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Factors associated with body dissatisfaction among the Lebanese population

  • Chadia Haddad
  • Maha Zakhour
  • Marwan Akel
  • Karl Honein
  • Maria Akiki
  • Souheil HallitEmail author
  • Sahar ObeidEmail author
Original Article
Part of the following topical collections:
  1. Personality and eating and weight disorders

Abstract

Objective

To evaluate the factors associated with body dissatisfaction among the Lebanese population, including sociodemographic characteristics, self-esteem, stress, anxiety, depression, emotional regulation, emotional eating and the adult attachment style.

Methods

This cross-sectional study, conducted between January and May 2018, enrolled 811 adult participants from all districts of Lebanon. The body dissatisfaction subscale of the eating disorder inventory version 2 (EDI-2) was used to measure body disturbance.

Results

The mean age of the participants was 27.59 ± 11.76 years, with 66.5% females. The final model of the regression analysis showed that a higher binge eating score (Beta = 0.202), being married (Beta = 1.233), having a family history of eating disorders (Beta = 1.933), higher BMI (Beta = 0.076), dieting to lose weight (past 30 days) (Beta = 2.345), receiving comments from the family (Beta = 2.234) and pressure from TV/magazines to lose weight (Beta = 1.320), vomiting or taking laxatives to lose weight (past 30 days) (Beta = 1.861), higher depression (Beta = 0.103) and higher perceived stress (Beta = 0.107) were associated with a higher body dissatisfaction score. However, higher self-esteem (Beta = − 0.246), increased physical activity (Beta = − 0.022) and being divorced (Beta = − 4.226) were significantly associated with a lower body dissatisfaction score.

Conclusion

A significant association was found in this current study between the main variables: depression, self-esteem, social anxiety, eating disorders, family and television pressure and body image dissatisfaction.

Level of evidence

Level V, cross-sectional descriptive study.

Keywords

Body dissatisfaction Eating disorder Diet Distress Psychological factors 

Notes

Funding

This study received no funding.

Compliance with ethical standards

Conflict of interest

All authors declare that they have 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.

