Body image dissatisfaction and eating symptoms in mothers of adolescents with eating disorders

  • A. Weisz Cobelo
  • C. de Chermont Prochnik Estima
  • E. Yoshio Nakano
  • M. Aparecida Conti
  • T. Athanássios Cordás
Original Research Paper


The purpose of the present study was to assess body dissatisfaction and eating symptoms in mothers of eating disorder (ED) female patients and to compare results with those of a control group. The case group consisted of 35 mothers of female adolescents (aged between 10 and 17 yrs) diagnosed with ED who attended the Interdisciplinary Project for Care, Teaching and Research on Eating Disorders in Childhood and Adolescence (PROTAD) at Clínicas Hospital Institute of Psychiatry of the Universidade de São Paulo Medical School. Demographic and socioeconomic data were collected. Eating symptoms were assessed using the Eating Attitudes Test (EAT-26) and body image was assessed by the Body Image Questionnaire (BSQ) and Stunkard Figure Rating Scale (FRS). The case group was compared to a control group consisting of 35 mothers of female adolescents (between 10 and 17 years) who attended a private school in the city of São Paulo, southeastern Brazil. With regard to EAT, BSQ and FRS scores, we found no statistically significant differences between the two groups. However, we found a positive correlation between BMI and BSQ scores in the control group (but not in the case group) and a positive correlation between EAT and FRS scores in the case group (but not in the control group). It appears to be advantageous to assess body image by combining more than one scale to evaluate additional components of the construct.

