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Body Dissatisfaction and the Relevance of Religiosity: A Focus on Ultra-Orthodox Jews in a Community Study of Adult Women

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A Publisher's Erratum to this article was published on 11 February 2016

Abstract

Body image dissatisfaction (BID) is one of the most robust risk factors associated with eating disturbances. However, much remains unknown about it especially regarding a potentially protective factor, namely religiosity. As shown in hundreds of studies, religiosity has consistently been associated with better health and mental health outcomes. Utilizing a large, community-based study of adult Jewish women, we compare ultra-Orthodox and Secular Jewish women, two groups at opposite ends of the religious observance spectrum. Detailed telephone interviews were conducted with a broadly representative sample of adult women (mean age 44) in Israel from distinct religious observance groups. Frequency of 13 BID symptoms was assessed in addition to two clinical correlates, weight and self-criticism. Separate hierarchical regressions use bootstrapping to explore predictors of BID severity within each group. Contrary to expectations, no significant differences in body dissatisfaction emerge between rigorously religious and non-religious Jewish respondents. In addition, the findings reveal surprisingly similar patterns of predictors of BID severity with self-criticism making a noteworthy contribution for both groups. However, despite strong similarities, it is premature to dismiss potentially protective aspects of religiosity vis-à-vis BID without additional studies. In the interim, clinical prevention and treatment interventions that focus on reducing self-criticism may be extremely important for addressing BID issues among adult women—regardless of degree of religious observance.

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Notes

  1. Although some object to the term 'ultra-Orthodox,' it is used interchangeably with Haredi because of its common usage in Israel and the US.

  2. Additionally, almost 70 % of respondents rated their physical health as excellent, very good or good while two-thirds said they did not suffer from any major health conditions.

  3. The authors acknowledge the extreme variability in prevalence rates due to methodological issues including operational definitions of BD. (p, 359).

  4. The one exception is that Secular self-criticism makes a slightly stronger contribution to BID severity.

References

  • Cwikel, J., Zilber, N., Feinson, M. C., & Lerner, Y. (2008). Prevalence and risk factors of threshold and sub-threshold psychiatric disorders in primary care. Social Psychiatry and Psychiatric Epidemiology, 43(3), 184–191.

    Article  PubMed  Google Scholar 

  • Dunkley, D. M., & Grilo, C. M. (2007). Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients. Behaviour Research and Therapy, 45(1), 139–149. doi:10.1016/j.brat.2006.01.017.

    Article  PubMed  Google Scholar 

  • Dunkley, D. M., Masheb, R. M., & Grilo, C. M. (2010). Childhood maltreatment, depressive symptoms, and body dissatisfaction in patients with binge eating disorder: The mediating role of self-criticism. International Journal of Eating Disorders, 43(3), 274–281.

    PubMed Central  PubMed  Google Scholar 

  • Engstrom, J. L., Paterson, S. A., Doherty, A., Trabulsi, M., & Speer, K. L. (2003). Accuracy of self-reported height and weight in women: an integrative review of the literature. Journal of Midwifery & Womens Health, 48(5), 338–345.

    Article  Google Scholar 

  • Fairburn, C. G., & Beglin, S. J. (1990). Studies of the epidemiology of bulimia nervosa. American Journal of Psychiatry, 147(4), 401–408.

    Article  PubMed  Google Scholar 

  • Feinson, M. C., & Hornik-Lurie, T. (2015). Not good enough: Exploring self-criticism as a mediator between childhood emotional abuse & binge eating in adulthood (under review).

  • Feinson, M. C., & Meir, A. (2012). Disordered eating and religious observance: A focus on ultra-Orthodox Jews in an adult community study. International Journal of Eating Disorders, 45(1), 101–109.

    Article  PubMed  Google Scholar 

  • Feinson, M. C., & Meir, A. (2015). Exploring mental health consequences of childhood abuse and the relevance of religiosity. Journal of Interpersonal Violence, 30(3), 499–521.

    Article  PubMed  Google Scholar 

  • Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2014). Self-criticism, perfectionism and eating disorders: The effect of depression and body dissatisfaction. International Journal of Psychology and Psychological Therapy, 14(3), 410–420.

