Validation of a Farsi version of the Sociocultural Attitudes Towards Appearance Questionnaire-4 (F-SATAQ-4) in Iranian men and women

Sahlan, Reza N.; Akoury, Liya M.; Taravatrooy, Fatemeh

doi:10.1016/j.eatbeh.2020.101438

Cited by 17 publications

(21 citation statements)

References 36 publications

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“…In line with Christian and colleagues' findings [28], exercise was another central ED symptom. As expected, having an athletic/muscular body is common in Iran individuals as they have higher or comparable muscularity compared to their counterparts in Western societies [39,40,68,69]. In addition, ED symptoms were associated with athletic/muscular bodies [39].…”

Section: Central Ed Symptomssupporting

confidence: 68%

“…Although once thought to be an exclusively Western phenomenon, research over the past two decades highlights the severity of ED symptoms and ED symptoms clinical impairment among children, adolescents and college samples in Iran [37][38][39][40][41][42][43][44]. Within the Iranian context, there are some similarities and differences in ED symptoms across sex [41,42].…”

Section: Eating Disorder Symptoms In Iranmentioning

confidence: 99%

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Eating disorder and social anxiety symptoms in Iranian preadolescents: a network analysis

et al. 2021

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Purpose Network studies of eating disorder (ED) symptoms have identified central and bridge symptoms in Western samples, yet few network models of ED symptoms have been tested in non-Western samples, especially among preadolescents. The current study tested a network model of ED symptoms in Iranian preadolescents (ages 9 to 13), as well as a model of co-occurring social anxiety disorder (SAD) and ED symptoms. Method Preadolescent boys (n = 405) and girls (n = 325) completed the Children Eating Attitudes Test-20 and Social Anxiety Scale for Children. We estimated two network models (ED and ED/SAD networks) and identified central and bridge symptoms, as well as tested if these models differed by sex. Results We found that discomfort eating sweets were the most central symptoms in ED networks. Concern over being judged was central in networks including both ED and SAD symptoms. Additionally, concern over being judged was the strongest bridge symptoms. Networks did not differ by sex. Conclusion Future research is needed to test if interventions focused on bridge symptoms (i.e., concern over being judged) as primary intervention points target comorbid ED-SAD pathology in preadolescents at risk for ED and SAD. Level of evidence Level III; Evidence obtained from well-designed observational study, including case-control design for relevant aspects of the study.

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Section: Central Ed Symptomssupporting

confidence: 68%

Section: Eating Disorder Symptoms In Iranmentioning

confidence: 99%

Eating disorder and social anxiety symptoms in Iranian preadolescents: a network analysis

et al. 2021

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“…With respect to symptom severity differences, Western‐based sociocultural theories of ED development (e.g., Pennesi & Wade, 2016; Schaefer & Thompson, 2018; Stice, 2001; Thompson, Heinberg, Altabe, & Tantleff‐Dunn, 1999; Weissman, 2019) propose that thin‐ideal internalization, which could manifest as desiring weight loss, is a risk factor for body dissatisfaction, which then increases risk for EDs. Indeed, two studies conducted among Iranian samples support that thin‐ideal internalization is strongly and positively associated with body dissatisfaction (Sahlan, Akoury, & Taravatrooy, n.d.; Shahyad, Pakdaman, Shokri, & Saadat, 2018). However, body dissatisfaction is dimensional and only severe manifestations are indicative of clinical EDs (e.g., American Psychological Association, 2013).…”

Section: Discussionmentioning

confidence: 99%

Disordered eating,self‐esteem, and depression symptoms in Iranian adolescents and young adults: A network analysis

