Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: A mediation model

Iannaccone, Mario; D’Olimpio, Francesca; Cella, Stefania; Cotrufo, Paolo

doi:10.1016/j.eatbeh.2015.12.010

Cited by 54 publications

(62 citation statements)

References 22 publications

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“…This would produce the bodily shame. From that perspective, eating disorders could be an attempt to modify the ashamed body, which has been considered responsible for individuals' ineffectiveness (Iannaccone, D'Olimpio, Cella, & Cotrufo, 2016). The consistency across samples (AN, BN, BED) suggests that this mechanism is independent of body shape and weight.…”

Section: Discussionmentioning

confidence: 99%

Identifying predictors associated with the severity of eating concerns in females with eating disorders

Cella

Cipriano

Iannaccone

et al. 2017

ResPsy

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Considering how to improve efficacy of therapeutic strategies, the overall objective of the present study was to investigate the extent of eating concerns and to identify predictors associated with the severity of disordered eating symptomatology among people with eating pathologies. We screened 80 female eating disordered patients, ranging from 13 to 40 years, by means of self-report measures of parental behavior as perceived by the offspring, self-esteem, perfectionism, body shame and eating disorder severity. Self-reported weight and height were obtained. The diagnosis of bulimia nervosa resulted to be associated with a greater severity of the eating symptomatology. Maladaptive perfectionism, body shame and self-esteem, significantly predicted the level of eating concerns. The recognition of potential maintaining factors may support the choice of particular therapeutic strategies to improve the treatment of eating pathologies and their outcomes.

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Section: Discussionmentioning

confidence: 99%

Identifying predictors associated with the severity of eating concerns in females with eating disorders

Cella

Cipriano

Iannaccone

et al. 2017

ResPsy

Self Cite

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“…It suggests that body shame, negative affect, and dietary restraint are predictors of binge eating, which is the basis for bulimia nervosa and binge eating disorder. Iannaconne and colleagues [51] used this model to examine a sample of Italian male and female high school students with and without obesity. They found that body shame was related to eating disorder symptoms in both the normal weight and obese groups, and that self-esteem, which has long been identified as the basis for eating disorders, was only predictive of these symptoms through its mediation effect with body shame.…”

Section: Predictors Of Eating Disorders Between Sex Groups Among Humansmentioning

confidence: 99%

Sex Differences in Obesity and Mental Health

Tronieri

Wurst

Pearl

et al. 2017

Curr Psychiatry Rep

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Research on sex differences in the relationship between obesity and psychiatric disorders is more abundant in some areas, such as depression and eating disorders, than others, such as anxiety, trauma, and substance use. However, for most of the disorders, their relationships with obesity and sex are complex and are usually moderated by additional variables. Thus, studies that find stronger relationships for women between depression and obesity cross-sectionally do not tell the whole story, as longitudinal studies suggest that this relationship may also be present among men, particularly when confounders are considered. For those with eating disorders, men and women with obesity are fairly equally affected, and weight and shape concerns may play a role in maintaining these behaviors for both sexes. Weight stigma, though, seems to have worse consequences for women than men with obesity. Sex differences exist in relation to the associations between mental health and obesity. However, these differences vary by disorder, with disorder-specific moderators playing a role, such as age for depressive disorders, comorbid depression for anxiety disorders, and weight and shape concerns for eating disorders. More work is needed to understand if sex differences play a role in the relationship between obesity and anxiety, trauma, and substance use disorders.

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“…36,37 The results of the current study also provided another support as an etiologic theory and regulation model for the association between depression and obesity. 33 Similar to other studies, this study has some strengths and limitations. The study's sample size of schoolchildren in the east coast region of West Malaysia for which there are no data available on depressive symptoms status and BMI is a strong point.…”

Section: Discussionmentioning

confidence: 85%

“…30,31 One possible classic explanation for the results is that children with obesity are at an increased risk of being treated in a ridiculing and degrading way by their peers. 32,33 Previous study showed that body image could be the possible actual factor for the association between obesity and depressive symptoms. 34 On the contrary, sex was the only factor in cross-sectional studies conducted in the United States that has associations between depression and obesity.…”

Section: Discussionmentioning

confidence: 99%

Obesity is associated with depression in Malaysian schoolchildren: A cross-sectional study

2020

Makara J Health Res

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Background: Overweight and obesity, which may lead to depression, have become prevalent among children worldwide. Hence, this study aimed to measure obesity and depression among schoolchildren in Kuantan. Methods: This cross-sectional study was conducted in three different primary schools in Kuantan by purposive sampling. With consent from their parents/guardians, participants were given a self-administered questionnaire. Demographics and anthropometric measurement data were self-reported on the basis of the school records. Furthermore, body mass index was calculated. Data were analyzed using SPSS version 20.0, and chi-square and correlation tests were conducted for the variables. Results: Among the 300 schoolchildren who responded, 14.3% were underweight, 37.7% were normal, 11% were overweight, and 37% were obese. Statistically, obesity and ethnicity, as well as obesity and sex, were not associated. Conversely, obesity and age, as well as obesity and depression, were significantly associated. Conclusion: Depression is associated with obesity among schoolchildren. Hence, a special approach for designing and implementing prevention programs is necessary to reduce the risk of obesity-led depression and other forms of comorbidity later in life.

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Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: A mediation model

Cited by 54 publications

References 22 publications

Identifying predictors associated with the severity of eating concerns in females with eating disorders

Identifying predictors associated with the severity of eating concerns in females with eating disorders

Sex Differences in Obesity and Mental Health

Obesity is associated with depression in Malaysian schoolchildren: A cross-sectional study

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