McCabe, M. & Ricciardelli, L. (2003).
Transcript of McCabe, M. & Ricciardelli, L. (2003).
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The Journal of Social Psychology,
2003,
143{\),
5-26
Sociocultural Influences on
Body Image and Body Changes
Among Adolescent Boys and Girls
MARITA P McCABE
LINA A. RICCIARDELLI
School of Psychology
Deakin University,
Victoria,
Australia
ABSTRACT.
In 2
studies,
the
authors evaluated
the
role
of
parents, peers,
and the
media
in body image
and
body-change strategies among adolescent boys
and
girls.
The
respon-
dents
for
Study 1 (423 bo ys
and
377 girls) com pleted
the
Body Image
and
Body Change
Inventory
(L. A.
Ricciardelli
M. P.
McCabe, 2002)
and the
Perceived Sociocultural
Influences
on
Body Image
and
Body Change Q uestionnaire (M .
P
McCabe
L. A.
Ric-
ciardelli, 2001b). Body mass index
and age
were also included
in the
analyses. Regres-
sion analyses demonstrated that sociocultural influences
and
feedback from
the
partici-
pant's best male friend were important predictors
for all
body-change strategies among
boys.
For
girls, sociocultural influences
and
feedback from
the
participa nt's best female
friend
and
mo ther w ere impo rtant predictors
for
body-change strategies.
The
most
con-
sistent predictor
of
weight loss, weight gain,
and
strategies
to
increase muscles was body-
image importance.
In
Study
2, the
authors examined
the
influence
of the
same socio-
cultural variables,
as
well
as
negative affect and puberty
on
body image
and
body-change
strategies among
a
second group
of
199 boys
and
267 girls. The results demonstrated that
a broad range
of
sociocultural influences predicted body-change strategies
for
boys
and
girls, with negative affect also having
a
unique influence
for
boys
but
not
for
girls. Puber-
ty played
a
minor role, once o ther sociocultural variables were en tered into the regression
equation. The implications
of
these findings
are
discussed.
Key words: adolescence, body image, media influence, parental influence, peer influence,
puberty, teenage dieting
ADOLESCENCE is a time of change, and the family and peer groups provide
messages to adolescents that shape their behavior in a range of areas. In recent
years researchers have increasingly focused on the role of parental, peer, and
media in the body image and dieting behaviors of adolescents. One limitation
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research, we evaluated the influences of feedback by parents, peers, and the
media on adolescent boys as well as adolescent girls, and we considered
weight-gain strategies and behaviors to increase m uscle tone as well as w eight-
loss strategies.
Most past research on family influences has evaluated the role of the family
(particularly the mother) in predicting various types of weight-loss strategies
among their daughters. Very little research has investigated parental influences
on the eating beh aviors of adolescent boy s or explored strategies that may be more
relevant to boys (weight gain, muscle increase). The family, particularly the moth-
er, is perceived as the primary socialization agent wh o transmits m essages to ado-
lescents regarding their appearance and eating practices. For example. Pike and
Rodin (1991) examined the dieting behaviors of mothers of adolescent girls with
disordered eating and found that they were more likely to also have experienced
disordered eating than were the mothers of girls who did not experience disor-
dered eating. They were also more likely to believe that their daughters should
lose weight. Through modeling and encouragement from their mothers, girls with
eating disorders were more likely to be rewarded for engaging in these behaviors
than girls who did not experience eating disorders. Likewise, Kent and Clopton
(1992) found that bulimic girls were more likely to have family members who
also experienced weight and eating problems, and Moreno and Thelen (1993)
found that bulimic girls were more likely to have mothers who encouraged them
to lose weight and restrict their food intake.
Benedikt, Wertheim, and Love (1998) and Paxton et al. (1991) found that
mothers' encouragement to diet increased dieting behavior among adolescent
girls. Dixon, Adair, and O'Connor (1996) also found that parental encouragement
to diet (separate questions were not asked for mother and father) was associated
with both body dissatisfaction and dieting behaviors among adolescent girls.
However, there was no overall association between the dieting practices of par-
ents and those of adolescent girls, although fathers' dieting behavior was associ-
ated with some aspects of their daughters' dieting behaviors. Keel, Heatherton,
Hamden, and Homig (1997) also found that although fathers influenced their
daughters' body dissatisfaction but not their eating practices, mothers had a
greater influence on their daughters' dieting behaviors.
In contrast to these findings, Steiger, Stotland, Ghadiriam, and Whitehead
(1995) found no difference among binge eaters, dieters, and nondieters in the
eating concerns of family members. The authors suggested that rather than an
actual eating disturbance, it may be a general tendency toward some form of
psychopathology that is associated with eating disturbance among adolescent
girls.
A follow-up study by Steiger, Stotland, Trottier, and Ghadiriam (1996)
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indicated that there was some association between daughters' and mothers' eat-
ing concerns, but that the strongest influence on disordered eating among ado-
lescent girls was psychopathological traits of parents. Other researchers have
also reported that parents of eating-d isordere d ado lescents d id not differ from
control-group parents on dietary restraint or eating disturbances (Evans & le
Grange, 1995; Leon, Fulkerson, Perry, & Dube, 1994), although some studies
have revealed a relationship between mothers' eating restraint and that of their
daughters but not of their sons (Ruther & Richman, 1993; Scourfield, 1995;
Thelen & Cormier, 1995).
The results from the aforementioned studies dem onstrate a lack of clarity in
the extent to which m others and fathers m ay influence body satisfaction and dis-
turbed eating among adolescent boys and girls, with a particular focus on girls.
Furthermore, that research has focused on weight loss but neglected considera-
tion of strategies to gain weight and increase muscle tone. These are strategies
that may be particularly relevant to adolescent boys, but the impact of parental
feedback on these strategies has not been explored. It is important to determine
the nature of the feedback provided to adolescent boys, how it differs from that
provided to adolescent girls, and the impact of this feedback on weight gain and
strategies to increase muscle, as well as weight loss.
Peers also seem to exert some pressure among adolescent girls who adopt
extreme weight-loss behaviors. Bulimics report being pressured by their peers
to engage in both bingeing and purging (Mitchell, Hatsukami, Pyle, & Eckert,
1986;
Stice, Nemeroff, & Shaw, 1996). In contrast, Paxton et al. (1991) claimed
that few female friends encouraged dieting, and Gibbs (1986) found that the
self-reported number of friends who were currently dieting was not a signifi-
cant predictor of disordered eating among high school girls. The inconsistency
in these findings is probably related to differences in the extent of eating prob-
lems among the adolesc ents in the various studies and to the different measure s
of disordered eating.
