Abstract
Purpose
The differential prevalence of eating disorders in males and females can be explained by the impact of gender-role orientations. Inside the Italian socio-cultural context, gender socialization can be influenced by stereotypical gender beliefs, and this may contribute to the psychological distress of individuals who identify with discrepant gender roles from their biological sex. Our study explored, within the Italian context, the potential moderating effect of masculinity and femininity on the relationships between gender and attitudes about body and eating.
Methods
Nine hundred and twenty Italian male and female adolescents (M = 427, F = 493; age 14–21 years) completed the Eating Disorder Inventory-2 (EDI-2) and the Bem Sex-Role Inventory (BSRI).
Results
A moderating effect of gender role on the relationship between gender and bulimia, and drive of thinness emerged. Girls with higher levels of masculinity scored higher on bulimia than did their counterparts with lower levels, and boys with higher levels of femininity scored higher on bulimia and on drive for thinness than did their counterparts with lower levels. Data did not reveal a moderating effect of gender role on the relationship between gender and body satisfaction.
Conclusions
Our data suggest that adolescents who endorsed a gender role that is socially considered discrepant from their biological sex (girls with higher levels of masculinity and boys with higher levels of femininity) are more likely to show higher level of bulimia and drive of thinness. This suggests the need for prevention and treatment programmes for eating disorders that take into account individuals’ gender-role orientation and the influence that culturally dominant gender beliefs can exert on it.
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References
Cuzzocrea F, Costa S, Larcan R, Rosano M (2013) Are personality and eating behaviours related to non-clinical males and females adolescents? IJAP 2:166–171. doi:10.14355/ijap.2013.0203.03.
Lampis J, Agus M, Cacciarru B (2014) Quality of family relationships as protective factors of eating disorders: an investigation amongst Italian teenagers. ARQOL 9:309–324. doi:10.1007/s11482-013-9234-x
Pruneti C, Fontana F, Donalizio M et al (2004) Comportamento alimentare e immagine corporea. Studio epidemiologico su 4243 studenti italiani di scuole medie superiori e inferiori [Eating behaviours and body image. An epidemiological study of 4,243 Italian students in middle and high school]. Minerva Pediatrica 56:395–410
Jaeger B, Ruggiero GM, Edlund B et al (2002) Body dissatisfaction and its interrelations with other risk factors for bulimia nervosa in 12 countries. Psychother Psychosom 71:54–61
Cohn L, Lemberg R (2014) Current findings on males with eating disorders. Routledge, Philadelphia
Murray SB, Rieger E, Karlov L, Touyz SW (2013) Masculinity and femininity in the divergence of male body image concerns. J Eat Disord 1:11–25. doi:10.1186/2050-2974-1-11
Olivardia R, Pope HG, Mangweth B, Hudson JI (1995) Eating disorders in college men. Am J Psychiat 152:1279–1285
Crisp AH, Gowers S, Joughin N et al (2006) Anorexia nervosa in males: Similarities and differences to anorexia nervosa in females. Eur Eat Disord Rev 14:163–167
Muth JL, Cash TF (1997) Body-image attitudes: What difference does gender make? J Appl Soc Psychol 27:1438–1452. doi:10.1111/j.1559-1816.1997.tb01607.x
Núñez-Navarro A, Agüera Z, Krug S et al (2012) Do men with eating disorders differ from women in clinics, psychopathology and personality? Eur Eat Disord Rev 20:23–31. doi:10.1002/erv.1146
Halliwell E, Dittmar H (2003) A qualitative investigation of women’s and men’s body image concerns and their attitudes toward aging. Sex Roles 49:675–684. doi:10.1023/B:SERS.0000003137.71080.97
Kashubeck-West S, Mintz LB, Weigold I (2005) Separating the effects of gender and weight-loss desire on body satisfaction and disordered eating behavior. Sex Roles 53:505–518. doi:10.1007/s11199-005-7138-4
Anderson CB, Bulik CM (2004) Gender differences in compensatory behaviors, weight and shape salience, and drive for thinness. Eat Behav 5:1–11. doi:10.1016/j.eatbeh.2003.07.001
Kjelsås E, Augestad LB, Götestam KG (2003) Exercise dependence in physically active women. Eur J Psychiat 17:145–155
Shea M, Pritchard ME (2007) Is self-esteem the primary predictor of disordered eating? Pers Indiv Differ 42:1527–1537. doi:10.1016/j.paid.2006.10.026
