Actual differences and stereotypical perceptions in body image and eating disturbance: A comparison of male and female heterosexual and homosexual samples

In the present study, 32 homosexual males (HMM), 32 homosexual females (HMF), 32 heterosexual males (HTM), and 32 heterosexual females (HTF) completed measures of body image disturbance and concerns with weight and dieting from five different perspectives: self, and typical homosexual male, heterosexual male, heterosexual female, and homosexual female. Participants were primarily Caucasian. Results indicated that, in general, HMMs and HTFs showed greater actual concerns with appearance, weight, and dieting, and were perceived to possess greater body image disturbance and dieting concerns compared to HTMs and HMFs. Subjects also held various stereotypic misperceptions about certain target groups such that HTFs and HMMs were predicted to possess greater body image disturbance and be more concerned with weight and dieting than was actually true. In addition, subjects made accurate predictions about HTMs overall, but were inconsistent in their predictions of HMFs on these measures. Results are discussed in terms of possible variation in the degree of importance these attributes may have for members of these four populations and how such differences may lead to an increased risk for developing eating disorders among heterosexual females and homosexual males.     

Depressed versus nondepressed young adult tobacco users: differences in coping style, weight concerns and exercise level.

Undergraduates age 18 to 24 years (n=656) completed questionnaires assessing tobacco use, depressive symptoms, coping responses, weight concerns, and exercise. The majority of participants were female (72%), White/non-Hispanic (95%), and in the 1st or 2nd year of college (80%). Current tobacco users (n=236) had a higher frequency of depression (40%) than never tobacco users (32%; p=.05). Tobacco users classified as depressed (Center for Epidemiological Studies Depression Scale [CES-D] score a 16) reported greater weight concerns and more frequent maladaptive coping in response to negative mood than tobacco users classified as nondepressed (CES-D score<16). Multivariate logistic regression analysis indicated that higher maladaptive coping and lower level of exercise were significantly associated with depression among tobacco users.     

Recurrent binge eating with and without the "undue influence of weight or shape on self-evaluation": implications for the diagnosis of binge eating disorder

Levels of eating disorder psychopathology, impairment in psycho-social functioning and use of health services were compared among probable cases of binge eating disorder (BED) with and without extreme weight or shape concerns ("undue influence of weight or shape on self-evaluation") recruited from a large community sample of women. Data for obese non-binge eaters (n=457), also recruited from the community sample, and for a clinical sample of eating disorder patients (n=128), recruited separately, were included for comparative purposes. BED cases who reported extreme weight or shape concerns (n=51, 46.4%) had significantly higher levels of eating disorder psychopathology and functional impairment than those who did not report such concerns (n=59), after controlling for between-group differences in age and body weight. In addition, BED cases who reported extreme weight or shape concerns were more likely to have sought treatment for an eating or weight problem than those who did not. Whereas levels of eating disorder psychopathology and functional impairment were markedly elevated among BED cases with extreme weight or shape concerns, BED cases who did not report extreme weight or shape concerns resembled obese non-binge eaters in most respects. The findings support the inclusion of an undue influence of weight or shape on self-evaluation as a diagnostic criterion for BED. In the absence of this influence, eating disorders that otherwise resemble BED do not appear to be "clinically significant".     

Effects of body fat on weight concerns, dating, and sexual activity: a longitudinal analysis of black and white adolescent girls.

Using data from a 2-year longitudinal study of 200 Black and White adolescent girls (mean age was 13.8 years at study entry), the authors investigated the implications of differences in body fat for dating and sexual activity and the implications of heterosexual activity for dieting and weight concerns. Among White girls, and Black girls with college-educated mothers, more body fat was associated with a lower probability of dating, even among nonobese girls. However, dating and sexual experience were unrelated to subsequent dieting and weight concerns. For both Blacks and Whites, body fat was the key determinant of dieting, weight dissatisfaction, and eating concerns. These findings indicate that adolescent girls' concerns about weight have a basis in real experiential differences, and efforts to promote healthy attitudes and eating habits may be more effective if the experiential implications of weight differences are taken into account.     

Eating patterns and breakfast consumption in obese patients with binge eating disorder

This study examined eating patterns and breakfast consumption, and their relationships to weight and binge eating, in obese individuals with binge eating disorder (BED). One-hundred seventy-three consecutively evaluated men (n=46) and women (n=127) with BED were administered semi-structured interviews and self-report measures to assess the frequency of meals and snacks eaten, as well as binge eating and eating disorder features. Overall, those who consumed more frequent meals, particularly breakfast, and snacks, weighed less. Breakfast, which was eaten on a daily basis by less than half of participants (n=74; 43%), was the least frequently eaten meal of the day. Participants (n=56; 32%) who ate three meals per day weighed significantly less, and had significantly fewer binges, than participants (n=117; 68%) who did not regularly eat three meals per day. Thus, eating more frequently, having breakfast and consuming three meals every day, have potentially important clinical applications for the treatment of BED given that the effectiveness of specific interventions within treatments for BED are unknown, and that weight loss outcome for BED has been poor.     