A substantial body of literature has evaluated the media's impact on ado-
lescent body image and disordered eating among girls. As for the other socio-
cultural influences, the media's impact on body dissatisfaction and weight loss
among boys has been neglected, as well as the research on weight gain and
strategies to increase m uscles. Because som e boys w ho are in early adolescence
evidence a desire to increase body bulk, but others evidence a desire to increase
muscle tone (McCabe & Ricciardelli, 2001a), we consider these two dimensions
separately. This separation also seems to be important given our limited under-
standing of body-change strategies adopted by adolescent boys and the confu-
sion in the literature regarding the use of the terms increase w eigh t and
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sures and intemalization of social standards of appearance were significant pre-
dictors of body image , eating dysfunction, and self-esteem among a group of col-
lege women. However, Posavac, Posavac, and Posavac (1998) found in a series
of studies that media images were more likely to influence women who already
experienced weight concerns, with women with low body dissatisfaction being
less likely to respond to media influences. Griffiths and McCabe (2000) found
that although perceived views of society predicted body dissatisfaction among
adolescent girls, these sociocultural pressures did not predict disordered eating
after the researchers accounted for a range of other biological and psychological
adjustment variables.
Few studies have examined the combined effects of family, peers, and the
med ia within a single research d esign. In particular, no studies have examined the
impact of these variables on adolescent boys and their strategies to increase
weight and muscle tone. Levine, Smolak, and Hayden (1994) assessed eating
behavior, body satisfaction, and concern about being slender among 385 girls
aged 10 to 14 years. The authors found that the media and teasing and criticism
by the family were the strongest predictors of body dissatisfaction and drive for
thinness. Family and peers, but not the media, were found to be the strongest
influences on bulimic symptomatology among young adult women (Stice, 1998).
Stice found that this influence took place through social reinforcement and mod-
eling, a finding that is supported by earlier research. Taylor et al. (1998) found
that peers were the strongest influence on weight concerns among high school
girls,
although the media also significantly influenced concerns about weight.
Perceived pressure to be thin from family, friends, dating partners, and the media
has been shown to be related to bulimic symptoms (Irving, 1990; Stice, Ziemba,
Margolis, & Flick, 1996).
Most studies have focused on girls and on weight-loss behaviors. Whether
the same relationships apply to boys or to other body-chan ge strategies is unclear.
Ricciardelli, McCabe, and Banfield (2000) found that parents, siblings, friends,
and the media were perceived by about one third of the adolescent boys in their
study to have an influence on their feelings about their body and their body-
change strategies. However, there were only 40 participants in this study, so it is
not possible to extend the fmdings to adolescent boys in general. Obtaining a bet-
ter understanding of sociocultural influences on body dissatisfaction and body-
change behaviors among adolescent boys requires inclusion of all the major
sociocultural influences—mother, father, best male friend, best female friend, and
media—within the single study. It is also vital to investigate the impact of these
influences on strategies to increase weight and muscle tone as well as strategies
for weight loss, because these are behaviors that are more likely to move boys
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McCabe & Ricciardelli
parents, peers, and the media on body image, weight loss, weight gain, and strate-
gies to increase muscle tone on young adolescent boys and girls.
STUDY 1
Method
Participants
The respondents were 800 adolescents (423 boys, 377 girls) who were
enrolled in Grades 7 -1 0 . The mean age for the boys was 13.92 years (SD = 1.18),
and for the girls it was 13.69 {SD -
1.11).
These respondents were drawn from
six coeducational high schools in Melbourne, Australia. The respondents were
largely Anglo-Saxon (77% ); the remainde r were largely of European descent, and
a minority were of Asian descent.
Materials
All respondents provided demographic information on age, weight, and
height. They also completed the Body Image and Body Change Inventory (Ric-
ciardelli & McCabe, 2002) and the Perceived Sociocultural Influences on Body
Image and Body Change Questionnaire (McCabe & Ricciardelli, 2001b). The
Body Image and Body Change Inventory consists of seven scales: Body Image
Satisfaction (e.g., How satisfied are you with your weigh t? ). Body Image
Impo rtance (e.g., How important is the size of your muscles com pared to other
things in your life? ); Body Chan ge Strategies to Decrease W eight (e.g., How
often do you eat less to lose weight? ); Body Change Strategies to Increase
Weight (e.g., How often do you exercise mo re to put on weigh t? ); Body C hange
Strategies to Increase M uscle Tone (e.g., How often d o you chan ge your eating
to mak e your muscles bigger? ); Binge Eating (e.g., How often do you quickly
eat a large amou nt of food? ); and Food Supplemen ts (e.g., How often do you
take food supplements or diet pills to lose weight? ). These scales have been
shown to be reliable and valid in a series of four studies using 1,732 adolescent
boys and girls. The scales have been subjected to both exploratory and confir-
matory factor analysis using oblique rotation. They demonstrate high levels of
internal consistency (r > .92), concurrent and discriminant validity, and satisfac-
tory test—retest reliability (r > .75; Ricciardelli & McCabe, 2002). The advan-
tage of these scales over existing measures is that they evaluate areas of body
image concern and body-change strategies that have relevance to boys as well as
girls (e.g., strategies to increase weight and muscle, use of food supplements).
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10 The Journal of Social Psychology
and Media Influences. Each of the four feedback scales has been shown to fac-
tor into three subscales assessing general feedback (e.g., W hat type of feedback
do you receive from your father abou t the size or shape of your bod y? ); encour-
agement, teasing, and behavioral example to gain weight and increase muscle
tone (e.g., Does your mother encourage you to become more muscular? ); and
encouragement, teasing, and behavioral example to lose weight and increase mus-
cle tone (e.g., Doe s your best male friend try to put on weigh t? ). Three items
that assessed feedback to increase m uscle tone loaded with both strategies to gain
weight and strategies to lose weight, and so were included in both scales (M cCabe
& R icciardelli, 2001b ). The M edia Influences Scale has been shown to form three
subscales assessing pressure to lose weight (e.g., Do you think the med ia give
you the idea that you should exercise more to lose weight? ); pressure to gain
weight (e.g., Do you think the media give you the idea that you should eat more
to gain weight? ); and pressure to increase mu scle tone (e.g., Do you think the
media give you the idea you shou ld be more m uscu lar? ). All of these scales have
demonstrated high levels of internal consistency (r > .84) and have been subject
to both exploratory and confirmatory factor analysis using oblique rotation
(McCabe & Ricciardelli, 2001b). The advantage of these scales over existing
measures is that they evaluate the role of a number of possible sociocultural influ-
ences within one questionnaire, and they also evaluate the extent to which these
sociocultural infiuences are perceived to generate message s that relate to increas-
ing weight and muscles as well as losing weight.
