Psychosocial correlates of bulimic symptomatology among male athletes

ObjectivesTo examine the relationship of four psychosocial constructs – body dissatisfaction, restrained eating, drive for muscularity, and negative affect – that have been identified as potential risk factors for bulimic symptoms in male athletes.DesignWe used a cross-sectional design and self-report questionnaires.MethodsParticipants were 203 male, NCAA Division I athletes who were drawn from three different U.S. universities and who competed in 17 different varsity sports. Athletes completed self-report measures of body satisfaction, dietary restraint, drive for muscularity (i.e., muscularity behaviors, muscular body image), negative affect (i.e., fear, hostility, guilt, sadness), and bulimic symptomatology.ResultsAfter controlling for the effects of body mass and social desirability, hierarchical regression analysis showed that the psychosocial variables explained an additional 21% of the variance in bulimic symptoms. In the full model, engaging in muscle building behaviors (β = .16), such as lifting weights, as well as restricting caloric intake (β = .33) were associated with higher levels of bulimic symptomatology; negative affect and body dissatisfaction were not.ConclusionsMale athletes' bulimic symptomatology is best explained by the extent to which they report engaging in behaviors to become leaner (i.e., less body fat) and more muscular.     

ACCULTURATION, BODY IMAGE, SELF-ESTEEM, AND EATING-DISORDER SYMPTOMATOLOGY IN ADOLESCENT MEXICAN AMERICAN WOMEN

In this article the relationship among acculturation, body image, self-esteem, and eating disorder symptomatology in 120 Mexican American adolescent women was investigated. Surprisingly, acculturation levels were not related to anorexic or bulimic symptomatology, self-esteem, body dissatisfaction or thinness of ideal and attractive figures. Lower levels of self-esteem predicted higher levels of anorexic and bulimic symptomatology. Body mass was positively related to bulimic scores. In contrast to Lester and Petrie (1995), body dissatisfaction was significantly related to eating-disorder symptomatology. The high levels of disordered eating attitudes and behaviors found in this study suggest that rather than exclusively being an Anglo, middle-to upper-class phenomenon, eating-disordered behavior also exists within lower socioeconomic status Mexican American adolescent women.     

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.     

Is self-esteem the primary predictor of disordered eating?

This study examined whether self-esteem is the primary predictor of disordered eating. A survey measured levels of self-esteem and a variety of other health behaviors in 196 male and 263 female undergraduate students. We conducted stepwise regressions to determine which of several variables (self-esteem, high stress, poor coping skills, maladaptive perfectionism, gender) best predicted disordered eating. The results indicated that self-esteem was the secondary predictor for bulimia, drive for thinness, and body dissatisfaction. Future research should further investigate how self-esteem interacts with other predictor variables to better determine the relationship between self-esteem and disordered eating.     

Body Image Concerns and Contingent Self-Esteem in Male and Female College Students

Body dissatisfaction in females, and to a lesser extent males, is associated with low self-esteem, depression, and eating disorders. This research examined gender as a moderator of the association between contingent self-esteem and body image concerns, including weight and muscularity. Participants included 359 (59.1% female) heavy drinking first-year U.S. undergraduate students who completed a survey assessing health-related risk behaviors. Hierarchical multiple regression was used to examine relations among gender, contingent self-esteem, and body image. Females reported higher levels of contingent self-esteem and greater concerns about their weight, although males reported a greater drive for muscularity. The relationship between contingent self-esteem and weight concerns was stronger among females, and for males, greater contingent self-esteem was associated with a greater drive for muscularity.     

Support for a Modified Tripartite Dual Pathway Model of Body Image Concerns and Risky Body Change Behaviors in French Young Men

The aim of the present study was to extend the extant literature by testing a modified Tripartite Dual Pathway Model of the development of male body image and eating concerns among French young men. A sample of 147 French male college students (M _age = 22.09 years-old, range = 18–30) completed a questionnaire assessing sociocultural influences, internalization of the lean/low body fat ideal and the muscular/athletic ideal, appearance comparison, body fat and muscularity dissatisfaction, muscularity enhancement behaviors, drive for thinness, and bulimic symptoms. The revised and final model was an adequate fit to the data, and included separate pathways for muscularity- and leanness-related concerns. This model shows that sociocultural pressures perceived from the media, family members, and peers were associated, through appearance comparison and internalization of the lean and muscular ideal, with body image concerns, disordered eating, and muscularity enhancement behaviors. Results reveal a strong and direct relationship between the internalization of the muscular/athletic ideal and muscularity enhancement behaviors. These findings contribute to the refinement of sociocultural models of the development of body image concerns and unhealthy body change behaviors including disordered eating among men, provide additional support for the usefulness of these models, and extend them to non-English speaking Western contexts.     

