Body-image disturbances in bulimia nervosa: influences of actual body size

This study evaluated body-image distortion and ideal body-size preferences in 423 nonbulimic women and 108 bulimics. Analyses of covariance were utilized to compare the bulimic and nonbulimic groups on measures of current and ideal body size. Weight was used as a covariate to evaluate the influence of actual body size on perception of current body size and selection of ideal body size. Bulimics chose current body sizes that were significantly larger than those picked by nonbulimics regardless of actual body size. Bulimics also chose thinner ideal body sizes than did nonbulimics, regardless of actual body size. These results suggest that body-image distortion and extreme preference for thinness are a fundamental characteristic of bulimia nervosa. These results were discussed in terms of how perception of a large body size and preference for a very thin body size might interact to produce a high degree of dissatisfaction and overconcern with body size in bulimia nervosa.     

Culture and body image: Body perception and weight concern in young Asian and Caucasian British women

The comparatively lower prevalence of eating disorders among Asian and Afro-Caribbean than Caucasian women in the UK has often been attributed to cultural differences in pressures for slimness. However, there have been no attempts to evaluate cultural differences in ideals for female physique directly among women in the at risk age groups. In the present study, cultural influences on body image were evaluated by comparing the body size ideals, body image and dieting concerns in a sample of 274 young white and Asian British women. The results indicate that Asian women are less likely to describe themselves as too fat, were less dissatisfied with their body size, less likely to want to lose weight and less restrained. However, Asian women were slimmer than white women and, after controlling for the difference in body size, the effects were reduced. The hypothesis that any body satisfaction differences could be explained by differences in ideal body size between the two groups were not supported; Asian women favoured even slimmer ideal body sizes than white women. Alternative explanations in terms of cultural differences in evaluation of fatness are discussed.     

Bulimia,dietary restraint,and concern for dieting

The concept of dietary restraint has recently been used to explain binge-eating in dieters. It has been proposed that the violation of various restraint rules typically leads to hinging in individuals exhibiting high dietary restraint. This study examined the role of dietary restraint in a clinical sample of bulimics. After eating a preload to break dietary restraint, bulimic binge-eaters (those who binge but do not purge) were found to eat significantly more than bulimics who binged and purged (bulimia nervosa) and significantly more than normals. In addition, purging bulimics were found to have more concern about dieting than binge-eaters, while normals were found to have less concern about dieting and less anxiety about eating than both bulimic groups. These data suggest that the psychopathology of bulimia nervosa and bulimia (binge-eating) may be substantially different. It was proposed that the most distinguishing characteristic may be the preoccupation with dieting, weight, and body size, which is more extreme in bulimia nervosa.     

Current and vestigial effects of overweight among women: Fear of fat,attitudinal body image,and eating behaviors

College females completed multiple, standardized measures of their fear of fat, attitudinal body image, and binge eating and dieting. Situational weigh-in measures were taken, including latency to get on the scale and anxiety while being weighed. Based on current weight and a structured weight history questionnaire, three groups were constructed: normal-weight subjects without an overweight history (NW; n=24), normal-weight subjects who were formerly overweight (FOW; n=16), and those currently overweight (OW; n=24). Group comparisons revealed, as expected, that OW females, relative to their NW peers, had more weight-related anxieties, more negative body experiences, and more frequent past-year dieting. Consistent with Stunkard's original proposition, the FOW group regarded their bodies as fatter and less affectively satisfying and expressed more weigh-in anxiety than NW participants. Currently normal-weight FOW subjects seldom differed from the currently OW individuals. Clinical and research implications are considered, particularly with regard to the psychological sequelae of weight loss.     

