The tripartite influence model of body image and eating disturbance: A replication with adolescent girls

The tripartite influence model of body image and eating disturbance is a recent theoretical approach that includes a test of direct (peer, parental, and media factors) and mediational links (internalization of societal appearance standards, appearance comparison processes) as factors potentially leading to body dissatisfaction and eating disturbance. The theory was evaluated in the current study in a sample of 391 adolescent females. A structural equation model that evaluated the tripartite model replicated previous findings reported by Keery, van den Berg and Thompson (2004) [Keery, H., van den Berg, & Thompson, J. K. (2004). A test of the tripartite influence model of body image and eating disturbance in adolescent girls. Body Image: An International Journal of Research, 1, 237–251.]. Additionally, a second model extended these findings, suggesting that peer and media influences are more important than parental influences. The results are discussed in light of the need for prevention programs to incorporate formative influences and mediational processes in the construction of intervention strategies.     

An evaluation of the Tripartite Influence Model of body dissatisfaction and eating disturbance with adolescent girls

The Tripartite Influence Model of body image and eating disturbance proposes that three formative influences (peer, parents, and media) affect body image and eating problems through two mediational mechanisms: internalization of the thin-ideal and appearance comparison processes. The current study evaluated this model in a sample of 325 sixth through eighth grade girls. Simple path analyses indicated that internalization and comparison fully mediated the relationship between parental influence and body dissatisfaction and partially mediated the relationship between peer influence and body dissatisfaction. Additionally, internalization and comparison partially mediated the relationship between media influence and body dissatisfaction. Six a priori SEM models based on the full Tripartite Influence Model were also evaluated. A resulting model was found to be an adequate fit to the data, supporting the viability of the Tripartite Model as a useful framework for understanding processes that may predispose young women to develop body image disturbances and eating dysfunction.     

The role of media and peer influences in Australian women's attitudes towards cosmetic surgery

The study aimed to examine the influence of media and peers on attitudes towards cosmetic surgery using a sociocultural framework. A sample of 351 Australian women aged 18–69 years completed measures of media exposure, friend conversations, internalisation of appearance ideals, appearance comparison, body dissatisfaction, and attitudes towards cosmetic surgery. Correlational analysis showed that almost all media and friend variables were significantly correlated with positive attitudes towards cosmetic surgery. A structural equation model based on the sociocultural model showed a good level of fit to the data. The effects of media exposure and friend conversations on body dissatisfaction and attitudes towards cosmetic surgery were mediated by internalisation. We concluded that media exposure and friend conversations affected attitudes towards cosmetic surgery both directly and indirectly. Our results contribute to the understanding of the sociocultural mechanisms underlying women's motivations for cosmetic surgery.     

Mediators of the relationship between media literacy and body dissatisfaction in early adolescent girls: Implications for prevention

This study examined in young adolescent girls the fit of a theoretical model of the contribution of media literacy to body dissatisfaction via the mediating influences of internalisation of media ideals and appearance comparisons. Female Grade 7 students (N = 469) completed self-report assessments of media literacy, internalisation, appearance comparisons, body dissatisfaction, and media exposure. Strong, significant inverse associations between media literacy and body dissatisfaction, internalisation, and appearance comparisons were observed. Path analysis revealed that a slightly modified revision of the model provided a good fit to the data. Specifically, body dissatisfaction was influenced directly by appearance comparisons, internalisation, and body mass index, and indirectly by media literacy and media exposure. Indirect pathways were mediated by appearance comparisons and internalisation. Thus, a relationship between media literacy and eating disorder risk factors was observed. Findings may explain positive outcomes of media literacy interventions in eating disorder prevention.     

The Internet and Adolescent Girls’ Weight Satisfaction and Drive for Thinness

The primary aim of the study was to examine the relationship between media exposure and body image in adolescent girls, with a particular focus on the ‘new’ and as yet unstudied medium of the Internet. A sample of 156 Australian female high school students (mean age?=?14.9 years) completed questionnaire measures of media consumption and body image. Internet appearance exposure and magazine reading, but not television exposure, were found to be correlated with greater internalization of thin ideals, appearance comparison, weight dissatisfaction, and drive for thinness. Regression analyses indicated that the effects of magazines and Internet exposure were mediated by internalization and appearance comparison. It was concluded that the Internet represents a powerful sociocultural influence on young women’s lives.     

The hijab as a protective factor for body image and disordered eating: a replication in French Muslim women

We examined differences in body image and disordered eating between Muslim women who do and do not wear the hijab in France, a nation marked by religious-based sartorial censorship. In an online survey, 450 French Muslim women completed measures of hijab use, weight discrepancy, disordered eating, body image-related constructs, religiosity, perceived support from Allah, and perceived discrimination. Controlling for religiosity and support from Allah, women who wore the hijab reported significantly lower weight discrepancy, body dissatisfaction, drive for thinness, social physique anxiety, internalisation of the thin and muscular ideals, and pressure to attain ideals from peers and the media, though they also reported significantly higher perceived discrimination than those who did not wear the hijab. Further analyses showed that use of the hijab was significantly associated with weight discrepancy and disordered eating. Our results suggest that use of the hijab may offer a protective element for French Muslim women.     

