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Alsheweir A, Goyder E, Alzahrani M, Caton SJ. Determinants of Disordered Eating Behaviours (DEBs) among Adolescent Female School Students in Riyadh, Saudi Arabia: A Qualitative Study. Nutrients 2024; 16:2119. [PMID: 38999867 PMCID: PMC11243036 DOI: 10.3390/nu16132119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2024] [Revised: 06/28/2024] [Accepted: 07/01/2024] [Indexed: 07/14/2024] Open
Abstract
The risk of DEB is more prevalent in girls, particularly during adolescence. The onset of DEB can be triggered by many inter-related factors, including biological, social, parental, and psychosocial. To date, very little is known about the determinants of DEBs in Saudi adolescent girls. Using a qualitative analysis, this study explored potential determinants of DEB among adolescent girls in Riyadh. Eighteen semi-structured interviews were carried out with adolescent girls (mean age = 14.06, SD = 0.87) who reported a high risk of DEB (EAT-26 ≥ 20) in intermediate and secondary schools in Riyadh. The mean weight was 51 kg (SD = 11.8) with BMI ranging from 14.18 kg/m2 to 27.51 kg/m2. EAT-26 scores ranged from 21 to 42 (M = 26.8, SD = 5.6). Data were transcribed and revised, then themes and sub-themes were assigned using MAXQDA 24. The most common DEBs reported were dieting and binging, followed by induced vomiting. Major themes were related to negative cognitions, conscious imitation/copying behaviours, bullying, comparisons, and negative comments. Some participants identified the possibility of biological and familial factors in increasing the likelihood of DEB. Our findings provide a framework that could be used to increase understanding of DEB and inform the development of interventions to address underlying causes of DEB in Saudi adolescent girls.
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Affiliation(s)
- Azzah Alsheweir
- Sheffield Centre for Health & Related Research (SCHARR), School of Medicine & Population Health, University of Sheffield, Sheffield S1 4DA, UK; (E.G.); or (M.A.); (S.J.C.)
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 145111, Saudi Arabia
| | - Elizabeth Goyder
- Sheffield Centre for Health & Related Research (SCHARR), School of Medicine & Population Health, University of Sheffield, Sheffield S1 4DA, UK; (E.G.); or (M.A.); (S.J.C.)
| | - Maha Alzahrani
- Sheffield Centre for Health & Related Research (SCHARR), School of Medicine & Population Health, University of Sheffield, Sheffield S1 4DA, UK; (E.G.); or (M.A.); (S.J.C.)
- Health Sciences College at Al-Lith, Umm Al-Qura University, Makkah 21955, Saudi Arabia
| | - Samantha J. Caton
- Sheffield Centre for Health & Related Research (SCHARR), School of Medicine & Population Health, University of Sheffield, Sheffield S1 4DA, UK; (E.G.); or (M.A.); (S.J.C.)
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Kim S, Yang SJ. Size-inclusive advertising in the Asian fashion market: Female consumers' responses to a plus-size vs. Thin-size model in South Korea. PLoS One 2024; 19:e0304989. [PMID: 38885249 PMCID: PMC11182544 DOI: 10.1371/journal.pone.0304989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 05/21/2024] [Indexed: 06/20/2024] Open
Abstract
Global fashion brands have embraced size-inclusive advertising featuring plus-size models, yet the responses of Asian consumers to such advertising-where the average body size of women is smaller than in Western markets-have garnered little attention. This study, utilizing the S-O-R model, aimed to investigate whether the relationships among perceived actual and ideal self-congruence, perceived attractiveness and familiarity of a fashion model, and purchase intention vary based on the body size of the fashion model. We tested the hypothesized relationships using ANCOVA, confirmatory factor analysis, and multi-group structural equation modeling, analyzing 623 online survey responses from South Korean female consumers. Actual self-congruence had a greater influence on perceived familiarity in consumers exposed to a thin-sized model compared to those exposed to a plus-sized model. In contrast, ideal self-congruence had a more significant positive impact on the perceived physical attractiveness of the plus-size model than the thin-size model. Furthermore, the plus-size model's perceived physical attractiveness had a more significant positive effect on purchase intention than that of the thin-size model. This study highlights the importance of crafting advertising images that portray plus-size models as physically attractive to elicit favorable responses from Asian consumers.
