Body Shame and Disordered Eating in Adolescents

This study aimed to examine the predictive utility of body shame on eating behaviors in adolescents, while controlling for age, sex and body mass index (BMI). Participants were 400 Croatian adolescent girls and boys who completed self-report questionnaires assessing body shame and eating behaviors. Results showed that the mean eating behaviors score and the mean body shame score were significantly higher in females compared to males. Body shame explained statistically significant amount of eating behaviors variance after controlling for age, sex and BMI. Participants’ age and BMI did not play a role as significant predictors of eating behaviors. Implications for future research, including the importance of prospective longitudinal designs, are discussed.     

Gender Differences in Parental Influences on Adolescent Body Dissatisfaction and Disordered Eating

This study explored gender differences in the relationship between parental influences and body dissatisfaction and disordered eating among offspring. Participants were 221 male and 380 (63%) female French high school students of mean age 16 (SD?=?.95) years old, from the Toulouse area, who completed a survey exploring parental influences, body dissatisfaction, drive for thinness and bulimic symptoms. Girls (compared to boys) perceived more maternal comments regarding both their own weight and shape, and the importance of physical appearance. Parental variables explained a larger amount of the variance in girls’ body dissatisfaction and disordered eating (compared to boys’). Findings support both a cumulative model and a gender-linked model of transmission of attitudes and behaviors related to shape and eating.     

Parental Apologies,Empathy, Shame,Guilt, and Attachment: A Path Analysis

The authors investigated the complex relationships of parental attitudes toward apologies, empathy, shame, guilt, and the parent's attachment orientation. Survey responses were obtained from 327 parents. A path analysis of the developed model demonstrated a close model fit (root‐mean‐square error of approximation = .07; comparative fit index = .93; incremental fit index = .94; χ² = 30.71, p < .001), supporting previous research on apologies as beneficial to relationships. A parent's proclivity toward apologies, positively influenced by empathy and guilt and negatively influenced by shame‐withdraw behaviors, produced a more secure parent–child attachment.     

Attachment and Autism: Parental Attachment Representations and Relational Behaviors in the Parent-Child Dyad

While attachment research has demonstrated that parents’ internal working models of attachment relationships tend to be transmitted to their children, affecting children’s developmental trajectories, this study specifically examines associations between adult attachment status and observable parent, child, and dyadic behaviors among children with autism and associated neurodevelopmental disorders of relating and communicating. The Adult Attachment Interview (AAI) was employed to derive parental working models of attachment relationships. The Functional Emotional Assessment Scale (FEAS) was used to determine the quality of relational and functional behaviors in parents and their children. The sample included parents and their 4- to 16-year-old children with autism and associated neurodevelopmental disorders. Hypothesized relationships between AAI classifications and FEAS scores were supported. Significant correlations were found between AAI classification and FEAS scores, indicating that children with autism spectrum disorders whose parents demonstrated secure attachment representations were better able to initiate and respond in two-way pre-symbolic gestural communication; organize two-way social problem-solving communication; and engage in imaginative thinking, symbolic play, and verbal communication. These findings lend support to the relevance of the parent’s state of mind pertaining to attachment status to child and parent relational behavior in cases wherein the child has been diagnosed with autism or an associated neurodevelopmental disorder of relating and communicating. A model emerges from these findings of conceptualizing relationships between parental internal models of attachment relationships and parent-child relational and functional levels that may aid in differentiating interventions.     

Relational Entitlement,Early Recollections of Parental Care,and Attachment Orientation

The present study examined whether inadequate parental care has a long-term impact on pathological relational entitlement in romantic relations, and whether this impact is mediated by insecure attachment style. Our cohort of 335 Israeli adults completed Sense of Relational Entitlement (SRE), Experience in Close Relationships (ECR), and Parental Bonding Instrument (PBI) questionnaires. The results generally supported our hypotheses. Avoidant attachment style fully and negatively mediated the link between maternal adequate care and SRE total entitlement. Anxious attachment style fully and negatively mediated the link between PBI paternal adequate care and SRE total entitlement. Women were found to report more relational entitlement. These results support the notion that pathological relational entitlement has its roots in recollections of early parental care and attachment experiences. The results of the study are discussed in the context of adult attachment and romantic relationships.     

