Weight, weight-related aspects of body image, and depression in early adolescent girls

This investigation assessed the hypothesis that early adolescent girls with more negative weight-related body images would report higher levels of depressive symptoms. The Beck Depression Inventory was administered, and measures of objective weight and four dimensions of weight-related body image were obtained: self-reported weight, subjective classification of weight from very underweight to very overweight, satisfaction with weight, and concerns about weight. The results indicated that the more subjective and personal measures of weight-related body image discontent--weight dissatisfaction and weight concerns--were associated with increased depressive symptoms, even controlling for objective weight status. These results are discussed in relation to the ontogenesis of body image and the place of body image in personality and the development of depression.     

Women's perceptions of personal versus sociocultural counseling interventions.

Two videotaped simulated counseling interventions focusing on weight and body-image concerns were shown to 79 female college students. One of the interventions portrayed the counselor as attributing the weight issues to external, sociocultural causes (i.e., society's unrealistic expectations of women), whereas the other intervention showed the counselor as attributing weight issues to personal causes (i.e., poor eating habits related to a negative self-image). The women's perceptions of and preferences for the intervention were hypothesized to vary as a function of (a) traditionality of sex role attitude, (b) severity of disturbance, and (c) concern for weight and body image. It was hypothesized that women with nontraditional sex role attitudes would prefer the sociocultural intervention, whereas women with traditional sex role attitudes would prefer the personal intervention. The results obtained were opposite those hypothesized. Women with nontraditional sex role attitudes (especially those with highly nontraditional sex role attitudes) preferred the personal intervention. Women with traditional sex role attitudes preferred the sociocultural intervention. This result was more dramatic with those women for whom weight concern was a salient issue. No results were found for severity of disturbance. The results are discussed with respect to feminist counseling and changing sex role expectations in society. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Body-image and eating disturbances predict onset of depression among female adolescents: A longitudinal study.

This study examined data from a 4-year school-based longitudinal study (n?=?1,124), to test whether the increase in major depression that occurs among girls during adolescence may be partially explained by the body-image and eating disturbances that emerge after puberty. Elevated body dissatisfaction, dietary restraint, and bulimic symptoms at study entry predicted onset of subsequent depression among initially nondepressed youth in bivariate analyses controlling for initial depressive symptoms. Although the unique effect for body dissatisfaction was not significant in the multivariate model, this set of risk factors was able to fairly accurately foretell which girls would go on to develop major depression. Results were consistent with the assertion that the body-image- and eating-related risk factors that emerge after puberty might contribute to the elevated rates of depression for adolescent girls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive-behavioral treatment of women's body-image dissatisfaction.

Body-image dissatisfaction is a problem that affects a substantial minority of women and cuts across various diagnostic groups. College women with a significant level of body-image dissatisfaction were randomly assigned to either a cognitive–behavioral treatment (CBT) program (n?=?15) or to a waiting-list control group (n?=?16). The CBT program consisted of six structured, individual sessions that applied cognitive–behavioral procedures to the problem of negative body image. At pretest, posttest, and 7-week follow-up, multiple aspects of body image and other areas of psychosocial functioning were assessed. Relative to the control condition, the CBT program successfully improved affective body image, weakened maladaptive body-image cognitions, and enhanced social self-esteem and feelings about physical fitness and sexuality. Treatment effects were largely maintained at follow-up. After posttest, the control group received a 3-week treatment with immediate effects that generally replicated those obtained in the 6-week program. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Magazine exposure: Internalization, self-objectification, eating attitudes, and body satisfaction in male and female university students.

Investigated the relationships among magazine exposure, self-objectification, body shape dissatisfaction, and eating disorder symptomatology in 150 men and women (aged 18-42 yrs). Women reading beauty magazines and men reading fitness magazines internalized societal ideals (internalization). For women, beauty magazines predicted self-objectification, mediated by internalization. For men, only internalization predicted self-objectification. For men, fitness magazines predicted body shape dissatisfaction, mediated by internalization. For women, only internalization predicted body shape dissatisfaction. Reading magazines also predicted eating problems for men and women, for women this was mediated by internalization. Findings suggest that magazine reading is related to concerns with physical appearance and eating behaviors. Many of the relationships previously found for women are similar for men. A sociocultural model is used to explain these results. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: A growth curve analysis.

