Psychosocial moderators of the relationship between body dissatisfaction and symptoms of eating disorders: A look at a sample of young Italian women

IntroductionVarious psychosocial variables may affect the strength of the relationship between body image dissatisfaction and women's eating disorder symptomatology.ObjectiveInformed by Tylka (2004) and Brannan and Petrie (2011) research, the current study examined body surveillance and self-esteem as well as three additional theoretically relevant variables (social interaction anxiety, internalization of media ideals and attachment anxiety) as potential moderators of this relationship.MethodA cross-sectional design was used. A sample of 538 young Italian women completed self-report questionnaires.ResultsHierarchical moderated regression indicated that self-esteem buffered the deleterious effects of body dissatisfaction, whereas social interaction anxiety, body surveillance, internalization of media ideals and attachment anxiety intensified the primary body dissatisfaction-eating disorder symptomatology relationship.ConclusionSeveral risk and protective factors were found to interact with body dissatisfaction to influence its relation to women's eating disorder symptomatology. Practical implications and directions for future research are discussed.     

Body dissatisfaction and body comparison with media images in males and females

This study examined the role of media body comparison as a mediator of the relationships between psychological factors and sociocultural pressures to be thin and body dissatisfaction in both females and males. Participants were 1,386 females (mean age = 19.37 years) and 1,130 males (mean age = 19.46) from diverse backgrounds who completed a self-report questionnaire. Path analysis was used to test a cross-sectional model in which media body comparison mediated the impact of self-esteem, depressive mood, parent dieting environment, friend dieting, TV exposure, magazine message exposure, weight teasing and body mass index (BMI) on body dissatisfaction. In females, media body comparison partially or fully mediated relationships between self-esteem, depressive mood, friend dieting, magazine message exposure and BMI, and body dissatisfaction. In males, media body comparison was not a significant predictor of body dissatisfaction. This research particularly highlights the need to further examine processes that are involved in the development of body dissatisfaction in males.     

Relationships Between Men’s and Women’s Body Image and Their Psychological, Social, and Sexual Functioning

This study was designed to examine the relationships between different aspects of body image and psychological, social, and sexual functioning throughout adulthood. The respondents were 211 men and 226 women (age range 18–86 years; mean = 42.26). Respondents completed measures of self-rated attractiveness, body satisfaction, body image importance, body image behaviors, appearance comparison, social physique anxiety, self-esteem, depression, anxiety, and social and sexual functioning. Body image was associated with self-esteem for all groups, but was unrelated to other aspects of psychological, social, and sexual functioning. There were some exceptions; a disturbance in body image was related to problematic social and sexual functioning among middle-aged men and to depression and anxiety symptoms in late adulthood among men and women. Middle-aged men who presented with the type of body image disturbance typical of women were more likely to have impaired interpersonal functioning. These results demonstrate that social aspects of body image appear to be important in understanding psychological functioning in later life.     

Effects of Self-Esteem and Depression on Abnormal Eating Behavior among Korean Female College Students: Mediating Role of Body Dissatisfaction

Body dissatisfaction is widely acknowledged to exert considerable impact on abnormal eating behavior. Previous studies that reported the mediating role of body dissatisfaction between psychological variables and abnormal eating behavior mostly used western samples. The aim of this study was to investigate the direct and indirect association of psychological factors (i.e., self-esteem and depression) on abnormal eating behavior on a Korean sample. In addition, we examined a possible mediating effect of body dissatisfaction in this relationship. A sample of 502 Korean female college students enrolled in a private university participated in this cross-sectional study. Results indicated that self-esteem and depression did not have direct impacts on abnormal eating behavior. However, they did have indirect effects through the mediating factor, body dissatisfaction. Our findings suggest that students who have low self-esteem and high depression are likely to have higher levels of body dissatisfaction, and this, in turn, tends to be associated with greater abnormal eating behavior. Identification of this path has clinical implications in the development of programs to prevent abnormal eating behaviors among young female college students.     