References

  1. 1.
    Johnson F, Wardle J (2005) Dietary restraint, body dissatisfaction, and psychological distress: a prospective analysis. J Abnorm Psychol 114(1):119.  https://doi.org/10.1037/0021-1843X.1114.1031.1119 Google Scholar
  2. 2.
    French S, Jeffery R, Murray D (1999) Is dieting good for you?: prevalence, duration and associated weight and behaviour changes for specific weight loss strategies over four years in US adults. Int J Obes Relat Metab Disord.  https://doi.org/10.1038/sj.ijo.0800822 Google Scholar
  3. 3.
    Herrin M, Larkin M (2013) Nutrition counseling in the treatment of eating disorders. RoutledgeGoogle Scholar
  4. 4.
    Ferreira C, Pinto-Gouveia J, Duarte C (2013) Physical appearance as a measure of social ranking: the role of a new scale to understand the relationship between weight and dieting. Clin Psychol Psychother 20(1):55–66.  https://doi.org/10.1002/cpp.1769 Google Scholar
  5. 5.
    Ferreira C, Pinto-Gouveia J, Duarte C (2011) The validation of the body image acceptance and action questionnaire: exploring the moderator effect of acceptance on disordered eating. International Jo Psychol Psychol Ther 11(3):327Google Scholar
  6. 6.
    Mable HM, Balance WD, Galgan RJ (1986) Body-image distortion and dissatisfaction in university students. Percept Mot Skills 63(2):907–911.  https://doi.org/10.2466/pms.1986.2463.2462.2907 Google Scholar
  7. 7.
    Shin NY, Shin MS (2008) Body dissatisfaction, self-esteem, and depression in obese Korean children. J Pediatr 152(4):502–506.  https://doi.org/10.1016/j.jpeds.2007.1009.1020 Google Scholar
  8. 8.
    Alizade L, Mohammadzadeh H, Babai S (2016) Relationship between cognitive emotion regulation strategies and body image with eating disorder symptoms in secondary school students in the city of Urmia. Int Acad J Psychol Educ Stud 1(3):32–42Google Scholar
  9. 9.
    Anderson SE, Cohen P, Naumova EN, Jacques PF, Must A (2007) Adolescent obesity and risk for subsequent major depressive disorder and anxiety disorder: prospective evidence. Psychosom Med 69(8):740–747.  https://doi.org/10.1097/PSY.1090b1013e31815580b31815584 Google Scholar
  10. 10.
    Gonsalves D, Hawk H, Goodenow C (2014) Unhealthy weight control behaviors and related risk factors in Massachusetts middle and high school students. Matern Child Health J 18(8):1803–1813.  https://doi.org/10.1007/s10995-10013-11424-10995 Google Scholar
  11. 11.
    Croll J, Neumark-Sztainer D, Story M, Ireland M (2002) Prevalence and risk and protective factors related to disordered eating behaviors among adolescents: relationship to gender and ethnicity. J Adolesc Health 31(2):166–175.  https://doi.org/10.1016/S1054-1139X(1002)00368-00363 Google Scholar
  12. 12.
    Matthews M, Zullig KJ, Ward RM, Horn T, Huebner ES (2012) An analysis of specific life satisfaction domains and disordered eating among college students. Soc Indic Res 107(1):55–69.  https://doi.org/10.1007/s11205-11011-19826-11205 Google Scholar
  13. 13.
    Abraham SF (2003) Dieting, body weight, body image and self-esteem in young women: doctors’ dilemmas. Med J Aust 178(12):607–611Google Scholar
  14. 14.
    Garner DM (2008) Women and dieting. In: Keller K (ed) Encyclopedia of obesity. Sage Publications, Inc, Thousand Oaks, pp. 801–805Google Scholar
  15. 15.
    Riva G (2016) Neurobiology of anorexia nervosa: serotonin dysfunctions link self-starvation with body image disturbances through an impaired body memory. Front Hum Neurosci 10:600.  https://doi.org/10.3389/fnhum.2016.00600 Google Scholar
  16. 16.
    Kaye WH, Wierenga CE, Bailer UF, Simmons AN, Bischoff-Grethe A (2013) Nothing tastes as good as skinny feels: the neurobiology of anorexia nervosa. Trends Neurosci 36(2):110–120.  https://doi.org/10.1016/j.tins.2013.1001.1003 Google Scholar
  17. 17.
    Kaye WH, Fudge JL, Paulus M (2009) New insights into symptoms and neurocircuit function of anorexia nervosa. Nat Rev Neurosci 10(8):573.  https://doi.org/10.1038/nrn2682 Google Scholar