Biased perception of overeating in bulimia nervosa and compulsive binge eaters

This study investigated the relationship between caloric intake and perceived overeating in subjects with and without a history of problematic binge eating. Eighty subjects (20 in four groups: bulimia nervosa, compulsive binge eaters, obese, and normal controls) self-monitored eating for 2 weeks. The regression slopes for self-reported overeating as a function of caloric intake were contrasted across the four groups. At higher caloric levels, bulimics and binge eaters reported overeating at a significantly higher rate compared to obese and normal control groups. These data were interpreted as a type of cognitive bias whereby subjects with a history of binge eating distorted their perception of overeating at progressively higher caloric levels. It was proposed that excessive concern about eating and dieting may cause such cognitive biases. A parallel was drawn with body image distortion, which appears to be associated with overconcem with body size and shape.     

女大学生体重知觉偏差及探因

以女性身体图形评定量表PFRS (the female Photographic Figure Rating Scale)作为刺激材料, 研究女大学生体重自我知觉与偏差, 以及女大学生对他人的体重知觉与偏差, 引入男性视角作为体重社会标准, 研究女大学生体重社会知觉与偏差。研究中要求女大学生选择准确代表自己胖瘦的图像, 选择自己理想胖瘦的图像, 选择他人眼里最有吸引力的图像, 估计PFRS真人照片图像体重值(假定图像中人物和自己身高相同), 并报告自己的实际体重和理想体重。研究要求男大学生选择最有吸引力的图像。在此基础上提出3种模型假设：镜像模型、泛化模型和相关模型, 进一步探索女大学生体重知觉偏差的原因。研究表明：女大学生体重自我知觉高估了对应真人图像的BMI; 女大学生对其他女性BMI知觉, 倾向于高估体重正常和偏瘦女性的BMI, 低估偏胖和肥胖女性的BMI; 女大学生体重的主观社会压力高于体重的实际社会压力, 对体重社会压力存在过度解读的倾向。女大学生对他人体重知觉偏差更有可能影响其体重自我知觉偏差; 认知评价不是造成女大学生知觉偏差的重要因素, 但两者关系需要进一步实证。     

Eating behaviour, body image, and self-esteem of adolescent girls in Malaysia

This cross-sectional study was undertaken with 489 secondary school girls, ages 15-17 years, to examine disordered eating behaviours of adolescent girls in Malaysia and to estimate associations with body weight, body-size discrepancy, and self-esteem. Dietary restraint, binge eating, body image, and self-esteem were assessed using the Restrained Eating scale of the Dutch Eating Behaviour Questionnaire, the Binge Scale Questionnaire, the Contour Drawing Rating Scale, and the Rosenberg Self-Esteem Scale, respectively. Pearson correlations estimated associations between variables. There were 3.1% underweight, 9.8% at risk of being overweight, and 8.6% overweight girls. A total of 87.3% were dissatisfied with their own body size. Dietary restraint and binge eating were reported by 36.0% and 35.4%, respectively. Body Mass Index (r = .34, p < .01) and body-size dissatisfaction (r = .24, p < .01) were significantly associated with dietary restraint and binge eating, but self-esteem (r = -.20, p < .001) was significantly associated only with binge eating.     

Body image importance and body dissatisfaction among indigenous Australian adolescents

Despite their elevated risk of health problems and a propensity to be more overweight or underweight relative to the other members of the Australian population, there has been no previous investigation of body image concerns among Indigenous Australians. In this study we investigated the level of body image importance and body image dissatisfaction among 19 rural Indigenous adolescents (7 males, 12 females) and 28 urban Indigenous adolescents (15 males and 13 females). Our hypotheses that there would be gender differences in body image importance and body image satisfaction were not generally supported. However, males placed more importance on muscle size and strength than females, and rural participants placed more importance on weight than urban participants. Comparison to existing data obtained from Caucasian adolescents suggested that Indigenous youth may be less concerned and dissatisfied with body weight and shape. These results are discussed in relation to findings from studies of non-Indigenous adolescents, and Indigenous health issues. The limitations of the current study and the need for further studies are also discussed.     

