Nobody's perfect: A qualitative examination of African American maternal caregivers’ and their adolescent girls’ perceptions of body image

Using semi-structured interviews, we explored African American maternal caregivers’ and their adolescent girls’ (N = 25 dyads) perceptions about the adolescent's body using Grounded Theory. Caregivers and adolescent girls (M_age = 13.42) were asked what the adolescent girls liked most/least about their bodies and how peers and media may affect adolescent girls’ perceptions. While some adolescent girls reported overall body satisfaction, others described features they would like to change. Belief in God, body acceptance, and appreciation for average/moderate features helped the adolescent girls maintain their positive body image. The body-related messages that adolescent girls received from caregivers and peers included compliments, pressure to lose weight, teasing, and advice. Adolescent girls also reported being either influenced by or skeptical of the images presented in the media. Programs that promote caregiver–adolescent communication about body perceptions and that build on the adolescent girls’ media skepticism may prove useful for their health-related attitudes and behaviors.     

Testing the Tripartite Influence Model of body image and eating disturbance among Hungarian adolescents

We tested the Tripartite Influence Model of body image and eating disturbance on two separate samples of Hungarian boys (n = 145) and girls (n = 225), aged 10–16 years. Our results supported the model among Hungarian adolescents; however we found notable gender differences. The associations were stronger in girls compared to boys; moreover, internalization and body dissatisfaction mediated the relationship between appearance-related sociocultural influences and self-esteem only in girls. BMI and weight perception were also involved in the model, and we could present evidence that the sociocultural influence and the weight perception predict independently body dissatisfaction. Our data are in line with previous results; however, further exploration of gender, age, and culture-related differences in the pattern of associations may contribute to the refinement of intervention programs.     

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.     

Athletic-ideal and thin-ideal internalization as prospective predictors of body dissatisfaction,dieting, and compulsive exercise

Although internalization of the thin ideal has been extensively researched and is now regarded as a risk factor for eating disturbance, endorsement of the firm, athletic body ideal has received only minimal attention. This short-term longitudinal study explored whether internalization of two aspects of the current cultural ideal (thinness and athleticism) prospectively predicted three potentially deleterious outcomes: body dissatisfaction, dieting, and compulsive exercise. Undergraduate women (N = 231) completed self-report measures at the beginning of the academic year and again 7 months later (N = 156 at Time 2). Athletic-ideal internalization predicted change in compulsive exercise over the 7-month study period but not body dissatisfaction or dieting; thin-ideal internalization predicted change in all three outcomes. When both internalization measures were tested simultaneously, neither contributed unique variance. Results suggest that athletic-ideal internalization is not as detrimental as thin-ideal internalization.     

BodiMojo: Effective Internet-based promotion of positive body image in adolescent girls

This study tested the efficacy of an Internet-based health promotion program, BodiMojo, designed to promote positive body image in adolescents. Participants were 178 students (mean age 15.2 years, 67.6% ethnic minority) in three public high schools. Intervention groups used BodiMojo for four weekly health class periods, while controls participated in their usual health curriculum. Body image measures were given at baseline, post-intervention, and 3 months. Girls reported decreased body dissatisfaction (p < .05), decreased physical appearance comparison (p < .05), and increased appearance satisfaction (p < .05), relative to controls. Effects were not maintained at 3-month follow-up. No significant differences were found between the intervention and control groups with boys. Moderation analyses suggested positive effects for diverse adolescents as well as those who were overweight or indicated baseline high body dissatisfaction. BodiMojo appears to be modestly effective in decreasing body image concerns among adolescent girls in the short term.     

A longitudinal study of body dissatisfaction and pubertal timing in an ethnically diverse adolescent sample

In a 7-year study, adolescents’ body dissatisfaction (N = 1370) was examined across four high school years as a function of pubertal development (perceived timing relative to peers and self-reported physical changes measured during Grades 6–10) in the context of the high school transition. Boys and girls who, during early high school, perceived themselves to be late relative to peers were at risk for body dissatisfaction across the high school years. Boys who were late in pubertal development reported more body dissatisfaction in early high school than on-time boys, but then decreased over time. African-American girls reported less body dissatisfaction across the high school years relative to other girls. Asian girls reported more dissatisfaction in early high school than African-American, Latina, and Multiethnic girls, and increased over time. Results highlight the importance of considering late development within context as a risk factor in body dissatisfaction research.     