Using data from a longitudinal community study (N?=?231), the authors tested whether body-image and eating disturbances might partially explain the increase in depression observed in adolescent girls. Initial pressure to be thin, thin-ideal internalization, body dissatisfaction, dieting, and bulimic symptoms, but not body mass, predicted subsequent increases in depressive symptoms, as did increases in these risk factors over the study. There was also prospective support for each of the hypothesized mediational relations linking these risk factors to increases in depressive symptoms. Effects remained significant when other established gender-nonspecific risk factors for depression (social support and emotionality) were statistically controlled. Results provide support for the assertion that body-image and eating disturbances, operating above and beyond gender-nonspecific risk factors, contribute to the elevated depression in adolescent girls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maternity leave, women's employment, and marital incompatibility.

This research investigated the relationship between the length of women's maternity leave and marital incompatibility, in the context of other variables including the woman's employment, her dissatisfaction with the division of household labor, and her sense of role overload. Length of leave, work hours, and family salience were associated with several forms of dissatisfaction, which in turn predicted role overload. Role overload predicted increased marital incompatibility for experienced mothers but did not for first-time mothers, for whom discrepancies between preferred and actual child care were more important. Length of maternity leave showed significant interactions with other variables, supporting the hypothesis that a short leave is a risk factor that, when combined with another risk factor, contributes to personal and marital distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Testing mediators hypothesized to account for the effects of a dissonance-based eating disorder prevention program over longer term follow-up.

Objective: Test the hypothesis that reductions in thin-ideal internalization and body dissatisfaction mediate the effects of a dissonance-based eating disorder prevention program on reductions in eating disorder symptoms over 1-year follow-up. Method: Data were drawn from a randomized effectiveness trial in which 306 female high school students (mean age = 15.7 years, SD = 1.1) with body image concerns were randomized to the 4-session dissonance-based prevention program or an educational brochure control condition, wherein school counselors and nurses were responsible for participant recruitment and intervention delivery. Results: Dissonance-intervention participants showed greater reductions in thin-ideal internalization, body dissatisfaction, and eating disorder symptoms; change in thin-ideal internalization predicted change in body dissatisfaction and symptoms; change in body dissatisfaction predicted change in symptoms; and all indirect effects were significant. Change in thin-ideal internalization fully mediated the effects of intervention condition on change in body dissatisfaction and partially mediated the effects on symptoms; change in body dissatisfaction partially mediated the effect of intervention condition on change in symptoms. Conclusions: Findings provided support for the intervention theory of this eating disorder prevention program over longer term follow-up, extending the evidence base for this effective intervention. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Body dissatisfaction, ethnic identity, and disordered eating among African American women.

Initial research suggested that only European American women developed eating disorders (Garner, 1993), yet recent studies have shown that African American women do experience them (e.g., Lester & Petrie, 1998b; Mulholland & Mintz, 2001) and also may be negatively affected by similar sociocultural variables. In this study, we examined a sociocultural model of eating disorders for African American women but included the influences of ethnic identity (e.g., Hall, 1995; Helms, 1990). Participants (N = 322) were drawn from 5 different universities. They completed measures representing ethnic identity, societal pressures regarding thinness, internalization of societal beauty ideals, body image concerns, and disordered eating. Structural equation modeling revealed that ethnic identity was inversely, and societal pressures regarding thinness directly, related to internalization of societal beauty ideals. Societal pressures regarding thinness was also related to greater body image concerns. Both internalization of societal beauty ideals and body image concerns were positively associated with disordered eating (R2 = .79). Overall, the final model fit the data well, supporting its generalizability and the importance of ethnic identity in determining risk. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-discrepancy: A theory relating self and affect.

This article presents a theory of how different types of discrepancies between self-state representations are related to different kinds of emotional vulnerabilities. One domain of the self (actual; ideal; ought) and one standpoint on the self (own; significant other) constitute each type of self-state representation. It is proposed that different types of self-discrepancies represent different types of negative psychological situations that are associated with different kinds of discomfort. Discrepancies between the actual/own self-state (i.e., the self-concept) and ideal self-states (i.e., representations of an individual's beliefs about his or her own or a significant other's hopes, wishes, or aspirations for the individual) signify the absence of positive outcomes, which is associated with dejection-related emotions (e.g., disappointment, dissatisfaction, sadness). In contrast, discrepancies between the actual/own self-state and ought self-states (i.e., representations of an individual's beliefs about his or her own or a significant other's beliefs about the individual's duties, responsibilities, or obligations) signify the presence of negative outcomes, which is associated with agitation-related emotions (e.g., fear, threat, restlessness). Differences in both the relative magnitude and the accessibility of individuals' available types of self-discrepancies are predicted to be related to differences in the kinds of discomfort people are likely to experience. Correlational and experimental evidence supports the predictions of the model. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Risk factors for body dissatisfaction in adolescent girls: A longitudinal investigation.