The role of peer influence on girls’ body dissatisfaction and dieting

IntroductionPeer influence is considered a global construct, although the effects of its various dimensions on body dissatisfaction and dieting via internalisation of the thin ideal and social comparison have yet to be analysed.ObjectiveThe aim of this study was to analyse how the different dimensions of peer influence (i.e., perception of teasing, appearance conversation with friends and peer attributions about the importance of appearance with regard to popularity) affect body dissatisfaction and dieting.MethodA total of 298 Italian adolescent girls and young women completed a questionnaire assessing different dimensions of peer influence, internalisation of the thin ideal, social comparison, body dissatisfaction and dieting.ResultsThe results indicated that peer attributions and appearance conversations with friends affect body dissatisfaction and dieting through internalisation and social comparison. Teasing had a direct effect on girls’ dissatisfaction levels.ConclusionsThe current findings have important preventive and treatment implications. Preventive interventions should not target sociocultural influences as a whole, rather they should analyse the specific dimensions of peer influence, with consideration for the degree to which girls internalise sociocultural messages and engage in social comparison.     

Idealized media images and adolescent body image: "comparing" boys and girls

Sociocultural theories of body image suggest that body dissatisfaction results from unrealistic societal beauty ideals, and one way of transmitting these ideals is through the mass media. The present research aimed to examine the effect of exposure to images of idealized beauty in the media on adolescent girls’ and boys’ body image. The participants (595 adolescents) viewed television commercials containing either images of the thin ideal for women, images of the muscular ideal for men, or non-appearance television commercials. Body dissatisfaction was measured before and after commercial viewing. It was found that exposure to idealized commercials led to increased body dissatisfaction for girls but not for boys. Idealized commercials led to increased negative mood and appearance comparison for girls and boys, although the effect on appearance comparison was stronger for girls. Further, participants high on appearance investment reported greater appearance comparison after viewing idealized commercials than those less strongly invested in their appearance. The results suggest the immediate impact of the media on body image is both stronger and more normative for girls than for boys, but that some boys may also be affected.     

Effects of parental comments on body dissatisfaction and eating disturbance in young adults: A sociocultural model

This study examined a sociocultural model of the influence of parental comments on body shape and eating concerns among males and females. Questionnaires were completed by 338 undergraduates. Participants reported levels of perceived parental comments, internalization of media ideals, appearance comparison, body dissatisfaction, drive for thinness and bulimia. Results revealed that, regardless of gender, internalization and appearance comparison only partially mediated the relationship between parental comments and the outcome variables. The final model for females explained a larger proportion of the variability in body shape and eating concerns than in males, with positive and negative parental comments directly related to body dissatisfaction and through it to eating outcomes. In males, only negative comments were directly related to body dissatisfaction. These findings highlight the role of parental influences in sociocultural models of the development of body dissatisfaction and eating concerns, and the gender-specific patterns of sociocultural influence.     

Support for an expanded tripartite influence model with gay men

This study investigated whether an expanded tripartite influence model would represent gay men's experiences. This model was extended by adding partners and gay community involvement as sources of social influence and considering dual body image pathways (muscularity and body fat dissatisfaction) to muscularity enhancement and disordered eating behaviors. Latent variable structural equation modeling analyses upheld this model for 346 gay men. Dual body image pathways to body change behaviors were supported, although three unanticipated interrelationships emerged, suggesting that muscularity and body fat concerns and behaviors may be more integrated for gay men. Internalization of the mesomorphic ideal, appearance comparison, muscularity dissatisfaction, and body fat dissatisfaction were key mediators in the model. Of the sources of social influence, friend and media pressure to be lean, gay community involvement, and partner, friend, media, and family pressures to be muscular made incremental contributions. Unexpectedly, certain sources were directly connected to body change behaviors.     

The benefits of expressive writing on sleep difficulty and appearance concerns for college women

The college years represent an important developmental period in the lives of young women, who report health-related difficulties such as sleep disturbance and body/eating concerns. This study explored whether expressive writing (EW) can decrease health-relevant complaints among college women. College females (n?=?111) were randomised into an EW condition (writing about body concerns) or a control writing condition and completed three 15-min writing sessions. Results indicate that participants in the EW condition reported less sleep difficulty and less body-focused upward social comparison at 8-week follow-up, relative to control participants. For individuals who reported higher perceived stress at baseline, the EW condition resulted in less eating disturbance and less social comparison, relative to the control condition. The effect of EW on eating disturbance for those who were high in stress was partially mediated by the change in upward social comparisons focused on one's body. These findings suggest that EW about body image and appearance concerns may positively influence the trajectory of risk for, or resilience against, future complications as a result of sleep difficulty, eating disturbance and body dissatisfaction.     

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.     