    Google Scholar 

  • Fiske, L., Fallon, E. A., Blissmer, B., & Redding, C. A. (2014). Prevalence of body dissatisfaction among United States adults: Review and recommendations for future research. Eating Behaviors, 15(3), 357–365.

    Article  PubMed  Google Scholar 

  • Gagne, D. A., Von Holle, A., Brownley, K. A., Runfola, C. D., Hofmeier, S., Branch, K. E., et al. (2012). Eating disorder symptoms and weight and shape concerns in a large web-based convenience sample of women ages 50 and above: Results of the gender and body image (GABI) study. International Journal of Eating Disorders, 45(7), 832–844.

    Article  PubMed Central  PubMed  Google Scholar 

  • George, L. K., Ellison, C. G., & Larson, D. B. (2002). Explaining the relationships between religious involvement and health. Psychological Inquiry, 13(3), 190–200. doi:10.1207/s15327965pli1303_04.

    Article  Google Scholar 

  • Gillum, R. F., & Sempos, C. T. (2005). Ethnic variation in validity of classification of overweight and obesity using self-reported weight and height in American women and men: The Third National Health and Nutrition Examination Survey. Nutrition Journal, 4, 27.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gluck, M. E., & Geliebter, A. (2002). Body image and eating behaviors in Orthodox and Secular Jewish women. JGSM, 5(1), 19–24.

    PubMed  Google Scholar 

  • Heilman, S. C., & Witztum, E. (1997). Value-sensitive therapy: Learning from ultra-Orthodox patients. American Journal of Psychotherapy, 51(4), 522–541.

    PubMed  Google Scholar 

  • Homan, K. J., & Boyatzis, C. J. (2009). Body image in older adults: Links with religion and gender. Journal of Adult Development, 16(4), 230–238.

    Article  Google Scholar 

  • Huppert, J. D., Siev, J., & Kushner, E. S. (2007). When religion and obsessive-compulsive disorder collide: Treting scrupulosity in ultra-Orthodox Jews. Journal of Clinical Psycology, 63, 925–941.

    Article  Google Scholar 

  • Jacobs-Pilipski, M. J., Winzelberg, A., Wilfley, D. E., Bryson, S. W., & Taylor, C. B. (2005). Spirituality among young women at risk for eating disorders. Eating Behaviors, 6(4), 293–300.

    Article  PubMed  Google Scholar 

  • Kark, J. D., Shemi, G., Friedlander, Y., Martin, O., Manor, O., & Blondheim, S. (1996). Does religious observance promote health? Mortality in secular vs religious kibbutzim in Israel. American Journal of Public Health, 86(3), 341–346.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kilpela, L. S., Becker, C. B., Wesley, N., & Stewart, T. (2015). Body image in adult women: Moving beyond the younger years. Advances in Eating Disorders: Theory, Research and Practice, 3(2), 144–164.

    Article  Google Scholar 

  • Koenig, H. G. (2009). Research on religion, spirituality, and mental health: A review. Canadian Journal of Psychiatry, 54(5), 283–291.

    PubMed  Google Scholar 

  • Livio, O., & Weinblatt Tenenboim, K. (2007). Discursive legitimation of a controversial technology: Ultra-Orthodox Jewish women in Israel and the internet. The Communication Review, 10(1), 29–56.

    Article  Google Scholar 

  • Mahoney, A., Carels, R. A., Pargament, K. I., Wachholtz, A., Edwards Leeper, L., Kaplar, M., et al. (2005). Research: The sanctification of the body and behavioral health patterns of college students. The International Journal for the Psychology of Religion, 15(3), 221–238.

    Article  Google Scholar 

  • McLean, S. A., Paxton, S. J., & Wertheim, E. H. (2010). Factors associated with body dissatisfaction and disordered eating in women in midlife. International Journal of Eating Disorders, 43(6), 527–536.

    Article  PubMed  Google Scholar 

  • Meyer, C., McPartian, L., Sines, J., & Waller, G. (2009). Accuracy of self-reported weight and height: Relationship with eating psychopathology among young women. International Journal of Eating Disorders, 42(4), 379–381.