Body-image and obesity in adolescence: a comparative study of social-demographic, psychological, and behavioral aspects

In current society, body and beauty's cult emerge as one of the main factors of adolescence. That leads adolescents to be dissatisfied with their own appearance, to psychological maladjustment, and nutritional disorders. This quantitative, exploratory, and cross-sectional research evaluates how adolescents perceive their weight and the prevalence of obesity in a sample of adolescents from the district of Viseu (Portugal). It also attempted to compare the relation of body-image and obesity with sociodemographic (school, sex, age, socioeconomic status, family functioning), psychological (self-concept, depression, school success) and behavioral aspects (physical inactivity). After data analyses, it was verified that the prevalence of obesity was 8.8% but 12.7% considered themselves obese. These adolescents had higher physical inactivity, poorer family functioning, a lower self-concept, and a higher depression index. The really obese adolescents were older and had poorer academic results. Obesity was higher in boys, but girls perceived themselves more as being obese. In conclusion, it is essential to evaluate weight perception in addition to body mass index (BMI), because the main problem could be related not only to being obese, but also to the perception of having a higher than ideal weight.     

Body image disturbance and relationship satisfaction among college students

Two hundred and eighty-two college undergraduate and graduate students, including 81 males and 201 females, responded to an on-line survey measuring relationship satisfaction, body image distortion and body dissatisfaction, self esteem, and thoughts about weight loss. A modified Kansas Marital Satisfaction Scale (KMSS) queried respondents about their relationship satisfaction as well as their perception of their partner’s satisfaction with the relationship. Respondents checked one of 17 figural drawings indicating their perceived and ideal size as well as judgments of perceived and ideal size of their partner. Females had greater body image size distortion and body dissatisfaction, lower self esteem, and more frequent thoughts about weight loss. Males were more dissatisfied with their partner’s size. Respondent’s body size distortion predicted perceived partner relationship satisfaction, with greater size distortion predicting less perceived partner relationship satisfaction. Greater perceived partner relationship satisfaction predicted increased respondents’ relationship satisfaction. Perceived partner’s dissatisfaction with respondent’s body size only approached significance as a predictor of respondent’s relationship satisfaction. However, the strength of this variable as a predictor warrants further examination of its potential role in relationship satisfaction.     

An exploration of body dissatisfaction and perceptions of Black and White girls enrolled in an intervention for overweight children

Silhouette measures are one approach to assessing body dissatisfaction in children, although little is known about their use among racially diverse, overweight girls seeking weight-loss treatment. This study assessed racial differences in body dissatisfaction and body size perceptions of 58 girls (ages 6–11, 66% Black, 34% White) participating in a randomized trial for pediatric overweight. Body dissatisfaction did not differ between races; 99% of girls reported an ideal figure smaller than their current one. Black girls selected a larger silhouette to represent their ideal body size, and most girls in both racial groups underestimated their actual size. Outcomes strengthen the argument that, despite an overall preference for a larger body size, obesity might mitigate cultural factors that protect Black girls from body dissatisfaction. Additional research is needed to enhance understanding of children's body size perceptions and dissatisfaction to inform assessment and treatment of pediatric obesity and associated disordered eating symptoms.     

Employed Females' Clothing Preference, Self-Image Congruence, and Career Anchorage

A model was developed that related the clothing preference of employed females with self-congruity, ideal congruity, and career anchorage. It was hypothesized that (a) employed females are more likely to wear those outfits that match their actual self-image and ideal self-image than those that do not match their actual and ideal self-image; (b) the more upward the career anchorage, the greater the self- and ideal congruity involving a business-like outfit, and the greater the preference for wearing business-like outfits. The sample consisted of 227 women faculty and staff members at three universities. Five garment images were used: feminine, business-like, casual, sexy, and collegiate. The hypotheses were mostly supported.     

