to the cognitive tendency among women to appraise specific situations as highly stressful because of rigid adherence to the traditional feminine gender role. Study 1 showed the FGRS scale could distinguish eating disorders from other psychiatric disorders in an inpatient setting and from normal college women. This suggests that women who have eating disorders report higher than usual levels of stress as a result of rigid adherence to the traditional feminine gender role. Study 2 looked at cardiovascular reactivity to a "feminine" (i.e., body image threat) and a control stressor and determined the FGRS scale could predict which women are threatened by feminine stressors. Results from these studies suggest feminine gender role stress may be the missing link between cultural values of femininity and vulnerability for eating disorders.     

Drive for muscularity and disordered eating among French adolescent boys: a sociocultural model

The pursuit of muscularity is an important body image concern among boys which has been described within sociocultural models of risk for eating disorders. This study explored a sociocultural model of disordered eating in which drive for thinness and pursuit of muscularity were both pathways to disordered eating among French adolescent boys. A sample of 146 adolescents completed a questionnaire assessing drive for thinness, drive for muscularity, media-ideal internalization, appearance comparison, and sociocultural pressure. The model was a good fit to the data and both drive for thinness and the pursuit of muscularity were related to disordered eating. Furthermore, internalization and appearance comparison mediated the relationships between pressure to increase muscle and both drive for muscularity and drive for thinness. Longitudinal research could help clarify the role of the pursuit of muscularity in the development of disordered eating and extreme body shape changing behaviors.     

Culture and body image: Body perception and weight concern in young Asian and Caucasian British women

The comparatively lower prevalence of eating disorders among Asian and Afro-Caribbean than Caucasian women in the UK has often been attributed to cultural differences in pressures for slimness. However, there have been no attempts to evaluate cultural differences in ideals for female physique directly among women in the at risk age groups. In the present study, cultural influences on body image were evaluated by comparing the body size ideals, body image and dieting concerns in a sample of 274 young white and Asian British women. The results indicate that Asian women are less likely to describe themselves as too fat, were less dissatisfied with their body size, less likely to want to lose weight and less restrained. However, Asian women were slimmer than white women and, after controlling for the difference in body size, the effects were reduced. The hypothesis that any body satisfaction differences could be explained by differences in ideal body size between the two groups were not supported; Asian women favoured even slimmer ideal body sizes than white women. Alternative explanations in terms of cultural differences in evaluation of fatness are discussed.     

Body image and dieting failure in college men and women: Examining links between depression and eating problems

The noted co-occurrence between depression and eating problems in women may be due to their common association with negative body image. Specifically, the western cultural ideal that equates feminine beauty with thinness leads a large number of women to be dissatisfied with their bodies. A recent model [M. McCarthy (1990) The Thin Ideal, Depression, and Eating Disorders in Women, Behavioral Research and Therapy, Vol. 28, pp. 205–215] suggests that this dissatisfaction, coupled with high importance placed on appearance, leads most women to engage in dieting to obtain this level of thinness. As dieting is typically unsuccessful as a means of long-term weight control, depression will result from the sense of failure and helplessness associated with dieting failure. This depression then leads to increasingly maladaptive eating behaviors that serve to assuage negative affect and regain control over body appearance. In a sample of 234 male and female, predominantly white, 17–22-year-old college students, we examined several components of this model, including the specificity of these relations for women. In accordance with the model, depressive symptoms and eating problems were predicted to be an interactive function of body image and body image importance, with negative body image/high importance subjects showing the greatest disturbance. In addition, we examined several components of the model to determine (a) the relation between failed dieting and depression, and (b) the extent to which depression could account for eating problems. Regardless of gender, eating problems were indeed highest among those with both negative body image and high body image importance. Depression, however, was higher in subjects with negative body image, regardless of body image importance. For both men and women, failed dieting was significantly related to depression, but only for women did depression account for significant variability in eating problems. Validity of the model is considered. Gender differences in the nature of these relations, and the need to consider possible alternative effects of the cultural standard for masculine attractiveness, are discussed.This research is based in part on an undergraduate honor's thesis submitted by the second author to the Emory University Department of Psychology under the direction of the first author. Funding was provided by a grant from Emory University to the first author. The authors would like to thank Robyn Fivush, Steven Nowicki, Irwin Waldman, Carol Worthman, and two anonymous reviewers for helpful comments on earlier drafts.     