Because few prospective studies have examined predictors of body dissatisfaction--an established risk factor for eating disorders--the authors tested whether a set of sociocultural, biological, interpersonal, and affective factors predicted increases in body dissatisfaction using longitudinal data from adolescent girls (N=496). Elevated adiposity, perceived pressure to be thin, thin-ideal internalization, and social support deficits predicted increases in body dissatisfaction, but early menarche, weight-related teasing, and depression did not. There was evidence of 2 distinct pathways to body dissatisfaction--1 involving pressure to be thin and 1 involving adiposity. Results support the contention that certain sociocultural, biological, and interpersonal factors increase the risk for body dissatisfaction, but suggest that other accepted risk factors are not related to this outcome. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Physical, psychological, and societal correlates of bulimic symptomatology among African American college women.

Although eating disorders have been the focus of considerable research, African American women generally have been overlooked, despite recent investigations indicating they also are at risk. In this study, the authors examined physical, psychological, and societal correlates of bulimic symptomatology in African American college women. Regression analysis revealed that body mass, body dissatisfaction, and low self-esteem were significantly related to bulimic symptomatology, accounting for 29% of the variance. Internalization of U.S. societal beliefs about attractiveness, level of identification with White culture, and level of depression, however, were not significant predictors of bulimic symptoms in the regression equation. The findings are discussed in the context of sociocultural approaches to understanding eating disorders. Implications for counseling interventions as well as directions for future research are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Body Image Concerns of Gay Men: The Roles of Minority Stress and Conformity to Masculine Norms.

The authors hypothesized that gay men's experiences of minority stress and their conformity to masculine norms would be associated with increased body image dissatisfaction and masculine body ideal distress. For this cross-sectional study, 357 gay males completed a Web-based survey, and 2 multiple regression analyses indicated that minority stress factors (i.e., internalized homophobia, expected stigma for being gay, and experiences of physical attack) were associated with body image dissatisfaction and masculine body ideal distress, accounting for 5% and 13% of the variance, respectively. Gay men's conformity to masculine norms was not associated with body image dissatisfaction but did uniquely explain an additional 3% of variance in masculine body ideal distress scores. The utility of the minority stress model, how traditional masculinity may contribute to gender-related presenting concerns, suggestions for developing and evaluating remedial and preventive interventions, limitations, and future research issues are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

How Has Body Image Changed? A Cross-Sectional Investigation of College Women and Men From 1983 to 2001.

Body-image dissatisfaction is not uncommon and can adversely affect individuals' psychosocial functioning and quality of life. Various oft-cited surveys and a meta-analysis implicate a worsening of body image over the past several decades, especially among women and possibly among men. The present cross-sectional study examined changes in multiple facets of body image among 3,127 college students from 1983 through 2001; the same standardized assessment was used in 22 studies conducted within the same university. Results confirmed non-Black women's increasing body-image dissatisfaction until the early or mid-1990s, after which significant improvements occurred in terms of overall body-image evaluation and overweight preoccupation among both non-Black and Black women, despite heavier body weights. A reduction over time in women's investment in their appearance was also evident. Men's body image was relatively stable during the 19-year period. Explanations, limitations, and implications of the findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dietary Restraint, Body Dissatisfaction, and Psychological Distress: A Prospective Analysis.

This study uses prospective data from a survey of 1,177 adolescent girls to examine whether emotional eating, binge eating, abnormal attitudes to eating and weight, low self-esteem, stress, and depression are associated with dietary restraint or body dissatisfaction. In analyses that included both restraint and body dissatisfaction as independent predictors, restraint was associated only with more negative attitudes to eating, whereas body dissatisfaction was significantly associated with all the adverse outcomes. These results cast doubt on the proposition that restrained eating is a primary cause of bulimic symptoms, emotional eating, and psychological distress seen in individuals who are trying to control their weight, and rather suggest that body dissatisfaction is the key factor. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correction to Dittmar, Halliwell, and Ive (2006).