Procedure
Permission was received from the Department of Education for high schools
within the State of Victoria to participate in a study of body image and body-
change techniques among adolescent boys and girls. Parental consent and student
consent were both obtained before respondents completed the questionnaire. All
but 2% of the respondents who were asked to take part in the study agreed to do
so . The questionnaire was completed during a single class period.
Results and Discussion
An examination of the responses to the Perceived Sociocultural Influences on
Body Im age and Body C hange Questionnaire indicated that there was a great deal
of consistency in the perceived messages received from mother, father, best male
friend, and best female friend in relation to each of the body-change strategies.
Therefore, the messages regarding eating and exercise from these four socio-
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Mc Cabe & Ricciardelli 11
.78; girls a
=
.73). The intercorrelations between each of
these
new perceived socio-
cultural influences were as follows: decrease weight with increase weight {r = .23),
decrease weight with increase muscle {r = .45), and increase weight with increase
muscle (r = .49). The three general feedback items regarding body size and shape
for each of the four sociocultural influences were retained as separate scales,
because the general feedback about body showed lower correlations with each of
the sociocultural infiuences
(r
.29). The Media Infiuences Scale was separated
into three subscales assessing perceived pressure from the media to decrease
weight, perceived pressure from the media to increase weight, and perceived pres-
sure from the media to increase muscles.
Seven standard multiple regression analyses were conducted separately for
boys and girls to examine the infiuence of parents, peers, and the media on body
image and body-change strategies. The dependent variables were body-image sat-
isfaction, body-image importance, strategies to decrease weight, strategies to
increase weight, strategies to increase muscle tone, binge eating, and food sup-
plements. The independ ent variables for each analysis were age, body m ass index
(BMI), feedback from mother, feedback from father, feedback from best male
friend, feedback from best female friend, sociocultural infiuences to increase
weight, sociocultural infiuences to decrease weight, sociocultural infiuences to
increase muscles, media pressure to lose weight, media pressure to gain weight,
and media pressure to increase muscle tone. For each of the body-change strate-
gies,
body-image importance and body-image satisfaction were also entered into
the regression equations. Body-image importance was also included in the body-
image-satisfaction equations, and body-image satisfaction was included in the
body-image-importance equations.
Summaries of the regression equations for boys and girls are contained in
Tables and 2 . Only significant predictors are included in those tables, although
all variables were included in the regression equations. The results demonstrate
that the sociocultural variables more frequently predicted body image and body-
chan ge strategies than did the biological variables of age and BM I, although these
biological variables played a greater role for boys than for girls. For boys, age
was a unique predictor for body-image satisfaction and strategies to decrease
weight, and BMI was also a unique predictor for strategies to decrease weight, as
well as for the use of food supplements. The only significant relationship for girls
was where BMI uniquely predicted levels of body-image satisfaction. Overall,
the sociocultural variables included in this study explained a minimum to mod-
erate amount of the variance in body image and body-change strategies among
adolescent boys or girls (between 9% and 46% of the variance).
Perceived sociocultural pressures played a u nique role in predicting all of the
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12 The Journal of Social Psychology
TABLE 1
Summary of Regression Analyses for Boys, Study 1
Dependent
variable F Unique predictor
Satisfaction
Importance
5.17*** (13, 409)
3.05*** (13, 409)
Decrease weight 15.21***(14, 408)
Increase weight
10.11
* * * (14, 408)
Increase muscles 8.40*** (14, 408)
Binge eating 3.41*** (14, 408)
Food supplements
8.09***
(14, 408)
14
09
34
26
22
t l
22
Age
Importance
Feedback-father
Pressure-decrease weight
Media-increase muscles
Satisfaction
Feedback-best female
friend
Pressure-increase
muscles
Age
BM I
Satisfaction
Importance
Pressure-decrease weight
Pressure-increase weight
Pressu re-i ncrease
muscles
Media pressure-decrease
weight
Media pressure-increase
muscles
Importance
Feedback-best male
friend
Pressure-increase
muscles
Media-increase weight
Importance
Feedback-best male
friend
Pressure-increase
muscles
Importance
BMI
Feedback-mother
Pressure-increase weight
Pressure-increase
.10*
- .18***
- .19**
.24**
.23**
- .19***
- .20**
.25**
-.14**
.16***
.14**
.18***
42***
- .17*
.15*
.34***
- . 3 1 * * *
.21***
-.14*
.30***
.20**
.25***
- .17**
.39***
.11*
.16**
.14*
.17*
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McCabe
Ricciardelli
13
TABLE 2
Summary of Regression A nalyses for Girls, Study
Dependent
variable
Satisfaction
Importance
Decrease weight
Increase weight
Increase muscles
Binge eating
Food supplements
Note. BMI = body mass
*p
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that sociocultural pressures directed at adolescent boys are related to their achiev-
ing a slitn, muscular body (Drewnowski, Kurth, & Krahn, 1995; McCabe & Ric-
ciardelli, 2001a; Pope, Olivardia, Gruber, & Borowiecki, 1999). The interesting
aspect of this study is that the data empirically dem onstrate that not only are these
messages being generated by these sociocultural influences, but also they are
actually having an impact on both the body image and body-change strategies
that are adopted by adolescent boys. The fact that perceived messages about
strategies to increase muscles (and to a lesser extent strategies to increase weight)
influenced such a broad range of body image and body-change strategies among
adolescent boys indicates that adolescent boys as well as adolescent girls are
influenced by these sociocultural forces.