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Affiliation(s)
- Sunwoo Kim
- Research Institute of Human Ecology, Seoul National University, Seoul, South Korea
| | - Su Jin Yang
- Department of Consumer Science & Living Culture Industry, Sungshin Women’s University, Seoul, South Korea
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Rozgonjuk D, Ignell J, Mech F, Rothermund E, Gündel H, Montag C. Smartphone and Instagram use, body dissatisfaction, and eating disorders: investigating the associations using self-report and tracked data. J Eat Disord 2023; 11:149. [PMID: 37667321 PMCID: PMC10478361 DOI: 10.1186/s40337-023-00865-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 08/08/2023] [Indexed: 09/06/2023] Open
Abstract
BACKGROUND Previous research has linked smartphone and Instagram use to higher body dissatisfaction (BD) as well as eating disorder (ED) symptomatology. However, these studies have typically been limited to using self-report measures for technology use which, as shown by scientific literature, might not be reliable. In the present work, we combine self-reported assessments as well as tracked smartphone and Instagram use. METHODS The effective sample comprised N = 119 women (34 with ED diagnosis history) who were queried about BD and ED symptomatology, and who provided the data about their smartphone and Instagram use duration for each day of the previous week. RESULTS The study results show that women with an ED diagnosis history scored higher on both BD as well as ED scales. Although women with an ED diagnosis history had higher smartphone screen time, there were no statistically significant differences in Instagram screen time. Tracked smartphone use duration was positively correlated with both BD and ED symptomatology, but the role of Instagram use needs to be further elucidated. CONCLUSIONS The results of this study show that while BD and ED symptomatology are correlated with smartphone use, it may be that Instagram use is not the main contributor to that relationship.
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Affiliation(s)
- Dmitri Rozgonjuk
- Department of Molecular Psychology, Institute of Psychology and Education, Ulm University, Helmholtzstraße 8/1, 89081, Ulm, Germany.
- Institute of Mathematics and Statistics, University of Tartu, Tartu, Estonia.
- Institute of Computer Science, University of Tartu, Tartu, Estonia.
| | - Johanna Ignell
- Department of Molecular Psychology, Institute of Psychology and Education, Ulm University, Helmholtzstraße 8/1, 89081, Ulm, Germany
| | - Franziska Mech
- Department of Molecular Psychology, Institute of Psychology and Education, Ulm University, Helmholtzstraße 8/1, 89081, Ulm, Germany
| | - Eva Rothermund
- Ulm University Medical Center, Department of Psychosomatic Medicine and Psychotherapy, Ulm University, Ulm, Germany
| | - Harald Gündel
- Ulm University Medical Center, Department of Psychosomatic Medicine and Psychotherapy, Ulm University, Ulm, Germany
| | - Christian Montag
- Department of Molecular Psychology, Institute of Psychology and Education, Ulm University, Helmholtzstraße 8/1, 89081, Ulm, Germany.
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Kim YS, Suh JD, Kim JK, Cho JH. Comparison of body size perception of young women in Korea and the United States. Women Health 2023; 63:266-276. [PMID: 36849421 DOI: 10.1080/03630242.2023.2183345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
Body size perception among young women in Asian and Western countries is believed to be quite different, however, there are no confirming studies. We analyzed the data from young women aged between 20 and 40 who participated in the National Health and Nutrition Examination Survey (2001-2018) of the United States (US) and Korea. US young women had higher rates of being overweight and obesity than Korean young women, and there was no significant change over 20 years. In both countries, the percentage of properly estimating one's own weight exceeded 70 percent and remained relatively steady. The percentage of overestimating one's own weight was only about 10 percent in Korea in 2001, but increased to 20 percent. In the case of the US, the percentage was about 15 percent in 2001-2002, but has since continued to decline. The percentage of underestimating one's own body weight was about 18 percent in Korea in 2001, but decreased to about 8 percent. In the case of the US, the percentage was very low at about 10 percent in 2001-2002, but gradually increased to about 18 percent in 2017-2018. In conclusion, young women in the US tend to underestimate their body size, and those in Korea tend to overestimate it.