  18. 18.
    Folstein SE, Rosen-Sheidley B (2001) Genetics of austim: complex aetiology for a heterogeneous disorder. Nat Rev Genet 2(12):943.  https://doi.org/10.1038/35103559 Google Scholar
  19. 19.
    Oldershaw A, Treasure J, Hambrook D, Tchanturia K, Schmidt U (2011) Is anorexia nervosa a version of autism spectrum disorders? Eur Eat Disord Rev 19(6):462–474.  https://doi.org/10.1002/erv.1069 Google Scholar
  20. 20.
    Dell’Osso L, Carpita B, Gesi C, Cremone I, Corsi M, Massimetti E, Muti D, Calderani E, Castellini G, Luciano M (2018) Subthreshold autism spectrum disorder in patients with eating disorders. Compr Psychiatry 81:66–72.  https://doi.org/10.1016/j.comppsych.2017.1011.1007 Google Scholar
  21. 21.
    Barnes MA, Caltabiano ML (2017) The interrelationship between orthorexia nervosa, perfectionism, body image and attachment style. Eating and weight disorders-studies on anorexia. Bulim Obes 22(1):177–184.  https://doi.org/10.1007/s40519-40016-40280-x Google Scholar
  22. 22.
    Dell’Osso L, Carpita B, Muti D, Cremone I, Massimetti G, Diadema E, Gesi C, Carmassi C (2018) Prevalence and characteristics of orthorexia nervosa in a sample of university students in Italy. Eating and weight disorders-studies on anorexia. Bulim Obes 23(1):55–65.  https://doi.org/10.1007/s40519-40017-40460-40513 Google Scholar
  23. 23.
    Tasca GA (2018) Attachment and eating disorders: a research update. Curr Opin Psychol.  https://doi.org/10.1016/j.copsyc.2018.03.003 Google Scholar
  24. 24.
    Keating L, Tasca GA, Hill R (2013) Structural relationships among attachment insecurity, alexithymia, and body esteem in women with eating disorders. Eat Behav 14(3):366–373.  https://doi.org/10.1016/j.eatbeh.2013.06.013 Google Scholar
  25. 25.
    Grenon R, Tasca GA, Maxwell H, Balfour L, Proulx G, Bissada H (2016) Parental bonds and body dissatisfaction in a clinical sample: the mediating roles of attachment anxiety and media internalization. Body Image 19:49–56.  https://doi.org/10.1016/j.bodyim.2016.08.005 Google Scholar
  26. 26.
    Cash TF, Theriault J, Annis NM (2004) Body image in an interpersonal context: adult attachment, fear of intimacy and social anxiety. J Soc Clin Psychol 23(1):89–103.  https://doi.org/10.1521/jscp.23.1.89.26987 Google Scholar
  27. 27.
    Collins JK, Beumont PJ, Touyz SW, Krass J, Thompson P, Philips T (1987) Variability in body shape perception in anorexic, bulimic, obese, and control subjects. Int J Eat Disord 6(5):633–638.  https://doi.org/10.1002/1098-108X(198709)6:5%3C633::AID-EAT2260060506%3E3.0.CO;2-U Google Scholar
  28. 28.
    Cooper PJ, Taylor MJ, Cooper Z, Fairbum CG (1987) The development and validation of the body shape questionnaire. Int J Eat Disord 6 (4):485–494.  https://doi.org/10.1002/1098-108X(198707)6:4%3C485::AID-EAT2260060405%3E3.0.CO;2-O Google Scholar
  29. 29.
    Valtolina G (1998) Body-size estimation by obese participants. Percept Mot Skills 3:1363–1374.  https://doi.org/10.2466/pms.1998.86.3c.1363 Google Scholar
  30. 30.
    Shaw H, Ramirez L, Trost A, Randall P, Stice E (2004) Body image and eating disturbances across ethnic groups: more similarities than differences. Psychol Addict Behav 18(1):12.  https://doi.org/10.1037/0893-164X.18.1.12 Google Scholar
  31. 31.
    Thompson JK, Coovert MD, Richards KJ, Johnson S, Cattarin J (1995) Development of body image, eating disturbance, and general psychological functioning in female adolescents: covariance structure modeling and longitudinal investigations. Int J Eat Disord 18 (3):221–236.  https://doi.org/10.1002/1098-108X(199511)18:3%3C221::AID-EAT2260180304%3E3.0.CO;2-D Google Scholar
  32. 32.
    Sorbara M, Geliebter A (2002) Body image disturbance in obese outpatients before and after weight loss in relation to race, gender, binge eating, and age of onset of obesity. Int J Eat Disord 31(4):416–423.  https://doi.org/10.1002/eat.10046 Google Scholar