Effects of Physical Appearance Social Comparisons and Perceived Attainability of an Ideal Body on Body Dissatisfaction and Weight-Management Behaviors Among Young Japanese Women

This study was designed to test a model in which tendencies to engage in physical appearance social comparisons and perceived ideal body attainability interact to predict body dissatisfaction, and are associated with weight-control behaviors (WCBs) as past studies have rarely examined perceived attainability in their analytic models. College women (N = 297) from two universities in Japan completed a paper-and-pencil survey. A path analysis revealed that appearance comparisons were positively associated with body dissatisfaction over and above the effects of body mass index and self-esteem. Body dissatisfaction, in turn, was positively related to low-risk, moderate-risk, and high-risk WCBs. There was a significant interaction effect between appearance comparison and attainability, but the nature of the interaction was the opposite from our expectation: the positive association between appearance comparison and body dissatisfaction was more pronounced among women who reported higher confidence in attaining an ideal body, whereas this association was nonsignificant for those with low confidence in attaining an ideal body. Finally, perceived ideal body attainability was directly and positively related to low-risk and moderate-risk WCBs.     

SOCIOCULTURAL, FEMINIST, AND PSYCHOLOGICAL INFLUENCES ON WOMEN'S BODY SATISFACTION: A STRUCTURAL MODELING ANALYSIS

We explored sociocultural, feminist, and psychological influences on women's body dissatisfaction by examining the manner in which awareness and internalization of appearance standards, feminist ideology, and self-esteem affect body dissatisfaction. A main goal of the study was to test a model of potential protective mechanisms against internalization of appearance standards. The LISREL 8.5 program was used to perform structural modeling analyses on the proposed theoretical models. The results supported previous findings regarding the influential role of sociocultural variables on women's body dissatisfaction. In particular, internalization was found to mediate the relationship between awareness and body dissatisfaction. Feminist ideology and self-esteem were not found to serve as protective mechanisms against internalization. However, self-esteem appeared to directly affect body dissatisfaction.     

ATTITUDES TOWARD COSMETIC SURGERY IN MIDDLE-AGED WOMEN: BODY IMAGE, AGING ANXIETY, AND THE MEDIA

Our study investigated factors that influence attitudes toward cosmetic surgery in middle-aged women. A sample of 108 women, aged between 35 and 55 years, completed questionnaire measures of body dissatisfaction, appearance investment, aging anxiety, media exposure (television and magazine), and attitudes toward cosmetic surgery (delineated in terms of general attitudes, social motivations, and actual consideration). Body dissatisfaction, appearance investment, aging anxiety, and both media variables predicted some facet of attitudes toward cosmetic surgery. Specifically, appearance investment, aging anxiety, and television exposure were unique predictors of endorsement of social motivations for cosmetic surgery, whereas body dissatisfaction, appearance investment, and television exposure were unique predictors of actual consideration of cosmetic surgery. Regression analysis revealed that the effects of media on cosmetic surgery attitudes were primarily direct. We concluded that there are multiple influences on attitudes toward cosmetic surgery for women of middle age.     

The relationship of anthropometric measurements with psychological criteria in female athletes

Sports and exercise settings as well as other socio-cultural environments emphasize a thin and physically fit female body. However, there is a clear need for a better understanding of the physical and psychological correlates of social physique anxiety and body image dissatisfaction in female athletes. This study aimed to examine the association of the social physique anxiety, body image satisfaction, and personality with the anthropometric measurements in female college athletes according to their sport type using the Co-Plot technique. The sample included 63 female athletes ranging in age from 18 to 26. Results of the Co-Plot analysis revealed a significant association among social physique anxiety, personality and anthropometric measurements. This means that certain physical measurements may lead to greater social physique anxiety and body image dissatisfaction in female athletes. It was found that females having higher levels of social physique anxiety and thus, lower levels of body image satisfaction may be less emotionally stable and more negatively perfectionist. In conclusion, the results of the present study provided evidence to the claim that both physical self-perception and anthropometric measurements may be closely associated with psychological criteria in female athletes.     