Buffering against weight gain following dieting setbacks: An implicit theory intervention

Research on implicit theories suggests that incremental beliefs—that attributes are malleable—can help buffer people against the adverse effects of setbacks on goal achievement. We conducted a longitudinal experiment to examine whether an incremental beliefs intervention could help dieters manage their body weight in the face of severe dieting setbacks. To explore the efficacy of our incremental beliefs intervention, we randomly assigned individuals to a control, a knowledge, or an incremental beliefs condition. In addition to examining the main effect of intervention condition on weight-loss across a 12-week period, we also tested the hypothesis that although participants assigned to the control or knowledge intervention condition would gain more weight as dieting setbacks became more severe, participants assigned to the incremental beliefs condition would not. Results supported this hypothesis: Incremental beliefs protected against setback-related weight-gain. Implications for integrating implicit beliefs interventions with obesity relapse prevention programs are discussed.     

Correlates of Children's Eating Attitude Test scores among primary school children

A total of 107 Malay primary school girls (8-9 yr. old) completed a set of measurements on eating behavior (ChEAT, food neophobia scales, and dieting experience), the Rosenberg Self-Esteem Scale, body shape satisfaction, dietary intake, weight, and height. About 38% of the girls scored 20 and more on the ChEAT, and 46% of them reported dieting by reducing sugar and sweets (73%), skipping meals (67%), reducing fat foods (60%) and snacks (53%) as the most frequent methods practiced. In general, those girls with higher ChEAT scores tended to have lower self-esteem (r=.39), indicating they were more unwilling to try new foods (food neophobic) (r=.29), chose a smaller figure for desired body size (r=-.25), and were more dissatisfied with their body size (r=.31).     

Sex differences in the nature,realism, and correlates of body image

The present study examined sex differences in the nature and realism of body-image satisfaction, and the extent to which sex and sex role ideology moderated the relationships of body image to other indices of self-esteem and well-being. Accordingly, scales assessing body cathexis, self-esteem, depression proneness, and sex role ideology, as well as a questionnaire assessing perceptions of weight and dieting activities, were completed by 135 college women and 129 college men. As expected, women indicated significantly greater dissatisfaction with their bodies than did men. Women were likely to perceive themselves as overweight or slightly overweight, regardless of their actual weight, and most wanted to lose weight. Men who were dissatisfied tended to perceive themselves as underweight and wanted to gain rather than to lose weight. For both sexes, less positive attitudes to ward one's body were related to lower levels of self-esteem, although the relationship was significantly stronger for women than for men. The relationship between body attitudes and self-esteem was of approximately equal magnitude among traditional vs feminist women. For both sexes, more negative attitudes towards one's body were related to greater proneness to depression. Implications for further research are discussed.     

Motivations for childbearing and fertility behavior among urban and rural families of Iran

A sample of 384 husbands and wives were randomly selected and interviewed to investigate the implication of fertility norms and motivations for childbearing on fertility and family planning behavior among Iranian families in urban and rural areas of Iran, after the Islamic Revolution of 1979. The term "fertility behavior" refers to actual family size, which is defined as number of children the respondent has living at the time of the interview. "Family planning behavior" refers to the duration of time that the subject has used any birth control method(s). Rural families demonstrated larger actual and ideal family sizes than urban families. The rural sample had a median actual family size of 3.5 children and a median ideal family size of 4.7 children. For the urban sample these figures were 2.2 and 2.3, respectively. The median number of years married was 12.33 for rural and 13.91 for urban respondents. Urban respondents tended to emphasize the psychological and emotional benefits and liabilities associated with having children while rural respondents tended to emphasize both economic and security related motivations. Both groups endorsed infant mortality as a motivation for having more children. Male and female respondents were remarkably similar in their endorsed motivations. There was a significant positive correlation between desired and ideal family size. The correlations among ideal/desired family size and practicing birth control methods were the same and significant at the .001 level. The relationship between motivations for childbearing and years of practicing birth control methods was also significant at the .001 level. Stepwise regression analyses were performed to examine the important predictors of fertility and family planning behavior. For both actual family size and years on birth control, males and females were very similar in terms of predictor importance. Those respondents with less education and large ideal family size tended to have larger actual family size. Location (urban/rural) and parents, family size was weighted much more heavily for males than for females. Those respondents with greater education and who lived in an urban areas tended to have used birth control for longer periods of time. Ideal family size did not contribute significantly to this regression. Parents' family size and motivations for childbearing made marginal contributions to regressions on either dependent variable.     