  33. 33.
    Adami GF, Gandolfo P, Campostano A, Meneghelli A, Ravera G, Scopinaro N (1998) Body image and body weight in obese patients. Int J Eat Disord 24 (3):299–306.  https://doi.org/10.1002/(SICI)1098-108X(199811)24:3%3C299::AID-EAT7%3E3.0.CO;2-H Google Scholar
  34. 34.
    Abbas LA, Nasser Z, Salameh P, Mansour Z, Abbas LA, Abbas LA, Fares Y, Godin I (2018) Body image dissatisfaction and psychological distress among adults with excessive body weight. Int J Health Sci Res 8(4):3–10Google Scholar
  35. 35.
    Jonstang I (2009) The effect of body dissatisfaction on eating disorder symptomatology: mediating effects of depression and low self-esteem. Master of Philosophy in Psychology, Department of Psychology, Universitetet i OsloGoogle Scholar
  36. 36.
    Carter FA, Bulik CM, Lawson RH, Sullivan PF, Wilson JS (1996) Effect of mood and food cues on body image in women with bulimia and controls. Int J Eat Disord 20 (1):65–76.  https://doi.org/10.1002/(SICI)1098-108X(199607)20:1%3C65::AID-EAT8%3E3.0.CO;2-2 Google Scholar
  37. 37.
    Kulbartz-Klatt YJ, Florin I, Pook M (1999) Bulimia nervosa: mood changes do have an impact on body width estimation. Br J Clin Psychol 38(3):279–287.  https://doi.org/10.1348/014466599162854 Google Scholar
  38. 38.
    Hayaki J, Friedman MA, Brownell KD (2002) Emotional expression and body dissatisfaction. Int J Eat Disord 31(1):57–62.  https://doi.org/10.1002/eat.1111 Google Scholar
  39. 39.
    Esterling BA, L’Abate L, Murray EJ, Pennebaker JW (1999) Empirical foundations for writing in prevention and psychotherapy: mental and physical health outcomes. Clin Psychol Rev 19(1):79–96.  https://doi.org/10.1016/S0272-7358(98)00015-4 Google Scholar
  40. 40.
    Heatherton TF, Polivy J (1992) Chronic dieting and eating disorders: a spiral model. In: Crowther JH, Tennenbaum DL, Hobfoll SE, Stephens MAP (eds) Series in applied psychology: social issues and questions. The etiology of bulimia nervosa: the individual and familial context. Hemisphere Publishing Corp, Washington, DC, pp 133–155Google Scholar
  41. 41.
    Yahia N, El-Ghazale H, Achkar A, Rizk S (2011) Dieting practices and body image perception among Lebanese university students. Asia Pac J Clin Nutr 20(1):21–28.  https://doi.org/10.6133/apjcn.2011.20.1.04 Google Scholar
  42. 42.
    Sukariyah MB, Sidani RA (2014) Prevalence of and gender differences in weight, body, and eating related perceptions among Lebanese high school students: implications for school counseling. Proc Soc Behav Sci 159:184–191.  https://doi.org/10.1016/j.sbspro.2014.12.354 Google Scholar
  43. 43.
    Itani D (2011) Body image, self-esteem and academic achievement of 8th and 11th grades male and female lebanese students (thesis). Lebanese American University.  https://doi.org/10.26756/th.2011.35
  44. 44.
    Weary-Smith KA (2007) Validation of the Physical Activity Index (PAI) as a measure of total activity load and total kilocalorie expenditure during submaximal treadmill walking. University of PittsburghGoogle Scholar
  45. 45.
    Salafia EHB, Jones ME, Haugen EC, Schaefer MK (2015) Perceptions of the causes of eating disorders: a comparison of individuals with and without eating disorders. J Eat Disord 3(1):32.  https://doi.org/10.1186/s40337-015-0069-8 Google Scholar
  46. 46.
    Zullig KJ, Matthews-Ewald MR, Valois RF (2016) Weight perceptions, disordered eating behaviors, and emotional self-efficacy among high school adolescents. Eat Behav 21:1–6.  https://doi.org/10.1016/j.eatbeh.2015.11.007 Google Scholar
  47. 47.
    Bosi ATB, Çamur D, Güler Ç (2007) Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey). Appetite 49(3):661–666.  https://doi.org/10.1016/j.appet.2007.04.007 Google Scholar
  48. 48.
    Garner DM (1991) Eating disorder inventory-2: professional manual. Psychological Assessment Resources, OdessaGoogle Scholar
  49. 49.
    Rosenberg M (1965) Rosenberg self-esteem scale (RSE). Accept Commit Ther Meas Package 61:52Google Scholar
