Eating disorders, body dissatisfaction, and self-esteem among South Korean women

2018 ◽  
Vol 46 (9) ◽  
pp. 1537-1546 ◽  
Author(s):  
Soyoung Kim

Because of Western influences on Asian culture, Asian women value thinness, which has led to a rise in eating disorders among them. The prevalence of eating disorders has increased steadily among Asian women over the past 20 years. Body dissatisfaction, which is an attitude associated with body image involving the disdain of one's appearance and weight, is more common among women compared to men. Today, Korean women have greater body dissatisfaction than do U.S. women, a difference that originates prior to adolescence. I examined how the Western mainstream media influences women's self-image, determining that many women wish to look like celebrities. My findings supported cognitive-behavioral theorists' proposition that low self-esteem and body dissatisfaction contribute greatly to restrained eating. Rapid social change in South Korea, from Confucian to democratic values, may have exacerbated development of South Korean women's low self-esteem, body dissatisfaction, and eating disorders.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tracy Boulos Nakhoul ◽  
Anthony Mina ◽  
Michel Soufia ◽  
Sahar Obeid ◽  
Souheil Hallit

Abstract Background Restrained eating disorder is prevalent worldwide across both ethnic and different cultural groups, and most importantly within the adolescent population. Additionally, comorbidities of restrained eating present a large burden on both physical and mental health of individuals. Moreover, literature is relatively scarce in Arab countries regarding eating disorders, let alone restrained eating, and among adolescent populations; hence, the aim of this study was to (1) validate the Dutch Restrained Eating Scale in a sample of Lebanese adolescents and (2) assess factors correlated with restrained eating (RE), while taking body dissatisfaction as a moderator between body mass index (BMI) and RE. Methods This cross-sectional study, conducted between May and June 2020 during the lockdown period imposed by the Lebanese government, included 614 adolescents aged between 15 and 18 years from all Lebanese governorates (mean age of 16.66 ± 1.01 years). The scales used were: Dutch Restrained Eating Scale, body dissatisfaction subscale of the Eating Disorder Inventory-Second version, Rosenberg Self-Esteem Scale, Beirut Distress Scale (for psychological distress), Hamilton Anxiety Rating Scale and Patient Health Questionnaire (for depression). Results The factor analysis yielded a one-factor solution with Eigen values > 1 (variance explained = 59.65 %; αCronbach = 0.924). Female gender (B = 0.19), higher BMI (B = 0.49), higher physical activity index (B = 0.17), following a diet to lose weight (B = 0.26), starving oneself to lose weight (B = 0.13), more body dissatisfaction (B = 1.09), and higher stress (B = 0.18) were significantly associated with more RE, whereas taking medications to lose weight (B=-0.10) was significantly associated with less RE. The interaction body mass index (BMI) by body dissatisfaction was significantly associated with RE; in the group with low BMI, higher body dissatisfaction was significantly associated with more RE. Conclusions Our study showed that the Dutch Restrained Eating scale is an adapted and validated tool to be used among Lebanese adolescents and revealed factors associated with restrained eating in this population. Since restrained eating has been associated with many clinically-diagnosed eating disorders, the results of this study might serve as a first step towards the development of prevention strategies targeted towards promoting a healthy lifestyle in Lebanese adolescents.


2010 ◽  
Vol 41 (4) ◽  
pp. 819-828 ◽  
Author(s):  
T. D. Wade ◽  
G. Zhu ◽  
N. G. Martin

BackgroundThree cognitive constructs are risk factors for eating disorders: undue influence of weight and shape, concern about weight and shape, and body dissatisfaction (BD). Undue influence, a diagnostic criterion for eating disorders, is postulated to be closely associated with self-esteem whereas BD is postulated to be closely associated with body mass index (BMI). We understand less about the relationships with concern about weight and shape. The aim of the current investigation was examine the degree of overlap across these five phenotypes in terms of latent genetic and environmental risk factors in order to draw some conclusions about the similarities and differences across the three cognitive variables.MethodA sample of female Australian twins (n=1056, including 348 complete pairs), mean age 35 years (s.d.=2.11, range 28–40), completed a semi-structured interview about eating pathology and self-report questionnaires. An independent pathways model was used to investigate the overlap of genetic and environmental risk factors for the five phenotypes.ResultsIn terms of variance that was not shared with other phenotypes, self-esteem emerged as being separate, with 100% of its variance unshared with the other phenotypes, followed by undue influence (51%) and then concern (34%), BD (28%) and BMI (32%).ConclusionsIn terms of shared genetic risk, undue influence and concern were more closely related than BD, whereas BMI and BD were found to share common sources of risk. With respect to environmental risk factors, concern, BMI and BD were more closely related to each other than to undue influence.


2013 ◽  
Vol 41 (7) ◽  
pp. 1165-1170 ◽  
Author(s):  
Fanchang Kong ◽  
Yan Zhang ◽  
Zhiqi You ◽  
Cuiying Fan ◽  
Yuan Tian ◽  
...  