Restraint, weight loss, and variability of body weight

Restrained and unrestrained subjects (n = 24) were weighed daily for a 6-week period and again 6 months later in order to determine whether dietary restraint or relative body weight is the better predictor of weight variability. Restraint was a significantly better predictor of naturally occurring weight fluctuations than was relative body weight. Furthermore, the 2 factors of the Restraint Scale, Concern for Dieting and Weight Fluctuations, were both significant predictors of weight variability. We propose that exaggerated weight fluctuations are not a natural concomitant of higher body weight but possibly the consequence of a cycle of dieting and overeating, which seems to preclude actual weight loss.     

Body Size Beliefs and Weight Concerns Among Mothers and Their Adolescent Children

African American and White mother/adolescent pairs were examined for familial associations in body size and weight concerns. Mothers' and adolescents' estimates of adolescents' body mass index (BMI) were significantly correlated. Compared to boys, girls had greater body dissatisfaction, higher weight concerns, and perceived higher family/friend weight concerns. By race, White adolescents had more body dissatisfaction and greater concern about weight than African American adolescents. Four items explained 70.4% of the variance in adolescents' weight concern scores: adolescents' weight management practices, mothers' reports of adolescents' saying they were too fat, adolescents' perceptions of family/friends' weight concerns, and adolescents' body dissatisfaction. Our study suggests White girls are more concerned about their weight and perceive greater weight and dieting concerns among family/friends than African American girls.     

Correlates of Children's Eating Attitude Test scores among primary school children

A total of 107 Malay primary school girls (8-9 yr. old) completed a set of measurements on eating behavior (ChEAT, food neophobia scales, and dieting experience), the Rosenberg Self-Esteem Scale, body shape satisfaction, dietary intake, weight, and height. About 38% of the girls scored 20 and more on the ChEAT, and 46% of them reported dieting by reducing sugar and sweets (73%), skipping meals (67%), reducing fat foods (60%) and snacks (53%) as the most frequent methods practiced. In general, those girls with higher ChEAT scores tended to have lower self-esteem (r=.39), indicating they were more unwilling to try new foods (food neophobic) (r=.29), chose a smaller figure for desired body size (r=-.25), and were more dissatisfied with their body size (r=.31).     

Current and vestigial effects of overweight among women: Fear of fat,attitudinal body image,and eating behaviors

College females completed multiple, standardized measures of their fear of fat, attitudinal body image, and binge eating and dieting. Situational weigh-in measures were taken, including latency to get on the scale and anxiety while being weighed. Based on current weight and a structured weight history questionnaire, three groups were constructed: normal-weight subjects without an overweight history (NW; n=24), normal-weight subjects who were formerly overweight (FOW; n=16), and those currently overweight (OW; n=24). Group comparisons revealed, as expected, that OW females, relative to their NW peers, had more weight-related anxieties, more negative body experiences, and more frequent past-year dieting. Consistent with Stunkard's original proposition, the FOW group regarded their bodies as fatter and less affectively satisfying and expressed more weigh-in anxiety than NW participants. Currently normal-weight FOW subjects seldom differed from the currently OW individuals. Clinical and research implications are considered, particularly with regard to the psychological sequelae of weight loss.     

An experimental test of the effects of dieting on bulimic symptoms: the impact of eating episode frequency

Prospective studies suggest dieting increases bulimic symptoms, but experiments suggest that dieting decreases bulimic symptoms. One possible explanation for the conflicting findings is that real world dieting involves less healthy dieting techniques, such as meal skipping, than prescribed diets. We tested whether the manipulation of eating episode frequency during dieting impacted bulimic symptoms. We expected that people on a diet involving fewer eating episodes would exhibit greater increases in bulimic symptoms than people on a diet involving more frequent eating episodes or waitlist controls. Participants on both 6-week diets lost more weight than controls, confirming dieting was manipulated, and showed greater reductions in bulimic symptoms than controls; however, the dieting conditions did not differ on either outcome. Results provide further experimental evidence that dieting does not increase bulimic symptoms, but suggests that eating episode frequency has little impact on this outcome.     