Body dissatisfaction,eating disorders,and depression: A developmental perspective

McCarthy (1990) contends that a cultural ideal of thinness (the thin ideal) causes depression and eating disorders to occur more frequently in women than men. She believes eating disorders are a way of coping with depression and hypothesizes that the thin ideal has its greatest impact during puberty when sexual attractiveness becomes important and changes in physical appearance increase the discrepancy between the adolescent girl's actual and ideal body image. The present study used a cross-sectional design of 5th, 8th, and 12th grade males and females (N = 599) to test several predictions from McCarthy's model. As expected, 8th and 12th grade females preferred a thinner than average body shape. They were more dissatisfied with their bodies than males and scored higher on measures of disordered eating. In contrast, before puberty (5th grade) boys were more depressed than their female peers but this pattern was reversed in 8th grade boys and girls. Paralleling changes in depression, disordered eating scores were highest in 8th and 12th grade girls. Both of these findings underscore the role of maturational factors in the onset of eating disorders. Although the sample was ethnically diverse and mainly from middle and low socioeconomic groups, there was a surprisingly high incidence of body dissatisfaction and symptoms of disordered eating. This illustrates the pervasiveness of thinness as a standard of feminine beauty in our society and the damaging effects it can have.     

Judgement Accuracy in Body Preferences Among African Americans

Perceptions of body size vary by gender and ethnicity. Women are more dissatisfied with their bodies than are men and Caucasian women are more dissatisfied with their bodies than are African American women. The purpose of this study was to examine if African American men and women accurately estimate the level of thinness preferred by the opposite gender. We predicted that African American women would correctly estimate the level of thinness found attractive by African American men, thereby providing support for the explanation that African American women are partially protected from experiencing similar levels of body dissatisfaction as Caucasian women do because they correctly estimate that African American men like larger women. Participants were 68 African American women and 34 African American men. The results supported our prediction, African American women accurately estimate the level of thinness preferred by African American men.     

The reliability and validity of a group-administered version of the body image assessment

The Body Image Assessment (BIA) is a simple measure of body image disturbance. However, it has currently only been used with an individual administration format and only to assess ratings of current body size, ideal body size, and body dissatisfaction. It has also only been validated for use with women. In the current two studies, the reliability and validity of a group-administered version of the BIA procedure for both men and women that also assessed ratings of the ideal opposite sex and predictions about what the opposite sex would prefer as most attractive was examined. In the first study, results indicated good test-retest reliability for the group version for current and ideal body size and good concurrent validity with the individual administration format of the BIA. The results of the second study supported the construct and predictive validity of the group administered BIA, suggesting that it is a time-efficient alternative to the original, individually administered assessment.     

Size of drawings influences body size estimates by women with and without eating concerns

Research has inconsistently shown that women, particularly those with eating concerns, inaccurately estimate their body size. In the present study, drawings of female bodies, ranging from emaciated to obese, were presented to women with and without eating concerns. Drawings approximated the women's actual height or were reduced (15.7 cm). Women selected the drawing that represented how they thought they looked (cognitive rating), felt they looked (affective rating), and would like to look (desired rating). Women tended to select larger drawings when reduced-size drawings were used. Participants with eating concerns overestimated their body size and were more dissatisfied with their body size than participants without eating concerns. Size of drawings and the presence of eating concerns did not affect ratings of the size of a neutral object. Women did not demonstrate a generalized problem in estimating size. Overestimation of body size may be exaggerated in research that used reduced-size drawings.