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Affiliation(s)
- Yoon-Sook Kim
- Department of Quality Improvement, Konkuk University Medical Centre, Seoul, Korea
| | - Jeffrey D Suh
- Department of Head and Neck Surgery, University of California, Los Angeles, California, USA
| | - Jin Kook Kim
- Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Seoul, Korea
| | - Jae Hoon Cho
- Department of Quality Improvement, Konkuk University Medical Centre, Seoul, Korea.,Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Seoul, Korea
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Delgado-Rodríguez R, Linares R, Moreno-Padilla M. Social network addiction symptoms and body dissatisfaction in young women: exploring the mediating role of awareness of appearance pressure and internalization of the thin ideal. J Eat Disord 2022; 10:117. [PMID: 35941711 PMCID: PMC9361684 DOI: 10.1186/s40337-022-00643-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 07/27/2022] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Previous studies testing for a direct relationship between social networking sites (SNS) addiction and body dissatisfaction (BD) have yielded inconsistent results. Here, we aimed to identify underlying processes that could mediate this relationship. Specifically, we studied the relationship between SNS addiction symptoms and BD through the awareness of appearance pressures and the internalization of beauty ideals, both individually and serially: SNS addiction → Awareness → BD; SNS addiction → Internalization → BD; SNS addiction → Awareness → Internalization → BD. METHOD A total of 368 female undergraduates with SNS accounts completed scales to assess SNS addiction symptoms (Social Network Addiction Questionnaire), BD (Body Shape Questionnaire), awareness, and internalization (Sociocultural Attitudes Towards Appearance Questionnaire-4; awareness and internalization scales). A theoretical serial mediation model was constructed to examine the proposed relationships. Body mass index was included as a covariate to control the influence of this important variable. RESULTS The results indicated that both awareness and internalization independently mediated the relationship between SNS addiction symptoms and BD. Also, there was a significant serial mediation effect; women with more SNS addiction symptoms tended to be more aware of appearance pressure, which was associated with the internalization of beauty ideals. In turn, this internalization was positively related to BD symptoms. CONCLUSIONS These findings shed light on the indirect relationship between SNS addiction and BD, demonstrating independent and accumulative mediating effects of awareness and internalization.
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Affiliation(s)
| | - Rocío Linares
- Department of Psychology, University of Jaén, Campus Las Lagunillas, 23009, Jaén, Spain
| | - María Moreno-Padilla
- Department of Psychology, University of Jaén, Campus Las Lagunillas, 23009, Jaén, Spain.
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Am I thin enough? Social media use and the ideal body stereotype: The mediating role of perceived socio-cultural pressure and the moderating role of cognitive fusion. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-02938-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Long-Term Effect of Physical Activity on Internalizing and Externalizing Problems and Life Satisfaction. SUSTAINABILITY 2021. [DOI: 10.3390/su13042322] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
This study examined the long-term effect of physical activity on life satisfaction from a sample of 2092 middle school students (52.5% male) in South Korea. Structural equation modeling analyses were employed to understand how various factors influence youth life satisfaction. Physical activity during physical education class had a long-term influence on life satisfaction through both internalizing and externalizing problem behaviors as mediating factors. Gender differences were found in the relationships between physical activity and life satisfaction. The current findings imply that encouraging students in early adolescence to actively engage in physical education potentially is a useful educational intervention method. Implications and future directions are discussed.
