Eating disorders among fashion models: a systematic review of the literature

Review

Abstract

Purpose

In the light of recent concerns regarding the eating disorders among fashion models and professional regulations of fashion model occupation, an examination of the scientific evidence on this issue is necessary. The article reviews findings on the prevalence of eating disorders and body image concerns among professional fashion models.

Method

A systematic literature search was conducted using ProQUEST, EBSCO, PsycINFO, SCOPUS, and Gale Canage electronic databases.

Results

A very low number of studies conducted on fashion models and eating disorders resulted between 1980 and 2015, with seven articles included in this review. Overall, results of these studies do not indicate a higher prevalence of eating disorders among fashion models compared to non-models. Fashion models have a positive body image and generally do not report more dysfunctional eating behaviors than controls. However, fashion models are on average slightly underweight with significantly lower BMI than controls, and give higher importance to appearance and thin body shape, and thus have a higher prevalence of partial-syndrome eating disorders than controls.

Conclusion

Despite public concerns, research on eating disorders among professional fashion models is extremely scarce and results cannot be generalized to all models. The existing research fails to clarify the matter of eating disorders among fashion models and given the small number of studies, further research is needed.

Keywords

Fashion models Eating disorders Body dissatisfaction Body image 

References

  1. 1.
    Crow SJ, Brandenburg B (2010) Diagnosis, assessment, and treatment planning for bulimia nervosa. In: Grillo CM, Mitchell JE (eds) The treatment of eating disorder: a clinical handbook. The Guilford Press, New York, pp 28–43Google Scholar
  2. 2.
    Hoek HW (2002) Distribution of eating disorders. In: Fairburn CG, Brownell KD (eds) Eating disorder and obesity. A comprehensive handbook. The Guilford Press, New York, pp 233–237Google Scholar
  3. 3.
    American Psychiatric Association (2006) Practice guideline for the treatment of patients with eating disorders, 3rd edition. Am J Psychiatry 163:1–54CrossRefGoogle Scholar
  4. 4.
    Preti A, Girolamo G, Vilagut G et al (2009) The epidemiology of eating disorders in six European countries: results of the ESEMeD-WMH project. J Psychiatr Res 43(14):1125–1132. doi:10.1016/j.jpsychires.2009.04.003 CrossRefGoogle Scholar
  5. 5.
    Smink F, vsn Hoeken D, Hoek H (2012) Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep 14:406–414. doi:10.1007/s11920-012-0282-y CrossRefPubMedCentralGoogle Scholar
  6. 6.
    Rosenvinge J, Pettersen G (2015) Epidemiology of eating disorders part II: an update with a special reference to the DSM-5. Adv Eat Disord 3(2):198–220. doi:10.1080/21662630.2014.940549 CrossRefGoogle Scholar
  7. 7.
    Ferguson CJ, Munoz ME, Garza A, Galindo M (2012) Concurrent and prospective analyses of peer, television and social media influences on body dissatisfaction, eating disorder symptoms and life satisfaction in adolescent girls. J Youth Adolesc 43:1–14. doi:10.1007/s10964-012-9898-9 CrossRefGoogle Scholar
  8. 8.
    Dunkley TL, Wertheim EH, Paxton SJ (2001) Examination of a model of multiple sociocultural influences on adolescent girls’ body dissatisfaction and dietary restraint. Adolescence 36(142):265–279PubMedGoogle Scholar
  9. 9.
    Ata RN, Ludden AB, Lally MM (2007) The effects of gender and family, friend, and media influences on eating behaviors and body image during adolescence. J Youth Adolesc 36:1024–1037. doi:10.1007/s10964-006-9159-x CrossRefGoogle Scholar
  10. 10.
