The effect of body dissatisfaction on disordered eating: The mediating role of self-esteem and negative affect in male and female adolescents

Cruz-Sáez, Soledad; Pascual, Aitziber; Włodarczyk, Anna; Echeburúa, Enrique

doi:10.1177/1359105317748734

Cited by 74 publications

(53 citation statements)

References 43 publications

(72 reference statements)

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“…These results confirm that social affiliation promotes positive feelings and healthy life styles [24]. Although previous studies have interpreted social recognition as an extrinsic goal, this study only found a significant effect of dissatisfaction with body image on developing eating disorders and unhealthy eating styles [16,40].…”

Section: Discussionsupporting

confidence: 83%

“…High levels of self-esteem are also related to optimum academic performance [9], higher job performance and commitment [10,11], and it is an important protection factor against burnout in healthcare professionals [12]. On the contrary, low levels of self-esteem have been associated with depressive symptoms [13], anxiety [14], suicidal ideation [15], eating disorders [16] and violent behavior [17]. In brief, our overall self-assessment determines the way we are, the way we perceive the world and relate with others, and therefore, influences our success in important facets of life [18,19].…”

Section: Introductionmentioning

confidence: 99%

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Reasons for Doing Physical Exercise Mediating in the Role of Self-Esteem in Uncontrolled Eating in Nursing Personnel

Fuentes¹,

Jurado²,

Márquez³

et al. 2019

Preprint

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Background: Since the beginning of the 20th century, the importance of creating healthy work environments and promoting the health of workers in the healthcare sector to create Healthy and Resilient Organizations has been emphasized. In this context, self-esteem is an essential construct which influences health and healthy life styles, and therefore, the general wellbeing of nurses. The objective of this study was to analyze the mediating role of reasons for exercising in the effect that self-esteem has on uncontrolled eating by nursing professionals. Methods: The sample was made up of 1094 nurses who were administered the Rosenberg General Self-esteem Scale, the Goal Content for Exercise Questionnaire and the Three-Factor Eating Questionnaire-R18. Results: Bivariate correlation analysis and multiple mediation analysis showed that self-esteem has direct and indirect effects on uncontrolled eating. More so, self-esteem predicts doing physical exercise to improve one’s image, recognition and social affiliation, although the effects on uncontrolled eating were only significant through image. Conclusions: The results have important practical implications in the framework of Positive Occupational Health Psychology (POHP) as it emphasizes self-esteem, physical exercise and eating as essential aspects of the health and wellbeing of employees in the healthcare sector, highlighting the importance of creating organizations committed to promoting the psychosocial health of their workers.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Reasons for Doing Physical Exercise Mediating in the Role of Self-Esteem in Uncontrolled Eating in Nursing Personnel

Fuentes¹,

Jurado²,

Márquez³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…In this study, the negative correlation found between weight and Global self-esteem is in accordance with other researches [ 63 , 64 ], in fact, being overweight was associated with lower self-esteem. For this reason, self-esteem could be considered a mediating factor for a greater or lower risk of eating disorder, which has been explored by other authors [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

Disordered Eating Attitudes, Anxiety, Self-Esteem and Perfectionism in Young Athletes and Non-Athletes

Petisco-Rodríguez

Sánchez-Sánchez

Fernández-García

et al. 2020

IJERPH

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Eating disorders are associated with short and long-term consequences that can affect sports performance. The purposes of this study were to investigate whether female athletes, particularly gymnasts and footballers, exhibit more eating problems compared to female non-athletes, and to identify individual personality characteristics including anxiety, self-esteem, and perfectionism as possible contributors to eating disorder risk. In a sample of 120 participants, 80 adolescent female athletes were compared to a control condition of 40 non-athletes (mean age 17.2 ± 2.82). Participants responded to a questionnaire package to investigate the presence of disordered eating (SCOFF) and psychological variables in relation to disordered eating symptoms or eating disorder status. Subsequently, anthropometric measures were obtained individually by trained staff. There were statistically significant differences between conditions. One of the most important results was the score in SCOFF (Mann–Whitney = 604, p < 0.05; Cohen’s d = 0.52, r = 0.25), being higher in control than in the gymnast condition. These results suggest that non-athlete female adolescents show more disturbed eating behaviours and thoughts than female adolescents from aesthetic sport modalities and, therefore, may have an enhanced risk of developing clinical eating disorders.