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.     

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.     

Team weigh-ins and self-weighing: Relations to body-related perceptions and disordered eating in collegiate male athletes

ObjectivesIn this study we examined the relation of team weigh-ins and self-weighing frequency on collegiate male athletes' internalization of body ideals, social pressures about weight/body, body satisfaction, dietary intent, negative affect, drive for muscularity, and bulimic symptomatology.Design and methodsWe used a cross-sectional survey design, and collected data electronically from 738 male intercollegiate athletes in the U.S.ResultsAthletes who self-weighed 7 + times per week reported the most pressure to lose weight and be lean and muscular, engaged in muscle-building behaviors most frequently, dieted most often, and had the highest level of bulimic symptomatology. Further, athletes on teams that conducted mandatory weigh-ins (vs. not) engaged in more muscularity behaviors and dietary restriction.ConclusionWeighing, but in particularly that conducted voluntarily, may contribute to an overconcern with appearance, body size/shape, and weight, which in turn can lead to a variety of behaviors related to eating and body change.     

Pinning down the problems and influences: Disordered eating and body satisfaction in male wrestlers

ObjectivesDisordered eating and body dissatisfaction are common concerns among athletes. However, these variables have been minimally explored in male wrestlers. Sociocultural influences can impact drive for muscularity, body satisfaction, and disordered eating, but it is unclear which influences are most prominent in this population. The present study had two aims: 1) examine the nature of drive for muscularity, body satisfaction, and disordered eating in collegiate wrestlers, and 2) investigate which sociocultural influence (general, coach/teammate, sport appearance pressures) most strongly predicts drive for muscularity, body satisfaction, and disordered eating.Methods and designThis study was cross-sectional. Participants included 103 National Collegiate Athletic Association Division I male collegiate wrestlers in the U.S. who completed surveys in season on sociocultural influences, drive for muscularity, body satisfaction, and disordered eating.ResultsWrestlers had a high drive for muscularity and engaged in many unhealthy behaviors to lose weight; however, they had relatively high body satisfaction. Relative weight analyses showed that sport appearance pressures were the strongest predictor of drive for muscularity while general pressures were the strongest predictor of body satisfaction and restricting eating behaviors.ConclusionsFindings suggests that disordered eating needs to be addressed among wrestlers and potential influences to target.     

Graduate students' social and emotional functioning relative to characteristics of eating disorders

The authors explored gender-based patterns of relations between social and emotional functioning and the behaviors empirically supported as being highly potent for eating disorders: drive to be thin and body dissatisfaction. Graduate students between 20 and 25 years of age served as participants. Correlation analyses revealed that for women, personal adjustment and internalizing behaviors had significant relations to drive for thinness and body dissatisfaction. Using hierarchical regression analysis, the authors found that self-esteem contributed to the most variation in the prediction of both outcome variables. A differing pattern emerged for men as drive for muscularity and hyperactivity were most strongly predictive of drive for thinness, but not body dissatisfaction. The authors discuss implications relative to T. L. Tylka and L. M. Subich's (2004) model.     

Support for the uniqueness of body dissatisfaction from drive for muscularity among men

This study explored whether three dimensions of men's body dissatisfaction (muscularity, body fat, and height) are distinct from drive for muscularity (body image, behaviors, and attitudes) in a sample of 368 college men. If body dissatisfaction is a unique construct, then it will be associated with psychological well-being above and beyond the variance accounted for by drive for muscularity body image, behaviors, and attitudes. Findings revealed such incremental evidence, supporting body dissatisfaction's unique contribution to all five investigated indices of psychological well-being. Overall, body dissatisfaction and drive for muscularity are not completely parallel constructs, highlighting the need to assess men's dissatisfaction with their muscularity, body fat, and height for a more comprehensive picture of their body image.     

