Journal of Youth and Adolescence

, Volume 39, Issue 4, pp 393–402 | Cite as

Depression as a Moderator of Sociocultural Influences on Eating Disorder Symptoms in Adolescent Females and Males

  • Rachel F. Rodgers
  • Susan J. Paxton
  • Henri Chabrol
Empirical Research


This study aimed to explore the role of depression as a moderator of sociocultural influences on eating disorder symptoms. A sample of 509 adolescents (56% female) completed self-report questionnaires assessing depression, body dissatisfaction, drive for thinness, bulimic symptoms and sociocultural influences on appearance from family, peers and the media. Both girls and boys displaying high levels of depressive symptoms perceived stronger media and peer influences on appearance. Among girls, eating disorder symptoms were directly affected by sociocultural influences, in particular media influences, as well as by depression. However, depression played only a limited role as a moderator of these relationships. Among boys, sociocultural influences and depression revealed fewer direct effects on eating disorder symptoms. However, depression had a greater moderating effect on these relationships. Future research into the role of depression may increase the understanding of gender differences in body dissatisfaction, drive for thinness and bulimic symptoms.


Depression Sociocultural influences Body dissatisfaction Drive for thinness Bulimia Adolescence 


  1. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. CA: Sage.Google Scholar
  2. Archinard, M., Rouget, P., Painot, D., & Liengne, C. (1996). In M. Bouvard & J. Cottraux (Eds.), Protocoles et échelles d’évaluation en psychiatrie et en psychologie. Paris: Masson.Google Scholar
  3. Ata, R. N., Bryant Ludden, A., & Lally, M. M. (2007). The effects of gender and family, friend, and media influences on eating behaviors and body image during adolescence. Journal of Youth and Adolescence, 36, 1024–1037.CrossRefGoogle Scholar
  4. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.CrossRefPubMedGoogle Scholar
  5. Chabrol, H., Montovany, A., Chouicha, K., Ducongé, E., Massot, E., & Kallmeyer, A. (2002). Etude de la CES-D dans un échantillon de 1953 adolescents scolarisés. Encéphale, 28, 429–432.PubMedGoogle Scholar
  6. Chabrol, H., Rodgers, R., & Rousseau, A. (2007). Relations between suicidal ideation and dimensions of depressive symptoms in high-school students. Journal of Adolescence, 30, 587–600.CrossRefPubMedGoogle Scholar
  7. Dittmar, H. (2005). Vulnerability factors and processes linking sociocultural pressures and body dissatisfaction. Journal of Social and Clinical Psychology, 24, 1081–1087.CrossRefGoogle Scholar
  8. Fabian, L. J., & Thompson, J. K. (1989). Body image and eating disturbance in young females. International Journal of Eating Disorders, 8, 63–74.CrossRefGoogle Scholar
  9. Fuhrer, R., & Rouillon, F. (1989). La version française de l’échelle CES-D. Description et traduction de l’échelle d’auto-évaluation. Psychiatrie et Psychobiologie, 4, 163–166.Google Scholar
  10. Garner, D. M., Olmsted, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15–34.CrossRefGoogle Scholar
  11. Gila, A., Castro, J., Cesena, J., & Toro, J. (2005). Anorexia nervosa in male adolescents: body image, eating attitudes and psychological traits. Journal of Adolescent Health, 36, 221–226.CrossRefPubMedGoogle Scholar
  12. Halliwell, E., & Harvey, M. (2006). Examination of a sociocultural model of disordered eating among male and female adolescents. British Journal of Health Psychology, 11, 235–248.CrossRefPubMedGoogle Scholar
  13. Jones, D. C. (2004). Body image among adolescent girls and boys: A longitudinal study. Developmental Psychology, 40(5), 823–835.CrossRefGoogle Scholar
  14. Keery, H., van den Berg, P., & Thompson, J. K. (2004). An evaluation of the tripartite influence model of body dissatisfaction and eating disturbance with adolescent girls. Body image, 1, 237–251.CrossRefPubMedGoogle Scholar
  15. Knauss, C., Paxton, S. J., & Alsaker, F. D. (2007). Relationships amongst body dissatisfaction, internalisation of the media body ideal and perceived pressure from the media in adolescent girls and boys. Body Image, 4, 353–360.CrossRefPubMedGoogle Scholar
