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Thin-ideal internalization, body dissatisfaction and symptoms of eating disorders in Croatian adolescent girls

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Abstract

The aim of this investigation was to study the relationship between unhealthy eating habits and behaviors, perception and acceptance of societal standards regarding thinness, body dissatisfaction, and family and peer pressure to be thin. One hundred and twentythree high school girls from Rijeka (Croatia) were surveyed using Eating Attitudes Test (EAT-26), Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ), Body Esteem Questionnaire for Adolescents and Adults (BES), and Scale of perceived pressure to be thin from family and peers. The results of path analyses showed that social pressure from family and peers, experience of weight-related teasing and criticism by family members, contributed to development of eating disturbance. The acceptance of social standards related to appearance, contributed to onset of disturbed eating habits. Weight satisfaction alone influences the development of some eating disorder symptoms, but it is also a mediator of higher body mass index (BMI) and internalization of societal appearance standards. Girls with higher BMI, who accepted societal standards of thin-ideal, perceived major social pressure to be thin through direct and persuasive comments designed to establish the importance of dieting, and probably develop eating disturbed habits, or some symptoms of anorexia (AN) or bulimia nervosa (BN).

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References

  1. Garfinkel P.E., Lin E., Goering P., Spegg C., Goldbloom D.S., Kennedy S., Kaplan A.S., Woodside D.B.: Bulimia nervosa in a Canadian community sample: Prevalence and comparison of subgroups. Am. J. Psychiatry, 152, 1052–1058, 1995.

    PubMed  CAS  Google Scholar 

  2. Rastam M., Gillberg C., Garton M.: Anorexia nervosa in a Swedish urban region: A population based study. Br. J. Psychiatry, 155, 642–646, 1989.

    PubMed  CAS  Google Scholar 

  3. Woodside D., Garfinkel P.E.: Age of onset in eating disorders. Int. J. Eating Disord., 12, 31–36, 1992.

    Article  Google Scholar 

  4. Hoek H.W.: The distribution of eating disorders. In: Brownell K.D., Fairburn C.G. (Eds.), Eating disorders and obesity: A comprehensive handbook. New York, Guilford, 1995, pp. 207–209.

    Google Scholar 

  5. Stice E., Shaw, H.E.: Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings. J. Psychosom. Res., 53, 985–993, 2002.

    Article  PubMed  Google Scholar 

  6. Shisslak C.M., Crago M.: Risk and protective factors in the development of eating disorders. In: Thompson K.J., Smolak L. (Eds.), Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment. Washington, APA, 2001, pp. 103–125.

    Chapter  Google Scholar 

  7. Striegel-Moore R.H., Silberstein L.R., Rodin J.: Toward an understanding of risk factors for bulimia. Am. Psychol., 41, 246–263, 1986.

    Article  PubMed  CAS  Google Scholar 

  8. Stice E.: Review of the evidence for a sociocultural model of bulimia nervosa and exploration of the mechanisms of action. Clin. Psychol. Rev., 14, 633–661, 1994.

    Article  Google Scholar 

  9. Pike K.M., Rodin J.: Mothers, daughters, and disordered eating. J. Abnorm. Psychol., 100, 198–204, 1991.

    Article  PubMed  CAS  Google Scholar 

  10. Irving L.M.: Mirror images: Effects of the standard of beauty on the self- and body-esteem of women exhibiting varying levels of bulimic symptoms. J. Soc. Clin. Psychol., 9, 230–242, 1990.

    Article  Google Scholar 

  11. Thelen M.H., Cormier J.F.: Desire to be thinner and weight control among children and their parents. Behav. Ther., 26, 85–99, 1995.

    Article  Google Scholar 

  12. Meyer C., Waller G.: Social convergence of disturbed eating attitudes in young adult women. J. Nerv. Ment. Dis., 189, 114–119, 2001.

    Article  PubMed  CAS  Google Scholar 

  13. Stice E.: Modeling of eating pathology and social reinforcement of the thin-ideal predict onset of bulimic symptoms. Behav. Res. Ther., 36, 931–944, 1998.

    Article  PubMed  CAS  Google Scholar 

  14. Stice E., Schupak-Neuberg E., Shaw H.E., Stein R.I.: Relation of media exposure to eating disorder symptomatology: An examination of mediating mechanisms. J. Abnorm. Psychol., 103, 836–840, 1994.

    Article  PubMed  CAS  Google Scholar 

  15. Thompson J.K., Heinberg L.J., Altabe M., Tantleff- Dunn S.: Exacting beauty: theory, assessment, and treatment of body image disturbance. Washington, APA, 1999.

    Book  Google Scholar 

  16. Gardner R.M., Stark K., Friedman B.N., Jackson N.A.: Predictors of eating disorder scores in children ages 6 through 14: A longitudinal study. J. Psychosom. Res., 49, 199–205, 2000.

    Article  PubMed  CAS  Google Scholar 

  17. Furnham A., Boughton J.: Eating behaviour and body dissatisfaction among dieters, aerobic exercisers and a control group. Eur. Eat. Disord. Rev., 3, 35–45, 1995.

    Article  Google Scholar 

  18. McFarlane T., McCabe R.E., Jarry J., Olmsted M.P., Polivy J.: Weight-related and shape-related self-evaluation in eating-disordered and non-eating-disordered women. Int. J. Eating Disord., 29, 328–335, 2001.

