Sociocultural Appearance Standards and Risk Factors for Eating Disorders in Adolescents and Women of Various Ages

Overview

Journal Front Psychol

Date 2018 Apr 14

PMID 29651268

Citations 27

Authors

Bernadetta Izydorczyk

Katarzyna Sitnik-Warchulska

Affiliations

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Abstract

The main aim of the present study was to verify the level of impact of sociocultural appearance standards (passive awareness and active internalization) have on body dissatisfaction, the desire to engage in a relentless pursuit of thinness, the adoption of a perfectionistic attitude toward the body, and the development of a tendency to engage in bulimic eating behavior, which can develop in adolescent girls and women of varying ages. The study group comprised 234 individuals: 95 secondary school girls, 33 high school girls, 56 female students, and 50 employed women, all of whom were living in southern Poland. Participants were not diagnosed with any psychiatric disorders (including eating disorders). The variables were measured using the Polish version of Garner's Eating Disorder Inventory and the Polish Sociocultural Attitudes Towards Physical Appearance and Body Image Inventory [based on the SATAQ-3 (Sociocultural Attitudes Towards Appearance Questionnaire Scale-3)]. The findings revealed that the youngest Polish girls (aged 12-15) reported the highest level of risk factors for eating disorders. Among the entire study group, the internalization of appearance standards and the pressure associated with various media messages were determined to be predictors of the pursuit of thinness, regardless of age and body mass index values. The second most significant variable explained by the internalization of sociocultural standards was body dissatisfaction. The internalization of sociocultural norms provided a significant explanation of bulimic tendencies only in the youngest girls. Perfectionism proved not to be affected by the sociocultural impact of mass media. The adult women had the lowest average scores over the entire study population regarding exposure frequency to body images in mass media and regarding the experience of pressure exerted by sociocultural norms. The high level of internalization of sociocultural appearance standards seems to be significantly linked to body satisfaction in women aged 30 and older. Young adolescent girls constitute a high-risk group for a specific psychological proneness to developing eating disorders as a result of the sociocultural influence exerted by mass media. The obtained study results can prove helpful in creating education programs in preventive healthcare aimed particularly at the youngest adolescents.

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References

Stice E, Killen J, Hayward C, Taylor C . Support for the continuity hypothesis of bulimic pathology. J Consult Clin Psychol. 1998; 66(5):784-90. View

Mond J, Van Den Berg P, Boutelle K, Hannan P, Neumark-Sztainer D . Obesity, body dissatisfaction, and emotional well-being in early and late adolescence: findings from the project EAT study. J Adolesc Health. 2011; 48(4):373-8. PMC: 3214691. DOI: 10.1016/j.jadohealth.2010.07.022. View

Izydorczyk B, Rybicka-Klimczyk A . [Cognitive aspects of women's body image and eating disorders]. Endokrynol Pol. 2009; 60(4):287-94. View

McCabe M, Ricciardelli L . A longitudinal study of pubertal timing and extreme body change behaviors among adolescent boys and girls. Adolescence. 2004; 39(153):145-66. View

Knauss C, Paxton S, Alsaker F . Validation of the German version of the Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-G). Body Image. 2009; 6(2):113-20. DOI: 10.1016/j.bodyim.2009.01.002. View

Stice E, Marti C, Rohde P . Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol. 2012; 122(2):445-57. PMC: 3980846. DOI: 10.1037/a0030679. View

Swami V, Frederick D, Aavik T, Alcalay L, Allik J, Anderson D . The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: results of the international body project I. Pers Soc Psychol Bull. 2010; 36(3):309-25. DOI: 10.1177/0146167209359702. View

Mellor D, McCabe M, Ricciardelli L, Yeow J, Daliza N, Hapidzal N . Sociocultural influences on body dissatisfaction and body change behaviors among Malaysian adolescents. Body Image. 2009; 6(2):121-8. DOI: 10.1016/j.bodyim.2008.11.003. View

Stice E, Whitenton K . Risk factors for body dissatisfaction in adolescent girls: a longitudinal investigation. Dev Psychol. 2002; 38(5):669-78. DOI: 10.1037//0012-1649.38.5.669. View

10.

Bardone-Cone A, Lin S, Butler R . Perfectionism and Contingent Self-Worth in Relation to Disordered Eating and Anxiety. Behav Ther. 2017; 48(3):380-390. DOI: 10.1016/j.beth.2016.05.006. View

11.

Lawler M, Nixon E . Body dissatisfaction among adolescent boys and girls: the effects of body mass, peer appearance culture and internalization of appearance ideals. J Youth Adolesc. 2010; 40(1):59-71. DOI: 10.1007/s10964-009-9500-2. View

12.

Xu X, Mellor D, Kiehne M, Ricciardelli L, McCabe M, Xu Y . Body dissatisfaction, engagement in body change behaviors and sociocultural influences on body image among Chinese adolescents. Body Image. 2010; 7(2):156-64. DOI: 10.1016/j.bodyim.2009.11.003. View

13.

Grabe S, Ward L, Hyde J . The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies. Psychol Bull. 2008; 134(3):460-76. DOI: 10.1037/0033-2909.134.3.460. View

14.

McCabe M, Ricciardelli L . Sociocultural influences on body image and body changes among adolescent boys and girls. J Soc Psychol. 2003; 143(1):5-26. DOI: 10.1080/00224540309598428. View

15.

Hayes S, Tantleff-Dunn S . Am I too fat to be a princess? Examining the effects of popular children's media on young girls' body image. Br J Dev Psychol. 2010; 28(Pt 2):413-26. DOI: 10.1348/026151009x424240. View

16.

McCabe M, Ricciardelli L . Extreme weight change behaviours: are overweight and normal weight adolescents different, and does this vary over time?. Eur Eat Disord Rev. 2009; 17(4):301-14. DOI: 10.1002/erv.929. View

17.

Makinen M, Puukko-Viertomies L, Lindberg N, Siimes M, Aalberg V . Body dissatisfaction and body mass in girls and boys transitioning from early to mid-adolescence: additional role of self-esteem and eating habits. BMC Psychiatry. 2012; 12:35. PMC: 3370989. DOI: 10.1186/1471-244X-12-35. View

18.

Thompson J, Van Den Berg P, Roehrig M, Guarda A, Heinberg L . The sociocultural attitudes towards appearance scale-3 (SATAQ-3): development and validation. Int J Eat Disord. 2004; 35(3):293-304. DOI: 10.1002/eat.10257. View

19.

Zechowski C . [Polish version of Eating Disorder Inventory--Adaptation and normalization]. Psychiatr Pol. 2009; 42(2):179-93. View

20.

Stice E, SHAW H, Stein R . Relation of media exposure to eating disorder symptomatology: an examination of mediating mechanisms. J Abnorm Psychol. 1994; 103(4):836-40. DOI: 10.1037//0021-843x.103.4.836. View