Test-retest reliability and construct validity of Contour Drawing Rating Scale scores in a sample of early adolescent girls

Test–retest and construct validity of Contour Drawing Rating Scale (CDRS) scores were examined in 1056 Grades 7 and 8 girls. Questionnaires were completed four times, including retests at 2, 6 and 14 weeks. Test–retest reliability for current size, ideal size and current–ideal discrepancy mostly exceeded 0.70 (0.65–0.87, for the full sample, with higher rs for shorter retest periods). Ideal and current size ratings increased slightly over time. High correlations between perceived current figure and measured body mass index; moderate rs between current–ideal discrepancy and body dissatisfaction and restrained eating; and very low or no significant correlations with social desirability supported construct validity in this group. The study supported the use of the CDRS in early adolescent girls.     

Y's Girl: Increasing body satisfaction among primary school girls

To date, effective body image interventions for preadolescent school girls are lacking. The present study sought to evaluate the effectiveness of Y's Girl, a published body image curriculum specifically tailored for preadolescent school girls. A sample of 60 Grade 6 girls with a mean age of 11.25 (range of 11–12) years were allocated either to an intervention or control group and completed baseline and posttest measures of body image, thin-ideal internalization, body comparison, self-esteem, peer factors, and disordered eating. Findings revealed that, compared to the control group, girls receiving the intervention reported improved body image, thin-ideal internalization, body comparisons, and self-esteem at posttest 1 week after the intervention ended. Furthermore, changes in body satisfaction were moderated by initial levels of risk-factors. These findings provide initial support for Y's Girl as an effective, affordable body image intervention for preadolescent girls which can be implemented by teachers.     

The tripartite influence model of body image and eating disturbance: A replication with adolescent girls

The tripartite influence model of body image and eating disturbance is a recent theoretical approach that includes a test of direct (peer, parental, and media factors) and mediational links (internalization of societal appearance standards, appearance comparison processes) as factors potentially leading to body dissatisfaction and eating disturbance. The theory was evaluated in the current study in a sample of 391 adolescent females. A structural equation model that evaluated the tripartite model replicated previous findings reported by Keery, van den Berg and Thompson (2004) [Keery, H., van den Berg, & Thompson, J. K. (2004). A test of the tripartite influence model of body image and eating disturbance in adolescent girls. Body Image: An International Journal of Research, 1, 237–251.]. Additionally, a second model extended these findings, suggesting that peer and media influences are more important than parental influences. The results are discussed in light of the need for prevention programs to incorporate formative influences and mediational processes in the construction of intervention strategies.     

Exploring gender differences in body image,eating pathology,and sexual harassment

This study examines the relationship between body image (weight/shape concerns), eating pathology, and sexual harassment among men and women (N = 2446). Hierarchical regressions controlling for depression revealed main effects of gender such that women reported greater weight/shape concerns, eating pathology, dietary restraint, eating concerns, and binge eating compared to men. Main effects for sexual harassment indicated that as harassment increased, participants reported increased weight/shape concerns, eating pathology, dietary restraint, eating concerns, binge eating, and compensatory behaviors. There were small but significant interactions between gender and harassment for eating pathology total score (which included each of the domains listed above), weight/shape concerns, dietary restraint, and eating concerns such that the relationship between increased harassment and increased pathology was stronger for women compared to men. The largest interaction was found for compensatory behaviors, such that while women and men's scores both increased as harassment increased, the relationship was stronger for men.     

Body size preferences and sociocultural influences on attitudes towards obesity among Moroccan Sahraoui women

The purpose of this investigation was to study body size preferences and to examine the influence of sociocultural factors on obesity among 249 Moroccan Sahraoui women. Participants rated their ideal body size and the size they thought to be “healthy,” using a figural scale consisting of nine images ranging from thin to obese. They also noted which particular sociocultural influences affected their body size ratings. The results indicated that women's rating of ideal body size (4.88) was significantly larger than their rating of healthy body size (4.33). The desire to lose weight was very low even among the majority of obese women, and educational level did not affect desire to lose weight. Women not satisfied with their body size were more likely to report trying to gain weight rather than to lose it. The major factors reported to influence body size ideal were mothers, men, and traditional clothing. It is an enormous challenge for the health institutions of Morocco to prevent obesity and its complications. Prevention programs should include teenagers and key family members.     