The Effect of Attachment Insecurity in the Development of Eating Disturbances across Gender: The Role of Body Dissatisfaction

The present study examined the effects of insecure attachment on the development of negative body image as a contributing factor to the development of disturbed-eating patterns in male and female university students. Participants were nonclinical male (n = 100) and female (n = 381) university students. Administering self-report questionnaires, the authors assessed demographic information (gender, age), anthropometric data (Body Mass Index [BMI], age), romantic attachment (ECRS-R; R. C. Fraley, N. G. Waller, & K. A. Brennan, 2000), body dissatisfaction (BSQ), and disturbed eating (EAT-26). The authors found body dissatisfaction to fully mediate the relationship between attachment anxiety and disordered eating in women. Body dissatisfaction mediated anxious attachment and dieting in men. In addition, attachment avoidance had a direct impact on eating behaviors for both genders, without the mediation of any variables measured in this study. The findings of the present study suggest that the anxiety and avoidance dimensions of attachment insecurity affect eating behaviors differently, and the effects are different across genders. The authors discuss results in the context of therapeutic interventions design.     

Parental Attachment and Body Satisfaction in Adolescents

Insecure attachment can contribute to various psychological problems including body dissatisfaction. It is not clarified which attachment quality, anxiety or avoidance predict lower body satisfaction, and the relationship of maternal and paternal patterns has not been distinguished yet. Our aim was to test these aspects in adolescents. Participants of the large cross-sectional survey were Hungarian children and adolescents (N?=?5214, 51.6?% boys, mean age 14.8 years, SD?=?2.6 years). Measures included self-reported body weight and height data, body satisfaction scale, the Experience in Close Relationships Scale—Relationship Structures, and the Child Depression Inventory. Boys had significantly higher body satisfaction, and worse maternal attachment than girls, who showed worse paternal attachment and higher depression. Higher paternal anxiety and avoidance, and maternal avoidance predicted lower body satisfaction in both genders adjusted for age and BMI (R ²?=?6.1–12.5?%). Depression fully mediated the relationship between dysfunctional maternal attachment and lower body satisfaction in both genders, between dysfunctional paternal attachment and lower body satisfaction in girls, while only partially mediated between dysfunctional paternal attachment and lower body satisfaction in boys. Dysfunctional parental attachment was associated with adolescents’ lower body dissatisfaction, mediated by the level of depression. The importance of paternal attachment was highlighted in boys’ body concerns. Results suggest that handling negative moods, parental anxiety and avoidance may be useful in the case conceptualizations and treatments related to adolescents’ body dissatisfaction that requires further assessment.     

Conflicted Gender Identity, Body Dissatisfaction, and Disordered Eating in Adult Men and Women

The relation between gender identity and body dissatisfaction as well as disordered eating was examined in a population-based sample of Finnish adults aged 18 to 44 years (N?=?1,142). Participants with a conflicted gender identity were compared to controls matched on age and biological sex. Participants with a conflicted gender identity showed higher levels of body dissatisfaction, women with a conflicted gender identity also showed more eating disturbance than controls. Among men with a conflicted gender identity, male–male sexual experience was associated with more body dissatisfaction and disordered eating. Among women with a conflicted gender identity, female–female sexual experience was related to less body dissatisfaction. Possible explanations for these findings and the potential clinical implications are discussed.     

Self-Defining Memories of Body Image Shame and Binge Eating in Men and Women: Body Image Shame and Self-Criticism in Adulthood as Mediating Mechanisms

Despite the growing evidence of the association between shame experiences and eating psychopathology, the specific effect of body image-focused shame memories on binge eating remains largely unexplored. The current study examined this association and considered current body image shame and self-criticism as mediators. A multi-group path analysis was conducted to examine gender differences in these relationships. The sample included 222 women and 109 men from the Portuguese general and college student populations who recalled an early body image-focused shame experience and completed measures of the centrality of the shame memory, current body image shame, binge eating symptoms, depressive symptoms, and self-criticism. For both men and women, the effect of the centrality of shame memories related to body image on binge eating symptoms was fully mediated by body image shame and self-criticism. In women, these effects were further mediated by self-criticism focused on a sense of inadequacy and also on self-hatred. In men, only the form of self-criticism focused on a sense of inadequacy mediated these associations. The present study has important implications for the conceptualization and treatment of binge eating symptoms. Findings suggest that, in both genders, body image-focused shame experiences are associated with binge eating symptoms via their effect on current body image shame and self-criticism.     

The Role of Sisters in Body Image Dissatisfaction and Disordered Eating

The Tripartite Influence Model (TIM) argues sociocultural agents affect body image dissatisfaction (BID) via the mediators of social comparison and internalization. BID subsequently influences disordered eating. Forty-seven Australian sister pairs (18–25 years) provided self-reports of perceived familial modeling and pressure by the sociocultural agents of mother, father and sister, social comparison, internalization, BID, bulimic behaviors, and dietary restriction. Sisters were correlated on internalization, BID, disordered eating, and parental modeling and pressure. Mothers and sisters were equally important modeling agents. Sisters were an equivalent social comparison target to peers. Consistent with the TIM, internalization and social comparison mediated familial pressure on BID. Contrary to the model, sister modeling directly affected bulimic behaviors and dietary restriction.     

