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.     

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.     

ACCULTURATION, INTERNALIZATION OF WESTERN APPEARANCE NORMS, AND EATING PATHOLOGY AMONG JAPANESE AND CHINESE INTERNATIONAL STUDENT WOMEN

In the context of the sociocultural model of eating disorders, this study investigated the hypothesis that Westernization would be positively associated with eating pathology among non-Western women. International participants from Japan ( n = 26), Peoples Republic of China ( n = 25), Taiwan ( n = 30), and Hong Kong ( n = 25) who were studying in the United States completed the Eating Attitudes Test, Symptoms Checklist, Sociocultural Attitudes Toward Appearance Questionnaire, the American–International Relations Survey, and a demographic questionnaire. Awareness and internalization of Western appearance norms were positively associated with eating disordered symptoms, but acculturation was not. Results lend further support for the sociocultural model. It is suggested that measures of eating pathology and acculturation be closely examined with respect to their cross-cultural relevance, particularly when conducting research involving international populations.     

Tests of Objectification Theory in Gay, Lesbian, and Heterosexual Community Samples: Mixed Evidence for Proposed Pathways

Objectification theory (Fredrickson and Roberts 1997) proposes that women are especially vulnerable to eating disordered behavior when they live in cultures in which their bodies are a constant focus of evaluation. The current study examined whether predictions of objectification theory involving the associations among sexual objectification, body surveillance, body shame, and eating disordered behavior were supported in groups that varied by both gender and sexual orientation. Adults from a U.S. community sample in the Chicago area (92 heterosexual women; 102 heterosexual men; 87 gay men; and 99 lesbian women) completed self-report measures of these constructs. Results suggest that group differences in experiences of sexual objectification and body surveillance may partially explain gender and sexual orientation-based differences in eating disordered behavior.     

Risk factors for disordered eating during early and middle adolescence: prospective evidence from mainland Chinese boys and girls

Despite evidence that sociocultural and psychological factors contribute to disordered eating, researchers have yet to examine the extent to which putative risk factors influence vulnerability for girls versus boys within and across phases of adolescence, particularly in non-Western cultures. In this study, early and middle adolescent samples from China (N = 2,909) completed measures of eating disorder pathology and putative risk factors at baseline and were reassessed 12 months later. Among both younger and older girls, elevations in appearance-focused interactions with friends, negative affect, and body dissatisfaction predicted increases in symptomatology at follow-up. In contrast, there was more discontinuity in risk factors relevant to samples of boys. Although media and friendship influences contributed to later disturbances among early adolescent boys, psychological factors, including body dissatisfaction and negative affect, had stronger effects in the multivariate model for older boys. Implications of finding are discussed in relation to adolescent development and a Chinese cultural context.     

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.     

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.     

Explaining the relation between thin ideal internalization and body dissatisfaction among college women: the roles of social comparison and body surveillance

Sociocultural models of disordered eating lack comprehensive explanations as to how thin ideal internalization leads to body dissatisfaction. This study examined two social psychological theories as explanations of this relation, namely social comparison and objectification theories, in a sample of 265 women attending a Southeastern university. Social comparison (both general and appearance-related) and body surveillance (the indicator of objectification) were tested as mediators of the relation between thin ideal internalization and body dissatisfaction using bootstrapping analyses. Results indicated that body surveillance was a significant specific mediator of this relation; however, neither operationalization of social comparison emerged as such. Results serve to elaborate upon the sociocultural model of disordered eating by providing a more comprehensive understanding of the processes by which thin ideal internalization manifests itself in body dissatisfaction. The current findings also highlight the importance of targeting body surveillance in clinical settings.     

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.     

Examining an elaborated sociocultural model of disordered eating among college women: The roles of social comparison and body surveillance

Social comparison (i.e., body, eating, exercise) and body surveillance were tested as mediators of the thin-ideal internalization-body dissatisfaction relationship in the context of an elaborated sociocultural model of disordered eating. Participants were 219 college women who completed two questionnaire sessions 3 months apart. The cross-sectional elaborated sociocultural model (i.e., including social comparison and body surveillance as mediators of the thin-ideal internalization-body dissatisfaction relation) provided a good fit to the data, and the total indirect effect from thin-ideal internalization to body dissatisfaction through the mediators was significant. Social comparison emerged as a significant specific mediator while body surveillance did not. The mediation model did not hold prospectively; however, social comparison accounted for unique variance in body dissatisfaction and disordered eating 3 months later. Results suggest that thin-ideal internalization may not be “automatically” associated with body dissatisfaction and that it may be especially important to target comparison in prevention and intervention efforts.     

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.     

Attachment,the tripartite influence model,and the development of body dissatisfaction

The tripartite model of influence proposes that three primary core sources of influence-parents, peers and media-contribute to the development of body dissatisfaction and disordered eating. In the current study, this model was examined in a sample of 205 undergraduate women. This study added to previous research by investigating mother and father criticism separately and by examining the potential moderating effects of parental attachment in the pathway to body dissatisfaction. Results indicated partial support for the tripartite model of influence. Sociocultural influences (media) were found to be a significant predictor of body dissatisfaction, but not parental or peer criticism. Anxious attachment was found to be a significant moderator on the effects of sociocultural attitudes in body dissatisfaction. Limitations and future research implications are discussed.     

