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Comparing internalization of appearance ideals and appearance-related pressures among women from the United States, Italy, England, and Australia

  • Lauren M. SchaeferEmail author
  • Natasha L. Burke
  • Lisa M. Anderson
  • J. Kevin Thompson
  • Leslie J. Heinberg
  • Anna M. Bardone-Cone
  • Mary K. Higgins Neyland
  • David A. Frederick
  • Drew A. Anderson
  • Katherine Schaumberg
  • Amanda Nerini
  • Cristina Stefanile
  • Helga Dittmar
  • Kelly L. Klump
  • Allison C. Vercellone
  • Susan J. Paxton
Brief Report

Abstract

Researchers have observed variation in levels of body image disturbance and eating pathology among women from different Western countries. Examination of cross-cultural differences in the established risk factors (i.e., thin-ideal internalization, muscular-ideal internalization, and appearance pressures from family, peers, and media) for negative outcomes may help to elucidate the prominence of specific risk factors within a given Western society and guide associated interventions. Women from the United States (US), Italy, England, and Australia completed the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4). Analysis of covariance controlling for age and BMI indicated significant cross-country differences for all SATAQ-4 subscales. Results typically indicated higher levels of appearance-ideal internalization and appearance pressures in the US and lower levels in Italy; however, associated effect sizes were generally small. A medium effect of country was observed for peer-appearance pressures, which were highest in the US compared with all other countries. Repeated-measures analysis of variance and paired samples t tests conducted within each country identified thin-ideal internalization and media appearance pressures as the predominant risk factors for all four countries. Overall, findings suggest more cross-country similarities than differences, and highlight the importance of delivering interventions to address thin-ideal internalization and media appearance pressures among women from Western backgrounds.

Level of evidence Descriptive study, Level V.

Notes

Acknowledgements

This work was supported by the National Institute of Mental Health (grant number T32 MH082761). The opinions and assertions expressed herein are those of the authors and are not to be construed as reflecting the views of the USUHS or the US Department of Defense.

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Lauren M. Schaefer
    • 1
    Email author
  • Natasha L. Burke
    • 2
  • Lisa M. Anderson
    • 3
  • J. Kevin Thompson
    • 4
  • Leslie J. Heinberg
    • 5
  • Anna M. Bardone-Cone
    • 6
  • Mary K. Higgins Neyland
    • 2
  • David A. Frederick
    • 7
  • Drew A. Anderson
    • 8
  • Katherine Schaumberg
    • 9
  • Amanda Nerini
    • 10
  • Cristina Stefanile
    • 10
  • Helga Dittmar
    • 11
  • Kelly L. Klump
    • 12
  • Allison C. Vercellone
    • 13
  • Susan J. Paxton
    • 14
  1. 1.Neuropsychiatric Research InstituteFargoUSA
  2. 2.Department of Medical and Clinical PsychologyUniformed Services University of the Health Sciences (USUHS)BethesdaUSA
  3. 3.Department of PsychiatryUniversity of MinnesotaMinneapolisUSA
  4. 4.Department of PsychologyUniversity of South FloridaTampaUSA
  5. 5.Cleveland Clinic Lerner College of Medicine of Case Western Reserve UniversityClevelandUSA
  6. 6.Department of Psychology and NeuroscienceUniversity of North Carolina at Chapel HillChapel HillUSA
  7. 7.Department of PsychologyChapman UniversityOrangeUSA
  8. 8.Department of PsychologyUniversity at Albany-State University of New YorkAlbanyUSA
  9. 9.Department of PsychiatryUniversity of North Carolina at Chapel HillChapel HillUSA
  10. 10.Department of Health Sciences, Section of PsychologyUniversity of FlorenceFlorenceItaly
  11. 11.School of PsychologyUniversity of SussexSussexUK
  12. 12.Department of PsychologyMichigan State UniversityEast LansingUSA
  13. 13.Department of PsychologySaint Louis UniversitySt. LouisUSA
  14. 14.School of Psychology and Public HealthLa Trobe UniversityMelbourneAustralia

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