The Role of Body Image and Disordered Eating as Risk Factors for Depression and Suicidal Ideation in Adolescents

There is much empirical literature on factors for adolescent suicide risk, but body image and disordered eating are rarely included in these models. In the current study, disordered eating and body image were examined as risk factors for suicide ideation since these factors are prevalent in adolescence, particularly for females. It was hypothesized that disordered eating and body image, in addition to depressive symptoms, would contribute to suicide ideation. It was also hypothesized that these relationships would be stronger for females than for males. Structural equation modeling was used to test a model of risk for suicide ideation incorporating the above factors in a sample of 392 high school students. Results indicated that disordered eating contributed to both suicide ideation and depressive symptoms, while body image only contributed to depressive symptoms. Depressive symptoms contributed to suicide ideation. The model was found to be cross‐validated with males and females, and no gender differences emerged. Implications of these findings and their importance in constructing future models of adolescent suicide risk are discussed.     

Personal Control and Disordered Eating Patterns Among College Females

Individuals deemed high in personal control tend to attribute life events to internal, rather than external causes. A lack of perceived personal control has been linked repeatedly to deficiencies in mental and physical health. Many scholars and practitioners have suggested that eating disorders are yet another problem stemming from a perceived lack of personal control. However, empirical research linking attributional tendencies and eating disorders is limited. In the present study, it is argued that eating disorders actually could be associated with a tendency to make internal attributions of responsibility for events. Using a sample of college females, this study offers preliminary support for this assertion. Results offer a unique challenge to the view of internal attributions as universally adaptive.     

Sources of Parental Knowledge as Moderators of the Relation Between Parental Psychological Control and Relational and Physical/Verbal Aggression

Previous research demonstrates that aspects of parenting interact to influence child adjustment. We aimed to extend this research by examining parenting strategies associated with behavioral control, specifically sources of parental knowledge regarding child behavior (child disclosure, parental solicitation, parental control), as moderators of the relation between psychological control and relational and physical/verbal aggression. Our sample included 89 children (56% male), ages 9–12. Consistent with prior research on child adjustment, low child disclosure was the only source of parental knowledge associated with both relational and physical/verbal aggression. Moreover, parental solicitation moderated the association between psychological control and relational, but not physical, aggression. That is, at high levels of parental solicitation, psychological control and relational aggression were positively related, whereas at low levels of parental solicitation, psychological control and relational aggression were unrelated. Implications and future directions are discussed.     

Body Dissatisfaction and Disordered Eating in Three Cultures: Argentina, Brazil, and the U.S.

Body dissatisfaction and associated attitudes were studied in 18–24?years old women from universities in Rosario, Santa Fe, Argentina (N?=?118), Jo?o Pessoa, Paraíba, Brazil (N?=?81), and mid-Atlantic U.S. (N?=?102). Based on anecdotal reports, theoretical concerns, and empirical studies, we expected greater body dissatisfaction and negative body attitudes in our Argentine and Brazilian samples than in the U.S. sample. Body dissatisfaction was a significant problem in all samples, but we found few differences in levels of body dissatisfaction. The Argentine and Brazilian samples scored lower than the U.S. sample on measures associated with disordered eating, experienced less pressure to be thin, and were less likely to internalize the thin body ideal. Body shame was highest in the Brazilian sample and lowest in the Argentine sample. Cultural features in Argentina and Brazil that may offer some level of protection against the thin body ideal were discussed.     

Objectification in Fitness Centers: Self-Objectification, Body Dissatisfaction, and Disordered Eating in Aerobic Instructors and Aerobic Participants

This study was designed to investigate self-objectification, its theoretical consequences, and its relationship to reasons for exercise within a fitness center environment. Sixty female aerobic instructors and 97 female aerobic participants, who ranged in age from 18 to 45 years, completed questionnaire measures of self-objectification, reasons for exercise, body dissatisfaction, and disordered eating. Increased self-objectification (and self-surveillance) was related to disordered eating symptomatology, body dissatisfaction, and appearance-related reasons for exercise. Aerobic instructors scored significantly lower on self-objectification, body dissatisfaction, and disordered eating than did aerobic participants, and they exercised more for enjoyment and less for appearance-related reasons. For aerobic participants, location of exercise (inside or outside the fitness center) moderated the relationship between frequency of exercise and self-objectification, such that exercising within fitness centers was associated with relatively higher self-objectification. Higher levels of self-objectification were also related to wearing tighter exercise clothing. These results support the general model of Objectification Theory, and provide practical implications for women who exercise within objectifying environments.     