Dieting behavior in Norwegian adolescents

In a sample of Norwegian adolescents (n = 1117) 27, 4% of the girls and 9% of the boys reported that they were dieting. Using multiple regression analyses, we were able to predict 50% of girls dieting behavior and 24% of boys dieting behavior. Psychological concerns relating to weight and eating (WEC) as well as perceptions of feeling fatter than others were the only significant predictors of dieting in girls, whilst dieting in boys could also be predicted by their Body Mass Index. Dieting girls who scored high on the Weight and Eating Concerns Inventory were found to suffer constipation and binge eating attacks more often than other dieting girls. This was taken as an indication that these girls were at risk of developing an eating disorder.     

Assessment of weight and eating concerns in Norwegian adolescents

The aim of the present study was to test the properties of an instrument that assesses concerns about weight and eating without reference to dieting behavior. A short instrument, the Weight and Eating Concerns Inventory (WECI) was examined in a sample of 569 boys and 548 girls aged 11 to 15 years. Confirmatory factor analyses with LISREL showed a better fit with a version of the instrument that did not include a reference to dieting behavior, compared to a version that included such a reference. This was true for both boys and girls, irrespective of their age group. However, the results indicated that both versions should be used with caution for young boys. The internal consistency of the WECI (that is, the version without reference to dieting) was satisfactory, ranging from 0.78 to 0.86 for girls and from 0.68 to 0.73 for boys. The WECI correlated quite substantially with negative self-evaluations and depression for boys and girls in all the age groups assessed, suggesting that high scores on the WECI may indicate a problem that goes beyond worries or concerns, and should be taken seriously. In general, girls reported more of these concerns than boys, and the correlation between the WECI and dieting was stronger among girls compared to boys.     

The relationship between reading beauty and fashion magazines and the use of pathogenic dieting methods among adolescent females

This study examined the relationship between reading women's beauty and fashion magazines and the use of pathogenic dieting methods (laxatives, appetite suppressants/diet pills, skipping two meals a day, intentional vomiting, and restricting calories to 1,200 or less each day) among 502 high school females. Weak to moderate positive associations were found between reading frequency and each of these unhealthful practices except the use of laxatives. When controlling for anxiety about weight and frequency of regular exercise, however, the original bivariate relations between reading frequency and skipping two meals a day, and reading and intentional vomiting, disappeared. Replication and weak specification effects were found when examining the relationships between reading and taking appetite suppressant/weight control pills, and reading and restricting calories, under the control conditions. These findings suggest that two of the most common adolescent dieting methods--restricting calories and taking diet pills--appear to be influenced by the reading of women's beauty and fashion magazines.     

PARENTAL INFLUENCES ON CHILDREN'S EATING BEHAVIOR AND RELATIVE WEIGHT

We investigated the relationship between selected parent behaviors, child mealtime behavior, and infant relative weight. Subjects were 7 male and 7 female children varying in age from 12 to 30 months (mean = 23.9 months). Each subject and parents were observed during the dinnertime meal on two occasions using the BATMAN (Bob and Tom's Method of Assessing Nutrition). The children spent 58% of the mealtime eating. They spent very little time making active decisions about what and how much they ate (food requests = 2% of the time; food refusals = 1% of the time). We found significant correlations between child relative weight and (a) parental prompts to eat (r = .81, p < .001), (b) parental food offers (r = .51, p < .05), and (c) parental encouragement to eat (r = .82, p < .001). Thus, the present study suggests a relationship between certain parental variables and the relative weight of their children.     

Slower eating rate reduces the food intake of men, but not women: implications for behavioral weight control

This study tested a central tenet of behavioral weight control: does slower eating rate reduce food intake and positively affect appetite ratings. This study used direct behavioral observation of participants' (n=48; 25BMI35) eating behavior using Universal Eating Monitors. Food intake and ratings of "desire to eat" (collected each minute during meals) were represented as a function of time. Based on an acclimation meal, participants' eating rate was modified by instructing them to eat a bite of food when prompted by a computer, which generated three types of meals: (1) baseline (eating rate was the same as the acclimation meal), (2) reduced-rate (eating rate was reduced by 50%), and (3) combined-rate (eating rate at the beginning of the meal was identical to that of the acclimation meal, subsequently eating rate was reduced by 50%). All meals were ad libitum. Slower eating rate during the reduced-rate and combined-rate meals resulted in less food intake compared to the baseline meal for men, but not women. Ratings of desire to eat, normalized for the amount of food consumed, were lower during the combined-rate meal for men and women. Thus, this basic premise of behavioral weight control was supported for men, but not for women.     