Internet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A randomized controlled trial

This study evaluated a targeted intervention designed to alleviate body image and eating problems in adolescent girls that was delivered over the internet so as to increase access to the program. The program consisted of six, 90-minute weekly small group, synchronous on-line sessions and was facilitated by a therapist and manual. Participants were 73 girls (mean age=14.4 years, SD=1.48) who self-identified as having body image or eating problems and were randomly assigned to an intervention group (n=36) (assessed at baseline, post-intervention and at 2- and 6-months follow-up) or a delayed treatment control group (n=37) (assessed at baseline and 6–7 weeks later). Clinically significant improvements in body dissatisfaction, disordered eating, and depression were observed at post-intervention and maintained at follow-up. Internet delivery was enthusiastically endorsed. The program offers a promising approach to improve body image and eating problems that also addresses geographic access problems.     

An exploration of body dissatisfaction and perceptions of Black and White girls enrolled in an intervention for overweight children

Silhouette measures are one approach to assessing body dissatisfaction in children, although little is known about their use among racially diverse, overweight girls seeking weight-loss treatment. This study assessed racial differences in body dissatisfaction and body size perceptions of 58 girls (ages 6–11, 66% Black, 34% White) participating in a randomized trial for pediatric overweight. Body dissatisfaction did not differ between races; 99% of girls reported an ideal figure smaller than their current one. Black girls selected a larger silhouette to represent their ideal body size, and most girls in both racial groups underestimated their actual size. Outcomes strengthen the argument that, despite an overall preference for a larger body size, obesity might mitigate cultural factors that protect Black girls from body dissatisfaction. Additional research is needed to enhance understanding of children's body size perceptions and dissatisfaction to inform assessment and treatment of pediatric obesity and associated disordered eating symptoms.     

Weighing in on risk factors for body dissatisfaction: a one-year prospective study of middle-adolescent girls

Body dissatisfaction is a common problem among adolescent girls that is linked to serious outcomes, including the development of eating disorders. This study tested to what degree five theorized risk factors (weight-related teasing, thin-ideal internalization, body mass index [BMI], self-esteem, and perfectionism) predicted prospective changes in body dissatisfaction. At baseline, 393 10th and 11th grade girls (M = 15.8 years) completed questionnaires and had their height and weight measured. One year later, 316 participants’ body dissatisfaction was reassessed (80.4% retention). Results suggested that self-esteem was the most potent risk factor, followed by BMI, when used to categorize girls into high- and low-risk groups for body dissatisfaction at follow-up. However, weight-related teasing, thin-ideal internalization, and perfectionism did not prove to be risk factors. These results suggest self-esteem and BMI are relevant variables for helping to identify middle-adolescent girls who may be at risk for subsequent increases in body dissatisfaction.     

Sex and power in the academy: modeling sexual harassment in the lives of college women

The authors build an integrated model of the process by which academic sexual harassment undermines women's well-being; also examined is harasser power as a potential moderator of this process. Data from 1,455 college women suggest that sexual harassment experiences are associated with increased psychological distress, which then relates to lower academic satisfaction, greater physical illness, and greater disordered eating. The cumulative effect is greater disengagement from the academic environment, which in turn relates to performance decline (i.e., lower grades). Regardless of how frequently the harassment occurred, academic satisfaction was lower when the harassment came from higher-status individuals (i.e., faculty, staff, or administrators). At the same time, harassment was equally detrimental to mental health, regardless of who perpetrated it. The article concludes with implications for theory, research, and intervention.     

Investigation of ethnic differences in body image between Hispanic/biethnic-Hispanic and non-Hispanic White preadolescent girls

The extent to which the construct of body image is measurement invariant across ethnic groups is an important consideration for studies examining ethnic differences and characteristics that influence body image disturbances. However, the literature examining the body image construct as a function of ethnic group membership is limited. The primary aim of this study was to investigate whether Hispanic/biethnic-Hispanic and non-Hispanic White preadolescent girls (aged 8 through 12 years old; N = 141) had fundamentally different conceptualizations of body image in a low to low/middle socioeconomic status school-based sample. Our findings suggest that the measurement construct of body image was similar and relatively stable for Hispanic/biethnic-Hispanic and non-Hispanic White preadolescent girls. In addition, the body image construct was predictably related to disordered eating symptoms in both groups, with different dimensions of body image differentially predictive by ethnic group. Overall, body image appears to be a meaningful construct with similar measurement meanings across Hispanic/biethnic-Hispanic and non-Hispanic White ethnic groups.     

