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

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

Do lesbian women have a better body image? Comparisons with heterosexual women and model of lesbian-specific factors

Body dissatisfaction is prevalent among women but may be less common among lesbian women. Although research trends toward this conclusion when samples are well-matched and body mass index (BMI) is controlled for, many studies do not exhibit these characteristics. Furthermore, few studies have examined sociocultural contributors to group differences. I addressed limitations of past research with a large community sample of lesbian (n = 479) and heterosexual (n = 400) women. I contrasted the two sexual identity groups on several body dissatisfaction measures, and tested theoretically derived relationships between lesbian-specific cultural factors and body dissatisfaction. As predicted, lesbian women reported lower body dissatisfaction than did heterosexual women on three of four measures, and expressed a larger ideal body size. A structural equation model of lesbian-specific risk and protective factors for body dissatisfaction did not reveal significant relationships. This study represents a first attempt to model culturally specific influences on lesbian body image.     

Siblings’ appearance-related commentary,body dissatisfaction,and risky eating behaviors in young women

IntroductionNegative feedback on appearance is a risk factor for the development of problems related to one's body image.ObjectiveThe present research aimed to analyze the relationship among siblings’ positive and negative appearance-related feedback, dissatisfaction with one's body and risky eating behaviors among young women. The mediational role of body-related social comparison has been investigated.MethodTwo hundred and eight young women living in Italy, with a mean age of 23.15 years, filled in a questionnaire containing the Italian version of the Verbal Commentary on Physical Appearance Scale – Siblings, the Physical Appearance Comparison Scale, the Body Shape Questionnaire-14, and the Eating Disorder Examination-Questionnaire.ResultsDissatisfaction with one's body shows a significant link with risky eating behaviors. Weight and shape-related positive comments made by siblings were significantly and negatively related to social comparison, which in turn was associated with women's dissatisfaction with their body image. Negative comments were directly linked to body dissatisfaction; the mediation role of social comparison with respect to negative comments was not confirmed.ConclusionsThese findings underline the significant role of siblings in the development of females’ body image. Programs aimed to prevent or reduce body dissatisfaction and risky eating behavior could be implemented; these programs should be concerned with not only negative feedback on appearance but also positive comments because of their relevant role.     

Effectiveness of an Internet Dissonance-Based Eating Disorder Prevention Intervention Among Body-Dissatisfied Young Chinese Women

Body image disturbances are widespread in highly populated, rapidly developing Asian nations such as China, but there are severe shortages of practitioners qualified to treat these issues. In such contexts, validated online interventions offer a potentially viable approach for addressing the lack of treatment resources. In this study, we evaluated effects of the eBody Project, an online, dissonance-based eating disorder prevention program, on functioning among body-dissatisfied young Chinese women. Participating women were randomly assigned to the 6-week eBody Project intervention (n = 191) versus an education brochure control condition (n = 181). Self-report assessments of eating disorder risk factors (body dissatisfaction, thin ideal internalization, depressive symptoms, restrained eating), self-esteem, body appreciation, and disordered eating were completed at baseline, posttreatment, and a 6-month follow-up. There were no intervention differences on outcomes before treatment but eBody Project women experienced significantly larger improvements on all outcomes following treatment and/or at follow-up compared to controls; corresponding effect sizes were small to medium. Results indicated the eBody Project program is a promising intervention for young women at risk for eating disorders in China and provide foundations for broad implementation in low- and middle-income countries where resources for in-person therapy and supervision are limited or unavailable altogether.     

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.     

Assessing the Role of Body Image Coping Strategies as Mediators or Moderators of the Links Between Self-Objectification, Body Shame, and Well-Being

We examined self-objectification in relation to well-being, and the potential moderating versus mediating role of body image coping strategies (appearance fixing, avoidance, positive rational acceptance). Undergraduate women from southern Ontario, Canada (Sample 1, n?=?104; Sample 2, n?=?314) completed measures of depression, disordered eating attitudes, subjective well-being, and body-image coping. Self-objectification was related to greater depression, disordered eating attitudes, and lower subjective well-being. A two-stage mediation model was supported: Body shame and body image coping strategies (appearance fixing and avoidance) partially mediated the associations between self-objectification and outcomes; appearance fixing and avoidance partially mediated the associations between body shame and outcomes. Body image coping strategies did not moderate any of the relations between body shame and outcomes.     