Abbate-Daga G, Gramaglia C, Malfi G, Fassino P (2007) Eating problems and personality traits. An Italian pilot study among 992 high school students. Eur Eat Disord Rev 15:471–478. doi:10.1002/erv.770
Ruggiero GM, Hannöver W, Mantero M, Papa R (2000) Body acceptance and culture: a study in northern and southern Italy. Eur Eat Disord Rev 8:40–50. doi:10.1002/(SICI)1099-0968(200002)8:1
Mautner RD, Owen SD, Furnham A (2000) Cross cultural explanations of body image disturbance in western cultural samples. Int J Eat Disorder 28:165–172. doi:10.1002/1098-108X(200009)28
Miotto P, De Coppi M, Frezza M, Preti A (2003) Eating disorders and suicide risk factors in adolescents: an Italian community-based study. J Nerv Ment Dis 191:437–443
Lakkis J, Ricciardelli LA, Williams RJ (1999) Role of sexual orientation and gender-related traits in disordered eating. Sex Roles 41:1–16. doi:10.1023/A:1018829506907
Thomas K, Ricciardelli LA, Williams RJ (2000) Gender traits and self-concept as indicators of problem eating and body dissatisfaction among children. Sex Roles 43:441–458. doi:10.1023/A:1007163331749
Meyer C, Blissett J, Oldfield C (2001) Sexual orientation and eating psychopathology: the role of masculinity and femininity. Int J Eat Disord 29:314–318. doi:10.1002/eat.1024
Bekker MHJ, Boselie KAHM (2002) Gender and stress: is gender role stress? A re-examination of the relationship between feminine gender role stress and eating disorders. Stress Health 18:141–149. doi:10.1002/smi.933
Hepp U, Spindler A, Milos G (2005) Eating disorder symptomatology and gender role orientation. Int J Eat Disord 37:227–233. doi:10.1002/eat.20087
Lopez V, Corona R, Halfond R (2013) Effects of gender, media influences, and traditional gender role orientation on disordered eating and appearance concerns among Latino adolescents. J Adolesc 36:727–736
Monaghan, LFA, Malson HB (2013) It’s worse for women and girls: Negotiating embodied masculinities through weight-related talk. Critical. Public Health 23:304–319. doi:10.1080/09581596.2012.754843
Griffiths SA, Murray SB, Touyz SC (2015). Extending the masculinity hypothesis: an investigation of gender role conformity, body dissatisfaction, and disordered eating in young heterosexual men. Psychol Men Masculin 16:108–114. doi:10.1037/a0035958.
Sanchez DT, Crocker J, Boike KR (2005) Doing gender in the bedroom: Investing in gender norms and the sexual experience. Pers Soc Psychol B 31:1445–1455. doi:10.1177/0146167205277333
Bem SL (1981) Bem sex role inventory: professional manual. Consulting Psychologists Press, Palo Alto
Jackson LA, Sullivan LA, Rostker R (1988) Gender, gender role, and body image. Sex Roles 19:429–442. doi:10.1007/BF00289717
Hepp U, Milos G (2002) Gender identity disorder and eating disorders. Int J Eat Disord 32:473–478. doi:10.1002/eat.10090
Behar R, de la Barrera M, Michelotti J (2001) Gender identity and eating disorders. Revista Médica de Chile 129:1003–1011. doi:10.4067/S0034-98872001000900005
Murray SB, Touyz SW (2012) Masculinity, femininity and male body image: A recipe for future research. Int J Ment Health 11:227–239. doi:10.3149/jmh.1103.227
Pritchard M (2008) Disordered eating in undergraduates: Does gender role orientation influence men and women the same way? Sex Roles 59:282–289. doi:10.1007/s11199-008-9449-8
Cotrufo P, Iannaccone M, Cella S (2012) Biological gender, sexual orientation and gender role in eating disorders. In Jáuregui Lobera I (ed) Relevant topics in eating disorders (pp. 65–82). Intech Publisher, Rijeka
Murray SB, Rieger E, Hildebrandt T et al (2012) A comparison of eating, exercise, shape, and weight related symptomatology in males with muscle dysmorphia and anorexia nervosa. Body Image 9:193–200. doi:10.1016/j.bodyim.2012.01.008
Blashill AJ (2011) Gender roles, eating pathology, and body dissatisfaction in men: a meta-analysis. Body Image 8:1–11. doi:10.1016/j.bodyim.2010.09.002
Murnen SK, Smolak L (1997) Femininity, masculinity, and disordered eating: a meta-analytic review. Int J Eat Disord 22:231–242. doi:10.1002/(SICI)1098-108X(199711)22:3<231::AID-EAT2>3.0.CO;2-O
Johnson HD, Lamont J, Monacelli J, Vojick A (2004) Sex-role orientation associations with college students’ body image preferences. Percept Motor Skill 99:995–998. doi:10.2466/ps.99.3.995-998
Murray SB, Rieger E, Karlov L, Touyz SW (2013) Masculinity and femininity in the divergence of male body image concerns. J Eat Disord. doi:10.1186/2050-2974-1-11