Interestingly, it is not possible to identify a single major source of socio-
cultural influence that is likely to have the most impact. As opposed to previous
studies that have suggested that both mothers and fathers influence body image
and body-change strategies among adolescent boys (Ricciardelli et al., 2000), we
found that feedback from father was a unique predictor for body-image satisfac-
tion, feedback from mother was a unique predictor for food supplements, feed-
back from best male friend was a unique predictor for strategies to increase mus-
cle tone and increase weight, and feedback from best female friend was a unique
predictor for body-image importance.
A surprising finding in the present study was that the significant sociocultural
predictors among adolescent girls were perceived pressures to increase weight
and increase m uscles, as well as to decrease w eight. Perceived sociocultural pres-
sures to decrease weight uniquely predicted body-image satisfaction, strategies
to increase weight, and strategies to decrease weight; perceived pressures to
increase muscles uniquely predicted strategies to decrease weight, strategies to
increase muscle tone, and the use of food supplements; perceived pressures to
increase weight uniquely predicted strategies to increase weight, strategies to
increase muscle tone, and binge eating.
These results highlight the importance of determining the actual messages
that are perceived to be delivered by sociocultural influences. Past research has
focused primarily on messages to decrease weight (e.g., Benedikt et al., 1998;
Paxton et al., 19 91; Pike & R odin, 1991), but this study w ould suggest that the
body-change strategies that adolescent girls engage in are shaped by messages to
increase muscle tone and increase weight, as well as messages to decrease w eight.
Consistent with previous research, feedback from the mother and, to a less-
er extent from the best female friend, were the most important influences shap-
ing both body image and behavior. Feedback from mother uniquely predicted
body-image satisfaction and importance, as well as the use of food supplements.
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M cCabe & Ricciardelli 15
from best female friend predicted the use of food supplements and strategies to
increase weight. Surprisingly, feedback from the best female friend did not pre-
dict weight-loss behaviors among adolescent girls. These findings are supported
by the results of Paxton et al. (1991) and Gibbs (1986), but contrast with other
findings (e.g., Mitchell et al., 1986; Stice et al., 1996). Perhaps feedback from
friends predicts weight-loss behaviors only for adolescents who are already
engaging in extreme weight-loss strategies (e.g., bulimia, anorexia). Gaining
weight among adolescent girls has received little research attention, and so the
role of sociocultural infiuences on predicting those behaviors is unclear. These
results need to be further investigated to determine whether they are found in a
different group of adolescent girls.
The media did not play a strong role in body image or body-change strate-
gies, particularly among adolescent boys. However, media infiuences to lose
weight were a unique predictor of strategies to lose weight; media infiuences to
increase weight were a unique predictor of strategies to increase weight; and
media infiuences to increase muscle predicted body-image satisfaction among
adolescent boys. Among adolescent girls, media pressure to increase weight
uniquely predicted both body-image importance and the use of food supplements,
and media pressure to decrease weight uniquely predicted body-image satisfac-
tion and strategies to decrease weight. These findings would suggest (a) that the
media are sending messages about the ideal body shape for boys that are consis-
tent with the body-chang e strategies they are using and (b) that body satisfaction
relates to the media messages they are getting about their muscles. Consistent
with the findings of Cusimano and Thompson (1997), media pressures uniquely
predicted body image, strategies to decrease weight, and use of food supplem ents.
These results are inconsistent with the findings of Posavac et al. (1998), who
found that the media infiuenced weight-loss behaviors only among those adoles-
cent girls who were engaged in extreme weight-loss behaviors.
Body-image im portance was a unique predictor of most body -change behav-
iors among both adolescent girls and boys. This may suggest that only girls and
boys who place a high importance on their body image will engage in behaviors
to alter their body weight and shape. The importance placed on body image in
terms of predicting body-change strategies was a surprising finding and one that
needs to be validated and explored further.
STUDY 2
The results of Study demonstrated that although self-reported sociocultur-
al infiuences explained only a limited amou nt of the variance, they played a more
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16 The Journal of Social Psycholog y
second study to determine whether these findings would be replicated in anoth-
er sample of adolescent boys and girls.
In addition. Study 2 included pubertal development and negative affect.
Although a range of other variables have been associated with body-change
strategies, particularly among adolescent girls, these two variables were seen to
be most likely to contribute additional unique variance beyond that provided by
the current set of variables. Puberty was chosen because the respondents for this
study were adolescent boys and girls, and so the changes in body form at this
stage of development were expected to affect both body image and body-change
strategies. Negative affect was included as an additional variable because of the
strong relationships demonstrated in previous studies between negative affect and
body dissatisfaction and weight loss among adolescent
girls.
It seemed important,
therefore, to determine if these previous findings also extended to other body-
change strategies and to body-change strategies among adolescent boys. The lit-
erature that argues for the inclusion of these two variables as well as the socio-
cultural and other biodevelopmental variables is outlined below.
Although both pubertal development and negative affect have been linked to
body dissatisfaction, dieting behaviors, and binge eating—particularly among
adolescent girls—their role regarding other kinds of body-change strategies has
yet to be determined. With pubertal development, girls experience a normative
increase in body fat that inevitably moves them further away from society's ideal
body shape for a woman. Therefore, it is not surprising that several studies have
found puberty to be associated with higher levels of body dissatisfaction and dis-
ordered eating among girls (e.g., Attie & Brooks-Gunn, 1989; Dombusch et al.,
1984;
Gralen, Levine, Smolak, & M urnen, 1990; Keel, Fulkerson, & Leon, 1997;
Swarr & Richards, 1996). In contrast, three studies that included boys failed to
find any relationship between pubertal development and disordered eating (e.g..
Keel et al., 1997; Leon, F ulkerson, Perry, & Early-Zald, 1995; Vincent &
McCabe, 2000). In contrast to puberty in girls, puberty moves the majority of
boys closer to society's ideal body shape for boys. Therefore, pubertal develop-
ment for boys may be more closely related to strategies to increase weight and
increase muscle tone.