The Caregiver Eating Messages Scale: Development and psychometric investigation

Certain caregiver eating messages – restriction of food intake and pressures to eat – are associated with body dissatisfaction and eating disturbances among young girls. This study explored whether these messages are also associated with body attitudes and eating behaviors of young adult women and men. The Caregiver Eating Messages Scale was developed to measure this construct. Two studies (Ns = 238, 288) indicated that it contained two factors (restrictive/critical messages and pressure to eat messages) and yielded internally consistent, stable, and valid scores. Both factors were positively related to women's BMI, and restrictive/critical messages were positively related to men's BMI. Restrictive/critical messages predicted lower perceived familial body acceptance and intuitive eating and higher perceived familial pressure to be lean and disordered eating. Restrictive/critical messages predicted participants’ body attitudes indirectly via their perceptions of their family's attitude toward their body, with one exception: restrictive/critical messages uniquely predicted men's body appreciation.     

Are Feminist Women Protected from Body Image Problems? A Meta-analytic Review of Relevant Research

It was hypothesized that feminist women would experience positive body image due to a heightened ability to critique cultural pressures related to thinness. Samples from 26 studies (almost all North American) were compiled for a meta-analysis to examine the association between feminist identity and measures related to body image and eating problems. The largest number of effect sizes found addressed the association between feminist identity and body attitudes (k?=?28), and it was found that there was a positive, significant association that was strongest when older women participants were tested and when a more purposeful sample (e.g., women studies students) was questioned. There were also significant negative associations between feminist identity and other measures related to eating problems.     

Body talk and body-related co-rumination: Associations with body image,eating attitudes,and psychological adjustment

Talk about physical appearance and body image is common among young women. We investigated how body talk (negative, positive/self-accepting, and co-ruminative) is related to body image, body-related cognitive distortions, disordered eating, psychological adjustment, and friendship quality via hierarchical regression analyses (controlling for social desirability and body mass index). In a sample of young adult women (N = 203), negative body talk was, as predicted, negatively related to body satisfaction and self-esteem and positively related to appearance investment, body-related cognitive distortions, disordered eating, and depression, but not friendship quality. Self-accepting/positive body talk was negatively related to body-related cognitive distortions and positively related to body satisfaction, self-esteem, and friendship quality. Body-related co-rumination demonstrated adjustment trade-offs, being related to body-related cognitive distortions, disordered eating, and higher friendship quality. Results indicated no advantage to negative body talk, both individual and relationship benefits from positive/self-accepting body talk, and mixed outcomes for body-related co-rumination     

Family influence on disordered eating: The role of body image dissatisfaction

Research has linked an appearance-focused family culture (including parental commentary about weight/size) with increased disordered eating and body image dissatisfaction in daughters. Since body image dissatisfaction is also a risk factor for disordered eating, body image dissatisfaction may contribute to the link between family focus on appearance and disordered eating. This correlational study included a sample of 268 college women who completed the Family Influence Scale, Bulimia Test – Revised, Body Shape Questionnaire, and a series of items about their parents’ comments about their weight/size. Both family appearance focus and daughters’ body image dissatisfaction predicted increased disordered eating in daughters. Additionally, body image dissatisfaction partially mediated the influence of family appearance focus on daughters’ disordered eating. No specific type of parental comments regarding weight/size emerged as a superior predictor of eating disturbance, but encouragement to control weight/size was a stronger predictor of body dissatisfaction than other types of parental comments.     