Latent structure of dieting among female high-school students in Japan

The purpose of the present study was (1) to clarify whether individuals could be classified in terms of dieting using latent class analyses; and (2) to review the resulting classes were related to body dissatisfaction, body mass index, depressive mood, and binge eating. The present sample comprises 441 Japanese high-school girls. The optimal solution consisted of three latent classes: (1) unhealthy dieter (27%); (2) healthy dieter (39%); and (3) nondieter (34%). Inclusion in the unhealthy dieter class was predicted by body dissatisfaction and the girls in this class showed a high frequency of binge eating, while that in the other classes was not associated with any variable. This study identifies three classes with regard to dieting among female high-school students in Japan.     

Packaging of healthy and unhealthy food products for children and parents: The relative influence of licensed characters and brand names

• Using a sample of 43 7–8‐year olds and their parents, we examined the extent to which children's judgments about food products are influenced by the same factors as their parents'. The factors manipulated were healthiness of product, brand name familiarity, and use of licensed cartoon characters (children) or celebrity endorsers (parents). Brand name familiarity was a more important factor than familiar cartoon characters or celebrity endorsers on food product evaluations. Parents and girls but not boys rated healthy products higher than unhealthy ones (e.g., breakfast cereal vs. pastries). However, parents placed greater weight on healthiness when choosing products for themselves than when choosing for their children. Discussion focuses on the promotion of healthy eating habits in children.

Copyright © 2010 John Wiley & Sons, Ltd.     

A cross-sectional study of changes in Norwegian adolescents' body image from 1992 to 2002

The present study examines changes in adolescents’ body image over a 10-year period. Both satisfaction with appearance in general, and satisfaction with different aspects of appearance (e.g., face, muscle tone, and weight) are considered. We analyzed data from two general population studies of 13–19-year-old Norwegians, “Young in Norway 1992” (N = 10,460, response rate = 97.0%) and “Young in Norway 2002” (N = 11,371, response rate = 92.3%). These studies used identical sampling procedures, data collection procedures, and measures of body image. The analyses showed a polarization in adolescents’ body image — concurrent with an increase in the proportion of adolescents with a very negative body image, there was an increase in the proportion of adolescents with a very positive body image. The greater proportion of adolescents with a very negative body image could partly be explained statistically by the increased body mass index (BMI) in the same period. Girls had a more problematic body image than boys, both in 1992 and in 2002. Whether the strength of this gender difference changed or not depended on the aspect of appearance considered.     

Overconcern with weight and shape is not the same as body dissatisfaction: evidence from a prospective study of pre-adolescent boys and girls

Overconcern with weight and shape and body dissatisfaction have both emerged as significant predictors of disordered eating. However, it is unclear how these constructs relate to each other, and if each has different antecedents and consequences. This study aimed to identify prospective predictors of each construct and to determine their relative importance in predicting dietary restraint and binge eating. Eight- to 13-year-old boys and girls (N = 259) were assessed at baseline and one-year follow-up, using a range of measures that included the Child Eating Disorder Examination. Psychosocial variables predicted overconcern with weight and shape whilst objective weight predicted body dissatisfaction. Body dissatisfaction and weight and shape concern predicted restraint, and weight and shape concern and restraint predicted binge eating. Findings provide support for the theoretical differences between body dissatisfaction and overconcern with weight and shape, and highlight the importance of focusing on specific body image variables.     

