A longitudinal investigation of the mediating role of self-esteem and body importance in the relationship between stress and body dissatisfaction in adolescent females and males.

Body dissatisfaction is particularly prevalent during adolescence and has recently been linked to stress in females and males. However, prospective studies are needed to better understand the relationship between stress and body dissatisfaction. The present study investigates the direction of this association and the mediating role of self-esteem and body image importance. A sample of 298 adolescent females and males in Grades 7 to 10 (ages 12 to 17 years) were surveyed at two time points over a one-year period. Hierarchical regression analyses revealed that stress significantly predicted body dissatisfaction one year later. Furthermore, a multiple mediation analysis controlling for gender revealed a significant indirect effect in both cross-sectional and longitudinal models, indicating that stress predicts reductions in self-esteem and increases in body importance, which in turn predict body dissatisfaction. These findings suggest that stress, self-esteem, and body importance should be included in programmes aimed at improving body dissatisfaction.

[1]  A. Thurm,et al.  Journal of Clinical Child & Adolescent Psychology Stressors and Child and Adolescent Psychopathology: Measurement Issues and Prospective Effects , 2022 .

[2]  M. Rosenberg.  Society and the adolescent self-image , 1966 .

[3]  D. Neumark-Sztainer,et al.  Stressful life events and disordered eating behaviors: findings from Project EAT. , 2008, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[4]  First onset versus recurrence of depression: differential processes of psychosocial risk. , 1999 .

[5]  A. Hayes.  Beyond Baron and Kenny: Statistical Mediation Analysis in the New Millennium , 2009 .

[6]  R. Lazarus,et al.  Toward better research on stress and coping. , 2000, The American psychologist.

[7]  J. Wardle,et al.  Dietary restraint, body dissatisfaction, and psychological distress: a prospective analysis. , 2005, Journal of abnormal psychology.

[8]  B. Hankin.  Adolescent depression: Description, causes, and interventions , 2006, Epilepsy & Behavior.

[9]  Kristopher J Preacher,et al.  Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models , 2008, Behavior research methods.

[10]  M. McCabe,et al.  An evaluation of the construct of body image. , 2002, Adolescence.

[11]  B. J. Myers,et al.  Adolescent Self-Esteem and Gender: Exploring Relations to Sexual Harassment, Body Image, Media Influence, and Emotional Expression , 2001 .

[12]  D. C. Howell,et al.  Life stress, psychological symptoms and weight reducing behavior in adolescent girls: A prospective analysis , 1990 .

[13]  Prospectively predicting dietary restraint: the role of interpersonal self-efficacy, weight/shape self-efficacy, and interpersonal stress. , 2010, The International journal of eating disorders.

[14]  T. Ollendick,et al.  Negative Body Image and Disordered Eating Behavior in Children and Adolescents: What Places Youth at Risk and How Can These Problems be Prevented? , 2003, Clinical child and family psychology review.

[15]  M. Levine,et al.  Normative developmental challenges and dieting and eating disturbances in middle school girls. , 1994, The International journal of eating disorders.

[16]  P. Lewinsohn,et al.  Sex differences and adolescent depression. , 1990, Journal of abnormal psychology.

[17]  E. Rieger,et al.  The relationship between stress and body satisfaction in female and male adolescents. , 2015, Stress and health : journal of the International Society for the Investigation of Stress.

[18]  M. Mendelson,et al.  Self-Esteem, Body Esteem, and Body-Mass in Late Adolescence: Is a Competence × Importance Model Needed? , 2000 .

[19]  B. Tabachnick,et al.  Using Multivariate Statistics , 1983 .

[20]  L. Ricciardelli,et al.  Psychometric evaluation of the Body Change Inventory: an assessment instrument for adolescent boys and girls. , 2002, Eating behaviors.

[21]  M. Levine,et al.  The impact of puberty and dating on eating problems among middle school girls , 1993 .

[22]  K. Ball,et al.  Psychological stress, coping, and symptoms of disordered eating in a community sample of young Australian women. , 2002, The International journal of eating disorders.

[23]  M P McCabe,et al.  Parent, peer, and media influences on body image and strategies to both increase and decrease body size among adolescent boys and girls. , 2001, Adolescence.

[24]  H. Pope,et al.  Body image in boys: a review of the literature. , 2001, The International journal of eating disorders.

[25]  C. Fairburn,et al.  Cognitive behaviour therapy for eating disorders: a "transdiagnostic" theory and treatment. , 2003, Behaviour research and therapy.