A structural equation model of intuitive eating with adolescents

IntroductionThe tendency to eat by paying attention and respecting the body's hunger and satiety cues is called intuitive eating. This eating behavior has been linked to positive health and well-being outcomes.ObjectiveThe purpose of this study was to test a global model linking intuitive eating with self-esteem, body esteem, media influence and including fear of negative appearance evaluation in adolescents’ boys and girls.MethodIn total, 740 adolescent high school students (51.5% girls; M age = 14, SD = 1.5) completed self-report questionnaires with measures of intuitive eating, body esteem, self-esteem, media influence and fear of negative appearance evaluation.ResultsStructural equation modeling revealed an overall excellent fit for the final four-variable model excluding the fear of negative appearance evaluation variable. Mediation analyses showed an indirect relationship between intuitive eating and body esteem via media influence, for girls but not for boys. Body esteem mediated the relationship between intuitive eating and self-esteem, for girls and boys.ConclusionA new model is proposed where intuitive eating is associated with self-esteem through body esteem and media influence. These findings suggest that regulating attitudes and behaviors toward food may be related to higher psychological well-being.     

Body image and personality among British men: Associations between the Big Five personality domains,drive for muscularity,and body appreciation

The present study examined associations between the Big Five personality domains and measures of men's body image. A total of 509 men from the community in London, UK, completed measures of drive for muscularity, body appreciation, the Big Five domains, and subjective social status, and provided their demographic details. The results of a hierarchical regression showed that, once the effects of participant body mass index (BMI) and subjective social status had been accounted for, men's drive for muscularity was significantly predicted by Neuroticism (β = .29). In addition, taking into account the effects of BMI and subjective social status, men's body appreciation was significantly predicted by Neuroticism (β = −.35) and Extraversion (β = .12). These findings highlight potential avenues for the development of intervention approaches based on the relationship between the Big Five personality traits and body image.     

Avatar body dimensions and men's body image

Two online surveys examined the significance of the visual analogues, or ‘avatars’, men (total N = 266) create and use online. Two-dimensional (adiposity × muscle) somatomorphic matrices revealed that avatars are generally thinner than their creator's actual body and similar to their ideal, but more muscular than either their actual or ideal. Men's ratings of the importance of their avatar's appearance correlated with their actual weight and muscle concerns, and disparity between their avatar and actual body dimensions predicted their offline context body change concerns additional to that accounted for by disparity between their ideal and actual bodies. Together with the observation that men also reported higher self-esteem, less social interaction anxiety and less social phobia while online (which correlated with the time they spent online), these results suggest that the physical dimensions of avatars used in social interactions online may serve a compensatory function.     

Moderating role of family and friends’ factors between disocial behavior and consumption in adolescents

This study analyzes the relation between dissocial behaviors and substances consumption in adolescents, and tests the moderating role of social risk factors from family and peers in this relation. 1,239 adolescents of Secondary school, 612 boys and 627 girls, from 11-18 (M = 14.39; SD = 1.43) from state and private schools completed an adapted questionnaire from the State survey on risk activities for health in adolescents (ESTUDES) and the FRIDA questionnaire about social risk factors. We found that disocial behaviors and consumption are common and are closely related. MHMR analysis confirm the moderate role of two risk family factors (indifference family reaction against drugs consumption and a permissive and tolerant parental educative style) besides tolerant attitude towards consumption on friends and easily access to drugs. That moderation is higher for girls than for boys. The results of this work highlight the influence of family and friends’ factors between dissocial behaviors and drug consumption and contribute to the knowledge of an operational model for the development of preventing programs.     

The impact of thin idealized media images on body satisfaction: Does body appreciation protect women from negative effects?