  16. Knauss, C., Paxton, S. J., & Alsaker, F. D. (2008). Body dissatisfaction in adolescent boys and girls: Objectified body consciousness internalization of the media body ideal and perceived pressure from the media. Sex Roles, 59, 633–643.CrossRefGoogle Scholar
  17. Koenig, L. J., & Wasserman, E. L. (1995). Body image and dieting failure in college men and women: Examining links between depression and eating problems. Sex Roles, 32, 225–249.CrossRefGoogle Scholar
  18. Leon, G. R., Fulkerson, J. A., Perry, C. L., Keel, P. K., & Klump, K. L. (1999). Three to four year prospective and behavioral risk factors for later disordered eating in adolescent boys and girls. Journal of Youth and Adolescence, 28, 181–196.CrossRefGoogle Scholar
  19. Levine, M. P., Smolak, L., & Hayden, H. (1994). The relation of sociocultural factors to eating attitudes and behaviors among middle school girls. Journal of Early Adolescence, 14, 471–490.CrossRefGoogle Scholar
  20. McCabe, M. P., & Ricciardelli, L. A. (2006). A prospective study of extreme weight change behaviors among adolescent boys and girls. Journal of Youth and Adolescence, 35(3), 425–434.CrossRefGoogle Scholar
  21. McCabe, M. P., Ricciardelli, L. A., & Banfield, S. (2001). Body image and strategies to change muscle and puberty: Do they impact on positive and negative affect among adolescent boys and girls? Eating Behaviors, 2, 129–149.CrossRefPubMedGoogle Scholar
  22. McCarthy, M. (1990). The thin ideal, depression and eating disorders in women. Behaviour Research and Therapy, 28, 202–215.CrossRefGoogle Scholar
  23. McCauley, M., Mintz, L., & Glenn, A. A. (1988). Body image, self esteem and depression proneness: Closing the gender gap. Sex Roles, 18, 381–391.CrossRefGoogle Scholar
  24. Meno, C. A., Hannum, J. A., Espelage, D. E., & Douglas Low, K. S. (2008). Familial and individual variables as predictors of dieting concerns and binge eating in college females. Eating behaviors, 9, 91–101.CrossRefPubMedGoogle Scholar
  25. Nolen-Hoeskesema, S., & Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychological Bulletin, 115(3), 424–443.CrossRefGoogle Scholar
  26. Paxton, S. J., Eisenberg, M. E., & Neumark-Sztainer, D. (2006a). Prospective predictors of body dissatisfaction in adolescent girls and boys: A five-year longitudinal study. Developmental Psychology, 42(5), 888–899.CrossRefPubMedGoogle Scholar
  27. Paxton, S. J., Neumark-Sztainer, D., Hannan, P. J., & Eisenberg, M. E. (2006b). Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. Journal of Clinical Child and Adolescent Psychology, 35(4), 539–549.CrossRefPubMedGoogle Scholar
  28. Paxton, S. J., Norris, M., Wertheim, E. H., Durkin, S. J., & Anderson, J. (2005). Body dissatisfaction, dating, and the importance of thinness to attractiveness in adolescent girls. Sex Roles, 53, 663–675.CrossRefGoogle Scholar
  29. Paxton, S. J., Wertheim, E. H., Gibbons, K., Szmukler, G. I., Hillier, 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.CrossRefGoogle Scholar
  30. Peterson, K. A., Paulson, S. A., & Williams, K. K. (2007). Relations of eating disorder symptomatology with perceptions of pressures from mother, peers, and media in adolescent girls and boys. Sex Roles, 57, 629–639.CrossRefGoogle Scholar
  31. Presnell, K., Bearman, S. K., & Stice, E. (2004). Risk factors for body dissatisfaction in adolescent boys and girls: A prospective study. International Journal of Eating Disorders, 36, 389–401.CrossRefPubMedGoogle Scholar
  32. Radloff, L. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
  33. Ricciardelli, L. A., & McCabe, M. P. (2001). Self-esteem and negative affect as moderators of sociocultural influences on body dissatisfaction, strategies to decrease weight, and strategies to increase muscles among adolescent girls and boys. Sex Roles, 44, 189–207.CrossRefGoogle Scholar
  34. Ricciardelli, L. A., & McCabe, M. P. (2003). A longitudinal analysis of the role of biopsychosocial factors in predicting body change strategies among adolescent boys. Sex Roles, 45, 349–360.CrossRefGoogle Scholar