Use of Objectification Theory to Examine the Effects of a Media Literacy Intervention on Women

Although the impact of the media’s thin ideal on body image may be lessened by media literacy, empirical support for this is inconsistent. Objectification theory, which suggests that certain social situations serve to increase women’s self-objectification (i.e., viewing self from a third person perspective), was used as a framework to understand this inconsistency. In particular, it was hypothesized that media literacy may involve both negative (heightened self-objectification) and positive (well-being) effects. We used both qualitative and quantitative measures, and two studies showed that viewing the video Slim Hopes increased state self-objectification, as well as self-esteem and positive affect. Implications for effective media literacy and self-objectification are discussed.     

Suffering by comparison: Twitter users’ reactions to the Victoria's Secret Fashion Show

Social comparison theory suggests that evaluating the self in comparison with others (e.g., peers, celebrities, models) can influence body image. Experimental studies that have tested effects of viewing idealized images in the media often show that women feel worse about themselves after seeing images that illustrate the beauty ideal. Twitter presents a naturally occurring opportunity to study viewers’ reactions. An analysis was conducted of 977 tweets sent immediately before and during the 2011 Victoria's Secret Fashion Show that reference the show. Although the majority were idiosyncratic remarks, many tweets contain evidence of upward social comparisons to the fashion models. There were tweets about body image, eating disorders, weight, desires for food or alcohol, and thoughts about self-harm. The results support social comparison theory, and suggest that vulnerable viewers could experience negative affect, or even engage in harmful behaviors, during or after viewing the show or others like it.     

Sexual Self-Esteem in American and British College Women: Relations with Self-Objectification and Eating Problems

The present study extended Objectification Theory (Fredrickson and Roberts, Psychol Women Q 21:173–206, 1997) to test the role of sexual self-esteem in models of disordered eating. Measures of self-objectification, sexual well-being, and disordered eating were completed by American (N?=?104) and British (N?=?111) college women. In Study 1, higher self-objectification was associated with lower sexual self-esteem, which, in turn, mediated the relationship between self-objectification and disordered eating in American women. In Study 2, path analyses indicated that self-objectification led to sexual self-esteem and body shame, which led to disordered eating in British women. This pattern of results was replicated, albeit weaker, when sexual self-competence replaced sexual self-esteem in the model. Discussion considers the significance of self-objectification and sexual self-esteem for women’s well-being.     

Disordered Eating and Body Dissatisfaction in Transgender and Gender-Expansive Adults: An Evaluation and Integration of the Gender Minority Stress and Resilience and Tripartite Influence Models

Transgender and gender-expansive (TGE) people, including transgender and nonbinary individuals, experience elevated rates of body dissatisfaction and disordered eating compared to cisgender individuals, but little is known about why. To address this research gap, we compared the ability of TGE-specific factors as proposed in the gender minority stress and resilience (GMSR) model, general psychological factors contained in the tripartite influence (TI) model, and an integration of these frameworks to explain body dissatisfaction and disordered eating among TGE individuals. Regression analyses were conducted to test the models’ abilities to explain experiences reported in a survey of 93 U.S. TGE adults, including 43 transgender women respondents (46.2%) and 31 transgender men respondents (33.3%). Participants were diverse with regard to age (M = 34.19, SD = 12.02) and ethnoracial background (e.g., 29.0% Hispanic/Latinx, 17.2% Black/African American, 6.5% American Indian/Alaska Native; 5.4% multiracial). Results demonstrated both models’ abilities to explain body dissatisfaction and disordered eating independently, except for the relationship between body dissatisfaction and the thinness-oriented TI model. An integration of the models better explained body dissatisfaction and disordered eating compared to either model alone. Notably, some findings did not align with the two frameworks, suggesting existing models may not adequately describe pathways through which disordered eating emerges in TGE populations. Specifically, body dissatisfaction showed no significant relationship with disordered eating and was not well explained by the TI model, and higher gender identity pride was related to greater disordered eating symptoms. Implications for clinical care and future research are discussed.     

