Abstract
Appearance pressure from mass media and appearance social comparisons have been implicated in theory and research on disordered eating. However, mediating effects of upward and downward appearance comparisons on associations between appearance pressure and changes in disordered eating among women versus men have not been examined within longitudinal research designs. To address this gap, undergraduate students (1539 women and 882 men) from China completed self-report measures of appearance pressure from mass media; upward and downward appearance comparisons with more and less physically attractive peers, respectively; and disordered eating at baseline and/or a 12-month follow-up. Analyses indicated that, after controlling for gender differences on demographics and initial levels of disordered eating, baseline pressure from mass media contributed to the prediction of disordered eating at follow-up within each gender. Among women, in particular, follow-up upward appearance comparisons with peers mediated this association. For men but not for women, downward appearance comparisons with peers emerged as a significant mediator. Findings underscored differential relations of appearance comparisons with exacerbations in disordered eating among women versus men and suggested that associated interventions might be tailored on the basis of gender.
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References
Amaral, A. C. S., & Ferreira, M. E. C. (2017). Body dissatisfaction and associated factors among Brazilian adolescents: A longitudinal study. Body Image, 22, 32–38. https://doi.org/10.1016/j.bodyim.2017.04.006.
Arigo, D., Schumacher, L., & Martin, L. M. (2014). Upward appearance comparison and the development of eating pathology in college women. International Journal of Eating Disorders, 47(5), 467–470. https://doi.org/10.1002/eat.22240.
Barlett, C. P., Vowels, C. L., & Saucier, D. A. (2008). Meta-analyses of the effects of media images on men's body-image concerns. Journal of Social and Clinical Psychology, 27(3), 279–310. https://doi.org/10.1002/eat.22240.
Burton, C. M., Marshal, M. P., Chisolm, D. J., Sucato, G. S., & Friedman, M. S. (2013). Sexual minority-related victimization as a mediator of mental health disparities in sexual minority youth: A longitudinal analysis. Journal of Youth and Adolescence, 42(3), 394–402. https://doi.org/10.1007/s10964-012-9901-5.
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(2), 114–125. https://doi.org/10.1080/10640269408249107.
Chen, H., & Jackson, T. (2008). Prevalence and sociodemographic correlates of eating disorder endorsements among adolescents and young adults from China. European Eating Disorders Review: The Professional Journal of the Eating Disorders Association, 16(5), 375–385. https://doi.org/10.1002/erv.837.
Chen, H., & Jackson, T. (2009). Predictors of changes in weight esteem among mainland Chinese adolescents: A longitudinal analysis. Developmental Psychology, 45(6), 1618–1629. https://doi.org/10.1037/a0016820.
Chen, H., & Jackson, T. (2012). Gender and age group differences in mass media and interpersonal influences on body dissatisfaction among Chinese adolescents. Sex Roles, 66(1–2), 3–20. https://doi.org/10.1007/s11199-011-0056-8.
Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9(2), 233–255. https://doi.org/10.1207/s15328007sem0902_5.
Eisenberg, D., Nicklett, E. J., Roeder, K., & Kirz, N. E. (2011). Eating disorder symptoms among college students: Prevalence, persistence, correlates, and treatment-seeking. Journal of American College Health, 59(8), 700–707. https://doi.org/10.1080/07448481.2010.546461.
Feltman, C. E., & Szymanski, D. M. (2018). Instagram use and self-objectification: The roles of internalization, comparison, appearance commentary, and feminism. Sex Roles, 78(5–6), 311–324. https://doi.org/10.1007/s11199-017-0796-1.
Festinger, L. (1954). A theory of social comparison processes. Human Relations, 7, 117–140. https://doi.org/10.1177/001872675400700202.
Field, A. E., Camargo, C. A., Taylor, C. B., Berkey, C. S., Roberts, S. B., & Colditz, G. A. (2001). Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys. Pediatrics, 107(1), 54–60. https://doi.org/10.1542/peds.107.1.54.
Fitzsimmons-Craft, E. E. (2017). Eating disorder-related social comparison in college women's everyday lives. International Journal of Eating Disorders, 50(8), 893–905. https://doi.org/10.1002/eat.22725.
