Sociocultural influences on body image in female patients with eating disorders: an explanatory model
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Introduction: theories related to body image suggest that the influence of sociocultural patterns encourages women to internalize certain patterns and develop a high drive towards thinness. Objective: to analyze a model based on the Tripartite Influence Model that explains how social pressures contribute to greater body dissatisfaction that would lead to feelings of low self-esteem, fear of gaining weight, and a greater desire to lose weight in patients with eating disorders. Method: the sample consisted of 195 women with an age range of 12 to 30 years (M = 18.63, SD = 2.87) diagnosed with Anorexia Nervosa, Bulimia Nervosa, and Eating Disorder Not Otherwise Specified. The patients were interviewed for their diagnosis and two psychometric instruments were also applied. Subsequently, through a structural equation modeling analysis, a model was proposed for the patients. Results: the sociocultural factor that contributed the most to explain body dissatisfaction was the influence of the family. The model had a good fit. Discussion: the evidence obtained suggests that sociocultural factors, and in particular the influence exerted by the family, would contribute to the processes of body image formation in patients with eating disorders. The results of this study can be used by health professionals focused on patients with eating disorders in both clinical and research settings.
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References
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5ª ed.). American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596.dsm05
Anderson, L. M., Smith, K. E., Nuñez, M. C., y Farrell, N. R. (2021). Family accommodation in eating disorders: A preliminary examination of correlates with familial burden and cognitive-behavioral treatment outcome. Eating Disorders, 29(4), 327-343. https://doi.org/10.1080/10640266.2019.1652473
Arija Val, V., Santi Cano, M. J., Novalbos Ruiz, J. P., Canals, J., y Rodríguez Martín, A. (2022). Characterization, epidemiology and trends of eating disorders. Nutrición Hospitalaria, 39(2), 8-15. https://doi.org/10.20960/nh.04173
Breusch, T. S., y Pagan, A. R. (1980). The Lagrange Multiplier Test and its applications to model specification in econometrics. The Review of Economic Studies, 47(1), 239-253. https://doi.org/10.2307/2297111
Burke, N. L., Schaefer, L. M., Karvay, Y. G., Bardone-Cone, A. M., Frederick, D. A., Schaumberg, K., Klump, K. L., Anderson, D. A., y Thompson, J. K. (2021). Does the tripartite influence model of body image and eating pathology function similarly across racial/ethnic groups of White, Black, Latina, and Asian women? Eating Behaviors, 42, Artículo 101519. https://doi.org/10.1016/j.eatbeh.2021.101519
Cameron, E., Ward, P., Mandville-Anstey, S. A., y Coombs, A. (2019). The female aging body: A systematic review of female perspectives on aging, health, and body image. Journal of Women & Aging, 31(1), 3-17. https://doi.org/10.1080/08952841.2018.1449586
Carrard, I., Argyrides, M., Ioannou, X., Kvalem, I. L., Waldherr, K., Harcourt, D., y McArdle, S. (2021). Associations between body dissatisfaction, importance of appearance, and aging anxiety with depression, and appearance-related behaviors in women in mid-life. Journal of Women & Aging, 33(1), 70-83. https://doi.org/10.1080/08952841.2019.1681882
Cerniglia, L., Cimino, S., Tafà, M., Marzilli, E., Ballarotto, G., y Bracaglia, F. (2017). Family profiles in eating disorders: Family functioning and psychopathology. Psychology Research and Behavior Management, 10, 305-312. https://doi.org/10.2147/PRBM.S145463
Clark, L., y Tiggemann, M. (2006). Appearance culture in nine-to 12-year-old girls: Media and peer influences on body dissatisfaction. Social Development, 15(4), 628-643. https://doi.org/10.1111/j.1467-9507.2006.00361.x
Cooper, P. J., Taylor, M. J., Cooper, Z., y Fairburn, C. G. (1987). The development and validation of the body shape questionnaire. International Journal of Eating Disorders, 6, 485-494. https://doi.org/10.1002/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O