Mixed results have been found in studies of the relationship between body dissatisfaction and restrained eating, and self-esteem (Flament et al., 2012; Forrester-Knauss, Perren, & Alsaker, 2012; Wilksch & Wade, 2004). We investigated if body dissatisfaction significantly predicted restrained eating and if restrained eating was affected by body dissatisfaction through the mediation of self-esteem. The Negative Physical Self Scale-Fatness Scale (NPSS-F; Chen, Jackson, & Huang, 2006), the State Self-Esteem Scale (SSES; Heatherton & Polivy, 1991), and the Three-Factor Eating Questionnaire-Revised 18-item version (TFEQ-R18; Karlsson, Persson, Sjöström, & Sullivan, 2000) were administered to 376 Chinese women undergraduates. Results showed that body dissatisfaction, as measured with the NPSS-F, was positively related to restrained eating, and self-esteem mediated in the relationship between body dissatisfaction and restrained eating. Therefore, restrained eating was affected not only directly by body dissatisfaction, but also indirectly by body dissatisfaction through the mediation of self-esteem.


2000 ◽  
Vol 45 (5) ◽  
pp. 471-475 ◽  
Author(s):  
Elliot M Goldner ◽  
Josie Geller ◽  
C Laird Birmingham ◽  
Ronald A Remick

Shoplifting behaviours were examined in an eating disorder group (EDG, n = 48), a psychiatric control group (PCG, n = 46), and an undergraduate control group (UCG, n = 82). They were examined in relation to self-esteem, depression, and eating disorder symptomatology. The 3 groups did not differ in overall history of shoplifting, but EDG women were more likely to have shoplifted in the past 6 months (current shoplifting) and to have shoplifted often than were women from the PCG or UCG. Across all 3 groups, current shoplifting was associated with low self-esteem, elevated depression, and purging behaviours at the time of the assessment. The implications of these findings with regard to the relationship between shoplifting and eating disorder symptomatology will be addressed.


Author(s):  
Sathyaraj Venkatesan ◽  
Anu Mary Peter

Socio-cultural rigidities regarding the shape and size of a woman’s body have not only created an urgency to refashion themselves according to a range of set standards but also generated an infiltrating sense of body dissatisfaction and poor self-esteem leading to eating disorders. Interestingly, through an adept utilisation of the formal strengths of the medium of comics, many graphic medical anorexia narratives offer insightful elucidations on the question of how the female body is not merely a biological construction, but a biocultural construction too. In this context, by drawing theoretical postulates from Susan Bordo, David Morris and other theoreticians of varying importance, and by close reading Lesley Fairfield’s Tyranny and Katie Green’s Lighter than My Shadow, this article considers anorexia as the bodily manifestation of a cultural malady by analysing how cultural attitudes regarding body can be potential triggers of eating disorders in girls. Furthermore, this article also investigates why comics is the appropriate medium to provide a nuanced representation of the corporeal complications and socio-cultural intricacies of anorexia.


1998 ◽  
Vol 9 (3) ◽  
pp. 190-195 ◽  
Author(s):  
Alan Feingold ◽  
Ronald Mazzella

It has been speculated that the prevalence of eating disorders in women has risen because of increases in women's body dissatisfaction. We conducted a meta-analysis of gender differences in attractiveness and body image using 222 studies from the past 50 years. The analysis shows dramatic increases in the numbers of women among individuals who have poor body image. Moreover, these trends were found across multiple conceptualizations of body image, including self-judgments of physical attractiveness.


2021 ◽  
Vol 25 (2) ◽  
pp. 121-129
Author(s):  
Hye-Ryeon Park ◽  
Hyeon Ok Ju

Purpose: The purpose of this study was to verify the mediating effects of body dissatisfaction, selfesteem, and depression on the association between the body mass index (BMI) and eating disorders in adolescents with type 1 diabetes.Methods: Secondary data were analyzed in this study. The original analysis was conducted using data from 136 adolescents aged 13–18 years with type 1 diabetes. The results of testing for mediating effects were analyzed using a serial-multiple mediation model (model 6) using the PROCESS macro in SPSS ver. 3.3.Results: The direct effect of the BMI on eating disorders was not statistically significant (effect=0.22; 95 % confidence interval [CI], -0.20 to 0.64), but the indirect effects were statistically significant (effect=0.28; 95% CI, 0.05–0.63). In detail, the indirect effect of BMI on eating disorders mediated by body dissatisfaction was statistically significant (effect=0.28; 95% CI, 0.10–0.61); by body dissatisfaction and depression was statistically significant (effect=0.06; 95% CI, 0.01–0.15); and by body dissatisfaction, self-esteem, and depression was statistically significant (effect=0.05; 95% CI, 0.01–0.11).Conclusion: Individual interventions according to BMI are required to prevent the development of eating disorders in adolescents with type 1 diabetes. Adolescents with type 1 diabetes require intervention programs that may positively change their attitudes toward themselves, increasing self-esteem and lowering depression.


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