Grabe, S., Ward, L. M., & Hyde, J. S. (2008). The role of the media in body image concerns among women: A meta-analysis of experimental and correlational studies. Psychological Bulletin, 134(3), 460–476. https://doi.org/10.1037/0033-2909.134.3.460.
Hargreaves, D. A., & Tiggemann, M. (2004). Idealized media images and adolescent body image: “Comparing” boys and girls. Body Image, 1(4), 351–361. https://doi.org/10.1016/j.bodyim.2004.10.002.
Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling [White paper]. Retrieved from http://www.afhayes.com/public/process2012.pdf. Accessed 15 Apr 2014
Jackson, T., & Chen, H. (2010a). Factor structure of the Sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3) among adolescent boys in China. Body Image, 7(4), 349–355. https://doi.org/10.1016/j.bodyim.2010.07.003.
Jackson, T., & Chen, H. (2010b). Sociocultural experiences of bulimic and non-bulimic adolescents in a school-based Chinese sample. Journal of Abnormal Child Psychology, 38(1), 69–76. https://doi.org/10.1007/s10802-009-9350-0.
Jackson, T., & Chen, H. (2011). Risk factors for disordered eating during early and middle adolescence: Prospective evidence from mainland Chinese boys and girls. Journal of Abnormal Psychology, 120(2), 454–464. https://doi.org/10.1037/a0022122.
Jackson, T., & Chen, H. (2014). Risk factors for disordered eating during early and middle adolescence: A 2-year longitudinal study of mainland Chinese boys and girls. Journal of Abnormal Child Psychology, 42(5), 791–802. https://doi.org/10.1007/s10802-013-9823-z.
Jackson, T., & Chen, H. (2015). Features of objectified body consciousness and sociocultural perspectives as risk factors for disordered eating among late-adolescent women and men. Journal of Counseling Psychology, 62(4), 741–752. https://doi.org/10.1037/cou0000096.
Jackson, T., Jiang, C., & Chen, H. (2016a). Associations between Chinese/Asian versus Western mass media influences and body image disturbances of young Chinese women. Body Image, 17, 175–183. https://doi.org/10.1016/j.bodyim.2016.03.007.
Jackson, T., Zheng, P., & Chen, H. (2016b). Features of objectified body consciousness and sociocultural perspectives as predictors of eating and body image disturbances among young women and men in China. Journal of Gender Studies, 25(5), 599–612. https://doi.org/10.1080/09589236.2015.1073144.
Jones, D. C. (2004). Body image among adolescent girls and boys: A longitudinal study. Developmental Psychology, 40(5), 823–835. https://doi.org/10.1037/0012-1649.40.5.823.
Jones, W., & Morgan, J. (2010). Eating disorders in men: A review of the literature. Journal of Public Mental Health, 9(2), 23–31. https://doi.org/10.5042/jpmh.2010.0326.
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 media. Sex Roles, 59(9–10), 633–643. https://doi.org/10.1007/s11199-008-9474-7.
Liao, J., Jackson, T., & Chen, H. (2014). The structure and validity of directional measures of appearance social comparison among emerging adults in China. Body Image, 11(4), 464–473. https://doi.org/10.1016/j.bodyim.2014.07.001.
Lipson, S. K., & Sonneville, K. R. (2017). Eating disorder symptoms among undergraduate and graduate students at 12 US colleges and universities. Eating Behaviors, 24, 81–88. https://doi.org/10.1016/j.eatbeh.2016.12.003.
Luo, Y. J., Niu, G. F., Kong, F. C., & Chen, H. (2019). Online interpersonal sexual objectification experiences and Chinese adolescent girls' intuitive eating: The role of broad conceptualization of beauty and body appreciation. Eating Behaviors, 33, 55–60. https://doi.org/10.1016/j.eatbeh.2019.03.004.
Myers, T. A., & Crowther, J. H. (2009). Social comparison as a predictor of body dissatisfaction: A meta-analytic review. Journal of Abnormal Psychology, 118(4), 683–698. https://doi.org/10.1037/a0016763.
O'Brien, K. S., Caputi, P., Minto, R., Peoples, G., Hooper, C., & Sawley, E. (2009). Upward and downward physical appearance comparisons: Development of scales and examination of predictive qualities. Body Image, 6(3), 201–206. https://doi.org/10.1016/j.bodyim.2009.03.003.