Racial and Sexual Objectification of Asian American Women: Associations with Trauma Symptomatology,Body Image Concerns,and Disordered Eating

ABSTRACT

Sexism and racism often imbue Asian American women’s socialization experiences. Operating from an objectification theory framework, the present article (a) examines the conceptual relevance of racial and sexual objectification in describing Asian American women’s oppressive experiences, (b) reviews empirical studies linking racial and sexual objectification with Asian American women’s mental health issues, specifically in the areas of trauma symptomatology, body image concerns, and disordered eating, (c) offers critiques of existing research and points to directions for future research, and (d) discusses clinical implications for therapy work with Asian American women based on available literature. In essence, the present review highlights how Asian American women may experience body image concerns, disordered eating, and trauma symptomatology through processes ethnoculturally and socioculturally distinct to them via experiences of racial and sexual objectification. This review calls for a more nuanced and precise understanding of Asian American women’s racial and sexual objectification experiences and associated mental health difficulties. This understanding can only occur through increased empirical research and clinical practice, as informed by feminist scholarship situated in a culturally expanded objectification framework.     

Examination of a sociocultural model of excessive exercise among male and female adolescents

There is substantial evidence that sociocultural pressures and body image disturbances can lead to disordered eating, yet few studies have examined their impact on excessive exercise. The study adapted a sociocultural model for disordered eating to predict excessive exercise using data from boys and girls in early adolescence (N = 421). Perceived sociocultural pressures to lose weight and build muscle, body image disturbance and appearance investment were associated with a compulsive need to exercise. Adolescents’ investment in appearance and body image disturbance fully mediated the relationship between sociocultural pressures and a compulsive need for exercise. There was no support for the meditational model in predicting adolescents’ frequency or duration of exercise. Results support the sociocultural model as an explanatory model for excessive exercise, but suggest appearance investment and body image disturbance are important mediators of sociocultural pressures.     

Body Type Preferences in Asian and Caucasian College Students

While there is an extensive literature on gender differences in body image, little has focused on ethnic group differences in men's body image. College students ( N = 466) from a prestigious New England university indicated their current and ideal figures. Compared to Caucasians (N = 289), Asians (N = 92) reported smaller current figures. Both Caucasian and Asian women rated their current figure as larger than their ideal. Caucasian males reported no discrepancy between their current and ideal figures. However, Asian males rated their current figures as smaller than ideal. The effect of ethnicity on body satisfaction depended upon gender. For women, the ideal was thinner than current figure regardless of actual size, producing a discrepancy between current and ideal figures for both Caucasian and Asian women. Conversely, Asian and Caucasian men identified a similar ideal, producing a discrepancy between current and ideal figures only for Asian men.     

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 disordered eating attitudes in 7- to 11-year-old girls: Testing a sociocultural model

We examined the sociocultural model of body dissatisfaction and disordered eating attitude development in young girls for the first time. According to the model, internalizing an unrealistically thin ideal body increases the risk of disordered eating via body dissatisfaction, dietary restraint, and depression. Girls aged 7–11 years (N = 127) completed measures of thin-ideal internalization, body dissatisfaction, dieting, depression, and disordered eating attitudes. Participants’ height and weight were measured and their body mass index calculated. Thin-ideal internalization predicted disordered eating attitudes indirectly via body dissatisfaction, dietary restraint, and depression; it also predicted disordered eating attitudes directly. Path analyses showed that a revised sociocultural model fit well with the data. These data show that a sociocultural framework for understanding disordered eating and body dissatisfaction in adults is useful, with minor modifications, in understanding the development of related attitudes in young girls.     

Belly Dance as an Embodying Activity?: A Test of the Embodiment Model of Positive Body Image

The study aimed to test Menzel and Levine’s (2011) embodiment theory of positive body image in the context of belly dance. Participants were 213 women from Adelaide, South Australia. They comprised 112 belly dancers recruited from two belly dance schools, and a sample of 101 college women who had never participated in belly dance. Participants completed questionnaire measures of positive body image, body dissatisfaction, self-objectification, and enjoyment of sexualization. It was found that belly dancers scored higher on positive body image and lower on body dissatisfaction and self-objectification than the college students. There was, however, no difference between groups in enjoyment of sexualization. Importantly, in support of the embodiment model, the effect of belly dance group on positive body image was mediated by reduced self-objectification. It was concluded that belly dance represents an embodying activity, one associated with a number of benefits for its practioners, including positive body image.