Are Feminist Women Protected from Body Image Problems? A Meta-analytic Review of Relevant Research

It was hypothesized that feminist women would experience positive body image due to a heightened ability to critique cultural pressures related to thinness. Samples from 26 studies (almost all North American) were compiled for a meta-analysis to examine the association between feminist identity and measures related to body image and eating problems. The largest number of effect sizes found addressed the association between feminist identity and body attitudes (k?=?28), and it was found that there was a positive, significant association that was strongest when older women participants were tested and when a more purposeful sample (e.g., women studies students) was questioned. There were also significant negative associations between feminist identity and other measures related to eating problems.     

Bulimic Eating Disorders in Primary Care: Hidden Morbidity Still?

The current study examined the features of women with bulimic-type eating disorders (n = 24) attending primary care in two smaller urban regions of the USA. The assessment included measures of eating disorder psychopathology, medical comorbidity, impairment in role functioning, potential barriers to treatment and actual use of health services. Eating disorders, primarily variants of bulimia nervosa and binge eating disorder not meeting formal diagnostic criteria, were associated with marked impairment in psychosocial functioning. Although two-thirds of participants recognized a problem with their eating, less than 40% had ever sought treatment from a health professional for an eating or weight problem and only one in ten had sought such treatment from a mental health specialist. Only one-third had ever been asked about problems with eating by a primary care practitioner or other health professional. However, more than 80% had sought treatment from a health professional for symptoms of anxiety or depression. Most reported some degree of discomfort in discussing eating problems with others, and half reported that they would not be truthful about such problems if asked. Having an eating disorder was associated with several chronic medical conditions, including joint pain, gastrointestinal problems and fatigue. Although the small sample size limits any firm conclusions, the findings suggest that the health burden of bulimic-type eating disorders is substantial but remains largely hidden. Efforts may be needed to improve the eating disorders “mental health literacy” of both patients and primary care practitioners in order to facilitate early, appropriate intervention.     

The differential importance of weight and body image among college men and women

Among a sample of American college students, body image and the degree of desired weight change were associated with academic self-rankings, with social and psychological well-being, and with the development of eating difficulties. The effects of body image and desired weight change on eating disorders were generally found to be greater for women than for men, and their effects on student self-rankings of academic ability, social, and psychological traits were more pervasive for women than for men. The less attractive a woman perceived herself to be and the more weight she wanted to lose, the greater was her overall sense of academic, social, and psychological impairment. Women who had poor body images and who desired to lose weight were more likely to report eating difficulties.     

体像困扰与社会文化因素

数据显示大多数人对自己的体像不满意,而对体像的不满意可能形成困扰。存在体像困扰的个体更多体验抑郁、焦虑等负面情绪,且体像困扰和进食障碍、体像障碍等精神疾病均存在密切的关系。在介绍概念的同时,本文还对体像困扰相关社会文化因素的影响进行了综述。已有研究表明女性较男性更容易受到体像困扰的影响;体像困扰存在跨文化的一致性,也存在文化差异;家庭、同伴和媒体对于体像困扰均有影响。     

Eating Disorders in an Israeli Women’s Prison: Correlates of the Risk

Extensive rates of child abuse and neglect (CAN), substance abuse disorders (SUDs), and mental health problems have been reported among incarcerated women. The link between CAN, SUDs, and eating disorders is well-documented, but little is known about the eating-disorder behaviors of incarcerated women. The purpose of this study was (a) to explore eating-disorder behaviors among incarcerated women in Israel; (b) to examine whether certain types of CAN are associated with eating disorders; and (c) to study the link between CAN, SUDs, mental health problems, and eating disorders. This cross-sectional study investigated eating-disorder behaviors in a sample of 62 incarcerated women in Israel. The findings indicated a high prevalence of eating disorders among incarcerated women; almost 70% exhibited the drive for thinness, which is considered a central feature of eating disorders. In addition, the findings revealed a high prevalence of CAN (84.2%), especially emotional abuse (57.9%) and emotional neglect (73.7%). I also found a high rate of co-occurrence of CAN, SUDs, mental health problems, and eating disorders. Bulimia nervosa, ineffectiveness, and low impulse regulation were found to be associated with SUDs and mental health problems (p?=?0.006, p?=?0.032, and p?<?0.001, respectively). The findings highlight the intersection of trauma with self-destructive behaviors, including co-occurrences of SUDs, eating disorders, and severe mental health problems as a result of negative childhood experiences, suggesting a need for simultaneous treatment interventions.     