Negative affect has been shown to be closely related to body dissatisfaction,
weight-loss strategies, and binge eating among women and adolescent girls (e.g.,
Killen et al., 1994; Leon, Fulkerson, Perry, Keel, & Klump , 1999; Ricciardelli
& McCabe, 2001; Shepherd & Ricciardelli, 1998; Stice, Hayward, Cameron,
Killen, & Taylor, 2000; Stice, Shaw, & Nemeroff, 1998; Thom pson, Coovert,
Richards, Johnson, & Cattarin, 1995). Fewer studies have examined the same
relationships among men and adolescent boys, and findings have not been con-
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McC abe & Ricciardelli 17
dence to support this view (e.g., Keel, Fulkerson, et al., 1997; Leon et al., 1995;
Wertheim et al., 1992). In Study 2, we further examined (a) these relationships
for adolescent boys and (b) the role of negative affect in relation to weight gain
and increasing muscles, as well as to weight loss.
Method
Participants
The respondents were 466 adolescents (199 boys, 267 girls) who were
enrolled in Grades 7 -1 0 . The mean age for the boys was 14.02 years (SD =
1.00),
and the mean age for girls was 13.92 years (SD = 0.94). These respondents were
drawn from four coeducational high schools in Melbourne, Australia. The
respondents were largely Anglo-Saxon (82%); the remainder were mostly of
European origin, and a minority were of Asian descent.
Materials
The sam e questionnaires as for Study 1 were com pleted by all participants.
In addition, all participants completed the Pubertal D evelopmen t Sca le (Petersen,
Crockett, Richards, & Boxer, 1988) and the Depression, Anxiety, Stress Scale
(Lovibond & Lovibond, 1995).
The Pubertal Development Scale (five items) was used to assess pubertal
growth. Boys were asked about the development of their body hair, facial hair,
voice change, skin change, and growth spurt. Girls were asked about the devel-
opment of body hair, skin change, menarche, breasts, and growth spurt. Respon-
dents were required to indicate growth development for each aspect on a 4-point
scale (had not
begun,
had barely begun, was definitely underway, or had ceased).
Higher scores indicate higher levels of pubertal developm ent. Good reliability and
validity data for the scale have been reported by Petersen et al. (1988).
The Depression, Anxiety, Stress Scale was used to assess negative affect.
Respondents are required to indicate the extent to which they experienced each
item over the past week by circling the number on a Likert-type scale ranging
from 0
(did not apply at all)
to 3
(applied to me very much or m ost of the time).
Higher scores indicate a greater degree of negative emotional symptoms. High
levels of reliability and validity for the instrument are reported by Lovibond and
Lovibond (1995).
Procedure
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18 The Journal of Social Psychology
Results and Discussion
Seven standard multiple regression analyses (similar to those for Study 1) were
conducted separately for boys and girls using the same dependent variables. Includ-
ed in the independent variable list were the two additional variables, negative affect
and pubertal development. A summary of the multiple regression analyses is given
in Tables 3 and 4.
Overall, the amount of variance in body image and the body-change strategies
being explained in Study 2 were greater than in Study 1. Consistent with previous
research, which has been conducted primarily with females, the present study
TABLE 3
Summary of Regression Analyses for Boys, Study 2
Dependent
variahle
Satisfaction
Importance
Decrease weight
Increase weight
Increase muscles
Binge eating
Food supplements
F
3.13*** (15,
3.13***
(15,
7.41*** (16,
6.31*** (16,
8.19***
(16,
3.01***
(16,
6.67***
(16,
183)
183)
182)
182)
182)
182)
182)
.20
.20
.40
.36
.42
.21
.37
LInique predictor
BM I
Importance
Feedback-father
Negative affect
Satisfaction
Pressure-increase muscles
Pubertal development
Importance
Pressure-decrease weight
Pressure-increase weight
Satisfaction
Importance
Feedback-best female
friend**
Pressure-increase weight
Negative affect
Importance
Feedback father
Pressure-increase weight
Negative affect
Media-increase weight
Media-increase muscles
Negative affect
Satisfaction
Feedback-father
Media-increase weight
Pubertal development
P
20**
.16*
- .25**
.19*
.16*
_,47***
.17*
.25***
- .52***
.28**
- .15*
.15*
.18*
_ 4 1 * * *
- .14*
24***
- . 2 1 * *
- .27**
- .15*
-.17*
.21*
-.19*
- .15*
- .28**
- .19**
.18**
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McCabe Ricciardelli 19
TABLE 4
Summary of Regression Analyses for Girls, Study 2
Dependent
variable
Satisfaction
Importance
Decrease weight
Increase weight
Increase muscles
Binge eating
Food supplements
4.99*** 15, 251)
4.53*** 15, 251)
8.12*** 16, 250)
3.08**
16,
250)
5.69*** 16, 250)
4.76*** 16,
250)
6.86*** 16, 250)
^
.23
.21
.34
.16
.27
.23
.31
Unique predictor
BMI
Importance
Feedback-father
Pressure-decrease weight
Negative affect
Satisfaction
Feedback-mother
Pressure-increase muscles
Satisfaction
Importance
Pressure-decrease weight
Media-decrease weight
Feedback-mother
Feedback-best male friend
Feedback-best female
friend
Pressure-increase muscles
Pubertal development
Feedback-mother
Feedback-father
Feedback-best male friend
Feedback-best female
friend
Pressure-increase muscles
Age
Satisfaction
Feedback-mother
Feedback-best male friend
Pressure-decrease weight
P
.15*
- . 1 9 * *
- . 1 8 * *
.13*
.21**
- . 1 9 * *
.14*
- . 3 0 * * *
- . 2 8 * * *
.17**
- . 2 5 * * *
- . 2 0 * *
.20**
- . 2 1 * *
.18*
_ .49***
.16*
.21**
- . 17*
.19**
- . 2 6 * * *
- . 27**
.14*
- . 1 3 *
.15*
- . 17*
- . 1 8 * *
Note. BMI = body mass index.
*p
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20 The Journal of Social Psychology
Pubertal development was found to be a unique predictor of strategies to
increase muscle tone for girls. For boys, pubertal development was a unique pre-
dictor of body-im age im portance and use of food supplem ents. These results sug-
gest (a) that puberty on its own does not predict body image and body-change
strategies but (b) that puberty predicts the use of food supplements that may then
be used by adolescent b oys and girls who are out of phase w ith their peers in their
pubertal development. This proposal needs further examination, to determine the
exact nature of food supplements being used by adolescents who are at different
stages of pubertal development.