Marked for life? A prospective study of tattoos on appearance anxiety and dissatisfaction, perceptions of uniqueness, and self-esteem

Previous studies on psychosocial aspects of tattooing have not examined prospective changes in self- and body-related attitudes as a result of obtaining a tattoo. In the present study, 82 British residents obtaining their first tattoo completed measures of state appearance anxiety and dissatisfaction prior to, and immediately after, obtaining a tattoo. They also completed measures of trait body appreciation, distinctive appearance investment, self-ascribed uniqueness, social physique anxiety, and self-esteem before obtaining a tattoo and three weeks later. Results showed that both women and men had significantly lower appearance anxiety and dissatisfaction immediately after obtaining their tattoo, and significantly higher body appreciation, distinctive appearance investment, self-ascribed uniqueness, and self-esteem after three weeks. Women reported greater social physique anxiety after three weeks, whereas men reported lower anxiety. These results are discussed in relation to the positive impacts of obtaining body art and the mainstreaming of tattooing in Western societies.     

Racial Identity and Gender as Moderators of the Relationship Between Body Image and Self-esteem for African Americans

This study explored whether multiple dimensions of racial identity and gender moderated the relationship between body dissatisfaction and self-esteem for African American men and women (N?=?425) using an intersectional approach. Centrality (strength of identification with racial group), private regard (positive feelings about racial group), public regard (positive feelings others have about racial group), and gender moderated the relationship between body dissatisfaction and self-esteem for a sample of men (n?=?109) and women (n?=?316) college students from three regions of the United States. Body dissatisfaction was related to lower self-esteem only for those African Americans for whom race was less central to their identities. High private regard and low body dissatisfaction were synergistically associated with higher self-esteem. Similarly, low public regard and high body dissatisfaction were synergistically related to lower self-esteem. There was a positive main effect for assimilation ideology (emphasis on similarities between African Americans and Western society) on self-esteem; however it was not a significant moderator. The relationship between body dissatisfaction and self-esteem was stronger for women than for men. This study extends our knowledge of the ways in which racial attitudes and gender shape how African Americans experience their bodies and are related to self-esteem.     

CAN THE MEDIA AFFECT US? SOCIAL COMPARISON, SELF-DISCREPANCY, AND THE THIN IDEAL

The current study explored body image self-discrepancy as moderator and social comparison as mediator in the effects on women from thin-ideal images in the media. Female undergraduates ( N = 112) with high and low body image self-discrepancy were exposed to advertisements either with thin women (thin ideal) or without thin women (neutral-advertisement control). Exposure to thin-ideal advertisements increased body dissatisfaction, negative mood, and levels of depression and lowered self-esteem. In addition, social comparison processes mediated the relationship between exposure to thin-ideal advertisements and negative self-directed effects. Notably, self-discrepancy moderated this mediation. Women with high levels of body image self-discrepancy were more likely to engage in social comparison from exposure to thin-ideal advertisements, as well as more likely to have those comparison processes induce self-directed negative consequences. This research provides support for an individual difference variable (body image self-discrepancy) that moderates the mediating effect of social comparison from exposure to thin-ideal media.     

Gender and race differences in young adults’ body dissatisfaction

Differences by gender and race (White or Black) in two aspects of college students’ body dissatisfaction—dissatisfaction with specific body parts and physique anxiety—were examined. Four hundred and ninety-one students completed surveys assessing both aspects of body dissatisfaction and eight risk factors for body dissatisfaction from biological, psychological, and sociocultural domains. Mean levels of dissatisfaction with body parts varied by gender, race, and a Gender × Race interaction. Mean levels of physique anxiety varied by gender and race. Both dissatisfaction with body parts and physique anxiety were correlated with risk factors from each domain, and factors from each domain accounted for unique variance in each aspect of body dissatisfaction. Because the prediction of each aspect of body dissatisfaction did not vary by gender, race, or a Gender × Race interaction, findings validate a general multidimensional risk model of body dissatisfaction for young adults.     