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“…In support of this, a recently published eye-tracking study (Svaldi et al, 2016) found that women with AN (n = 12) display a greater attentional negativity bias during a 3-minute mirror exposure-with higher gaze frequency and duration toward disliked than liked body parts-in response to an induction of negative relative to positive mood. Nevertheless, emotional events have been shown to trigger binge eating in patients with BN and binge eating disorder (BED) (Berg et al, 2017;Lavender et al, 2016;Svaldi, Werle, Naumann, Eichler, & Berking, 2019), and there is correlational evidence that negative affect mediates the relationship between body dissatisfaction and bulimic-eating behavior (Cruz-Saez, Pascual, Wlodarczyk, & Echeburua, 2018). Nevertheless, emotional events have been shown to trigger binge eating in patients with BN and binge eating disorder (BED) (Berg et al, 2017;Lavender et al, 2016;Svaldi, Werle, Naumann, Eichler, & Berking, 2019), and there is correlational evidence that negative affect mediates the relationship between body dissatisfaction and bulimic-eating behavior (Cruz-Saez, Pascual, Wlodarczyk, & Echeburua, 2018).…”

mentioning

confidence: 99%

“…In BN, however, no reports on the influence of emotions on attentional processing during mirror exposure have been published yet. Nevertheless, emotional events have been shown to trigger binge eating in patients with BN and binge eating disorder (BED) (Berg et al, 2017;Lavender et al, 2016;Svaldi, Werle, Naumann, Eichler, & Berking, 2019), and there is correlational evidence that negative affect mediates the relationship between body dissatisfaction and bulimic-eating behavior (Cruz-Saez, Pascual, Wlodarczyk, & Echeburua, 2018). Furthermore, results from an older experimental study suggest that the induction of low mood leads to feelings of being larger in women with BN relative to a non-emotional condition (Carter, Bulik, Lawson, Sullivan, & Wilson, 1996).…”

mentioning

confidence: 99%

Eye‐tracking study on the effects of happiness and sadness on body dissatisfaction and selective visual attention during mirror exposure in bulimia nervosa

Naumann

Biehl

Svaldi

2019

Intl J Eating Disorders

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Objective: Abundant research points to the central role of body image disturbances in the occurrence of eating disorders (ED). While emotional arousal has been identified as a trigger for binge eating in bulimia nervosa (BN), empirical knowledge on the influence of emotions on body image in individuals with BN is scarce. The present study sought to experimentally examine effects of a positive and negative emotion induction on body dissatisfaction and selective attention towards negatively valenced body parts among people with BN. Method: In a randomized-controlled cross-over design, happiness and sadness were induced by film clips one-week apart in women with BN (n = 23) and non-ED controls (n = 26). After the emotion induction, participants looked at their body in a full-length mirror, while their attentional allocation was recorded with the help of a mobile eye tracker. Participants repeatedly rated their momentary body dissatisfaction.Results: Induction of happiness led to a significant decrease in self-reported body dissatisfaction. Furthermore, attentional bias (higher gaze duration and frequency) towards the most disliked body part relative to the most liked body part was significantly greater in the sadness than happiness condition in BN. No significant effects of emotion induction on gaze duration and gaze frequency during mirror exposure were found for controls.Discussion: In line with assumptions of current models on ED, findings support the notion that emotional state influences the body image of patients with BN.

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The effect of body dissatisfaction on disordered eating: The mediating role of self-esteem and negative affect in male and female adolescents

Cited by 74 publications

References 43 publications

Reasons for Doing Physical Exercise Mediating in the Role of Self-Esteem in Uncontrolled Eating in Nursing Personnel

Reasons for Doing Physical Exercise Mediating in the Role of Self-Esteem in Uncontrolled Eating in Nursing Personnel

Disordered Eating Attitudes, Anxiety, Self-Esteem and Perfectionism in Young Athletes and Non-Athletes

Eye‐tracking study on the effects of happiness and sadness on body dissatisfaction and selective visual attention during mirror exposure in bulimia nervosa

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