  50. 50.
    Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24:385–396Google Scholar
  51. 51.
    Thompson E (2015) Hamilton rating scale for anxiety (HAM-A). Occup Med (Lond) 65(7):601.  https://doi.org/10.1093/occmed/kqv1054 Google Scholar
  52. 52.
    Obeid S, Hallit CAE, Haddad C, Hany Z, Hallit S (2018) Validation of the Hamilton Depression Rating Scale (HDRS) and sociodemographic factors associated with Lebanese depressed patients. L’Encéphale.  https://doi.org/10.1016/j.encep.2017.10.010 Google Scholar
  53. 53.
    Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23(1):56Google Scholar
  54. 54.
    Gross JJ, John OP (2003) Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol 85(2):348.  https://doi.org/10.1037/0022-3514.85.2.348 Google Scholar
  55. 55.
    Gormally J, Black S, Daston S, Rardin D (1982) The assessment of binge eating severity among obese persons. Addict Behav 7(1):47–55.  https://doi.org/10.1016/0306-4603(82)90024-7 Google Scholar
  56. 56.
    Greeno CG, Marcus MD, Wing RR (1995) Diagnosis of binge eating disorder: Discrepancies between a questionnaire and clinical interview. Int J Eat Disord 17 (2):153–160.  https://doi.org/10.1002/1098-108X(199503)17:2%3C153::AID-EAT2260170208%3E3.0.CO;2-V.Google Scholar
  57. 57.
    Arnow B, Kenardy J, Agras WS (1995) The Emotional Eating Scale: The development of a measure to assess coping with negative affect by eating. Int J Eat Disord 18 (1):79–90.  https://doi.org/10.1002/1098-108X(199507)18:1%3C79::AID-EAT2260180109%3E3.0.CO;2-V Google Scholar
  58. 58.
    Gillath O, Hart J, Noftle EE, Stockdale GD (2009) Development and validation of a state adult attachment measure (SAAM). J Res Pers 43(3):362–373.  https://doi.org/10.1016/j.jrp.2008.12.009 Google Scholar
  59. 59.
    Haddad C, Obeid S, Akel M, Honein K, Akiki M, Azar J, Hallit S (2019) Correlates of Orthorexia Nervosa among a representative sample of the Lebanese population. Eat Weight Disord.  https://doi.org/10.1007/s40519-018-0631-x Google Scholar
  60. 60.
    Tom G, Chen A, Liao H, Shao J (2005) Body image, relationships, and time. J Psychol 139(5):458–468Google Scholar
  61. 61.
    Friedman MA, Dixon AE, Brownell KD, Whisman MA, Wilfley DE (1999) Marital status, marital satisfaction, and body image dissatisfaction. Int J Eat Disord 26 (1):81–85.  https://doi.org/10.1002/(SICI)1098-108X(199907)26:1%3C81::AID-EAT10%3E3.0.CO;2-V Google Scholar
  62. 62.
    Lundborg P, Nystedt P, Lindgren B (2007) Getting ready for the marriage market? The association between divorce risks and investments in attractive body mass among married Europeans. J Biosoc Sci 39(4):531–544.  https://doi.org/10.1017/S0021932006001611 Google Scholar
  63. 63.
    Pole M, Crowther JH, Schell J (2004) Body dissatisfaction in married women: the role of spousal influence and marital communication patterns. Body Image 1(3):267–278.  https://doi.org/10.1016/j.bodyim.2004.06.001 Google Scholar
  64. 64.
    Stice E (2002) Risk and maintenance factors for eating pathology: a meta-analytic review. Psychol Bull 128(5):825–848.  https://doi.org/10.1037//0033-2909.128.5.825 Google Scholar
  65. 65.
    Moore DC (1993) Body image and eating behavior in adolescents. J Am Coll Nutr 12(5):505–510.  https://doi.org/10.1080/07315724.1993.10718343 Google Scholar
  66. 66.
    Feingold A, Mazzella R (1998) Gender differences in body image are increasing. Psychol Sci 9(3):190–195.  https://doi.org/10.1111/1467-9280.00036 Google Scholar
  67. 67.
    Mendelson BK, Mendelson MJ, White DR (2001) Body-esteem scale for adolescents and adults. J Pers Assess 76(1):90–106.  https://doi.org/10.1207/S15327752JPA7601_6 Google Scholar
  68. 68.
    Cash TF, Morrow JA, Hrabosky JI, Perry AA (2004) How has body image changed? A cross-sectional investigation of college women and men from 1983 to 2001. J Consult Clin Psychol 72(6):1081.  https://doi.org/10.1037/0022-006X.72.6.1081 Google Scholar