    Roberts A, Good E (2010) Media images and female body dissatisfaction: the moderating effects of the Five-Factor traits. Eat Behav 11(4):211–216. doi:10.1016/j.eatbeh.2010.04.002 CrossRefPubMedGoogle Scholar
  11. 11.
    Ferguson CJ (2013) In the eye of the beholder: thin ideal media affects some, but not most, viewers in a meta-analytic review of body dissatisfaction in women and men. Psychol Pop Media Cult 2(1):20–37. doi:10.1037/a0030766 CrossRefGoogle Scholar
  12. 12.
    Grabe S, Ward LM, Hyde JS (2008) The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies. Psychol Bull 134(3):460–476. doi:10.1037/0033-2909.134.3.460 CrossRefPubMedGoogle Scholar
  13. 13.
    Groesz LM, Levine MP, Murnen SK (2002) The effect of experimental presentation of thin images on body satisfaction: a meta-analytic review. Int J Eat Disord 31(1):1–16. doi:10.1002/eat.10005 CrossRefPubMedGoogle Scholar
  14. 14.
    Holmstrom A (2004) The effects of media on body image: a meta-analysis. J Broadcast Electron Media 48(2):196–217. doi:10.1207/s15506878jobem4802_3 CrossRefGoogle Scholar
  15. 15.
    Konijn E (2013) Negotiated media effects: peer feedback modifies effects of media’s thin-body ideal on adolescent girls. Appetite 73:172–182. doi:10.1016/j.appet.2013.10.023 PubMedGoogle Scholar
  16. 16.
    Soley-Bertran P (2006) Fashion models as ideal embodiments of normative identity. Trípodos 18:23–43Google Scholar
  17. 17.
    Garner DM, Garfinkel PE, Schwartz D, Thompson M (1980) Cultural expectation of thinness in women. Psychol Rep 47:483–491. doi:10.2466/pr0.1980.47.2.483 CrossRefPubMedGoogle Scholar
  18. 18.
    Smolak L, Murnen SK, Ruble AE (2000) Female athletes and eating problems: a meta-analysis. Int J Eat Disord 27(4):371–380. doi:10.1002/(SICI)1098-108X(200005)27:4<371:AID-EAT1>3.0.CO;2-Y CrossRefPubMedGoogle Scholar
  19. 19.
    Treasure JL, Wack ER, Roberts ME (2008) Models as a high-risk group: the health implications of a size zero culture. Br J Psychiatry 192:243–244. doi:10.1192/bjp.bp.107.044164 CrossRefGoogle Scholar
  20. 20.
    Soltis CA (2009) Dying to be a supermodel: can requiring a healthy BMI be fashionable? J Contemp Health Law Policy 26(1):49–71PubMedGoogle Scholar
  21. 21.
    Reuters (2015) France bans super-skinny models in anorexia clampdown Reuters Apr 3Google Scholar
  22. 22.
    Standard Ocupational: Manechin (2006). Autoritatea Nationala pentru Calificari. Retrieved from http://www.anc.edu.ro/uploads/SO/manechin.pdf
  23. 23.
    Bolea M (2006) Manualul manechinului autentic: ghidul de imagine si show-bizz. Editura Candy, Iasi, RomaniaGoogle Scholar
  24. 24.
    Mears A (2010) Size zero high-end ethnic: cultural production and the reproduction of culture in fashion modeling. Poetics 38:21–46. doi:10.1016/j.poetic.2009.10.002 CrossRefGoogle Scholar
  25. 25.
    Wissinger E, Entwistle J (2012) Fashioning models. Image, text and industry. Bloomsbury Publishing, LondonGoogle Scholar
  26. 26.
    Mears A (2011) Pricing beauty: the making of a fashion model. University of California Press, Los AngelesGoogle Scholar
  27. 27.
    Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535. doi:10.1371/journal.pmed.1000097 CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA, PRISMA-P Group (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ 349:g7647. doi:10.1136/bmj.g7647 CrossRefPubMedGoogle Scholar
  29. 29.
    Brenner JB, Cunningham JG (1992) Gender differences in eating attitudes, body concept, and self-esteem among models. Sex Roles 27(7):413–437. doi:10.1007/BF00289949 CrossRefGoogle Scholar
  30. 30.
    Garner DM, Garfinkel PE (1980) Socio-cultural factors in the development of anorexia nervosa. Psychol Med 10:647–656. doi:10.1017/S0033291700054945 CrossRefPubMedGoogle Scholar
  31. 31.
    Preti A, Usai A, Miotto P, Petretto DR, Masala C (2008) Eating disorders among professional fashion models. Psychiatry Res 159:86–94. doi:10.1016/j.psychres.2005.07.040 CrossRefGoogle Scholar