This article examines whether positive body image can protect women from negative media exposure effects. University women (N = 112) were randomly allocated to view advertisements featuring ultra-thin models or control images. Women who reported high levels of body appreciation did not report negative media exposure effects. Furthermore, the protective role of body appreciation was also evident among women known to be vulnerable to media exposure. Women high on thin-ideal internalization and low on body appreciation reported appearance-discrepancies that were more salient and larger when they viewed models compared to the control group. However, women high on thin-ideal internalization and also high on body appreciation rated appearance-discrepancies as less important and no difference in size than the control group. The results support the notion that positive body image protects women from negative environmental appearance messages and suggests that promoting positive body image may be an effective intervention strategy.     

Exploring a model linking social physique anxiety,drive for muscularity,drive for thinness and self-esteem among adolescent boys and girls

This study examined gender differences on body image measures, and tested a model where self-esteem influences social physique anxiety (SPA), which in turn influences drive for muscularity and drive for thinness in a sample of adolescents (N = 329; 58% boys). Multi-group invariance analyses indicated that the measurement and structural models were partially invariant for boys and girls, allowing for gender comparisons. Results indicated that boys reported significantly lower drive for thinness and SPA, and higher drive for muscularity and self-esteem compared to girls. The measurement and structural models were an adequate fit for the total sample. Findings supported the proposed sequence in which self-esteem significantly influenced SPA, and SPA significantly influenced the drives for muscularity and thinness. Interventions aimed at decreasing SPA, by promoting self-esteem, may be helpful in decreasing adolescent boys’ and girls’ drive for muscularity and thinness.     

Body appreciation,sexual relationship status,and protective sexual behaviors in women

The relationship between body appreciation and sexual risk reduction behavior in women is under-explored. This cross-sectional study examined the relationships between body appreciation, male condom use, and sexually transmitted infection (STI) testing among a community-based sample of women (n = 285). Logistic regression results revealed that after controlling for age, BMI, and sexual orientation, having more than one sexual partner moderated body appreciation and current male condom use (OR = 4.21, p < .01, CI = 1.510–11.726). Body appreciation was not a significant predictor of STI testing in the previous 12 months. This suggests that women with higher body appreciation may be more likely to engage in some protective sexual health behaviors. Interventions that seek to improve body appreciation instead of body size change such as weight loss or gain may encourage certain protective sexual behaviors in women.     

Self-concept clarity,thin-ideal internalization,and appearance-related social comparison as predictors of body dissatisfaction

This study examined the associations among self-concept clarity, thin-ideal internalization, appearance-related social comparison tendencies, and body dissatisfaction. Female university students (N = 278) completed self-report measures of these constructs. Structural equation modeling revealed several key findings: (a) thin-ideal internalization mediated the link between appearance-related social comparison tendencies and body dissatisfaction; (b) self-concept clarity was negatively associated with both thin-ideal internalization and appearance-related social comparison tendencies; and (c) thin-ideal internalization mediated the link between self-concept clarity and body dissatisfaction. These findings suggest that low self-concept clarity might contribute to body image problems because it increases women's vulnerability to thin-ideal internalization and appearance-related social comparison tendencies.     

A correlational and experimental examination of reality television viewing and interest in cosmetic surgery

Two studies are presented that examine the influence of media messages about cosmetic surgery on youths’ interest in altering their own physical appearance. In Study 1, 170 participants (59% female; M age = 19.77 years) completed surveys assessing their impression of reality television shows featuring cosmetic surgery, appearance satisfaction, self-esteem, and their interest in cosmetic surgery. Results indicated that participants who reported favorable impressions of reality television shows featuring cosmetic surgery were more likely to indicate interest in pursuing surgery. One hundred and eighty-nine participants (51% female; M age = 19.84 years) completed Study 2. Approximately half of the participants were exposed to a television message featuring a surgical make-over; the other half was exposed to a neutral message. Results indicated that participants who watched a television program about cosmetic surgery wanted to alter their own appearance using cosmetic surgery more than did participants who were not exposed to this program.     

Prevention programme for eating disturbances in adolescents. Is their effect on body image maintained at 30 months later?