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Psychometric properties of measures of sociocultural influence and internalization of appearance ideals across eight countries. Body Image 2020; 35:300-315. [PMID: 33181386 DOI: 10.1016/j.bodyim.2020.09.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 09/30/2020] [Accepted: 09/30/2020] [Indexed: 01/01/2023]
Abstract
The aim of the current study was to examine the psychometric properties of two well-established measures of sociocultural influence and internalization of the thin/low body fat ideal and muscular ideal. Data from 6272 emerging adults (68.9 % female), aged 18-30 years from Australia, Belgium, Canada, China, Italy, Japan, Spain, and the U.S. were included in this study. Participants completed measures of pressure from mother, fathers, peers, and media, to both increase muscles and lose weight, as well as internalization of the thin/low body fat ideal and muscular ideal. Overall, support for partial invariance was found across the scales. In addition, group level differences were found between countries as well as along demographic factors including gender, age, body mass index, and socioeconomic status. These findings make an important contribution by identifying these scales as useful tools that will support future cross-country and cross-cultural examinations of explanatory models of the development of body image and eating concerns grounded within sociocultural theories.
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Singh S, Gadiraju P. Prevalence and correlates of body dissatisfaction and disordered eating patterns in Indian youth: The role of media. Indian J Psychiatry 2020; 62:509-516. [PMID: 33678831 PMCID: PMC7909050 DOI: 10.4103/psychiatry.indianjpsychiatry_737_19] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2019] [Revised: 02/19/2020] [Accepted: 04/10/2020] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND The current study aimed to assess how media internalization and pressure are associated with body mass index (BMI), disordered eating, and body image dissatisfaction in Indian adults and whether there exist gender differences within these variables. The study also aimed to examine whether BMI and media internalization and pressure predict body dissatisfaction and disordered eating. MATERIALS AND METHODS The study utilized self-report measures that were administered to 262 men and women between the ages of 18-25 years (M = 21.64). RESULTS The results indicated that BMI was significantly correlated with internalization athlete, body shape dissatisfaction, and disordered eating, but not internalization general or media pressure. Internalization general, internalization athlete, media pressure as well as body shape dissatisfaction, and disordered eating were found to be positively correlated. Men and women did not significantly differ on any variable, but internalization athlete. Overweight and obese men and women were found to be significantly more dissatisfied than underweight and normal-weight men and women; however, the difference was not significant for overweight and obese males and normal-weight and overweight females. In addition, media influence and BMI significantly predicted body dissatisfaction and disordered eating. CONCLUSIONS The present study contributes to a novel understanding of body image concerns and risk for clinical eating disorders in Indian youth and potential implications for future research.
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Affiliation(s)
- Soumya Singh
- Centre for Health Psychology, University of Hyderabad, Hyderabad, Telangana, India
| | - Padmaja Gadiraju
- Centre for Health Psychology, University of Hyderabad, Hyderabad, Telangana, India
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Kholmogorova A, Rakhmanina A. Three-Factor Physical Perfectionism Scale as a New Tool for the Assessment of the Pathogenic Appearance Standards in the Modern Culture. КОНСУЛЬТАТИВНАЯ ПСИХОЛОГИЯ И ПСИХОТЕРАПИЯ 2020. [DOI: 10.17759/cpp.2020280406] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The paper presents a three-factor version of the Physical Perfectionism Scale. The study was conducted on a sample of students living in Moscow (n=125) and Astrakhan (n=75), including 155 women and 45 men (Mage=19,5; SD=1,83). The factor structure of the questionnaire was confirmed by means of confirmatory factor analysis. The model did not pass the test for gender invariance but showed high fit indices regardless of the cultural standards adopted in the place of residence of the respondents. The identified factors were found to be significantly associated with dissatisfaction with one’s appearance, perceived socio-cultural pressure, as well as fear of negative assessment, and the severity of symptoms of depression.