[26]  T. F. Cash.  Cognitive-Behavioral Perspectives on Body Image , 2002 .

[27]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[28]  Alice F. Stuhlmacher,et al.  Stressors and child and adolescent psychopathology: moving from markers to mechanisms of risk. , 2003, Psychological bulletin.

[29]  E. Rieger,et al.  Investigating adolescent stress and body image. , 2011, Journal of adolescence.

[30]  T. F. Cash,et al.  The assessment of body image investment: an extensive revision of the appearance schemas inventory. , 2004, The International journal of eating disorders.

[31]  L. Fortin,et al.  Gender Differences in Depressive Symptoms During Adolescence , 2002 .

[32]  R. Mullis,et al.  Adolescent stress and self-esteem. , 1990, Adolescence.

[33]  R. Turner,et al.  Stress burden and the lifetime incidence of psychiatric disorder in young adults: racial and ethnic contrasts. , 2004, Archives of general psychiatry.

[34]  A. Thurm,et al.  Stressors and child and adolescent psychopathology: evidence of moderating and mediating effects. , 2006, Clinical psychology review.

[35]  Dianne Neumark-Sztainer,et al.  Prospective predictors of body dissatisfaction in adolescent girls and boys: a five-year longitudinal study. , 2006, Developmental psychology.

[36]  T. F. Cash,et al.  Body‐Image Attitudes: What Difference Does Gender Make? , 1997 .

[37]  D. Byrne,et al.  The association between stress and emotional states in adolescents: The role of gender and self-esteem , 2010 .

[38]  Terry C. Blum,et al.  Assessing the Non-Random Sampling Effects of Subject Attrition in Longitudinal Research , 1996 .

[39]  Kristopher J Preacher,et al.  SPSS and SAS procedures for estimating indirect effects in simple mediation models , 2004, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[40]  L. Ricciardelli,et al.  Body image dissatisfaction among males across the lifespan: a review of past literature. , 2004, Journal of psychosomatic research.

[41]  E. Stice.  Risk and maintenance factors for eating pathology: a meta-analytic review. , 2002, Psychological bulletin.

[42]  J. M. Henson,et al.  The measurement of body-image dissatisfaction-satisfaction: is rating importance important? , 2008, Body image.

[43]  L. Ricciardelli,et al.  Sociocultural Influences on Body Image and Body Changes Among Adolescent Boys and Girls , 2003, The Journal of social psychology.

[44]  Lina A. Ricciardelli,et al.  Self-Esteem and Negative Affect as Moderators of Sociocultural Influences on Body Dissatisfaction, Strategies to Decrease Weight, and Strategies to Increase Muscles Among Adolescent Boys and Girls , 2001 .

[45]  C. B. Taylor,et al.  Body-image and eating disturbances predict onset of depression among female adolescents: a longitudinal study. , 2000, Journal of abnormal psychology.

[46]  Peter J Hannan,et al.  Body Dissatisfaction Prospectively Predicts Depressive Mood and Low Self-Esteem in Adolescent Girls and Boys , 2006, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[47]  M. Tiggemann.  Body image across the adult life span: stability and change. , 2004, Body image.

[48]  A. Petersen,et al.  A self-image questionnaire for young adolescents (SIQYA): Reliability and validity studies , 1984, Journal of youth and adolescence.

[49]  K. Matthews,et al.  Negative emotions and acute physiological responses to stress , 1999, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[50]  P. Muris,et al.  Biological, psychological, and sociocultural correlates of body change strategies and eating problems in adolescent boys and girls. , 2005, Eating behaviors.

[51]  L. Janda,et al.  Body image ups and downs: prediction of intra-individual level and variability of women's daily body image experiences. , 2004, Body image.

[52]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[53]  E. Rieger,et al.  An investigation of the transdiagnostic model of eating disorders in the context of muscle dysmorphia. , 2013, European eating disorders review : the journal of the Eating Disorders Association.

[54]  D. Byrne,et al.  Profiles of adolescent stress: the development of the adolescent stress questionnaire (ASQ). , 2007, Journal of adolescence.

[55]  Susan J. Paxton,et al.  Treatment for body-image disturbances. , 2010 .

[56]  Cortney S Warren,et al.  The relationships between fat talk, body dissatisfaction, and drive for thinness: perceived stress as a moderator. , 2012, Body image.