Silverstein B, Carpman S, Perlick D, Perdue L (1990) Nontraditional sex role aspirations, gender identity conflict, and disordered eating among college women. Sex Roles 23:687–695. doi:10.1007/BF00289256
Cantrell PJ, Ellis JB (1991) Gender role and risk patterns for eating disorders in men and women. J Clin Psychol 47:53–57
Klingenspor B (2002) Gender-related self-discrepancies and bulimic eating behavior. Sex Roles 24:51–64. doi:10.1023/A:1020631703798
Klingenspor B (1994) Gender identity and bulimic eating behavior. Sex Roles 31:407–431. doi:10.1007/BF01544198
Cella S, Iannaccone M, Cotrufo P (2013) Influence of gender role orientation (masculinity versus femininity) on body satisfaction and eating attitudes in homosexuals, heterosexuals and transsexuals. Eat Weight Disord 18:115–124. doi:10.1007/s40519-013-0017-z
De Leo D, Villa A (1986) Il problema del rilevamento delle tipologie sessuali ed il Bem Sex Role Inventory [The problem of the detection of sexual typologies and the Bem Sex Role Inventory]. Firenze: OS Organizzazioni Speciali
Garner DM (1991) Eating disorder inventory-2. professional manual. Psychological Assessment Resources, Odessa
Rizzardi M, Trombini E, Trombini G (1995) EDI-2, Eating Disorder Inventory-2. [Italian adaptation]. Firenze: OS Organizzazioni Speciali
Warner RM (2012) Applied statistics: from bivariate through multivariate techniques. SAGE, Los Angeles
Ruggiero GM, Prandin M, Mantero M (2003) Eating disorders in Italy: a historical review. Eur Eat Disord Rev 9:292–300. doi:10.1002/erv.438
Tager D, Good GE (2005) Italian and American masculinities: A comparison of masculine gender role norms in university students. Psychol Men Masculin 6:264–274. doi:10.1037/1524-9220.6.4.264
Butler J (2004) Undoing gender. Routledge, New York and London
Paladino MP, Zaniboni S, Fasoli F et al (2014) Why did Italians protest against Berlusconi’s sexist behaviour? The role of sexist beliefs and emotional reactions in explaining women and men’s pathways to protest. Br J Soc Psychol 53:201–206. doi:10.1111/bjso.12023
Dakanalis A, Di Mattei VE, Prunas A et al (2012). Il corpo oggettivato: media, benessere psicofisico e differenze di genere [The objectified body: media, psycological and physical well being and gender differences]. Psicologia Sociale:2:261–284. doi:10.1482/37698
Boskind-Lodahl M (1976). Cinderella’s stepsisters: a feminist perspective on anorexia nervosa and bulimia. J Women Cult Soc 2:343–356
Paxton SJ, Sculthorpe A (1991) Disordered eating and sex role characteristics in young women: implications for sociocultural theories of disturbed eating. Sex Roles 24:587–598. doi:10.1007/BF00288415
Bruch H (1974) Eating disorders: obesity, anorexia nervosa and bulimia. Basic Books, New York
Robins RW, Trzesniewski KH (2005) Self-esteem development across the lifespan. Curr Dir. Psychol Sci 14:158–163. doi:10.1111/j.0963-7214.2005.00353.x
Gilbert N, Meyer C (2005) Fear of negative evaluation and the development of eating psychopathology: a longitudinal study among nonclinical women. Int J Eat Disorder 37(4):307–312. doi:10.1002/eat.20103
Shea M, Pritchard ME (2007) Is self-esteem the primary predictor of disordered eating? Personality Individ Differ 42:1527–1537. doi:10.1016/j.paid.2006.10.026
van den Berg PA, Mond J, Eisenberg M et al (2010) The link between body dissatisfaction and self-esteem in adolescents: similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. J Adolesc Health 47:290–296. doi:10.1016/j.jadohealth.2010.02.004.62
Tata P, Fox J, Cooper J (2001) An investigation into the influence of gender and parenting styles on excessive exercise and disordered eating. Eur Eat Disord Rev 9(3):194–206
Hsiu-Lan C., Mallinckrodt B. (2009) Parental bonds, Anxious attachment, media internalization, and body image dissatisfaction: exploring a mediation model. J Couns Psycho 56(3):365–375. doi:10.1037/a0015067
Haworth-Hoeppner S (2000) The critical shake of body image: the role of culture and family in the production of eating disorders. J Marriage Fam 62:212–227
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Lampis, J., Cataudella, S., Busonera, A. et al. The moderating effect of gender role on the relationships between gender and attitudes about body and eating in a sample of Italian adolescents. Eat Weight Disord 24, 3–11 (2019). https://doi.org/10.1007/s40519-017-0372-2
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DOI: https://doi.org/10.1007/s40519-017-0372-2