    Article  CAS  Google Scholar 

  19. Halvarsson K., Lunner K., Sjöden P.-O.: Assessment of eating behaviours and attitudes to eating, dieting and body image in pre-adolescent Swedish girls: a one year follow-up. Acta Paediatr., 89, 996–1000, 2000.

    Article  PubMed  CAS  Google Scholar 

  20. McKinley N.M.: Women and objectified body consciousness: Mothers’ and daughters’ body experience in cultural, developmental, and familial context. Dev. Psychol., 35, 760–769, 1999.

    Article  PubMed  CAS  Google Scholar 

  21. Heinberg L.J., Thompson J.K., Stormer S.: Development and validation of the Sociocultural Attitudes Toward Appearance Questionnaire. Int. J. Eating Dis., 17, 81–89, 1995.

    Article  CAS  Google Scholar 

  22. Mendelson B. K., Mendelson M.J., Andrews J.: Bodyesteem scale for adolescents and adults. J. Person. Assess., 76, 90–106, 2001.

    Article  CAS  Google Scholar 

  23. Rukavina T.: Internalizacija ideala tjelesnog izgleda, nezadovoljstvo tijelom i simptomi poremecaja hranjenja kod adolescenata. (Thin-ideal internalization, body dissatisfaction, and eating disorder symptoms in adolescents). Degree thesis. Rijeka, Faculty of Philosophy, University of Rijeka, 2002.

    Google Scholar 

  24. Garner D.M., Olmsted M.P., Bohr Y., Garfinkel P.E.: The Eating Attitudes Test: Psychometric features and clinical correlates. Psychol. Med., 12, 871–878, 1982.

    Article  PubMed  CAS  Google Scholar 

  25. Ambrosi-Randic N.: Mjerna svojstva Upitnika navika hranjenja za djecu i adolescente. Suvremena psihologija, 2, 101–113, 2000.

    Google Scholar 

  26. Attie I., Brooks-Gunn J.: Development of eating problems in adolescent girls: A longitudinal study. Dev. Psychol., 25, 70–79.

  27. Stice E.: A prospective test of the Dual-Pathway Model of bulimic pathology: Mediating effects of dieting and negative affect. J. Abnorm. Psychol., 110, 124–135, 2001.

    Article  PubMed  CAS  Google Scholar 

  28. Stice E., Spangler D., Agras W.S.: Exposure to mediaportrayed thin-ideal images adversely affects vulnerable girls: a longitudinal experiment. J. Soc. Clin. Psychol., 20, 270–288, 2001.

    Article  Google Scholar 

  29. Twamley E.W., Davis M.C.: The sociocultural model of eating disturbance in young women: the effects of personal attributes and family environment. J. Soc. Clin. Psychol., 18, 467–489, 1999.

    Article  Google Scholar 

  30. McCabe M.P., Ricciarelli L.A.: Parent, peer, and media influences on body image and strategies to both increase and decrease body size among adolescent boys and girls. Adolescence 36, 225–239, 2001.

    PubMed  CAS  Google Scholar 

  31. Stice E.: Risk and maintenance factors for eating pathology: A meta-analytic review. Psychol. Bull., 128, 825–848, 2002.

    Article  PubMed  Google Scholar 

  32. Smolak L., Levine M.P., Schermer F.: Parental input and weight concerns among elementary school children. Int. J. Eating Dis., 25, 263–271, 1999.

    Article  CAS  Google Scholar 

  33. Levine M.P., Smolak L., Hayden H.: The relation of sociocultural factors to eating attitudes and behaviors among middle school girls. J. Early Adolesc., 14, 471–490, 1994.

    Article  Google Scholar 

  34. Cash T.F., Hicks K.L.: Being fat versus thinking fat: Relationships with body image, eating behaviors, and well-being. Cogn. Ther. Res., 14, 327–341, 1990.

    Article  Google Scholar 

  35. McHale S.M., Corneal D.A., Crouter A.C., Birch L.L.: Gender and weight concerns in early and middle adolescence: Links with well-being and family characteristics. J. Clin. Child Psychol., 30, 338–348, 2001.

    Article  PubMed  CAS  Google Scholar 

  36. Emmons L.: The relationship of dieting to weight in adolescents. Adolescence, 31, 167–177, 1996.

    PubMed  CAS  Google Scholar 

  37. Lau B., Alsaker F.D.: Dieting behavior in Norwegian adolescents. Scand. J. Psychol., 42, 25–32, 2001.

    Article  PubMed  CAS  Google Scholar 

  38. Bilukha O.O., Utermohlen V.: Internalization of Western standards of appearance, body dissatisfaction and dieting in urban educated Ukrainian females. Eur. Eat. Disord. Rev., 10, 120–137, 2002.

    Article  Google Scholar 

  39. Papezova H.: Eating disorders across Europe: History of services for eating disorders with regard to political and women’s situational changes in the Czech Republic. Eur. Eat. Disord. Rev, 10, 79–84, 2002.

    Article  Google Scholar 

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Correspondence to Alessandra Pokrajac-Bulian.

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Rukavina, T., Pokrajac-Bulian, A. Thin-ideal internalization, body dissatisfaction and symptoms of eating disorders in Croatian adolescent girls. Eat Weight Disord 11, 31–37 (2006). https://doi.org/10.1007/BF03327741

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