On the whole, the other results for the boys from Study 2 were consistent
with those from Study 1. The fmdings showed that both father and m other played
an important role in transmitting sociocultural messages that affected boys'
weight-loss and weight-gain strategies, with father playing a somewhat more
important role, and m other a less important role, than in Study 1. Peers w ere not
seen to play a strong role in shaping body image or body-change strategies for
adolescent boys or girls, although female friends did have some impact on
increasing weight for boys and increasing muscle tone for girls, and best male
friend played a role in the use of food supplements and binge eating for girls.
Although only a limited amount of variance was explained, fathers appear to be
more influential than either mothers or peers in determining strategies to increase
muscle tone among boys. This suggests that boys are modeling on the behavior
of their fathers. One would expect that fathers would play a more significant role
than mothers in increasing muscle tone, and the present fmdings are consistent
with these expectations. Not surprisingly, a broader range of sociocultural pres-
sures affected body-change strategies for girls.
For boys, the only findings in Study 2 that completely differed from those in
Study 1 were for binge eating. In Study 1, body -image importance w as the sole
unique predictor of binge eating, but in Study 2 binge eating was predicted by
negative affect and pressure from the media to gain weight and increase muscle
tone. However, only a small amount of variance was explained in both studies.
The sociocultural predictors of binge eating were also different between Study 1
and 2. Whereas sociocultural influences to increase weight were the only unique
predictor in Study 1, feedback from mother, father, best male friend, and best
female friend, as well as sociocultural pressures to increase m uscle uniquely pre-
dicted binge eating in Study 2. The sociocultural predictors of extreme forms of
eating behaviors clearly require more investigation, focusing primarily on those
individuals who adopt these types of behaviors.
GENERAL DISCUSSION
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McC abe & Ricciardelli 21
influence of these variables on body image and body-change strategies was fur-
ther evaluated in Study 2, as well as the impact of puberty and negative affect.
Importance of body image consistently predicted satisfaction with body
image, and satisfaction with body image predicted its importance. BMI also
appeared to play some role in body satisfaction. This finding was present for both
boys and girls in both studies and is consistent with past research findings. BMI
predicted weight loss for boys in Study 1, but not in either study for girls, an
observation that would suggest that boys who are overweight may engage in
weight-loss strategies, but the weight-loss strategies adopted by girls are not
dependent on weight. For
boys,
the cultural m essage is to obtain a mu scular bu ild,
and so only boys with a greater BMI may engage in weight-loss strategies.
Feedback from both mothers and fathers influenced adolescents' satisfaction
with their bodies. Surprisingly, they did not predict w eight loss among either girls
or boys, but they may have had an indirect effect on weight loss through their
infiuence on body satisfaction. However, parents' influence explained only a
small amount of the variance, and the results were inconsistent across the two
studies and so need to be explored further. Specific feedback from both mothers
and fathers seemed to more consistently affect extreme body-change strategies
such as use of food supplements and binge eating. This finding suggests that if
adolescent boys and girls detect feedback from their parents about their body and
shape, they might adopt these extreme strategies to alter their bodies. This is the
first series of studies to investigate parental influences on this broad range of
body-change strategies, so these findings need to be further investigated.
Parents were more important sociocultural transmitters of messages for both
adolescent boys and girls than were peers or the media. However, both male and
female friends played a role in predicting body-change strategies for adolescent
girls and, to a lesser extent, for adolescent boys. This role was greater for female
friends than it was for male friends. Con sistent with the find ings with parents, the
feedback primarily affected either extreme body-change strategies (e.g., binge
eating, use of food supplements) or strategies that moved the adolescent away
from the sociocultural ideal (e.g., feedback from male and female friends influ-
encing strategies to increase weight in adolescent girls). These results are con-
sistent with past studies on adolescent girls (e.g., Levine et al., 1994; Stormer &
Thompson, 1996). They indicate that both male and female friends influence
body-change strategies among adolescent girls but are less likely to affect body-
change strategies among adolescent bo ys. These findings suggest either that ado-
lescent boys are not heeding messages from their peers or that they are failing to
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22 The Journal of Social Psychology
These broader sociocultural pressures to change weight influenced most of the
body-change strategies for adolescent boys and girls, and the nature of the per-
ceived pressures was largely consistent with the type of strategy that the adoles-
cent adopted.
The results of this study are quite complex in relation to the role of parents
and peers in shaping body image and body-change strategies among adolescent
boys and g irls. It appears that there is a significant amou nt of overlap among the
different groups in the nature of the messages provided to adolescents about
which bo dy-chan ge strategies to use. W hen the effect of these perceived messages
infiuenced a body-change strategy, it had an impact on the type of strategy that
the adolescent adopted. The results of this study raise questions about the most
valid m ethod to use to determine the nature and imp act of feedback and perceived
pressure from parents and peers on body image and body-change strategies. Fur-
ther research is necessary to determine whether it is best to represent the feed-
back from each individual or if it is best to assess the combined impact of these
individuals in relation to a particular strategy (e.g., for the adolescent to lose
weight, increase weight, or increase muscle tone).
Media messages had little impact on the prediction of body image or body-
change strategies adopted by adolescent boys, with media influencing strategies
only to decrease w eight and to increase weight in Study 1 and to use food su p-
plements and to engage in binge eating in Study 2. Either adolescent boys do not
perceive that the media are addressing messages regarding their body image to
them, or the me ssages are not strong or coherent enough to have an effect on bod y
image or the adoption of behaviors to move adolescent boys closer to the cultur-
al ideal. Alternatively, the messages m ay not have an impact becau se boys cho ose
not to respond to them. More research is needed to determine which of these
explanations best represents the findings in these studies. With other sociocultural
variables in the regression equation, media was not a major predictor of body
image and body-change strategies for adolescent girls, with the only consistent
finding related to media being its influence on decreasing weight. Although these
findings are at variance with past studies, they may be due to the inclusion of a
range of other factors in the regression equations, which may have explained the
variance that has previously been attributed to the influences of the media.
In addition to the sociocultural infiuences, BM I, and ag e, in Study 2 w e also
examined the impact of pubertal development and negative affect. The unique
contribution of pubertal development in comparison with the sociocultural vari-
ables was minimal, although negative affect appeared to have some impact, par-
ticularly among adolescent boys. Pubertal development may exert an influence
on body image and body-change strategies in a less direct way, and its influence
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McCabe & Ricciardelli 23
direct impact. For fuller exploratioti of the nature of these influences, researchers
should use longitudinal studies to track the development of puberty, negative
affect, and the sociocultural variables in relation to body imag e and body-ch ange
strategies.