  69. 69.
    Brennan MA, Lalonde CE, Bain JL (2010) Body image perceptions: do gender differences exist. Psi Chi J Undergrad Res 15(3):130–138Google Scholar
  70. 70.
    Coker E, Abraham S (2014) Body weight dissatisfaction: a comparison of women with and without eating disorders. Eat Behav 15(3):453–459.  https://doi.org/10.1016/j.eatbeh.2014.06.014 Google Scholar
  71. 71.
    Lavender JM, Anderson DA (2010) Contribution of emotion regulation difficulties to disordered eating and body dissatisfaction in college men. Int J Eat Disord 43(4):352–357.  https://doi.org/10.1002/eat.20705 Google Scholar
  72. 72.
    Cho A, Lee J-H (2013) Body dissatisfaction levels and gender differences in attentional biases toward idealized bodies. Body Image 10(1):95–102.  https://doi.org/10.1016/j.bodyim.2012.09.005 Google Scholar
  73. 73.
    Blowers LC, Loxton NJ, Grady-Flesser M, Occhipinti S, Dawe S (2003) The relationship between sociocultural pressure to be thin and body dissatisfaction in preadolescent girls. Eat Behav 4(3):229–244.  https://doi.org/10.1016/s1471-0153(03)00018-7 Google Scholar
  74. 74.
    Richmond TK, Walls CE, Gooding HC, Field AE (2010) Television viewing is not predictive of BMI in Black and Hispanic young adult females. Obesity (Silver Spring Md) 18(5):1015–1020.  https://doi.org/10.1038/oby.2009.391 Google Scholar
  75. 75.
    Sands ER, Wardle J (2003) Internalization of ideal body shapes in 9-12-year-old girls. Int J Eat Disord 33(2):193–204.  https://doi.org/10.1002/eat.10121 Google Scholar
  76. 76.
    EricStice (1994) Review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms of action. Clin Psychol Rev.  https://doi.org/10.1016/0272-7358(94)90002-7 Google Scholar
  77. 77.
    Grilo CM, Wilfley DE, Jones A, Brownell KD, Rodin J (1994) The social self, body dissatisfaction, and binge eating in obese females. Obes Res 2(1):24–27.  https://doi.org/10.1002/j.1550-8528.1994.tb00040.x Google Scholar
  78. 78.
    Kichler JC, Crowther JH (2001) The effects of maternal modeling and negative familial communication on women’s eating attitudes and body image. Behav Ther 32(3):443–457.  https://doi.org/10.1016/S0005-7894(01)80030-7 Google Scholar
  79. 79.
    Crowther JH, Kichler JC, Sherwood NE, Kuhnert ME (2002) The role of familial factors in bulimia nervosa. Eat Disord 10(2):141–151.  https://doi.org/10.1080/10640260290081704 Google Scholar
  80. 80.
    Weinberger N-A, Kersting A, Riedel-Heller SG, Luck-Sikorski C (2016) Body dissatisfaction in individuals with obesity compared to normal-weight individuals: a systematic review and meta-analysis. Obes Facts 9(6):424–441.  https://doi.org/10.1159/000454837 Google Scholar
  81. 81.
    del Mar Bibiloni M, Coll JL, Pich J, Pons A, Tur JA (2017) Body image satisfaction and weight concerns among a Mediterranean adult population. BMC Public Health 17(1):39.  https://doi.org/10.1186/s12889-016-3919-7 Google Scholar
  82. 82.
    Ferreira C, Trindade IA (2015) Body image-related cognitive fusion as a main mediational process between body-related experiences and women’s quality of life. Eat Weight Disord EWD 20(1):91–97.  https://doi.org/10.1007/s40519-014-0155-y Google Scholar
  83. 83.
    Bibiloni Mdel M, Pich J, Pons A, Tur JA (2013) Body image and eating patterns among adolescents. BMC Public Health 13:1104.  https://doi.org/10.1186/1471-2458-13-1104 Google Scholar
  84. 84.
    Cafri G, Thompson JK, Ricciardelli L, McCabe M, Smolak L, Yesalis C (2005) Pursuit of the muscular ideal: physical and psychological consequences and putative risk factors. Clin Psychol Rev 25(2):215–239.  https://doi.org/10.1016/j.cpr.2004.09.003 Google Scholar
  85. 85.
    Stice E, Bearman SK (2001) Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: a growth curve analysis. Dev Psychol 37(5):597.  https://doi.org/10.1037/0012-1649.37.5.597 Google Scholar
  86. 86.
