title: Examining an elaborated sociocultural model of disordered eating among college women: the roles of social comparison and body surveillance.
abstract: Social comparison (i.e., body, eating, exercise) and body surveillance were tested as mediators of the thin-ideal internalization-body dissatisfaction relationship in the context of an elaborated sociocultural model of disordered eating. Participants were 219 college women who completed two questionnaire sessions 3 months apart. The cross-sectional elaborated sociocultural model (i.e., including social comparison and body surveillance as mediators of the thin-ideal internalization-body dissatisfaction relation) provided a good fit to the data, and the total indirect effect from thin-ideal internalization to body dissatisfaction through the mediators was significant. Social comparison emerged as a significant specific mediator while body surveillance did not. The mediation model did not hold prospectively; however, social comparison accounted for unique variance in body dissatisfaction and disordered eating 3 months later. Results suggest that thin-ideal internalization may not be "automatically" associated with body dissatisfaction and that it may be especially important to target comparison in prevention and intervention efforts.
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States. Electronic address: fitzsimmonscrafte@psychiatry.wustl.edu.
authors.forename: Ellen E
authors.initials: EE
authors.lastname: Fitzsimmons-Craft
authors.affiliation: Department of Psychology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
authors.forename: Anna M
authors.initials: AM
authors.lastname: Bardone-Cone
authors.affiliation: Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Cynthia M
authors.initials: CM
authors.lastname: Bulik
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND, United States; Department of Clinical Neuroscience, University of North Dakota School of Medicine & Health Sciences, Grand Forks, ND, United States.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Wonderlich
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND, United States; Department of Clinical Neuroscience, University of North Dakota School of Medicine & Health Sciences, Grand Forks, ND, United States.
authors.forename: Ross D
authors.initials: RD
authors.lastname: Crosby
authors.affiliation: Neuropsychiatric Research Institute, Fargo, ND, United States; Department of Clinical Neuroscience, University of North Dakota School of Medicine & Health Sciences, Grand Forks, ND, United States.
authors.forename: Scott G
authors.initials: SG
authors.lastname: Engel
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image / Q000523:psychology*; D003430:Cross-Sectional Studies; D003469:Culture; D001068:Feeding and Eating Disorders / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D010549:Personal Satisfaction; D012649:Self Concept; D012919:Social Behavior; D015144:Southeastern United States / Q000453:epidemiology; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013851:Thinness / Q000523:psychology; D055815:Young Adult
keywords: Body dissatisfaction; Body surveillance; Disordered eating; Social comparison; Sociocultural model; Thin-ideal internalization