Social phobic interoception: effects of bodily information on anxiety, beliefs and self-processing

It has been suggested that body-state information influences self-perception and negative thinking in social phobia [Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope & F. R. Schneier (Eds.), Social phobia: diagnosis, assessment and treatment (pp. 69-93). New York: Guilford Press.]. This study explored the effects of body-state information on anxiety and cognition in patients with generalised social phobia during a feared social interaction. It was hypothesised that information concerning an increase in pulse rate would lead to increments in anxiety, negative beliefs and self-processing whilst information concerning a decrease in pulse rate would have the opposite effect. The results of this study were generally consistent with the hypotheses. These findings are important as they may help to account for fluctuations in anxiety, negative beliefs and self-processing in social situations that do not present objective social threat. In particular, social anxiety appears to be modulated by body-state information. The implications of the present findings for cognitive therapy of social phobia are briefly discussed.     

Body dissatisfaction and adolescent self-esteem: prospective findings

The aim of the study was to investigate prospectively the direction of the relationship between adolescent girls’ body dissatisfaction and self-esteem. Participants were 242 female high school students who completed questionnaires at two points in time, separated by 2 years. The questionnaire contained measures of weight (BMI), body dissatisfaction (perceived overweight, figure dissatisfaction, weight satisfaction) and self-esteem. Initial body dissatisfaction predicted self-esteem at Time 1 and Time 2, and initial self-esteem predicted body dissatisfaction at Time 1 and Time 2. However, linear panel analysis (regression analyses controlling for Time 1 variables) found that aspects of Time 1 weight and body dissatisfaction predicted change in self-esteem, but not vice versa. It was concluded that young girls with heavier actual weight and perceptions of being overweight were particularly vulnerable to developing low self-esteem.     

A Preliminary Investigation of Body Dissatisfaction and Eating Disorder Symptomatology with Bisexual Individuals

Body dissatisfaction and eating disorder symptomatology were examined in bisexual individuals (n?=?139 women, n?=?37 men) and compared to lesbian/gay (n?=?51 women, n?=?96 men) and heterosexual individuals (n?=?82 women, n?=?34 men) in a U.S. online sample. Age, body mass index (BMI), income, and exercise frequency served as covariates. MANCOVA results showed a significant gender by sexual orientation interaction and significant main effects of gender and sexuality. Univariate tests were used to explore multivariate results. ANCOVA results for body dissatisfaction showed a significant gender by sexual orientation interaction. Post-hoc comparisons revealed higher levels of body dissatisfaction among all groups compared to heterosexual men. ANCOVA results for eating disorder symptomatology showed a significant main effect of sexual orientation. Post-hoc comparisons revealed higher levels of eating disorder symptoms among bisexual compared to heterosexual individuals. For bisexual men, gay community involvement, maladaptive social comparison, drive for muscularity, self-esteem, gender role orientation, and body dissatisfaction were explored as predictors of eating disorder symptomatology while controlling for age, BMI, exercise frequency, and income in a hierarchical regression analysis. The same factors, minus body dissatisfaction, were explored as predictors of body dissatisfaction in bisexual men. For bisexual women, similar factors, with the exception of drive for muscularity, were explored. Drive for muscularity predicted body dissatisfaction and exercise frequency predicted eating disorder symptomatology in bisexual men. BMI and self-esteem predicted body dissatisfaction in bisexual women; gay community involvement and body dissatisfaction predicted eating disorder symptomatology.     

Impact of rumination versus distraction on anxiety and maladaptive self-beliefs in socially anxious individuals

A large body of experimental evidence has demonstrated the adverse effects of rumination on depressive mood and cognitions. In contrast, while prominent models of social phobia (Clark & Wells, 1995; Rapee & Heimberg, 1997) have proposed rumination as a key maintaining factor, the effects of rumination in social anxiety have not been extensively explored. In a sample of (N = 93) undergraduates, this study investigated the impact of rumination versus distraction following a social-evaluative task on anxiety and another key component of social phobia: maladaptive self-beliefs. Relative to distraction, rumination maintained anxiety in both high and low socially anxious individuals, and maintained unconditional beliefs in high socially anxious individuals. The results support models of social phobia and also suggest important theoretical extensions. Implications for the treatment of social anxiety are discussed.     