Rancourt, D., Schaefer, L. M., Bosson, J. K., & Thompson, J. K. (2016). Differential impact of upward and downward comparisons on diverse women's disordered eating behaviors and body image. International Journal of Eating Disorders, 49(5), 519–523. https://doi.org/10.1002/eat.22470.
Rodgers, R., Chabrol, H., & Paxton, S. J. (2011). An exploration of the tripartite influence model of body dissatisfaction and disordered eating among Australian and French college women. Body Image, 8(3), 208–215. https://doi.org/10.1016/j.bodyim.2011.04.009.
Saunders, J. F., & Eaton, A. A. (2018). Snaps, selfies, and shares: How three popular social media platforms contribute to the sociocultural model of disordered eating among young women. Cyberpsychology, Behavior and Social Networking, 21(6), 343–354. https://doi.org/10.1089/cyber.2017.0713.
Shroff, H., & Thompson, J. K. (2006). Peer influences, body-image dissatisfaction, eating dysfunction and self-esteem in adolescent girls. Journal of Health Psychology, 11(4), 533–551. https://doi.org/10.1177/1359105306065015.
Stice, E., Telch, C. F., & Rizvi, S. L. (2000). Development and validation of the eating disorder diagnostic scale: A brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological Assessment, 12(2), 123–131. https://doi.org/10.1037/1040-3590.12.2.123.
Stice, E., Rohde, P., Shaw, H., & Gau, J. M. (2017). Clinician-led, peer-led, and internet-delivered dissonance-based eating disorder prevention programs: Acute effectiveness of these delivery modalities. Journal of Consulting and Clinical Psychology, 85(9), 883–895. https://doi.org/10.1037/ccp0000211.
Striegel-Moore, R. H., & Bulik, C. M. (2007). Risk factors for eating disorders. American Psychologist, 62, 181–198. https://doi.org/10.1037//0003-066X.41.3.246.
Thompson, J. K., & Heinberg, L. J. (1999). The media's influence on body image disturbance and eating disorders: We've reviled them, now can we rehabilitate them? Journal of Social Issues, 55(2), 339–353. https://doi.org/10.1111/0022-4537.00119.
Thompson, J. K., van den Berg, P., Roehrig, M., Guarda, A., & Heinberg, L. J. (2004). The sociocultural attitudes towards appearance Questionnaire-3 (SATAQ-3): Development and validation. International Journal of Eating Disorders, 35, 293–304. https://doi.org/10.1002/eat.10257.
Wade, T. D., Wilksch, S. M., & Lee, C. (2012). A longitudinal investigation of the impact of disordered eating on young women's quality of life. Health Psychology, 31(3), 352–359. https://doi.org/10.1037/a0025956.
Warren, C. S., & Rios, R. M. (2013). The relationships among acculturation, acculturative stress, endorsement of Western media, social comparison, and body image in Hispanic male college students. Psychology of Men & Masculinity, 14(2), 192–201. https://doi.org/10.1037/a0028505.
Wood, J. V., Giordano-Beech, M., Taylor, K. L., Michela, J. L., & Gaus, V. (1994). Strategies of social comparison among people with low self-esteem: Self-protection and self-enhancement. Journal of Personality and Social Psychology, 67(4), 713–731. https://doi.org/10.1037/0022-3514.67.4.713.
Wood, R., Nikel, A., & Petrie, T. A. (2010). Body dissatisfaction, ethnic identity, and disordered eating among African American women. Journal of Counseling Psychology, 57(2), 141–153. https://doi.org/10.1037/a0018922.
Funding
The work described in this paper was supported by the National Natural Science Foundation of China (No. 31771237 and No. 31871141), and the Fundamental Research Funds for the Central Universities (NO. SWU1709106).
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Luo, Yj., Jackson, T., Niu, Gf. et al. Effects of Gender and Appearance Comparisons on Associations Between Media-Based Appearance Pressure and Disordered Eating: Testing a Moderated Mediation Model. Sex Roles 82, 293–305 (2020). https://doi.org/10.1007/s11199-019-01058-4
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DOI: https://doi.org/10.1007/s11199-019-01058-4