Abstract
Stress is common during adolescence, yet no known studies have linked particular types of stress (performance, relationship, education, financial, and family) with disordered eating among adolescents in middle school. The present study investigated sex differences in types of stress and how multiple types of stress were associated with girls’ and boys’ body dissatisfaction, dieting behaviors, and bulimic symptoms. We found that girls reported higher levels of stress than boys and that different associations between stress and disordered eating existed for girls and boys. We also examined a path model for both sexes such that stress first led to body dissatisfaction, which then led to dieting and finally bulimic symptoms. Our model was supported for girls with performance, relationship, and family stress driving the process. For boys, all five types of stress were associated with body dissatisfaction, which was linked with dieting; however, the relation between dieting and bulimic symptoms was not significant. Future research and therapy should focus on the unique experiences of each sex in order to gain a better understanding of the processes involved in coping with stress and promoting healthy development.
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Ames, S. C., Offord, K. P., Nirelli, L. M., Patten, C. A., Friedrich, W. N., Decker, P. A., et al. (2005). Initial development of a new measure of minor stress for adolescents: The adolescent minor stress inventory. Journal of Youth and Adolescence, 34, 207–219. doi:10.1007/s10964-005-4303-6.
Ball, K., & Lee, C. (2000). Relationships between psychological stress, coping, and disordered eating: A review. Psychology and Health, 14, 1007–1035. doi:10.1080/08870440008407364.
Bastiani Archibald, A., Linver, M. R., Graber, J. A., & Brooks-Gunn, J. (2002). Parent-adolescent relationships and girls’ unhealthy eating: Testing reciprocal effects. Journal of Research on Adolescence, 12, 451–461.
Bennett, D. A., & Cooper, C. L. (1999). Eating disturbance as a manifestation of the stress process: A review of the literature. Stress Medicine, 15, 167–182. doi:10.1002/(SICI)1099-1700(199907)15:3<167:AID-SMI812>3.0.CO;2-7.
Berndt, T. J. (1982). The features and effects of friendship in early adolescence. Child Development, 53, 1447–1460. doi:10.2307/1130071.
Bray, J., Adams, G. J., Getz, J. G., & Stovall, T. (2001). Interactive effects of individuation, family factors, and stress on adolescent alcohol use. American Journal of Orthopsychiatry, 71, 436–449. doi:10.1037/0002-9432.71.4.436.
Bulik, C. M., Tozzi, F., Anderson, C., Mazzeo, S. E., Aggen, S., & Sullivan, P. F. (2003). The relation between eating disorders and components of perfectionism. American Journal of Psychiatry, 160, 366–368. doi:10.1176/appi.ajp.160.2.366.
Byrne, D. G., & Mazanov, J. (2001). Self-esteem, stress, and cigarette smoking in adolescents. Stress and Health, 17, 105–110. doi:10.1002/smi.885.
Cain, A. S., Bardone-Cone, A. M., Abramson, L. Y., Vohs, K. D., & Joiner, T. E. (2010). Prospectively predicting dietary restraint: The role of interpersonal self-efficacy, weight/shape self-efficacy, and interpersonal stress. International Journal of Eating Disorders, 43, 505–512. doi:10.1002/eat.20740.
Cattarin, J. A., & Thompson, J. K. (1994). A three-year longitudinal study of body image, eating disturbance, and general psychological functioning in adolescent females. Eating Disorders, 2, 114–125. doi:10.1080/10640269408249107.
Cohane, G. H., & Pope, H. G. (2001). Body image in boys: A review of the literature. International Journal of Eating Disorders, 29, 373–379. doi:10.1002/eat.1033.
Collins, M. E. (1991). Body figure perceptions and preferences among preadolescent children. International Journal of Eating Disorders, 10, 199–208. doi:10.1002/1098-108X(199103)10:2<199:AID-EAT2260100209>3.0.CO;2-D.
Felsten, G. (2002). Minor stressors and depressed mood: Reactivity is more strongly correlated than total stress. Stress and Health, 18, 75–81. doi:10.1002/smi.925.
Field, A., Camargo, C., Taylor, C. B., Berkey, C., Frazier, L., Gillman, M., et al. (1999). Overweight, weight concerns, and bulimic behaviors among girls and boys. Journal of the American Academy of Adolescent Psychiatry, 38, 754–760. doi:10.1097/00004583-199906000-00024.
Garcia-Grau, E., Fuste, A., Miro, A., Saldana, C., & Bados, A. (2004). Coping style and vulnerability to eating disorders in adolescent boys. European Eating Disorders Review, 12, 61–67. doi:10.1002/erv.550.
Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15–34. doi:10.1002/1098-108X(198321)2:2<15:AID-EAT2260020203>3.0.CO;2-6.