The interaction of perfectionism, perceived weight status, and self-esteem to predict bulimic symptoms: the role of 'benign' perfectionism

The present study sought to replicate an interactive model of global perfectionism, perceived weight status, and self-esteem in predicting bulimic symptom development in a sample of young women [Bardone-Cone, et al. (2006). Predicting bulimic symptoms: An interactive model of self-efficacy, perfectionism, and perceived weight status. Behaviour Research and Therapy, 44, 27-42; Vohs, K. D., et al. (1999). Perfectionism, perceived weight status, and self-esteem interact to predict bulimic symptoms: A model of bulimic symptom development. Journal of Abnormal Psychology, 108, 695-700; Vohs, K. D., et al. (2001). Perfectionism, body dissatisfaction, and self-esteem: An interactive model of bulimic symptom development. Journal of Social and Clinical Psychology, 20, 476-497]. The aim was to investigate the role of 'problematic' and 'benign' perfectionism within this model, using data from 95 female university students over a 3-month period. Contrary to hypotheses, multivariate analyses revealed a significant three-way interaction only between 'benign' perfectionism, perceived weight status and self-esteem in predicting change in bulimic symptoms over a 3-month period. The predictive effect of the interaction between 'benign' perfectionism and perceived weight status on bulimic symptoms was strongest for women with high self-esteem, for whom feeling overweight and having perfectionistic attitudes preceded increased bulimic symptoms. These findings suggest that high self-esteem is insufficient to protect against the development of bulimic symptoms when both the perception of oneself as being overweight, and high levels of perfectionistic standards, are present. It would appear that the role of perfectionism within the context of disordered eating is complex.     

Perfectionism, perceived weight status, and self-esteem interact to predict bulimic symptoms: a model of bulimic symptom development

An interactive model of perfectionism, perceived weight status, and self-esteem was tested on 342 female undergraduates to predict bulimic symptoms. Using a longitudinal design, the authors tested the model on data collected at 2 points: the spring of participants' senior year of high school and during participants' first year of college. The authors hypothesized and found that self-esteem moderates the interaction between perfectionism and perceived weight status in predicting bulimic symptoms. Women who are high in perfectionism and who consider themselves overweight exhibit bulimic symptoms only if they have low self-esteem (i.e., if they doubt they can attain their high body standards). High self-esteem women with the same diathesis-stress conditions are less likely to exhibit bulimic symptoms. These findings clarify the role of perfectionism in bulimic symptomatology.     

Role of Sexual Orientation and Gender-Related Traits in Disordered Eating

This study was designed to examine the role of both sexual orientation and gender-related personality traits in disordered eating attitudes and behavior, including body dissatisfaction. Self-report measures assessing negative and positive gender traits,body dissatisfaction, drive for thinness, dietary restraint, and bulimic symptoms were administered to 266 participants (64 lesbians, 73 heterosexual women, 69 gay men, and 60 heterosexual men; 85% Anglo-Australian Caucasians, 15% Caucasians from Non-English-speaking backgrounds). Consistent with previous research, gay men scored significantly higher than heterosexual men on body dissatisfaction and dietary restraint, whereas lesbians scored significantly lower in comparison to the heterosexual women on body dissatisfaction, drive for thinness, dietary restraint, and bulimia. For men, the additional amount of variance accounted by the gender traits was significantly higher than that accounted for by sexual orientation. For the women, the gender traits also accounted for an additional significant amount of variance; however, overall the amount of variance accounted for by sexual orientation was greater. However, for both men and women, irrespective of their sexual orientation, it was higher scores on negative femininity that predicted higher levels of disordered eating. These results are consistent with previous studies that have found support for the femininity hypothesis in disordered eating.     