Reports an error in "Does Barbie make girls want to be thin? The effect of experimental exposure to images of dolls on the body image of 5- to 8-year-old girls" by Helga Dittmar, Emma Halliwell and Suzanne Ive (Developmental Psychology, 2006 Mar, Vol 42[2], 283-292). A substantive error occurs in the Body shape dissatisfaction section on page 287. The sentence describing the calculation of body shape dissatisfaction scores from girls' responses to the Child Figure Rating Scale should instead read as follows: "A body shape dissatisfaction score was computed by subtracting the girl's actual from her ideal body size." (The following abstract of the original article appeared in record 2006-03514-007.) The ubiquitous Barbie doll was examined in the present study as a possible cause for young girls' body dissatisfaction. A total of 162 girls, from age 5 to age 8, were exposed to images of either Barbie dolls, Emme dolls (U.S. size 16), or no dolls (baseline control) and then completed assessments of body image. Girls exposed to Barbie reported lower body esteem and greater desire for a thinner body shape than girls in the other exposure conditions. However, this immediate negative impact of Barbie doll was no longer evident in the oldest girls. These findings imply that, even if dolls cease to function as aspirational role models for older girls, early exposure to dolls epitomizing an unrealistically thin body ideal may damage girls' body image, which would contribute to an increased risk of disordered eating and weight cycling. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Body-image perception in pre- and postadolescent females

The purpose of this study was to examine both perceived and ideal body-image to establish if the process of adolescence was a contributory factor. A distorting mirror and silhouette pictures were used to examine the image in two groups of 59 pre- and 41 postadolescent girls. The girls' perception of themselves was reasonably accurate yet both groups had a significantly slimmer mean ideal image, irrespective of adolescent status. The differences between the two groups were nonsignificant whether using the distorting mirror or the pictures. The only difference to be observed was when using a body-satisfaction scale. The postadolescents were significantly less satisfied about their nonhead body parts. Scores from the mirror and the pictures question the assumption that body-image dissatisfaction is a postadolescent phenomenon. This should be a cause for concern as eating disorders, which appear to be linked to body-image, are being observed in younger children. The comparability between scores for the pictures and the distorting mirror opens the possibility of home-based therapy in the treatment of perceptual and eating disorders.     

Assessment of body image dissatisfaction in obese women: Specificity, severity, and clinical significance.

This study assessed the specificity, severity, and clinical significance of body image dissatisfaction in 79 obese women using the Body Dysmorphic Disorder Examination—Self-Report (J. C. Rosen & J. Reiter, 1996). The vast majority of obese women demonstrated body image dissatisfaction related to their obesity, with almost half reporting the greatest dissatisfaction with their waist or abdomen. On average, they reported significantly more body image dissatisfaction than did 43 nonobese controls. The 2 groups did not differ on self-reported symptoms of depression or self-esteem. Body image dissatisfaction correlated significantly with reports of depressive symptoms and lower self-esteem but was not correlated with body mass index. Results are discussed in terms of the role of body image dissatisfaction in understanding and treating obese individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Moderators of the body dissatisfaction-eating disorder symptomatology relationship: Replication and extension.

In this study, research conducted by T. L. Tylka (2004) was replicated and extended by examining perfectionism (self-oriented and socially prescribed), ego goal orientation, body surveillance, and neuroticism as moderators of the relationship between body dissatisfaction and bulimic and anorexic symptomatology among female undergraduates (N = 398). Hierarchical moderated regression was used to test the main and interactive effects of the models and to control for physical size and social desirability. As expected, body dissatisfaction was strongly related to the measures of disordered eating, accounting for 16% to 26% of the variance. Two variables (neuroticism and body surveillance) received support as moderators of the relationships between body dissatisfaction and bulimic and anorexic symptoms. Ego goal orientation and socially prescribed perfectionism moderated the effects of body dissatisfaction on bulimic symptoms, whereas self-oriented perfectionism served as a moderator only for anorexic symptoms. In all instances, higher levels of body dissatisfaction paired with higher levels of the moderator were associated with more disturbed eating. (PsycINFO Database Record (c) 2010 APA, all rights reserved)