Cortez, D., Gallegos, M., Jiménez, T., Martínez, P., Saravia, S., Cruzat-Mandich, C., Díaz-Castrillón, F., Behar, R., y Arancibia, M. (2016). Influence of sociocultural factors on body image from the perspective of adolescent girls. Revista Mexicana de Trastornos Alimentarios, 7(2), 116-124. https://doi.org/10.1016/j.rmta.2016.05.001
Culbert, K. M., Racine, S. E., y Klump, K. L. (2015). Research Review: What we have learned about the causes of eating disorders - A synthesis of sociocultural, psychological, and biological research. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 56(11), 1141-1164. https://doi.org/10.1111/jcpp.12441
Ferguson, C. J., Muñoz, M. E., Garza, A., y Galindo, M. (2014). Concurrent and prospective analyses of peer, television and social media influences on body dissatisfaction, eating disorder symptoms and life satisfaction in adolescent girls. Journal of Youth and Adolescence, 43(1), 1-14. https://doi.org/10.1007/s10964-012-9898-9
Glasofer, D. R. (2017). Structured clinical interview for DSM-IV (SCID). En: Wade, T. (Ed.), Encyclopedia of Feeding and Eating Disorders. Springer. https://doi.org/10.1007/978-981-287-087-2_80-1
Hardit, S. K., y Hannum, J. W. (2012). Attachment, the tripartite influence model, and the development of body dissatisfaction. Body Image, 9(4), 469-475. https://doi.org/10.1016/j.bodyim.2012.06.003
Hilbert, A., Pike, K. M., Goldschmidt, A. B., Wilfley, D. E., Fairburn, C. G., Dohm, F. A., Walsh, B. T., y Striegel Weissman, R. (2014). Risk factors across the eating disorders. Psychiatry Research, 220(1-2), 500-506. https://doi.org/10.1016/j.psychres.2014.05.054
Hockey, A., Barlow, F. K., Shiels, A. L., y Donovan, C. L. (2021). Body dissatisfaction in midlife women: The applicability of the tripartite influence model. Body Image, 39, 202-212. https://doi.org/10.1016/j.bodyim.2021.08.006
Hrafnkelsdottir, S. M., Brychta, R. J., Rognvaldsdottir, V., Chen, K. Y., Johannsson, E., Guðmundsdottir, S. L., y Arngrimsson, S. A. (2022). Screen time and body image in Icelandic adolescents: Sex-specific cross-sectional and longitudinal associations. International Journal of Environmental Research and Public Health, 19(3), Artículo 3. https://doi.org/10.3390/ijerph19031308
Jankauskiene, R., y Baceviciene, M. (2021). An exploration of the tripartite influence model of body image in Lithuanian sample of young adults: Does body weight make a difference? Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 26(6), 1781-1791. https://doi.org/10.1007/s40519-020-00996-3
Keery, H., Van den Berg, P., y Thompson, J. K. (2004). An evaluation of the tripartite influence model of body dissatisfaction and eating disturbance with adolescent girls. Body Image, 1(3), 237-251. https://doi.org/10.1016/j.bodyim.2004.03.001
Leonidas, C., y Santos, M. A. (2015). Family relations in eating disorders: The Genogram as instrument of assessment. Ciência & Saúde Coletiva, 20(5), 1435-1447. https://doi.org/10.1590/1413-81232015205.07802014
Mabe, A. G., Forney, K. J., y Keel, P. K. (2014). Do you «like» my photo? Facebook use maintains eating disorder risk. The International Journal of Eating Disorders, 47(5), 516-523. https://doi.org/10.1002/eat.22254
Martínez, A. O. R., Arévalo, R. V., y Mancilla Díaz, J. M. . (2010). Influencia de factores socioculturales en mujeres jóvenes y sus padres en los trastornos del comportamiento alimentario. Psicología y Salud, 20(2), 169-177. https://doi.org/10.25009/pys.v20i2.599
Moradi, B., y Tebbe, E. (2022). A test of objectification theory with sexual minority women. Psychology of Women Quarterly, 46(2), 226-240. https://doi.org/10.1177/03616843211052525
Papp, I., Urbán, R., Czeglédi, E., Babusa, B., y Túry, F. (2013). Testing the tripartite influence model of body image and eating disturbance among Hungarian adolescents. Body Image, 10(2), 232-242. https://doi.org/10.1016/j.bodyim.2012.12.006
Pérez-Bustinzar, A. R., Valdez-Aguilar, M., Barriguete Meléndez, J. A., Bruno Falissard, L. B., & Rojo Moreno, L. (en revisión). Validación del cuestionario de influencias socioculturales del modelo estético corporal (CIMEC-26) en población femenina mexicana. Escritos de Psicología (aceptado).