Predicting Dieting Behavior by Using, Modifying, and Extending the Theory of Planned Behavior

The theory of planned behavior (TPB) was used, modified, and extended to predict dieting intention and behavior. Female undergraduates ( n = 256) responded to a survey assessing variables from the TPB and additional predictor variables. Seventy-eight of these participants also completed a follow-up questionnaire 3 months later that assessed their subsequent weight-loss behavior. A model was developed for dieting using path analysis to assess the most significant paths to intention to diet and follow-up dieting. In the final predictor model, 77% of the variance in intention to diet and 46% of the variance in follow-up dieting were explained. The strongest predictor of intention to diet was direct attitude, and the strongest predictor of follow-up dieting was prior dieting. This study also included a confirmatory analysis of the dieting model (n=117). Approximately 2/3 of the paths were confirmed, and 72% of the variance in intention was explained.     

Relations among weight control behaviors and eating attitudes, social physique anxiety, and fruit and vegetable consumption in Turkish adolescents

This study examined the relationship among dieting, eating attitudes, social physique anxiety, and fruit and vegetable consumption among Turkish adolescents. Abnormal eating behavior (EAT-26 > or =20) was found in 32.8% of the total sample; this included 26.4% of the males and 38.7% of the females. Weight-control and weight-related behaviors are associated with high fruit and vegetable consumption in adolescents. Dieting was significantly associated with types of consumption in female adolescents. In addition, EAT-26 scores were significantly positively correlated with high fruit and vegetable consumption, but this association was not observed in SPAS scores among adolescents. Adolescents who engage in dieting behaviors seem to consume more fruit and vegetables than do other adolescents. Female adolescents may be more likely to display abnormal eating attitudes and dieting behaviors than do males. Although some weight-control behaviors may be risky, adolescents who were practicing dieting behaviors engaged in the positive dietary behavior of consuming more servings of fruit and vegetables than did non-dieters.     

Body weight and bulimia as discriminators of psychological characteristics among anorexic, bulimic, and obese women

Bulimic women from underweight (n = 20), normal-weight (n = 31), and overweight (n = 22) categories were compared with restrictor anorexics (n = 20), normal controls (n = 31), and obese subjects (n = 22). Each subject was administered the Minnesota Multiphasic Personality Inventory, the Internal-External Locus of Control Scale, the Rosenberg Self-Esteem Scale, and the Semantic Differential Potency Scale. Bulimic women in all 3 weight categories exhibited greater psychopathology, more external locus of control, lower self-esteem, and lower sense of personal effectiveness than nonbulimic women at similar weight levels. The highest psychopathology, lowest self-esteem, and most external locus of control were found among the underweight bulimic women. Significant differences between bulimic women of different weight levels suggest the need for some modification of treatment approaches depending on the bulimic women's weight level.     

Stable vs unstable weight history, body-image, and weight concern in women of average body weight

The focus of this study was the effect of unstable weight history on current body-image among women. Participants were 45 college women of average weight (median age = 23 yr.); 15 had stable weight histories, 15 had past lowest weights 15% or more below current weight, and 15 had past highest weights 15% or more above current weight. The women were assessed on perceptual and attitudinal measures of body-image and a self-report measure of preoccupation with weight. In comparison to women with stable weight histories, those with unstable weight histories indicated greater dissatisfaction with the shape and size of their bodies, expressed more negative body attitudes, and reported increased concern about weight. Women with high weight histories overestimated their frontal body-size and expressed greater dissatisfaction with frontal size than women with low weight histories, but the two groups did not differ significantly on any of the other dependent measures. Possible explanations for increased body-image disturbance and weight concern among women with unstable weight histories are presented.     

Relations Between Body Image and Dieting Behaviors: An Examination of Gender Differences

Although links between body image and dieting behaviors have been established among women, little research is available to elucidate relations between these constructs among men. In the present study, we examined relations between men's and women's body image and healthy and unhealthy dieting behaviors. Two hundred and eight participants' (104 men, mean age = 25.88 years; 104 women, mean age = 23.87 years) body perceptions and body satisfaction were assessed using the Contour Drawing Rating Scale. Participants' dieting behaviors were assessed using the Weight Control Behavior Scale and weight status was assessed using body mass index (BMI). Analyses of relations among BMI, body satisfaction, and healthy dieting behaviors revealed a predictable pattern for both men and women; BMI was inversely related to body satisfaction and was positively related to healthy dieting behaviors. Body satisfaction was inversely related to both men's and women's healthy and unhealthy dieting behaviors. Further analyses of the relations between men's and women's body image and unhealthy dieting behaviors suggest different motives for men's and women's participation in these potentially health-compromising weight-management techniques. Results are discussed in terms of their contribution to researchers' understanding of the gendered nature of body image and dieting behaviors.