We assessed changes in the body image of Spanish adolescents who participated in a programme aimed at preventing disordered eating, with a 30-month follow-up. 254 girls and 189 boys aged 12–14 were assigned to a control group (n = 201) or one of two possible experimental conditions: media literacy programme (ML, n = 143) and media literacy plus nutrition awareness programme (ML + NUT, n = 99). Body image was assessed with the Body Image Questionnaire (Qüestionari d’Imatge Corporal; QÜIC). Pre-test, post-test, 7- and 30-month follow-up measurements were taken. Linear model analyses were carried out with a 2 × 3 × 3 ANOVA (sex × group × phase), adjusted by the baseline level. At 30-month follow-up, ML and ML + NUT participants showed fewer body problems and more body satisfaction than the control group. There is a need for prevention programmes addressing eating and body image disturbances that involve both boys and girls.     

Empowerment,feminism, and self-efficacy: Relationships to body image and disordered eating

Sociocultural norms pertaining to an ideal of thinness for women likely play a role in the development and maintenance of disturbance in body image, and by extension, disordered eating. However, competing norms associated with feminism may buffer women from pressures associated with achieving the thin ideal. The present study explored the relationship between feminist ideology, empowerment, and self-efficacy relative to body image and eating behavior with a sample of U.S. undergraduate women (N = 318) attending a southeastern U.S. mid-sized university. In planned hierarchical multiple regression analyses, endorsement of feminist ideology predicted perceptions of positive body image, but did not appear to predict disordered eating. Self-efficacy emerged as a robust predictor of positive body image and lower disordered eating even after controlling for perceptions of personal empowerment and feminism. Results, although limited by correlational data, suggest that self-efficacy may protect college-aged women from disordered eating and negative body image.     

Weight discrepancy and body appreciation among women in Poland and Britain

Previous studies have suggested that the process of transmigration has detrimental effects on the body image of migrants relative to women in the country of origin. In the present work, we examined the body image of Polish migrants in Britain (n = 153), Polish women in Poland (n = 153), and a comparison group of British White women (n = 110). Participants completed a measure of actual-ideal weight discrepancy and the Body Appreciation Scale (BAS). Contrary to hypotheses, our results showed that Polish women in Poland had significantly higher weight discrepancy than their counterparts in Britain. Further analyses showed that the BAS reduced to two dimensions among Polish participants, with Polish participants in Poland having significantly lower body appreciation than Polish migrants. We suggest that the sociocultural changes that have taken place in Eastern Europe may place women in that region at relatively high risk for developing negative body image.     

More than just body weight: The role of body image in psychological and physical functioning

The current study examined BMI and body image dissatisfaction as predictors of physical and mental health-related quality of life (HRQL) and psychosocial functioning in a sample of 414 undergraduate students (mean age = 21.5, SD = 4.9; mean BMI = 23.6, SD = 5.2). In men and women, higher BMI was correlated with body image dissatisfaction and physical HRQL, but not with any measures of psychosocial functioning, whereas higher body image dissatisfaction was associated with poorer physical HRQL and psychosocial functioning. Furthermore, body image dissatisfaction was observed to mediate the relationship between BMI and physical HRQL in men and women. Interestingly, in this model, higher BMI predicted increased self-esteem. These findings suggest that body image dissatisfaction may be an important target for health interventions.     

Sociocultural pressures and adolescent eating in the absence of hunger

Parental feeding practices and sociocultural pressures theoretically influence eating behavior. Yet, whether these factors relate to eating in the absence of hunger (EAH) is unknown. We assessed if sociocultural pressures were associated with EAH among 90 adolescents (M_age = 15.27, SD = 1.39; 48% female). Parents completed the Child Feeding Questionnaire. Adolescents completed the Perceived Sociocultural Pressures Scale, Sociocultural Attitudes Towards Appearance Questionnaire-3, and Multidimensional Body Self-Relations Questionnaire-Appearance Scales. On two occasions, EAH was assessed as snack food intake after adolescents ate to satiety. Controlling for body composition and demographics, parental restriction and family pressure to be thin were associated with greater EAH. Media pressure was related to more EAH in girls. Appearance orientation and preoccupation with becoming overweight mediated links between sociocultural pressures and EAH. Findings support the notion that sociocultural pressures and their links to body image may contribute to the course of disinhibited eating behaviors during adolescence.