Pickens, B. C., Mckinney, R., y Bell, S. C. (2019). A hierarchical model of coping in the college student population. Journal of Interdisciplinary Studies in Education, 7(2), Artículo 2. https://doi.org/10.32674/jise.v7i2.1210
Quiles Marcos, Y., Quiles Sebastián, M. J., Pamies Aubalat, L., Botella Ausina, J., y Treasure, J. (2013). Peer and family influence in eating disorders: A meta-analysis. European Psychiatry: The Journal of the Association of European Psychiatrists, 28(4), 199-206. https://doi.org/10.1016/j.eurpsy.2012.03.005
Sadeh-Sharvit, S., y Hollon, S. D. (2020). Leveraging the power of nondisruptive technologies to optimize mental health treatment: Case Study. Journal of Medical Internet Research Mental Health, 7(11), Artículo e20646. https://doi.org/10.2196/20646
Schaefer, L. M., Burke, N. L., y Thompson, J. K. (2019). Thin-ideal internalization: How much is too much? Eating and Weight Disorders: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 24(5), 933-937. https://doi.org/10.1007/s40519-018-0498-x
Schaefer, L. M., Rodgers, R. F., Thompson, J. K., y Griffiths, S. (2021). A test of the tripartite influence model of disordered eating among men. Body Image, 36, 172-179. https://doi.org/10.1016/j.bodyim.2020.11.009
Seekis, V., y Barker, G. (2022). Does #beauty have a dark side? Testing mediating pathways between engagement with beauty content on social media and cosmetic surgery consideration. Body Image, 42, 268-275. https://doi.org/10.1016/j.bodyim.2022.06.013
Shroff, H., y Thompson, J. K. (2006). The tripartite influence model of body image and eating disturbance: A replication with adolescent girls. Body Image, 3(1), 17-23. https://doi.org/10.1016/j.bodyim.2005.10.004
Stice, E., y Bearman, S. K. (2001). Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: A growth curve analysis. Developmental Psychology, 37(5), 597-607. https://doi.org/10.1037//0012-1649.37.5.597
Stice, E., Gau, J. M., Rohde, P., y Shaw, H. (2017). Risk factors that predict future onset of each DSM–5 eating disorder: Predictive specificity in high-risk adolescent females. Journal of Abnormal Psychology, 126(1), 38-51. https://doi.org/10.1037/abn0000219
Tetzlaff, A., Schmidt, R., Brauhardt, A., y Hilbert, A. (2016). Family functioning in adolescents with binge-eating disorder: Family functioning in BED. European Eating Disorders Review, 24(5), 430-433. https://doi.org/10.1002/erv.2462
Thompson, J. K., Heinberg, L. J., Altabe, M., y Tantleff-Dunn, S. (1999). Exacting beauty: Theory, assessment, and treatment of body image disturbance. American Psychological Association. https://doi.org/10.1037/10312-000
Toro, J., Castro, J., Gila, A., y Pombo, C. (2005). Assessment of sociocultural influences on the body shape model in adolescent males with anorexia nervosa. European Eating Disorders Review, 13(5), 351-359. https://doi.org/10.1002/erv.650
Toro, J., Salamero, M., y Martinez, E. (1994). Assessment of sociocultural influences on the aesthetic body shape model in anorexia nervosa. Acta Psychiatrica Scandinavica, 89(3), 147-151. https://doi.org/10.1111/j.1600-0447.1994.tb08084.x
Tylka, T. L. (2011). Refinement of the tripartite influence model for men: Dual body image pathways to body change behaviors. Body Image, 8(3), 199-207. https://doi.org/10.1016/j.bodyim.2011.04.008
Veldhuis, J., Alleva, J. M., Bij de Vaate, A. J., Keijer, M., y Konijn, E. A. (2020). Me, my selfie, and I: The relations between selfie behaviors, body image, self-objectification, and self-esteem in young women. Psychology of Popular Media, 9(1), 3-13. https://doi.org/10.1037/ppm0000206
Wang, R., Gan, Y., Wang, X., Li, J., Lipowska, M., Izydorczyk, B., Guo, S., Lipowski, M., Yang, Y., y Fan, H. (2022). The Mediating effect of negative appearance evaluation on the relationship between eating attitudes and sociocultural attitudes toward appearance. Frontiers in Psychiatry, 13, Artículo 776842. https://doi.org/10.3389/fpsyt.2022.776842
Webb, J. B., Rogers, C. B., Etzel, L., y Padro, M. P. (2018). “Mom, quit fat talking—I’m trying to eat (mindfully) here!”: Evaluating a sociocultural model of family fat talk, positive body image, and mindful eating in college women. Appetite, 126, 169-175. https://doi.org/10.1016/j.appet.2018.04.003