Sahlan

Williams

Forrest

et al. 2020

Intl J Eating Disorders

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Objective The network theory of psychopathology examines networks of interconnections across symptoms. Several network studies of disordered eating have identified central and bridge symptoms in Western samples, yet network models of disordered eating have not been tested in non‐Western samples. The current study tested a network model of disordered eating in Iranian adolescents and college students, as well as models of co‐occurring depression and self‐esteem. Method Participants were Iranian college students (n= 637) and adolescents (n = 1,111) who completed the Eating Disorder Examination‐Questionnaire (EDE‐Q), Rosenberg Self‐Esteem Scale (RSES) and Beck Depression Inventory, Second Edition (BDI‐II). We computed six Glasso networks and identified central and bridge symptoms. Results Central disordered eating nodes in most models were a desire to lose weight and discomfort when seeing one's own body. Central self‐esteem and depression nodes were feeling useless and self‐dislike, respectively. Feeling like a failure was the most common bridge symptom between disordered eating and depression symptoms. With exception of a few differences in some edges, networks did not significantly differ in structure. Discussion Desire to lose weight was the most central node in the networks, which is consistent with sociocultural theories of disordered eating development, as well as prior network models from Western‐culture samples. Feeling like a failure was the most central bridge symptom between depression and disordered eating, suggesting that very low self‐esteem may be a shared correlate or risk factor for disordered eating and depression in Iranian adolescents and young adults.

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“…Adolescent boys also reported higher frequencies of ED behaviors compared to a Finnish study (Isomaa et al, 2016). These high scores may be early developmental indicators of Iranian men's high drive for muscularity (Sahlan, Akoury, & Taravatrooy, 2020). In contrast, global scores and behavior frequencies were comparable between Iranian and European and Asian adolescent girls (Baceviciene & Jankauskiene, 2020; Isomaa et al, 2016; Machado et al, 2014; Musa et al, 2016; Nakai et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Adolescent boys in the current study may have reported relatively high frequencies of ED behaviors but relatively low F‐EDE‐Q global scores for several possible reasons. The F‐EDE‐Q global score items may be less sensitive to muscularity and muscle building concerns likely to be observed among young men (Mitchison & Mond, 2015; Mond et al, 2014; Sahlan, Akoury, et al, 2020), artificially deflating global scores. Further research, including qualitative research, would be helpful in elucidating both the relatively high frequency of occurrence of purging behaviors and the relatively low global F‐EDE‐Q scores observed among adolescent boys in the current study.…”

Section: Discussionmentioning

confidence: 99%

Eating disorder symptoms among adolescent boys and girls in Iran

Sahlan

Saunders

Mond

et al. 2020

Intl J Eating Disorders

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Objective: Few studies of eating disorder (ED) symptoms among young people in Iran have been conducted. This cross-sectional study examined ED symptoms, assessed by the Eating Disorder Examination Questionnaire (EDE-Q). Method: Adolescent boys (n = 498) and girls (n = 607) aged 12-19 years, recruited from schools in four different regions of Iran, completed a survey that included the EDE-Q. ED symptoms, namely, EDE-Q global scores and the occurrence of specific ED behaviors, were compared between boys and girls. Results: Girls had higher global scores and were more likely to report regular extreme dietary restriction than boys (16.6 vs. 12.0%). The effect sizes for these differences were small. The regular occurrence of other behaviors (girls vs. boys-binge eating: 21.1 vs. 18.8%; self-induced vomiting: 3.3 vs. 5.4%; laxative misuse: 6.1 vs. 7.6%; excessive exercise: 5.3 vs. 4.4%) did not significantly differ by gender. Twelve percent of boys and 12.9% of girls met criteria for an operational definition of "probable ED case." Conclusion: ED symptoms appear to be relatively common among Iranian adolescent boys and girls. Programs designed to reduce the occurrence and adverse impact of these symptoms may therefore be increasingly important.

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Validation of a Farsi version of the Sociocultural Attitudes Towards Appearance Questionnaire-4 (F-SATAQ-4) in Iranian men and women

Cited by 17 publications

References 36 publications

Eating disorder and social anxiety symptoms in Iranian preadolescents: a network analysis

Eating disorder and social anxiety symptoms in Iranian preadolescents: a network analysis

Disordered eating,self‐esteem, and depression symptoms in Iranian adolescents and young adults: A network analysis

Eating disorder symptoms among adolescent boys and girls in Iran

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