The relationship of gender discrepancy to eating disorder attitudes and behaviors

Few studies have investigated the possible influence of discrepancy between real and ideal perceptions of masculinity and femininity (i.e., gender discrepancy) on eating disorder behaviors and attitudes. Thus, this study examined the relationship of gender role discrepancy to bulimic and anorexic symptomatology, self-esteem, and concern about body shape in 178 female college students; the majority were Caucasian. Analyses revealed that women without a gender discrepancy reported fewer anorexic and bulimic symptoms, less concern with body shape, and higher self-esteem than those who were discrepant, particularly those desiring to be more masculine. Results are discussed with respect to current discrepancy theory, and directions for future research are provided.     

Male body satisfaction: factorial and construct validity of the Body Parts Satisfaction Scale for Men

Given the centrality of body dissatisfaction in the manifestation of eating, exercise, and affective disturbances in men, measurement of this construct becomes essential. Across 2 studies with male undergraduates (Ns = 189 and 188), the psychometric properties, including incremental validity and factor structure, of the 25-item Body Parts Satisfaction Scale for Men (BPSS-M) were examined. Three factors--Upper Body, Legs, and Face--that included items measuring both muscularity and leanness were established. The factors were internally consistent and temporally stable (over 6 months), and support was found for their convergent, discriminant, and concurrent validity. Further, we established that, after controlling for social desirability and drive for muscularity, body satisfaction contributes uniquely to men's experience of disordered eating, negative affect and mood, and psychological well-being. The BPSS-M yielded reliable and valid scores with undergraduate men, suggesting that it may be useful for understanding not only body satisfaction but disordered eating and affective disturbances as well.     

The relationship of drive for muscularity to sociocultural factors, self-esteem, physical attributes gender role, and social comparison in middle school boys

This study examines the relationship of three sociocultural factors—media influence, peer teasing, and parent teasing/comments and three potential moderator variables—self-esteem, social comparison, and endorsement of male strength and athleticism—to drive for muscularity in middle school boys. There were 287 seventh and eighth grade boys who completed a questionnaire measuring these variables as well as body mass index (BMI) and pubertal status. Results indicated that media influence and male physical attributes endorsement were particularly important correlates of drive for muscularity. These findings have implications for programs designed to prevent body dissatisfaction among adolescent boys.     

Predicting eating problems among Malaysian Chinese: Differential roles of positive and negative perfectionism

Positive and negative perfectionism (measured by the Positive and Negative Perfectionism Scale; PANPS) are found to have differential roles in predicting eating problems. This study translated and back-translated the PANPS into Chinese and then examined whether its factor structure was comparable to the original PANPS. The relationships between positive and negative perfectionism (using Chinese PANPS) and eating problems were also evaluated. Malaysian Chinese (N = 205) adults completed the Chinese PANPS, Eating Disorder Inventory (EDI) and Marlowe-Crowne Social Desirability Scale. Principal Component Analysis showed the two-factor solution of the Chinese PANPS accounted for 33.42% of the total variance, which was comparable to previous studies. Hierarchical multiple regressions revealed that negative perfectionism significantly predicted all eating disorder symptoms for females, but not drive for thinness and body dissatisfaction for males. Conversely, positive perfectionism significantly predicted lower total EDI scores, lower ineffectiveness and lower interpersonal distrust, but only predicted lower body dissatisfaction among females. In conclusion, negative perfectionism was consistently associated with eating problems whereas positive perfectionism might be a potentially adaptive factor, confirming the distinctive roles each played in the development of eating problems, even in a non-Western population.     

Development and psychometric evaluation of the Male Body Attitudes Scale (MBAS)

A measure of men's attitudes toward their body (MBAS) was developed and evaluated via three independent samples of college men. In Studies 1 and 2, factor analyses determined and cross-validated the MBAS's underlying structure. Three factors emerged from the items: muscularity, low body fat, and height. Studies 1 and 2 provided construct (i.e., convergent, concurrent, and discriminant) validity evidence for the MBAS total scale and subscales; they were related or not related as expected to drive for muscularity, body esteem, internalization of the muscular ideal, pressures for muscularity, pressures for thinness, self-esteem, body comparison, eating disorder symptomatology, and impression management. Study 3 revealed that the MBAS total score and subscale scores were stable over a 2-week period. The internal consistency reliabilities for the total score and subscale scores were high across all three studies. The MBAS should prove useful for researchers and clinicians interested in men's body image assessment.