    Article  PubMed  Google Scholar 

  • Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health: An emerging research field. American Psychologist, 58(1), 24–35.

    Article  PubMed  Google Scholar 

  • Mussap, A. J. (2009). Strength of faith and body image in Muslim and non-Muslim women. Mental Health, Religion and Culture, 12(2), 121–127.

    Article  Google Scholar 

  • Pargament, K. I., & Mahoney, A. (2005). Theory: Sacred matters—Sanctification as a vital topic for the psychology of religion. The International Journal for the Psychology of Religion, 15(3), 179–198.

    Article  Google Scholar 

  • Pinto-Gouveia, J., Ferreira, C., & Duarte, C. (2014). Thinness in the pursuit for social safeness: An integrative model of social rank mentality to explain eating psychopathology. Clinical Psychology & Psychotherapy, 21(2), 154–165.

    Article  Google Scholar 

  • Rier, A. D., Schwartzbaum, A., & Heller, C. (2008). Methodological issues in studying an insular, traditional population: A women’s health survey among Israeli Haredi (Ultra-Orthodox) Jews. Women and Health, 48(4), 363–381.

    Article  PubMed  Google Scholar 

  • Rosenberg, M. (1989). Society and the adolescent self-image, revised edition. Middletown: Wesleyan University Press.

    Google Scholar 

  • Schwartz, M. B., & Brownell, K. D. (2004). Obesity and body image. Body Image, 1(1), 43–56.

    Article  PubMed  Google Scholar 

  • Slevec, J. H., & Tiggemann, M. (2011). Predictors of body dissatisfaction and disordered eating in middle-aged women. Clinical Psychology Review, 31(4), 515–524.

    Article  PubMed  Google Scholar 

  • Smith, M. H., Richards, P. S., & Maglio, C. J. (2004). Examining the relationship between religious orientation and eating disturbances. Eating Behaviors, 5(2), 171–180.

    Article  PubMed  Google Scholar 

  • Smolak, L., & Striegel-Moore, R. H. (2002). Challenging the myth of the golden girl: Ethnicity and eating disorders (Eating disorders: innovative directions in research and practice). Washington, D.C.: American Psychological Association.

    Google Scholar 

  • Social Survey of 2002. Israel: Central Bureau of Statistics. http://surveys.cbs.gov.il/Survey/survey.htm

  • Striegel-Moore, R. H., Wilson, G. T., Wilfley, D. E., Elder, K. A., & Brownell, K. D. (1998). Binge eating in an obese community sample. International Journal of Eating Disorders, 23(1), 27–37.

    Article  PubMed  Google Scholar 

  • The world health report 2003—shaping the future (2003). (pp. Annex Table 1). Annex table 1, Geneva: World Health Organization. http://www.who.int/whr/2003/en/Annex1-en.pdf

  • Tiggemann, M. (2004). Body image across the adult life span: Stability and change. Body Image, 1(1), 29–41.

    Article  PubMed  Google Scholar 

  • Warren, C. S., Gleaves, D. H., Cepeda-Benito, A., Fernandez, M. C., & Rodriguez-Ruiz, S. (2005). Ethnicity as a protective factor against internalization of a thin ideal and body dissatisfaction. International Journal of Eating Disorders, 37(3), 241–249.

    Article  PubMed  Google Scholar 

  • Wilfley, D. E., Schreiber, G. B., Pike, K. M., Striegel-Moore, R. H., Wright, D. J., & Rodin, J. (1996). Eating disturbance and body image: A comparison of a community sample of adult black and white women. International Journal of Eating Disorders, 20(4), 377–387.

    Article  PubMed  Google Scholar 

  • Yishai, Y. (1992). Physicians and the State in the USA and Israel. Social Science and Medicine, 34, 129.

    Article  PubMed  Google Scholar 

Download references

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Correspondence to Marjorie C. Feinson.

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Feinson, M.C., Hornik-Lurie, T. Body Dissatisfaction and the Relevance of Religiosity: A Focus on Ultra-Orthodox Jews in a Community Study of Adult Women. Clin Soc Work J 44, 87–97 (2016). https://doi.org/10.1007/s10615-016-0574-5

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