体型知觉的准确性及其认知机制

体型知觉的准确性既和一般人群的心理健康水平有关, 又对进食障碍的理解、预防和治疗具有重要意义。首先, 进食障碍患者可能高估自己的身体, 其体型知觉准确度可能受其BMI和症状的影响, 并与患者预后相关。其次, 通过和对他人体型估计的结果进行对比发现, 对自己的体型的高估可能受到对自己身体态度因素的影响。第三, 一般人群对自己的体型估计的结果往往不一致, 这可能是体型知觉的不同量化方式所致。最后, 体型知觉准确性的相关认知机制主要有收缩偏差、视觉适应和序列依赖效应。     

Weight on the bar vs. weight on the scale: A qualitative exploration of disordered eating in competitive female powerlifters

Disordered eating enquiry in sport psychology has arisen due to the need to investigate sub-clinical populations. Weight-class athletes have been found to be ‘at-risk’ of disordered eating. Therefore, interpretations of experiences can shed light on female weight-class athletes disordered eating accounts. In line with previous interpretive studies, athlete accounts can highlight unique social and cultural insights regarding disordered eating. The aim of the study was to explore disordered eating experiences of female powerlifters. One semi-structured interview was conducted with 17 participants. A thematic analysis resulted in four themes: fear of disclosing weight-cutting concerns; eating like a powerlifter; culture of regulation; and the female body vs. the powerlifter body. Findings highlighted a complex interaction between weight-cutting, the construction of disordered eating, and a female-athlete paradox within powerlifting. We anticipate findings will extend to other weight-class sports, and discuss applied implications for powerlifters' mental health and recommendations for future research.     

Cultural Adaptation of a Cognitive Behavior Therapy Guided Self‐Help Program for Mexican American Women With Binge Eating Disorders

Data on the compatibility of evidence‐based treatment in ethnic minority groups are limited. This study utilized focus group interviews to elicit Mexican American women's (N= 12) feedback on a cognitive behavior therapy guided self‐help program for binge eating disorders. Findings revealed 6 themes to be considered during the cultural adaptation process and highlighted the importance of balancing the fidelity and cultural relevance of evidence‐based treatment when disseminating it across diverse racial/ethnic groups.     

Les troubles des comportements alimentaires chez des étudiants de première année : une étude prospective multigroupes

There is increasing use of the phrase “campus eating symptoms” to describe regular binge eating (together with frequent exercise, and occasional reliance on vomiting or laxatives), concerns about body image, depressive symptoms, stress, and university adjustment problems among students. Incidence of eating disorders in the early grades of university is increasing, and the period from age 17–19 years (peak of bulimia) which corresponds to the beginning of study at university is critical. Given the stressful environment that is the 1st academic year, it is useful to consider eating disorders risk factors.

Method

Our study is longitudinal. At the beginning, the participants consisted of 1110 freshmen. Data regarding adjustment to university, gender, body image, BMI, transactional variables (perceived stress and coping) and eating disorders (EAT-26) were collected. At T2 (end of academic year), 556 students were recruited to reassess their eating behaviours. The aim of the study was to test gender invariance of a theoretical eating disorders model including all these variables and eating disorders measured a year apart from a mixed population integrating the university for the first times. This model assumes that these variables exert direct effects on eating disorders as measured in time one who in turn will affect the stability of these troubles a year later. Although very little research include boys in the study of eating disorders, the results of our multi-group analysis support the idea of the existence of sex differences in eating disorder predictors: the only common predictor of eating disorders among girls and boys was the use emotion-focused coping. Among boys, the best predictors of eating disorders were problem-focused coping, and seeking social support. Among girls, our results revealed that body mass index, body image, and academic adjustment and stress were the predictors of eating disorders. Finally, we found a temporal stability of eating disorders. This study showed that personal and contextual aspects have a direct impact on students’ eating behaviour. However, among boys, neither body image nor perceived stress affect the eating behaviour but how they cope with stress. The gender gap in the explanation of eating disorders suggest to not exclude the male population in this type of study and to treat the data separately.     

Predicting interest in liposuction among women with eating problems: a population-based study

The purpose of this paper was to examine predictors of an interest in liposuction among women with eating problems. A questionnaire was sent to 3500 women aged 18-35 years, whereof 378 of 1861 responders screened positively on eating problems. Assessments included sociodemographic status, social network, physical exercise, attitudes towards cosmetic surgery, teasing history, body dysmorphic disorder-like symptoms, body image, self-esteem, personality, interpersonal attachment and emotional distress. Fifty-two percent reported an interest in liposuction, which was independently predicted by appearance orientation, appearance evaluation, being critical/quarrelsome, teasing history, wish for a better relationship with father, low education and being unmarried. Predictors differed somewhat from those previously found in the general population. Considering that our sample consisted of women with self-reported eating problems, the association between liposuction and eating behaviors should be further examined in a sample of patients with a formal eating disorder diagnosis.