Implicit self-esteem and social anxiety: differential self-favouring effects in high and low anxious individuals

This study was designed to investigate the role of negative self-image in social phobia. Participants were 19 high and 19 low socially anxious women. Because self-report measures of self-esteem are sensitive to self-presentation and impression management strategies, an implicit association test (IAT) was used to assess participants' self-esteem as well as their general evaluation of others ('other-esteem'). Socially anxious women displayed relatively low levels of self-esteem on self-report measures. However, at the implicit level, low and high anxious women were characterised by a similar, highly positive self-image. Both groups displayed a relatively low 'other-esteem'. Yet, this self-favouring effect was considerably weaker in high than in low anxious participants. The results provide no unequivocal support for the idea that low self-esteem plays an important role in social anxiety. Yet, rather than by low self-esteem per se, socially anxious people are characterised by a small discrepancy between esteem of self and others, and it may be this reduced tendency to self-favouring that is pivotal to social anxiety.     

Discriminant validity of the Social Phobia and Anxiety Inventory (SPAI), the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS)

Three measures commonly used in assessment of social phobia, the Social Phobia and Anxiety Inventory (SPAI [Turner, S. M., Beidel, D. C. & Dancu, C. V. (1996). Social phobia and anxiety inventory: manual. Toronto, Ont.: Multi-Health Systems Inc.), the Social Phobia Scale (SPS [Mattick, R. P. & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455-470] and the Social Interaction Anxiety Scale (SIAS [Mattick, R. P. & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455-470], were compared for their ability to discriminate between social phobia and other anxiety disorders (panic disorder with or without agoraphobia). Participants were 117 patients attending a specialized anxiety disorders unit for treatment. While all three measures were able to detect differences between social phobic patients and patients with panic disorder with or without agoraphobia, a logistic regression analysis showed that the SPAI, but not the SPS and SIAS, was a significant predictor of membership of the social phobia group. Receiver operating characteristic (ROC) analysis also showed that the SPAI was the better measure for discriminating between social phobia and panic disorder with and without agoraphobia. Analysis of the sensitivity, specificity and positive and negative predictive power of the measures at the optimum cutoff scores produced by the ROC analysis are presented.     

Raising the bar on the body beautiful: An analysis of the body image concerns of homosexual men

Research suggests that gay men are at particular risk for body image dissatisfaction. This study seeks to extend research on gay men's body image concerns. A survey assessed the nature and correlates of body image dissatisfaction among 64 gay men. The survey included assessments related to involvement in and perceived acceptance within the gay community, social comparison tendencies, body image satisfaction, self-esteem, and depression. The results indicate that most participants were concerned with muscularity rather than weight. Greater social comparison tendencies and higher body mass index (BMI) were associated with greater body dissatisfaction. Although involvement and perceived acceptance in the gay community did not independently predict general body image dissatisfaction, there is evidence to suggest that the association between body image and self-esteem may be moderated by integration into the gay community, defined as involvement and perceived acceptance. Implications for the further study of gay men's body image are discussed.     

The fading affect bias shows positive outcomes at the general but not the individual level of analysis in the context of social media

Unpleasant affect fades faster than pleasant affect (e.g., Walker, Vogl, & Thompson, 1997); this effect is referred to as the Fading Affect Bias (FAB; Walker, Skowronski, Gibbons, Vogl, & Thompson, 2003a). Research shows that the FAB is consistently related to positive/healthy outcomes at a general but not at a specific level of analysis based on event types and individual differences (e.g., Gibbons et al., 2013). Based on the positive outcomes for FAB and negative outcomes for social media (Bolton et al., 2013; Huang, 2010), the current study examined FAB in the context of social media events along with related individual differences. General positive outcomes were shown in the form of robust FAB effects across social media and non-social media events, a larger FAB for non-social media events than for social media events, negative correlations of FAB with depression, anxiety, and stress as well as a positive correlation of FAB with self-esteem. However, the lack of a negative correlation between FAB and anxiety for social media events in a 3-way interaction did not show positive outcomes at a specific level of analysis. Rehearsal ratings mediated the 3-way interaction. Implications are discussed.