Grant, K. E., Compas, B. E., Stuhlmacher, A. F., Thurm, A. E., McMahon, S. D., & Gipson, P. Y. (2003). Stressors and child and adolescent psychopathology: Moving from markers to mechanisms of risk. Psychological Bulletin, 129, 447–466. doi:10.1037/0033-2909.129.3.447.
Gustafson-Larson, A. M., & Terry, R. D. (1992). Weight-related behaviors and concerns of fourth-grade children. Journal of the American Dietetic Association, 92, 818–822.
Hankin, B. L., Mermelstein, R., & Roesch, L. (2007). Sex differences in adolescent depression: Stress exposure and reactivity models. Child Development, 78, 279–295. doi:10.1111/j.1467-8624.2007.00997.x.
Hawkins, R. C., I. I., & Clement, P. F. (1984). Binge eating: Measurement problems and a conceptual model. In R. C. Hawkins, W. J. Fremnouw, & P. F. Clement (Eds.), The binge purge syndrome: Diagnosis, treatment, and research (pp. 229–251). New York: Springer.
Hewitt, P. L., Caelian, C. F., Flett, G. L., Sherry, S. B., Collins, L., & Flynn, C. A. (2002). Perfectionism in children: Associations with depression, anxiety, and anger. Personality and Individual Differences, 32, 1049–1061. doi:10.1016/S0191-8869(01)00109-X.
Johnson, F., & Wardle, J. (2005). Dietary restraint, body dissatisfaction, and psychological distress: A prospective analysis. Journal of Abnormal Psychology, 114, 119–125. doi:10.1037/0021-843X.114.1.119.
Jose, P. E., & Brown, I. (2008). When does the gender difference in rumination begin? Gender and age differences in the use of rumination by adolescents. Journal of Youth and Adolescence, 37, 180–192. doi:10.1007/s10964-006-9166-y.
Kagan, D. M., & Squires, R. L. (1983). Dieting, compulsive eating, and feelings of failure among adolescents. International Journal of Eating Disorders, 3, 15–26. doi:10.1002/1098-108X(198323)3:1<15:AID-EAT2260030103>3.0.CO;2-0.
Kanner, A. D., Feldman, S. S., Weinberger, D. A., & Ford, M. (1987). Uplifts, hassles, and adaptational outcomes in early adolescents. Journal of Early Adolescence, 7, 371–394. doi:10.1177/0272431687074002.
Larson, R., & Richards, M. H. (1991). Daily companionship in late childhood and early adolescence: Changing developmental contexts. Child Development, 62, 284–300. doi:10.2307/1131003.
LaRue, D. E., & Herrman, J. W. (2008). Adolescent stress through the eyes of high-risk teens. Pediatric Nursing, 34(5), 375–380.
McCabe, M. P., & Ricciardelli, L. A. (2001). Body image and body change techniques among young adolescent boys. European Eating Disorders Review, 9, 335–347. doi:10.1002/erv.389.
McCabe, M. P., Ricciardelli, L. A., & Finemore, J. (2003). The role of puberty, media and popularity with peers on strategies to increase weight, decrease weight and increase muscle tone among adolescent boys and girls. Journal of Psychosomatic Research, 52, 145–154. doi:10.1016/S0022-3999(01)00272-0.
McCarthy, M. (1990). The thin ideal, depression, and eating disorders in women. Behavioral Research and Therapy, 28, 205–218. doi:10.1016/0005-7967(90)90003-2.
Muise, A. M., Stein, D. G., & Arbess, G. (2003). Eating disorders in adolescent boys: A review of the adolescent and young adult literature. Journal of Adolescent Health, 33, 427–435. doi:10.1016/S1054-139X(03)00060-0.
Nguyen-Rodriguez, S. T., Chou, C., Unger, J. B., & Spruijt-Metz, D. (2008). BMI as a moderator of perceived stress and emotion eating in adolescents. Eating Behaviors, 9, 238–246. doi:10.1016/j.eatbeh.2007.09.001.
Okon, D. M., Greene, A. L., & Smith, J. E. (2003). Family interactions predict intraindividual symptom variation for adolescents with bulimia. International Journal of Eating Disorders, 34, 450–457. doi:10.1002/eat.10215.
Paxton, S. J., Wertheim, E. H., Gibbons, K., Szmukler, G. I., Hiller, L., & Petrovich, J. L. (1991). Body image satisfaction, dieting beliefs, and weight loss behaviors in adolescent girls and boys. Journal of Youth and Adolescence, 20, 361–379. doi:10.1007/BF01537402.
Ricciardelli, L. A., & McCabe, M. P. (2001). Children’s body image concerns and eating disturbances: A review of the literature. Clinical Psychology Review, 21, 325–344. doi:10.1016/S0272-7358(99)00051-3.