The Multidimensional Media Influence Scale: Confirmatory factor structure and relationship with body dissatisfaction among African American and Anglo American children

The Multidimensional Media Influence Scale (MMIS; Cusumano & Thompson, 2001). Media influence and body image in 8–11-year-old boys and girls: A preliminary report on the multidimensional media influence scale. International Journal of Eating Disorders, 29, 37–44) is a child-appropriate, 3-factor scale designed to assess perceived media influence on body image. It has been used in studies exploring the relationship between the entire scale as well as its subscales (awareness, internalization, and pressure) and variables related to body image. However, the 3-factor structure of the scale has never been confirmed via confirmatory factor analysis (CFA), nor has the scale been evaluated with a racially diverse sample of children. This paper reports the results of CFAs establishing the multidimensionality of the scale and the unidimensionality of its subscales among a sample of 661 girls and boys aged 7–12 years, primarily African American and Anglo American. The pressure factor of the MMIS predicted the idealization of a thinner current (child) and future (adult) body both cross-sectionally and one year later for girls and for Anglo American children.     

Eating pathology in female gymnasts: Potential risk and protective factors

Although participation in sports that emphasize aestheticism, such as women's gymnastics, are associated with higher rates of eating pathology, little is known about the risk and protective factors involved in this process. We established and tested a model proposing that body surveillance and body shame are processes by which pubertal development and training may uniquely contribute to pathological eating by sampling 100 competitive female gymnasts via questionnaires. We further tested whether self-esteem moderated several model relationships. Results demonstrated that pubertal development was associated with higher levels of body surveillance, body shame and disordered eating; whereas greater time spent training was associated with lower levels of body shame and disordered eating. Finally higher self-esteem was associated with lower levels of disordered eating, less body surveillance, and less body shame. Potential risk and protective factors for the development of eating pathology in female gymnasts are discussed.     

HARASSED BODIES

The present study examined the relationships among sexual harassment and body image and eating disturbances using a sample of 195 undergraduate women. Sexual harassment was associated with a variety of eating disorder symptoms, even when controlling for experiences of sexual abuse/assault and physical abuse. Whereas sexual abuse/assault and physical abuse appear to be nonspecific risk factors for such symptoms, sexual harassment was more closely associated with eating disorder symptomatology than other types of psychological distress. The results of structural equation modeling better supported a model in which body image and eating disturbances were outcomes rather than antecedents of sexual harassment. Finally, several analyses indicated that disordered eating may function as a way to cope with the negative emotions associated with sexual harassment.     

Mindsets of health and healthy eating intentions

Across two studies, we examined the relation between mindsets of health, expectancy‐value, and eating intentions. We also explored if relations are stronger for African Americans compared to White Americans. In Study 1, we conducted a correlational study (N = 158) to examine initial relations among constructs. In Study 2, we employed an experimental design (N = 205), and randomly assigned participants to either a growth mindset or a fixed mindset of health condition. In both studies, we measured participants’ mindsets of health, expectancy‐value beliefs, healthy eating intentions, past eating habits, and demographics. In Study 1, stronger growth mindsets of health predicted healthier eating intentions. Expectancy‐value beliefs, namely, the extent to which individuals value healthy eating habits and expect to be able to manage their eating, mediated this relation. In Study 2, we successfully manipulated mindsets of health and individuals in the growth mindset condition reported healthier eating intentions, compared to those in the fixed mindset condition. Expectancy‐value beliefs again mediated this link. Race only moderated the relation in Study 1, such that effects of growth mindsets on outcomes (i.e., eating intentions and expectancy‐value beliefs) are stronger for African Americans compared to White Americans. Study 1 provided initial evidence of a relationship between stronger growth mindsets of health and healthier beliefs and intentions. Study 2 offered experimental evidence. We discuss theoretical and practical implications.     

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.     

What works in secondary schools? A systematic review of classroom-based body image programs

Governments, schools, and curriculum authorities are increasingly recognizing that body image during adolescence is a public health issue that warrants attention in the school setting. After 30 years of eating disorder prevention research, and given the current interest in this area, it seems timely to review the research on interventions to improve body image in schools. We reviewed universal-selective, classroom-based programs that have been conducted since the year 2000, among adolescents, and found 16 eligible intervention programs. Seven of these programs were effective in improving body image on at least one measure, from pre to post test, though effect sizes were small (d = 0.22–0.48). These effective programs were conducted among younger adolescents 12.33–13.62 years, and included activities focusing on media literacy, self esteem, and the influence of peers. Implications for school personnel and curriculum authorities are discussed, and we provide recommendations for a strategic approach to future research in this area.