In this study we investigated aspects of body image and body-change strate-
gies that have not been explored in previous studies. Clearly, these fmdings need
to be examined further. The fmdings are limited by the narrow cultural back-
ground of the adolescents, and it is important to determine whether these results
apply to adolescents from other cultural backgrounds. It is also important to
extend the age range of respondents and to determine the nature of the sociocul-
tural predictors among both preadolescent and older adolescent respondents.
Finally, the amounts of variance explained by these sociocultural, biological,
and emotional variables were quite different (ranging from 9% to
46%).
For areas
in which the variance was small, it is important to investigate other elements that
contribute to body image and body-change strategies among adolescent boys and
girls. Although the present studies have provided some understanding of these
variables as they relate to body image and weight loss among adolescent girls
(e.g., ineffectiveness, self-esteem), researchers need to determine whether these
same variables are relevant for boys and whether they predict weight gain and
increased muscle tone. It is also important to note that the sociocultural influ-
ences were self-reported, and so different fmdings may be obtained if other mea-
sures of sociocultural influences are used. The fmdings from the present studies
have implications for intervention strategies to address problem areas not only for
weight loss but also with adolescents engaging in health-damaging behaviors
designed to gain weight or to increase muscle size and strength.
REFERENCES
Attie, I., & Brooks-Gunn, J. (1989). Development of eating problems in adolescent girls:
A longitudinal study. Developmental Psychotogy, 25, 70-79 .
Benedikt, R., Wertheim, E. H., & Love, A. (1998). Eating attitudes and weight-loss
attempts in female adolescents and their mothers.
Journat of
Youth
and Adolescence 27
43-57.
Cusim ano, D. C , & Thom pson, J. K. (1997). Body image and body shape ideals in mag-
azines: Exposure, awareness, and intemalization. Sex Roles, 37,
701-721 .
Dixon, R., Adair, V., & O'Connor, S. (1996). Parental influences on the dieting beliefs and
behaviors of adolescent females in New Zealand. Journat of Adolescent Health 19
303-307 .
Dombusch, S. M., Carlsmith, J. M., Duncan, P. D., Gross, R. T, Martin, J. A., Ritter, R
L., et al. (1984). Sexual maturation, social class, and the desire to be thinner among ado-
lescent females. Development and Behavioral Pediatrics, 5, 308-314.
Drewnow ski, A., K urth, C. L., & Krahn, D . D. (1995). Effects of body image on dieting,
-
8/18/2019 McCabe, M. & Ricciardelli, L. (2003).
20/23
24 The Journal of Social Psychology
of Eating Disorders, 18,
39-48.
Gibbs, R. E. (1986 ). Social factors in exaggerated ea ting behavior among high school stu-
dents. International Journal of Eating Disorders, 5, 1103-1107.
Gralen, S. J., Levine, M. P., Smolak, L. S., & Murnen, S. K. (1990). Dieting and disor-
dered eating during early and middle adolescence: Do the influences remain the same?
InternationalJournal of Eating Disorders, 9, 501-512.
Griffiths, J. A., & M cCabe , M . P. (200 0). The influence of significant others on disordered
eating and body dissatisfaction among early adolescent girls. E uropean Earing Disor-
ders Review, 8, 301-31'+.
Irving, L. M. (1990). Mirror images: Effects of the standard of beauty on the
self-
and
body-esteem of women exhibiting varying levels of bulimic symptoms. Journal of
Social and Clinical Psychology, 9, 230-242 .
Keel, P. K., Fulkerson, J. A., & Leon, G. R. (1997). Disordered eating precursors in pre-
and early adolescent girls and boys. Journal of Youth and Adolescence, 26, 203-216.
Keel, P. K., Heatherton, T. F, Harnden, J. L., & Homig, C. D. (1997). Mothers, fathers
and daughters: Dieting and disordered eating. Eating Disorders, 5, 216-228.
Kent, J. S., & Clopton, J. R. (1992). Bulimic women's perceptions of their family rela-
tionships.
Journal of Clinical Psychology, 48,
281-292 .
Killen, J. D., Taylor, C. B., Hayward, C , Wilson, D. M ., Haydel, K. F., Ham er, L. D., et
al. (1994). Pursuit of thinness and onset of eating disorder symptoms in a community
sample of adolescent girls: A three year prospective analysis. International Journal of
Eating Disorders, 16, 227-238.
Koenig, L. J., & Wasserman, E. L. (1995). Body imag e and dieting failure in college m en
and women: Examining links between depression and eating problems. Sex Roles, 32,
225-249.
Leal, L., Weise, S. M., & Do dd, D. K. (1995). The relationship between gender, sym ptoms
of bulimia, and tolerance for stress. Addictive Behaviors, 20, 105-109.
Leon, G. R., Fulkerson, J. H., Perry, C. L., & Dube, A. (1994). Family influences, school
behaviors, and risk for the later development of an ea ting disorder.
Journal of Youth and
Adolescence, 23, 499-515.
Leon, G. R., Fulkerson, J. A., Perry, C. L., & Early-Za ld, M . B. (1995). Prospective an aly-
sis of personality and beh avioral vulnerab ilities and gender influences in the later devel-
opment of disordered eating. Journal of Abnormal Psychology, 104, 140-149.
Leon, G. R., Fulkerson, J. A., Perry, C. L., Keel, P. K., & Klump, K. L. (1999). Three to
four year prospective evaluation of personality and behavioral risk factors for later dis-
ordered eating in adolescent boys and girls. Journal of
Youth
and Adolescence, 28,
181-195.
Levine, M. P., Smolak, L., & Hayden, H. (1994). The relation of sociocultural factors to
eating attitudes and beh aviors among middle school girls. Journal of Early Ad olescence,
14, 471-490 .
Lovibond, P. R, & Lovibond, S. H. (1995). The structure of negative emotional states:
Comparison of the Depression, Anxiety, Stress Scale (DASS) with the Beck Depression
and Anxiety Inventories. B ehaviour Research and
Therapy,
33 , 335-343 .
McCabe, M. P., & Ricciardelli, L. A. (2001a). Body image and body change techniques
among young adolescent boys. E uropean Eating Disorders
Review,
9, 1-13.