  32. 32.
    Santonastaso P, Mondini S, Favaro A (2002) Are fashion models a group at risk for eating disorders and substance abuse? Psychother Psychosom 71(1):168–172. doi:10.1159/000056285 CrossRefPubMedGoogle Scholar
  33. 33.
    van Hanswijck de Jonge P, van Furth EF (1999) Eating disorders in models: fiction or fact? Eur Eat Disord Rev 7(4):235–238. doi:10.1002/(SICI)1099-0968(199908)7:4<235::AID-ERV297>3.0.CO;2-E CrossRefGoogle Scholar
  34. 34.
    Zoletić E, Duraković-Belko E (2009) Body image distortion, perfectionism and eating disorder symptoms in risk group of female ballet dancers and models and in control group of female students. Psychiatr Danub 21(3):302–309PubMedGoogle Scholar
  35. 35.
    Swami V, Szmigielska E (2012) Body image concerns in professional fashion models: are they really an at-risk group? Psychiatry Res 207(1–2):113–117. doi:10.1016/j.psychres.2012.09.009 PubMedGoogle Scholar
  36. 36.
    Garner DM, Garfinkel PE (1979) The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med 9:273–279. doi:10.1017/S0033291700030762 CrossRefPubMedGoogle Scholar
  37. 37.
    Garner DM, Olmsted MP, Bohr Y, Garfinkel PE (1982) The eating attitudes test: psychometric features and clinical correlates. Psychol Med 12:871–878. doi:10.1017/S0033291700049163 CrossRefPubMedGoogle Scholar
  38. 38.
    Garner DM, Olmstead MP, Polivy J (1983) Development and validation of a multi-dimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord 2:15–34. doi:10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6 CrossRefGoogle Scholar
  39. 39.
    Fairburn CG, Cooper Z (1993) The eating disorder examination. In: Fairburn CG, Wilson GT (eds) Binge eating. Nature, assessment, and treatment, 12th edn. Guilford Press, New York, pp 317–360Google Scholar
  40. 40.
    Bennett K, Stevens R (1997) The internal structure of the eating disorders inventory. Health Care Women Int 18:495–505. doi:10.1080/07399339709516303 CrossRefPubMedGoogle Scholar
  41. 41.
    American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, DSM IVTR, 4th edn, Text Revised. American Psychiatric Association, Washington, DCGoogle Scholar
  42. 42.
    Wertheim EH, Paxton SJ (2011) Body image development in adolescent girls. In: Cash TF, Smolak L (eds) Body image. A handbook of science, practice, and prevention, 2nd edn. The Guilford Press, New York, pp 76–84Google Scholar
  43. 43.
    Stice E (1994) Review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms of action. Clin Psychol Rev 14(7):633–661. doi:10.1016/0272-7358(94)90002-7 CrossRefGoogle Scholar
  44. 44.
    Cash TF (2011) Cognitive-behavioral perspectives on body image. In: Cash TF, Smolak L (eds) Body image. A handbook of science, practice, and prevention, 2nd edn. The Guilford Press, New York, pp 39–47Google Scholar
  45. 45.
    Dwyer AE (2004) Disorder or delight? towards a new account of the fashion model body. Fash Theory 8(4):405–423. doi:10.2752/136270404778051573 CrossRefGoogle Scholar
  46. 46.
    Danielsen M (2012) Changes in body image during inpatient treatment for eating disorders predict outcome. Eat Disord 20:261–275. doi:10.1080/10640266.2012.689205 CrossRefPubMedGoogle Scholar
  47. 47.
    Arigo D, Schumacher L, Martin LM (2013) Upward appearance comparison and the development of eating pathology in college women. Int J Eat Disord 47(5):467–470. doi:10.1002/eat.22240 CrossRefPubMedGoogle Scholar
  48. 48.
    Jones DC (2001) Social comparison and body image: attractiveness comparisons to models and peers among, adolescent girls and boys. Sex Role 45:645–664. doi:10.1023/A:1014815725852 CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Psychology, Faculty of Psychology and Education Sciences“Alexandru Ioan Cuza” UniversityIasiRomania

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