  35. Roberts, R. E., Lewinshon, P. M., & Seeley, P. R. (1991). Screening for adolescent depression: A comparison of depression scales. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 58–66.CrossRefPubMedGoogle Scholar
  36. Rodgers, R., & Chabrol, H. (2009). Parental attitudes, body image disturbance and disordered eating amongst adolescents and young adults: A review. European Eating Disorders Review, 17, 137–151.CrossRefPubMedGoogle Scholar
  37. Santos, M., Richards, C. S., & Bleckley, M. K. (2007). Comorbidity between depression and disordered eating in adolescents. Eating behaviors, 8, 440–449.CrossRefPubMedGoogle Scholar
  38. Schutz, H. K., & Paxton, S. J. (2007). Friendship quality, body dissatisfaction, dieting and disordered eating in adolescents. British Journal of Clinical Psychology, 46, 67–83.CrossRefPubMedGoogle Scholar
  39. Shore, R. A., & Porter, J. E. (1990). Normative and reliability data from 11 to 18 year olds on the eating disorders inventory. International Journal of Eating Disorders, 9, 201–207.CrossRefGoogle Scholar
  40. Spoor, S. T. P., Stice, E., Bekker, M. H., Van Strien, T., Croon, M. A., & Van Heck, G. L. (2006). Relations between dietary restraint, depressive symptoms, and binge eating: A longitudinal study. International Journal of Eating Disorders, 39, 700–707.CrossRefPubMedGoogle Scholar
  41. Stice, E. (2002). Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin, 128, 825–848.CrossRefPubMedGoogle Scholar
  42. Stice, E., Akutagawa, D., Gaggar, A., & Agras, A. W. (2000). Negative affect moderates the relations between dieting and binge eating. International Journal of Eating Disorders, 27, 218–229.CrossRefPubMedGoogle Scholar
  43. Stice, E., Maxfield, J., & Wells, T. (2003). Adverse effects of social pressure to be thin on young women: An experimental investigation of the effects of “fat talk”. International Journal of Eating Disorders, 34(10), 8–117.Google Scholar
  44. Stice, E., Spangler, D., & Agras, W. S. (2001). Exposure to media-portrayed thin-ideal images adversely affects vulnerable girls: A longitudinal study. Journal of Social and Clinical Psychology, 20, 270–288.CrossRefGoogle Scholar
  45. Suisman, J. L., Slane, J. D., Burt, S. A., & Klump, K. L. (2008). Negative affect as a mediator of the relationships between weight-based teasing and binge eating in adolescent girls. Eating Behaviors, 9, 493–496.CrossRefPubMedGoogle Scholar
  46. Tiggemann, M. (2005). The state of body image research in clinical and social psychology. Journal of Social and Clinical Psychology, 24(8), 1202–1210.CrossRefGoogle Scholar
  47. Tiggemann, M., & McGill, B. (2004). The role of social comparison in the effect of magazine advertisements on women’s mood and body dissatisfaction. Journal of Social and Clinical Psychology, 23(1), 23–44.CrossRefGoogle Scholar
  48. Tomori, M., & Rus-Makovec, M. (2000). Eating behavior, depression, and self-esteem in high school students. Journal of Adolescent Health, 26, 361–367.CrossRefPubMedGoogle Scholar
  49. van den Berg, P., Paxton, S. J., Keery, H., Wall, M., Guo, J., & Neumark-Sztainer, D. (2007). Body dissatisfaction and body comparison with media images in males and females. Body Image, 4, 257–268.CrossRefPubMedGoogle Scholar
  50. Vincent, M. A., & McCabe, M. P. (2000). Gender differences among adolescents in family, and peer influences on body dissatisfaction, weight loss, and binge eating behaviors. Journal of Youth and Adolescence, 29, 205–221.CrossRefGoogle Scholar
  51. Vogt Yuan, A. S. (2007). Gender differences in the relationship of puberty with adolescents’ depressive symptoms: Do body perceptions matter? Sex Roles, 57, 69–80.CrossRefGoogle Scholar
  52. Wertheim, E. H., Mee, V., & Paxton, S. J. (1999). Relationships among adolescent girls’ eating behaviors and their parents’ weight-related attitudes and behaviors. Sex Roles, 41, 169–187.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Rachel F. Rodgers
    • 1
  • Susan J. Paxton
    • 2
  • Henri Chabrol
    • 1
  1. 1.Centre d’Etudes et de Recherche en Psychopathologie, Pavillon de la RechercheUniversité Toulouse-II Le MirailToulouseFrance
  2. 2.School of Psychological ScienceLa Trobe UniversityMelbourneAustralia

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