Rosen, J. C., Tacy, B., & Howell, D. (1990). Life stress, psychological symptoms and weight reducing behavior in adolescent girls: A prospective analysis. International Journal of Eating Disorders, 9, 17–26. doi:10.1002/1098-108X(199001)9:1<17:AID-EAT2260090103>3.0.CO;2-F.
Rudolph, K. D., & Hammen, C. (1999). Age and gender as determinants of stress exposure, generation, and reactions in youngsters: A transactional perspective. Child Development, 70, 660–677. doi:10.1111/1467-8624.00048.
Schur, E. A., Sanders, M., & Steiner, H. (2000). Body dissatisfaction and dieting in young children. International Journal of Eating Disorders, 27, 74–82. doi:10.1002/(SICI)1098-108X(200001)27:1<74:AID-EAT8>3.0.CO;2-K.
Seiffge-Krenke, I. (2000). Causal links between stressful events, coping style, and adolescent symptomatology. Journal of Adolescence, 23, 675–691. doi:10.1006/jado.2000.0352.
Sharpe, T. M., Ryst, E., Hinshaw, S. P., & Steiner, H. (1997). Reports of stress: A comparison between eating disordered and non-eating disordered adolescents. Child Psychiatry and Human Development, 28, 117–132. doi:10.1023/A:1025145403313.
Shepherd, H., & Ricciardelli, L. A. (1998). Test of Stice’s dual pathway model: Dietary restraint and negative affect as mediators of bulimic behaviors. Behavior Research and Therapy, 36, 345–352.
Steinberg, L., & Morris, A. S. (2001). Adolescent development. Annual Review of Psychology, 52, 83–110. doi:10.1146/annurev.psych.52.1.83.
Stice, E. (1994). A review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms in action. Clinical Psychology Review, 14, 633–661. doi:10.1016/0272-7358(94)90002-7.
Stice, E. (2001). A prospective test of the dual-pathway model of bulimic pathology: Mediating effects of dieting and negative affect. Journal of Abnormal Psychology, 110, 124–135. doi:10.1037/0021-843X.110.1.124.
Stice, E. (2002). Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin, 128, 825–848. doi:10.1037/0033-2909.128.5.825.
Stice, E., Killen, J. D., Hayward, C., & Taylor, C. B. (1998). Age of onset for binge eating and purging during late adolescence: A 4-year survival analysis. Journal of Abnormal Psychology, 107, 671–675. doi:10.1037/0021-843X.107.4.671.
Stice, E., & Shaw, H. E. (1994). Adverse effects of the media portrayed thin-ideal on women and linkages to bulimic symptomatology. Journal of Social and Clinical Psychology, 13, 288–308.
Stice, E., Ziemba, C., Margolis, J., & Flick, P. (1996). The dual pathway model differentiates bulimics, subclinical bulimics, and controls: Testing the continuity hypothesis. Behavior Therapy, 27, 531–549. doi:10.1016/S0005-7894(96)80042-6.
Tiggemann, M. (2001). The impact of adolescent girls’ life concerns and leisure activities on body dissatisfaction, disordered eating, and self-esteem. The Journal of Genetic Psychology, 162, 133–142. doi:10.1080/00221320109597955.
van Strien, T., Frijters, J. E. R., Bergers, G. P. A., & Defares, P. B. (1986). The Dutch eating behavior questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 5, 295–315. doi:10.1002/1098-108X(198602)5:2<295:AID-EAT2260050209>3.0.CO;2-T.
Wagner, B. M., & Compas, B. E. (1990). Gender, instrumentality, and expressivity: Moderators of the relation between stress and psychological symptoms during adolescence. American Journal of Community Psychology, 18, 383–406. doi:10.1007/BF00938114.
Wolff, G. E., Crosby, R. D., Roberts, J. A., & Wittrock, D. A. (2000). Differences in daily stress, mood, coping, and eating behavior in binge eating and nonbinge eating college women. Addictive Behaviors, 25, 205–216. doi:10.1016/S0306-4603(99)00049-0.
Wood, K. C., Becker, J. A., & Thompson, J. K. (1996). Body image dissatisfaction in preadolescent children. Journal of Applied Developmental Psychology, 17, 85–100. doi:10.1016/S0193-3973(96)90007-6.
Yacono Freeman, L. M., & Gil, K. M. (2004). Daily stress, coping, and dietary restraint in binge eating. International Journal of Eating Disorders, 36, 204–212. doi:10.1002/eat.20012.
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Blodgett Salafia, E.H., Lemer, J.L. Associations Between Multiple Types of Stress and Disordered Eating Among Girls and Boys in Middle School. J Child Fam Stud 21, 148–157 (2012). https://doi.org/10.1007/s10826-011-9458-z
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DOI: https://doi.org/10.1007/s10826-011-9458-z