Patient drawings of their melanoma: A novel approach to understanding symptom perception and appraisal prior to health care

Although previous research showed that the thin ideal provided by the media affects body image and eating behaviour in young children, less is known about specific media contents that are related to body image and eating behaviour. This study tested the associations between watching soaps and music television and body dissatisfaction and restrained eating directly, and indirectly through thin ideal internalisation. We conducted a survey in class, in which 245 girls (aged 7–9) completed scales on their television watching behaviour, thin ideal internalisation, body dissatisfaction and restrained eating. Additionally, height and weight were measured. Watching soaps and music television often was associated with higher thin ideal internalisation, which in turn was associated with higher body dissatisfaction and restrained eating. Furthermore, a direct association between watching soaps and music television and restrained eating was found. If watching other types of children's programmes or maternal encouragement to be thin were included in the models, watching soaps and music television remained an important factor, especially with regard to restrained eating. Therefore, our results suggest that if young girls watch soaps and music television often, this is related to higher restrained eating and body dissatisfaction, directly or indirectly, through higher thin ideal internalisation.     

Beauty is Good: The Appearance Culture,the Internalization of Appearance Ideals,and Dysfunctional Appearance Beliefs Among Tweens

Dysfunctional appearance beliefs have been identified as important risk factors in the development of body dissatisfaction and disordered eating behaviors among early adolescents. The current two‐wave study among 10–14‐year‐olds (N = 1,597, M_age = 11.25, SD = 1.05) aimed to delineate factors that contribute to the endorsement of such beliefs. Results showed that tweens discussed appearance‐related topics with their friends more often when they frequently watched tween television programs (all time 1). Both media exposure and peer conversations (time 1) were related to attributing benefits to attractiveness (time 1), which, in turn, predicted the internalization of appearance ideals (time 1). The internalization of appearance ideals positively predicted the endorsement of dysfunctional appearance beliefs 6 months later.     

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.     

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.     

A comparison of body size ideals, body dissatisfaction, and media influence between female track athletes, martial artists, and non-athletes

ObjectivesIn assessments of body image among athletes, there remains an important discrepancy between studies reporting, on one hand, increased body dissatisfaction among athletes and, on the other, lower body image concerns. In order to help resolve this contradiction, the present study examined body size ideals, body dissatisfaction, and media influence among female recreational athletes and non-athletes.MethodForty-one track athletes (a judged sport in which leanness is actively promoted), 47 women involved in Taek Won Do (a martial art with little or no emphasis on leanness), and 44 non-athletes completed self-report measures of ideal body size, body dissatisfaction, and media influence, and provided their demographic details.ResultsResults showed that, after controlling for participants' body mass index (BMI), there were no significant between-group differences in ideal body size. By contrast, track athletes reported the highest body dissatisfaction scores and the highest internalisation of athletic media messages. Results of a regression analysis showed that, for the total sample, participants' BMI and internalisation of athletic media messages predicted body dissatisfaction over-and-above involvement in the different sports.ConclusionThese results support the suggestion that women participating in leanness-promoting sports experience greater body dissatisfaction than women in other sports or non-athletes.     

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.     

The relationship between skin tone dissatisfaction and sun tanning behaviour

Understanding the factors that contribute to sun exposure is vital for skin cancer prevention. The present study aimed to examine the utility of a new measure for cancer prevention research, the Skin Tone Rating Scale. Australian undergraduate women (N = 156) completed an online questionnaire measuring skin tone dissatisfaction, peer and media norms surrounding tanning, internalisation of a tanned ideal, appearance reasons for tanning, and self‐reported tanning behaviour. The two‐item Skin Tone Rating Scale provided a short and easy‐to‐administer measure of skin tone dissatisfaction that correlated with self‐reported tanning behaviour. The Skin Tone Rating Scale was also moderately related to appearance reasons for tanning and internalisation of a tanned ideal, demonstrating concurrent validity. Socio‐cultural influences (from peers and media) were positively correlated with skin tone dissatisfaction, and this relationship was partially mediated by internalisation of a tanned ideal. Although more research is needed to establish causation, this study provides an important addition to sun tanning literature; it provides a new measure to predict self‐reported tanning behaviour, the Skin Tone Rating Scale, which highlights the importance of appearance concerns in relation to tanning and sun exposure.     

Sociocultural and individual psychological predictors of body image in young girls: a prospective study

This study investigated the prospective predictors of body image in 9- to 12-year-old girls. Participants were 150 girls in Grades 4-6 with a mean age of 10.3 years. Girls completed questionnaire measures of media and peer influences (television/magazine exposure, peer appearance conversations), individual psychological variables (appearance schemas, internalization of appearance ideals, autonomy), and body image (figure discrepancy and body esteem) at Time 1 and 1 year later at Time 2. Linear panel analyses showed that after controlling for Time 1 levels of body image, none of the Time 1 sociocultural variables predicted body image variables at Time 2. Body mass index (BMI; a biological variable) and psychological variables, however, did offer significant prospective prediction. Specifically, higher BMI, higher appearance schemas, higher internalization of appearance ideals, and lower autonomy predicted worsening body image 1 year later. Thus, higher weight and certain psychological characteristics were temporally antecedent to body image concerns. It was concluded that both biological and individual psychological variables play a role in the development of body image in children. Individual psychological variables, in particular, may provide useful targets in prevention and intervention programs addressing body image in 9- to 12-year-old girls.