Influence des médias,insatisfaction envers le poids et l’apparence et troubles alimentaires selon le genre

The aim of the study was to explore gender differences in weight dissatisfaction, body dissatisfaction, media influence, use of dieting and excessive exercise, and disordered eating among a sample of 405 adolescents and young adults (277 girls and 128 boys) aged between 15 and 26. Girls were more likely to want to lose weight, whereas boys were more likely to want to gain weight and use excessive exercise. Gender differences have been found in body dissatisfaction and media influence, and among participants with disordered eating too. The findings brought out the gender-specific patterns of media influence, body image disturbances and disordered eating.     

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.     

Multidimensional Assessment of Body Dissatisfaction and Disordered Eating in Korean and US College Women: A Comparative Study

Body dissatisfaction was studied in 139 Korean and 102 US college women. Because tumultuous social change has produced marked conflicts between traditional Confucian values and a modern industrial society in which women hold increasing social, political, and economic power, it was hypothesized that Korean college women would have greater body dissatisfaction and more behaviors associated with disordered eating than US college women. As hypothesized, when body size (BMI) was controlled the Korean sample exhibited greater body dissatisfaction than the US sample as measured by the discrepancy between actual and ideal BMI, discrepancies between the participants’ bodies and three ideal bodies on the Figural Rating Scale (Stunkard, Sorenson, & Schulsinger, The genetics of neurological and psychiatric disorders, Raven Press, New York, pp. 115–120, 1983), all three measures from the Body Esteem Scale (Franzoi & Shields, Journal of Personality Assessment, 48:173–178, 1984), and all three measures from the Body-Esteem Scale for Adolescents and Adults (Mendelson, Mendelson, & White, Concordia University Research Bulletin, 16:1–12, 1997). Although the Korean sample had more behaviors characteristic of disordered eating on the Eating Disorders Inventory (Garner, Olmstead, & Polivy, International Journal of Eating Disorders, 2:15–31, 1983) Bulimia Scale, no differences were found between samples on scores on the Drive for Thinness Scale.     

Body dissatisfaction,disordered eating,fashion magazines,and clothes: A cross‐cultural comparison between Australian and Italian young women

While a great deal of research has investigated the body image concerns of women in Western English‐speaking countries, there has been relatively little research attention paid to non‐English‐speaking countries. The present study aimed to investigate body dissatisfaction and disordered eating across similarly constituted samples from two different cultures, Australia and Italy. Australia and Italy are similar in many ways, including frequent and obvious portrayals of thin media ideals for women, but represent very different cultures with respect to language and the roles of the family, meals, and fashion. Questionnaires were developed to assess the internalization of thin ideals, fashion magazine exposure, and the importance of clothes, in addition to containing measures of body dissatisfaction, dieting, and disordered eating symptomatology. Factor analysis of the clothing measure produced two clear factors: the personal importance of clothes, and the social importance of clothes. The questionnaires were completed by 140 Australian and 95 Italian female university students of psychology or the humanities. It was found that the Italian women had significantly lower BMI scores than the Australian women because they weighed less. Few group differences in body dissatisfaction or dieting were obtained, but the Australian women scored higher than the Italian women on disordered eating. Contrary to prediction, clothes were rated as more important by Australian than by Italian women. Nevertheless, the personal importance of clothes predicted internalization of thin ideals and body dissatisfaction in both samples, while the social importance of clothes was a negative predictor. Fashion magazine consumption, in contrast, predicted body dissatisfaction and disordered eating only for Australian women, but not for Italian women. Thus the study has demonstrated that the same variables may play different roles in the Australian and Italian cultural contexts. More generally, the cross‐cultural comparison of relationships between variables may contribute to a greater understanding of the genesis of body image concerns across cultures.     

A MEDIATIONAL MODEL LINKING SELF-OBJECTIFICATION, BODY SHAME, AND DISORDERED EATING

This study tests a mediational model of disordered eating derived from objectification theory (Fredrickson & Roberts, 1997). The model proposes that the emotion of body shame mediates the relationship between self-objectification and disordered eating. Two samples of undergraduate women ( n = 93, n = 111) completed self-report questionnaires assessing self-objectification, body shame, anorexic and bulimic symptoms, and dietary restraint. Findings in both samples supported the mediational model. Additionally, a direct relationship between self-objectification and disordered eating was also observed. Implications and future research directions are discussed.     

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.     

FEMINIST IDENTITY, GENDER TRAITS, AND SYMPTOMS OF DISTURBED EATING AMONG COLLEGE WOMEN

This study explored relationships among feminist identity, gender traits, and symptoms of disturbed eating. Seventy-one college women completed the following: weight-related questions, Feminist Identity Development Scale, Personal Attributes Questionnaire, Figure Rating Scale, and Eating Disorders Inventory. Identification with feminist values negatively correlated with body dissatisfaction, bulimic symptoms, and feelings of ineffectiveness. Identification with stereotypical masculine traits was inversely related to perfectionist tendencies and feelings of ineffectiveness, but was unrelated to body concerns. These results suggest factors promoting body dissatisfaction and disturbed eating may have less impact on college women identifying with feminist values, such as commitment to nonsexist roles and personal empowerment.