Body Dissatisfaction and Disordered Eating Among Early Adolescents From Korea and the US

Multidimensional measures of body dissatisfaction and disordered eating were studied in samples of 12–15 years old middle school children. Consistent with feminist theories associating body dissatisfaction with rapid social change, Korean girls (n?=?272) exhibited the greatest body dissatisfaction and the most behaviors associated with disordered eating and were followed in order by Korean boys (n?=?276), US girls (n?=?251), and US boys (n?=?220). The results, which replicated Jung and Forbes (2006) report of greater body dissatisfaction among Korean than among US college women, suggest that (1) these differences originate prior to adolescence, and (2) the sociocultural variables producing greater body dissatisfaction in Korean girls and women also influence body dissatisfaction among boys.     

父母心理控制与对立违抗障碍儿童抑郁和攻击行为的关系:父子依恋和母子依恋的中介效应

采用父母心理控制、亲子依恋、抑郁量表对从北京市、山东省和云南省14所小学筛选出来的246名对立违抗障碍(Oppositional Defiant Disorder,ODD)儿童进行施测,并由被试的班主任填写儿童攻击行为量表,考察父、母心理控制对ODD儿童抑郁和攻击行为的影响,以及父子依恋和母子依恋在其中的中介作用。结果发现:(1)ODD儿童中男生人数更多,且男孩的抑郁和攻击行为更严重;(2)父亲对男孩的心理控制更强,而母亲在对男孩和女孩的心理控制上没有显著差异;(3)父、母心理控制与ODD儿童的父子依恋、母子依恋和抑郁均呈显著相关,但只有父亲心理控制与ODD儿童的攻击行为显著相关;(4)父子依恋在父母心理控制和ODD儿童抑郁之间没有起到显著的中介作用,母子依恋在母亲心理控制和ODD儿童抑郁之间有显著的中介作用。父子依恋和母子依恋在父、母心理控制和ODD儿童攻击行为之间均没有起到显著的中介作用。     

Self-Oriented Body Comparison and Self-Compassion: Interactive Models of Disordered Eating Behaviors Among Postpartum Women

Evidence suggests self-oriented body comparison (comparison of one’s postpartum body shape and weight to one’s prepregnant body shape and weight) is a critical factor associated with increased levels of disordered eating during the postpartum period. However, some postpartum women adopt a self-compassionate and acceptance-based perspective toward their body shape and weight changes. It is unclear whether self-compassion may buffer the associations between self-comparisons and disordered eating behaviors among postpartum women, which is the aim of the current study. A total of 306 postpartum women who gave birth in the past year completed an online survey asking about self-compassion, social comparison, broad eating pathology, dietary restraint, and binge eating. Results indicated that self-compassion appeared to buffer the associations between self-comparison and broad eating pathology and binge eating among postpartum women, such that for women with above-average levels of self-compassion, the associations between self-comparison and disordered eating was weaker than for women with average or below-average levels of self-compassion. Findings suggest self-compassion could be a potential target for intervention programs.     

Children Exposed to Marital Conflict Exhibit More Disordered Eating Behaviors: Child Emotional Insecurity and Anxiety as Mechanisms of Risk

Disordered eating in children is a major public health concern, as it is precursor to clinical eating disorders and obesity. However, little is known about the potential causes of child disordered eating. The current study examined marital conflict as a predictor of disordered eating in a sample of children aged 5–12 years, from the perspective of emotional security theory. Ninety five children and their parents in the Southeast United States participated in the study. We found that marital conflict was associated with higher levels of restrained eating, emotional eating and external eating behaviors controlling for demographics and parental feeding practices. Further, we examined the possible pathways between marital conflict and child disordered eating and found that marital conflict was related to greater child emotional insecurity about the family, which was associated with greater child anxiety, which were then related to disordered eating. In addition to serving as a secondary pathway linking emotional insecurity to child disordered eating, anxiety also significantly directly mediated the association between marital conflict and all three types of disordered eating: restrained eating, emotional eating and external eating in children. Next we examined if parental feeding practices (food monitoring, food restriction and parental pressure to eat) moderate the relation between marital conflict and child disordered eating. Parental pressure to eat was negatively associated with child disordered eating under higher marital conflict. The current study highlights the importance of marital conflict and child emotional security as precursors of child disordered eating.