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Abstract
Establishing a positive body image is a critical factor for adolescents’ physical and mental health as it leads to sustainable individual growth and development throughout their lives. Therefore, possible personality traits need to be examined for their capability as protective factors for a healthy body image. The current study examined how one internal personality trait (self-concept clarity) and three external factors (tripartite influence from media, parents, and peers) are associated with adolescents’ internalization of the thin-body ideal and body esteem in a sample of Korean adolescents (N = 1127). Self-concept clarity was identified as a powerful factor that is positively related with body esteem. The results showed that greater self-concept clarity, lower tripartite influences and thin body internalization were related to greater body esteem. Gender differences were found in the relationships between body esteem and the predictor variables. The implications of the findings and future research directions are discussed.
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Moreno-Domínguez S, Rutsztein G, Geist TA, Pomichter EE, Cepeda-Benito A. Body Mass Index and Nationality (Argentine vs. Spanish) Moderate the Relationship Between Internalization of the Thin Ideal and Body Dissatisfaction: A Conditional Mediation Model. Front Psychol 2019; 10:582. [PMID: 30949101 PMCID: PMC6437113 DOI: 10.3389/fpsyg.2019.00582] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2018] [Accepted: 03/01/2019] [Indexed: 12/02/2022] Open
Abstract
It is believed that Women’s exposure to Western sociocultural pressures to attain a “thin-ideal” results in the internalization of a desire to be thin that consequently leads to body dissatisfaction (BD). It is also well documented that body mass index (BMI; kg/m2) correlates with BD. We tested for the first time a conditional mediation model where thin-ideal Awareness predicted BD through Internalization of the thin ideal and the path from Internalization to BD was hypothesized to be moderated by BMI and Nationality (Argentine vs. Spanish). The model was tested with a sample of 499 young women (age = 18 to 29) from Argentina (n = 290) and Spain (n = 209). Awareness and internalization were measured with the SATAQ-4 (Schaefer et al., 2015) and BD was measured with the BSQ (Cooper et al., 1987). The model was analyzed using PROCESSv3.1 (Hayes, 2018). As hypothesized, thin-ideal awareness predicted BD through internalization and the path from internalization to BD was moderated by BMI and nationality. Specifically, internalization predicted BD at all level of BMI and in both samples, but the relationship between internalization and BD increased with BMI and was also stronger among Spaniards than Argentines. We argue that the findings are congruent with theories that predict that economic development and modernization contribute to normative female BD through internalization of the thin ideal and that upward social comparisons or cognitive discrepancy between self-perceived body image and the sociocultural thin ideal interacts synergistically with thin-ideal internalization to increase BD.
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Affiliation(s)
| | | | - Thomas A Geist
- Department of Psychological Science, The University of Vermont, Burlington, VT, United States
| | - Emily E Pomichter
- Department of Psychological Science, The University of Vermont, Burlington, VT, United States
| | - Antonio Cepeda-Benito
- Department of Psychological Science, The University of Vermont, Burlington, VT, United States
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Ngoubene-Atioky AJ, Williamson-Taylor C. Culturally based health assumptions in Sub-Saharan African immigrants: Body mass index predicting self-reported health status. J Health Psychol 2016; 24:750-760. [PMID: 28810367 DOI: 10.1177/1359105316683241] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
This study examined whether Sub-Saharan African adult immigrants maintained cultural preferences for curvier/higher body size post-migration to the United States. Linear and multiple regression analyses were utilized to discern the predicting effects of Sub-Saharan African immigrants' body mass index score on their self-reported health status at two post-migration data collection points. The initial assessment reveals that Sub-Saharan African immigrants' overweight body mass index score predicted better self-reported health status. Four to six years later, higher body mass index score predicted a better self-reported health status and lower dietary acculturation moderated the predicting effect of body mass index on self-reported health status. Limitations of the study and implications for research and practice are explored.
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