Key words

Body image eating disorders family mothers adolescence 


  1. 1.
    American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 4th ed. Washington DC, 1994.Google Scholar
  2. 2.
    American Psychiatric Association (APA). Practice Guidelines for the Treatment of Patients with Eating Disorders. Third Ed. Psychiatric Practice section of the APA, 2006.Google Scholar
  3. 3.
    Gual P, Perez-Gaspar M, Martinez-Gonzalez MA, et al. Self-esteem, personality, and eating disorders. Int J Eat Disord 2002; 31: 261–73.CrossRefPubMedGoogle Scholar
  4. 4.
    Ledoux S, Choquet M, Flament M. Eating disorders among adolescents in an unselected French population. Int J Eat Disord 1991; 10: 81–9.CrossRefGoogle Scholar
  5. 5.
    Kjelsas E, Bjornostrom C, Gotestam KG. Prevalence of eating disorders in female and male adolescents (14–15 years). Eat Behav 2004; 5: 13–25.CrossRefPubMedGoogle Scholar
  6. 6.
    Moya T, Fleitlich-Bilyk B. Lista de espera para tratamento de transtornos alimentares na infância e na adolescência. Rev Bras Psiquiatr 2003; 25: 259–60.PubMedGoogle Scholar
  7. 7.
    Treasure J, Szmukler GL. Medical complications of chronic anorexia nervosa. In: Szmukler GL, Dare C, Treasure J (Eds). Handbook of eating disorders. Chichester, JohnWiley & Sons, 1995, pp 197–220.Google Scholar
  8. 8.
    Angel CMA. Anorexia Nervosa de inicio en la niñez. In: Moreno LR, Cava G (Eds) Anorexia nerviosa. Barcelona, Ariel Ciencias Médicas, 2003, pp 289–303.Google Scholar
  9. 9.
    Cobelo A. O papel da família no comportamento alimentar e nos transtornos alimentares. In: Alvarenga M, Philippi S (Eds) Transtornos alimentares: uma visão nutricional. São Paulo, Editora Manole, 2004, pp 119–29.Google Scholar
  10. 10.
    Borzekowski DLG, Bayer MHS. Body Image and Media, use among adolescents. Adolesc Med Clin 2005; 16: 289–313.CrossRefPubMedGoogle Scholar
  11. 11.
    Cash TF, Pruzinsky T. Body Image: a handbook of theory, research, and clinical practice. New York, Guilford Press, 2002.Google Scholar
  12. 12.
    Aranda FF, Gil VT. Complicaciones físicas de los trastornos de alimentación. In: Aranda FF, Gil VT (Eds) Trastornos de la alimentación. Guía básica de tratamiento en anorexia y bulimia. Barcelona, Editora Masson, 1998, pp 37–49.Google Scholar
  13. 13.
    Benninghoven D, Testch N, Kunzendorf S, et al. Body image in patients with eating disorders and their mothers, and the role of family functioning. Compr Psychiatry 2007; 48: 118–23.CrossRefPubMedGoogle Scholar
  14. 14.
    Scagliusi FB, Alvarenga M, Polacow VO, et al. Concurrent and discriminant validity of the Stunkard’s figure rating scale adapted into Portuguese. Appetite 2006; 47: 77–82.CrossRefPubMedGoogle Scholar
  15. 15.
    Garcia de Amusquibar AM, De Simone DJ. Some features of mothers of patients with eating disorders. Eat Weight Disord 2003; 8: 225–30.CrossRefGoogle Scholar
  16. 16.
    Whelan E, Cooper PJ. The association between childhood feeding problems and maternal eating disorder: a community study. Psychol Med 2000; 30: 69–77.CrossRefPubMedGoogle Scholar
  17. 17.
    Cooley E, Toray T, Wang MC, et al. Maternal effects on daughters eating pathology and body image. Eat Behav 2008; 9: 52–61.CrossRefPubMedGoogle Scholar
  18. 18.
    Melin P, Araújo AM. Transtornos alimentares em homens: um desafio diagnóstico. Rev Bras Psiquiatr 2002; 24 (Suppl 3): 73–6.CrossRefGoogle Scholar
  19. 19.
    Associação Nacional de Empresas de Pesquisas (ANEP), 2000
  20. 20.
    Garner DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptom of Anorexia Nervosa. Psychol Med 1979; 9: 273–9.CrossRefPubMedGoogle Scholar
  21. 21.
    Nunes MA, Camey S, Olinto MTA, et al. The validity and 4-year test-retest reliability of the brazilian version of the Eating Attitudes Test-26. Brazilian J Med Biol Res 2005; 38: 1655–62.CrossRefGoogle Scholar
  22. 22.
    Cooper PJ, Taylor M, Cooper Z, et al. The development and validation of the Body Shape Questionnaire. Int J Eat Disord 1987; 6: 485–94.CrossRefGoogle Scholar
  23. 23.
    Cordás TA, Castilho S. Imagem corporal nos transtornos alimentares Instrumento de avaliação: Body Shape Questionnaire. Psiquiat Biol 1994; 2: 17–21.Google Scholar
  24. 24.
    Conti MA, Latorre MRDO, Cordas TA. Estudo de validade e confiabilidade da versão brasileira do Questionário de Imagem Corporal — BSQ — “Body Shape Questionnaire” para adolescentes. Rev Brasil Saúde Materno Infantil (submetido).Google Scholar
  25. 25.
    Stunkard AJ, Sorenson T, Schulsinger F. Use of Danish adoption register for the study of obesity and thinness. In: Kety S, Rowland LP, Sidamn RL, et al (Eds) The Genetics of Neurological and Psychiatric Disorders. New York, Raven Press, 1983, pp 115–20.Google Scholar
  26. 26.
    Cooley E, Toray T, Wang MC, et al. Maternal effects on daughters eating pathology and body image. Eat Behav 2008; 9: 52–61.CrossRefPubMedGoogle Scholar
  27. 27.
    Vander Wal JS, Thelen MH. Predictors of body image dissatisfaction in elementary-age school girls. Eat Behav 2000; 1: 105–22.CrossRefPubMedGoogle Scholar
  28. 28.
    Cash TF, Pruzinsky T. Body Images, development, deviance, and change. New York, Guilford Press, 1990.Google Scholar
  29. 29.
    Neighbors LA, Sobal J. Prevalence and magnitude of body weight and shape dissatisfaction among university students. Eat Behav 2007; 8: 429–39.CrossRefPubMedGoogle Scholar
  30. 30.
    Mc Laren L, Khu D. Women’s body dissatisfaction, social class, and social mobility. Soc Sci Med 2004; 58: 1575–84.CrossRefGoogle Scholar
  31. 31.
    Paquette MC, Raine K. Sociocultural context of women’s body image. Soc Sci Med 2004; 59: 1047–58.CrossRefPubMedGoogle Scholar
  32. 32.
    Almeida GAN, Santos JE, Pasian SR, et al. Percepção do tamanho e a forma corporal de mulheres: estudo exploratório. Psicol Estud 2005; 1: 27–35.CrossRefGoogle Scholar
  33. 33.
    Conti MA. A imagem corporal de adolescentes: validação e reprodutibilidade de instrumentos [tese doutorado]. São Paulo, Faculdade de Saúde Publica, 2007.Google Scholar
  34. 34.
    Cash TF, Deagle EA. The nature and extent of body image disturbances. In: anorexia and bulimia nervosa: a meta-analysis. J Eat Disord 1997; 22: 107–25.Google Scholar
  35. 35.
    Rosen JC. Cognitive behavioral body image therapy. In: Garner D, Garfinkel P (Eds) Handbook of treatment for eating disorders. New York, Guilford Press, 1997, pp 188–203.Google Scholar

Copyright information

© Editrice Kurtis 2010

Authors and Affiliations

  • A. Weisz Cobelo
    • 1
  • C. de Chermont Prochnik Estima
    • 2
  • E. Yoshio Nakano
    • 3
  • M. Aparecida Conti
    • 4
  • T. Athanássios Cordás
    • 5
  1. 1.PROTAD - Interdisciplinary Project for Care, Teaching, and Research on Eating Disorders in Childhood and Adolescence. Clínicas Hospital Institute of Psychiatry (HC - IPQ)Universidade de São Paulo Medical School (FMUSP)São PauloBrazil
  2. 2.Interunits Doctoral Program in Applied Human Nutrition at PRONUT, USPFederal University of Rio de Janeiro (UFRJ)Brazil
  3. 3.Department of StatisticsUniversity of BrasíliaBrasíliaBrazil
  4. 4.AMBULIM - Bulimia and Eating Disorders Center - HC - IPQ-FMUSPBrazil
  6. 6.AMBULIM - Instituto de Psiquiatria da Faculdade de Medicina - USP. Rua: Dr. Ouvídio Pires de CamposSão PauloBrazil

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