title: Culture-specific influences on body image and eating distress in a sample of urban Bulgarian women: the roles of faith and traditional fasting.
abstract: The purpose of this study was to examine the influence of local culture on body image and eating distress in a sample of urban Bulgarian women. Specifically, we focused on two affiliated factors unique to the Bulgarian context: faith and traditional fasting. Findings revealed that women could be divided into two groups who behaved differently based on the severity of their eating disorder symptomatology. For women with higher EAT-40 scores (i.e., vulnerable women), faith seemed to have harmful effects, perhaps by virtue of motivating or reinforcing asceticism and dietary restraint. For these women fasting was likely but one strategy for weight management and the achievement of a desired thin figure consistent with the socio-cultural models. In contrast, among women with lower EAT-40 scores, faith seemed to have a protective effect against excessive dieting. These women were more likely to use fasting in the way intended by religious scripture, for faith-related reasons that have nothing to do with body image. This study contributes to the literature by emphasizing the importance of culturally unique factors that may be implicated in the relationship between body dissatisfaction and overt eating distress in the trans-cultural context. When expanded, this research can be of use in helping formulate custom interventions and public health policies aimed at preventing such conditions in Bulgaria and possibly in similar post-communist cultures.
authors.affiliation: Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA. raa29@cornell.edu
authors.forename: Rosa Angelova
authors.initials: RA
authors.lastname: Angelova
authors.forename: Virginia
authors.initials: V
authors.lastname: Utermohlen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001828:Body Image / Q000523:psychology*; D002031:Bulgaria; D003469:Culture; D005215:Fasting; D001068:Feeding and Eating Disorders / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012067:Religion; D012307:Risk Factors; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000523:psychology*; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Body dissatisfaction; Bulgarian women; Culture-specific factors; Eating disorder symptomatology; Faith; Traditional fasting