    Stice E, Shaw H (2003) Prospective relations of body image, eating, and affective disturbances to smoking onset in adolescent girls: how Virginia slims. J Consult Clin Psychol 71(1):129.  https://doi.org/10.1037/0022-006X.71.1.129 Google Scholar
  87. 87.
    Duchesne AP, Dion J, Lalande D, Begin C, Emond C, Lalande G, McDuff P (2017) Body dissatisfaction and psychological distress in adolescents: is self-esteem a mediator? J Health Psychol 22(12):1563–1569.  https://doi.org/10.1177/1359105316631196 Google Scholar
  88. 88.
    Hamilton SR (2008) A relationship between perceived body image and depression: how college women see themselves may affect depression. Stud J Psychol Sci 1(1):13–20Google Scholar
  89. 89.
    Ward RM, Hay MC (2015) Depression, coping, hassles, and body dissatisfaction: Factors associated with disordered eating. Eat Behav 17:14–18.  https://doi.org/10.1016/j.eatbeh.2014.12.002 Google Scholar
  90. 90.
    Ozmen D, Ozmen E, Ergin D, Cetinkaya AC, Sen N, Dundar PE, Taskin EO (2007) The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents. BMC Public Health 7(1):80.  https://doi.org/10.1186/1471-2458-7-80 Google Scholar
  91. 91.
    Andres A, Saldana C (2014) Body dissatisfaction and dietary restraint influence binge eating behavior. Nutr Res (New York NY) 34(11):944–950.  https://doi.org/10.1016/j.nutres.2014.09.003 Google Scholar
  92. 92.
    Murray KM, Byrne DG, Rieger E (2011) Investigating adolescent stress and body image. J Adolesc 34(2):269–278.  https://doi.org/10.1016/j.adolescence.2010.05.004 Google Scholar
  93. 93.
    Himmelstein MS, Incollingo Belsky AC, Tomiyama AJ (2015) The weight of stigma: cortisol reactivity to manipulated weight stigma. Obesity (Silver Spring Md) 23(2):368–374.  https://doi.org/10.1002/oby.20959 Google Scholar
  94. 94.
    Farhat T, Iannotti RJ, Summersett-Ringgold F (2015) Weight, weight perceptions, and health-related quality of life among a national sample of US girls. J Dev Behav Pediatr JDBP 36(5):313–323.  https://doi.org/10.1097/dbp.0000000000000172 Google Scholar
  95. 95.
    Reed J, Ones DS (2006) The effect of acute aerobic exercise on positive activated affect: a meta-analysis. Psychol Sport Exerc 7(5):477–514.  https://doi.org/10.1016/j.psychsport.2005.11.003 Google Scholar
  96. 96.
    LePage ML, Crowther JH (2010) The effects of exercise on body satisfaction and affect. Body Image 7(2):124–130.  https://doi.org/10.1016/j.bodyim.2009.12.002 Google Scholar
  97. 97.
    McInman AD, Berger BG (1993) Self-concept and mood changes associated with aerobic dance. Aust J Psychol 45(3):134–140.  https://doi.org/10.1080/00049539308259130 Google Scholar
  98. 98.
    Tiggemann M, Williamson S (2000) The effect of exercise on body satisfaction and self-esteem as a function of gender and age. Sex Roles 43(1–2):119–127.  https://doi.org/10.1023/A:1007095830095 Google Scholar
  99. 99.
    Hausenblas HA, Fallon EA (2006) Exercise and body image: a meta-analysis. Psychol Health 21(1):33–47.  https://doi.org/10.1080/14768320500105270 Google Scholar
  100. 100.
    Ginis KAM, Prapavessis H, Haase AM (2008) The effects of physique-salient and physique non-salient exercise videos on women’s body image, self-presentational concerns, and exercise motivation. Body Image 5(2):164–172.  https://doi.org/10.1016/j.bodyim.2007.11.005 Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Psychiatric Hospital of the CrossJall-EddibLebanon
  2. 2.Faculty of ScienceLebanese UniversityFanarLebanon
  3. 3.School of PharmacyLebanese International UniversityBeirutLebanon
  4. 4.INSPECT-LB: Institut National de Santé Publique, Epidemiologie Clinique et ToxicologieBeirutLebanon
  5. 5.Faculty of Medicine and Medical SciencesHoly Spirit University of Kaslik (USEK)JouniehLebanon
  6. 6.Faculty of Philosophy and Human SciencesHoly Spirit University (USEK)JouniehLebanon
  7. 7.Faculty of PedagogyLebanese UniversityBeirutLebanon
  8. 8.BiakoutLebanon

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