M cCabe , M . P., & Ricciard elli, L. A. (20 01b ). The structure of the Perceived Sociocultural
Influences on Body Image and Body Change Questionnaire. International Journal of
-
8/18/2019 McCabe, M. & Ricciardelli, L. (2003).
21/23
McCabe & Ricciardelli 25
Mitchell, J. E., Hatsukam i, D., Pyle, R. L., & Eckert, E. D. (1986). The bulimia syndrom e:
Course for the illness and associated problems.
Comprehensive Psychiatry, 27
165-179.
Moreno, A., & Thelen, M. H. (1993). Parental factors related to bulimia nervosa. Addic-
tive Behaviors, 18, 681-689.
Paxton, S. J., Wertheim, E. H., Gibbons, K., Szmukler, G. L., Hillier, L., & Petrovich, J.
L. (1991). Body image satisfaction, dieting beliefs, and weight loss behaviors in ado-
lescent girls and boys. Journal of
Youth
and Adolescence, 20, 361-379.
Petersen, A. C , Crockett, L., Richards, M., & Boxer, A. (1988). A self-report measure of
pubertal status: Reliability, validity and initial norms. Journal of Youth and Adolescence,
17 , 117-133.
Pike, K. M., & Rodin, J. (1991). Mothers, daughters, and disordered eating. Journal of
Abnormal Psychology, WO , 198-204.
Pope, H. G., Olivardia, R., Gruber, A., & Borowiecki, J. (1999). Evolving ideals of male
body image as seen through action toys. International Journal of Eating Disorders, 26
65-72 .
Posavac, H. D., Posavac, S. S., & Posavac, E. J. (1998). Ex posure to media influences of
female attractiveness and concern with body weight among young women. Sex Roles
38 ,
187-201.
Ricciardelli, L. A., & McCabe, M. P (2001). Dietary restraint and negative affect as medi-
ators of body dissatisfaction and bulimic behavior in adolescent girls and boys. Behav-
ior Research and Therapy, 39, 59-70.
Ricciardelli, L. A., & McCa be, M. P. (2002 ). Psychometric evaluation of the Body C hange
Inventory: An assessment of an instrument for adolescent boys and girls. Eating Behav-
iors,
2, 1-15.
Ricciardelli, L. A., McCabe, M. P., & Banfield, S. (2000). Body image and body change
methods in adolescent boys: Roles of parents, friends and the media. Journal of Psy-
chosomatic Research, 48, 189-197.
Ruther, N. M., & Richman, C. L. (1993). The relationship between mothers' eating
restraint and their children's attitude and behaviors. Bulletin of
the
Psychonomic Soci-
ety, 31, 217-220.
Scourfield, J. (1995). Anorexia by proxy: Are the children of anorexic mothers an at-risk
group InternationalJournal of Eating Disorders, 18, 371-374.
Shepherd, H., & Ricciardelli, L. A. (1998). Test of Stice's dual pathway model: Dietary
restraint and negative affect as mediators of bulimic behavior. Behaviour Research and
Therapy, 36, 345-352.
Steiger, H., Stotland, S., Ghadiriam, A. M., & Whitehead, V. (1995). Controlled study of
eating concerns and psychopathological traits in relatives of eating-disordered
probands: Do familial traits exist? International Journal of Eating Disorders, 18
107-118.
Steiger, H., Stotland, S., Trottier, J., & Ghadiriam, A. M. (1996). Familial eating concerns
and psychopathological traits: Causal implications of transgenerational effects. Inter-
national Journal of Eating Disorders, 19,
147-157.
Stice, E. (1998). Modeling of eating pathology and social reinforcement of the thin-ideal
predict onset of bulimic symptoms. Behaviour Research and Therapy, 36, 931-944.
Stice, E., Hayward, C , Cam eron, R. P, Killen, J. D., & Taylor, C. B. (2000 ). Body-image
and eating disturbances predict onset of depression among adolescent females: A lon-
-
8/18/2019 McCabe, M. & Ricciardelli, L. (2003).
22/23
26 The Journal of Social Psychology
Stice, E., Shaw, H., &
Nemeroff,
C. (1998). Dual pathway model of bulimia nervosa: Lon-
gitudinal support for dietary restraint and affect-regulation mec hanism s. Journal of
Social and Clinical Psychotogy, 17, 129-149.
Stice, E., Ziemba, C , Margolis, J., & Flick, R (1996). The dual pathway m odel differen-
tiates bulimics, subclinical bulimics, and controls: Testing the continuity hypothesis.
Behavior Therapy, 27, 531-549.
Stormer, S. M., & Thompson, J. K. (1996). Explanations of body image disturbance: A
test of maturational status, negative verbal commentary, social comparison and socio-
cultural hypotheses. International Journal of Eating D isorders, 19, 193-202.
Swarr, A. E., & Richards, M. H. (1996). Longitudinal effects of adolescent girls' pubertal
development, perceptions of pubertal timing, and parenti relations on eating problems.
Developmental Psychology, 4, 636-646.
Taylor, C. B., Sharpe, T, Shisslak, C , Byrson, S., Estes, L. S., Gray, N., et al. (1998). Fac-
tors associated with weight concerns in adolescent girls. International Journal of Eat-
ing Disorders, 24, 31-42.
Thelen, M. H., & Cormier, J. F. (1995). Desire to be thinner and weight control among
children and their parents. Behavior Therapy, 26, 85-99.
Thom pson, J. K., Coovert, M. D ., Richards, K. J., Johnson, S., & Cattarin, J. (1995). Devel-
opment of body image, eating disturbance, and general psychological functioning in
female adolescents: Covariance structure modeling and longitudinal investigations.
International Journat of Eating Disorders, 18, 221-236 .
Vincent, M. A., & McC abe, M. R (2 000 ). Gender differences among adolescents in fam-
ily and peer influences on body dissatisfaction, weight loss and binge eating behaviors.
Journat of Youth and Adotescence, 29,
205 - 221 .
Wertheim, E. H., Paxton, S. J., Maude, D., Szmukler, G. I., Gibbons, K., & Hiller, L.
(1992). Psychosocial predictors of weight loss behaviors and binge eating in adolescent
girls and boys. Internationat Journal of Eating D isorders, 12, 151-160.
Received December 19, 2000
Accepted July 27, 2001
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8/18/2019 McCabe, M. & Ricciardelli, L. (2003).
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