Gender Related Differences in Response to “In Favor of Myself” Wellness Program to Enhance Positive Self & Body Image among Adolescents

Background Physical, neurological and psychological changes are often experienced differently by male and female adolescents. Positive self-esteem, emotional well-being, school achievements, and family connectedness are considered as protective factors against health-compromising behaviors. This study examines the gender differences in respect to the effect of a school-based interactive wellness program – “In Favor of Myself” – on self-image, body image, eating attitudes and behaviors of young adolescents. Methods Two hundred and ten adolescents (mean age 13.5) participated in the intervention group, 55% were girls and 45% boys. Program consisted of eight 90-minutes structured sessions integrated into a regular school coping skills curriculum. The program focused on self-esteem, self-image, body image, media literacy and cognitive dissonance. The overall impact of the program and the study protocol were previously published. Results Overall, there are gender related differences in respect to body image and self-image in young adolescents in response to “In Favor of Myself”. Compared to boys, girls reported at baseline higher self-esteem, being more contingent by appearance, and their self-image was more influenced by popularity, appearance, interpersonal communication and admired people. Furthermore girls presented greater gap between current body figure and perceived ideal figure. Not only were girls more dissatisfied with their body, but they were more active in attempts to become and/or remain “thin”. At program termination, gender × time effect was detected in reduction of self-worth contingent by others, change in importance given to achievements at schools, parents' perceptions, as well as the impact of comparisons to friends and family members on self-image. Conclusions Girls exhibited more gains than boys from ‘In Favor of Myself’ which raise the questions about how effective would be the program when delivered in mixed gender groups vs. mono-gender groups.

[1]  J. Thompson,et al.  Gender Differences in Peer and Parental Influences: Body Image Disturbance, Self-Worth, and Psychological Functioning in Preadolescent Children , 2004 .

[2]  E. Stice,et al.  A meta-analytic review of eating disorder prevention programs: encouraging findings. , 2007, Annual review of clinical psychology.

[3]  M. Tiggemann,et al.  ‘Body Image is for Girls’ , 2006, Journal of health psychology.

[4]  J. O'dea,et al.  Body image, dieting and disordered eating and activity practices among teacher trainees: implications for school-based health education and obesity prevention programs. , 2009, Health education research.

[5]  Arnd Florack,et al.  The Effects of Self-Image Threat on the Judgment of Out-Group Targets , 2005 .

[6]  Ron Davis,et al.  Evaluation of a school-based program designed to improve body image satisfaction, global self-esteem, and eating attitudes and behaviors: a replication study. , 2004, The International journal of eating disorders.

[7]  N. Galambos,et al.  Body Dissatisfaction of Adolescent Girls and Boys: , 2003 .

[8]  I. Jáuregui Lobera,et al.  Traditional and new strategies in the primary prevention of eating disorders: a comparative study in Spanish adolescents , 2010, International journal of general medicine.

[9]  Eleanor H. Wertheim,et al.  Body Image in Girls. , 2008 .

[10]  C. Cook-Cottone,et al.  Primary prevention of eating disorders: a constructivist integration of mind and body strategies. , 2008, The International journal of eating disorders.

[11]  M. Collins,et al.  Body figure perceptions and preferences among preadolescent children , 1991 .

[12]  S. Paxton Body image dissatisfaction, extreme weight loss behaviours: suitable targets for public health concerns? , 2000 .

[13]  S. Paxton,et al.  Is BodyThink an efficacious body image and self-esteem program? A controlled evaluation with adolescents. , 2009, Body image.

[14]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[15]  R. Grave,et al.  Middle School Primary Prevention Program for Eating Disorders: A Controlled Study with a Twelve-Month Follow-Up , 2001, Eating disorders.

[16]  P. Clarys,et al.  Breakfast frequency and fruit and vegetable consumption in Belgian adolescents a cross-sectional study , 2006 .

[17]  L. Ricciardelli,et al.  Body image and body change techniques among young adolescent boys , 2001 .

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

[19]  S. Williamson,et al.  Young children's figural selections: accuracy of reporting and body size dissatisfaction. , 2001, The International journal of eating disorders.

[20]  S. Abraham,et al.  Improving the body image, eating attitudes, and behaviors of young male and female adolescents: a new educational approach that focuses on self-esteem. , 2000, The International journal of eating disorders.

[21]  Kathleen E. Cook,et al.  From the top down: Self-esteem and self-evaluation , 2001 .

[22]  M. Flament,et al.  Internalization of the thin and muscular body ideal and disordered eating in adolescence: the mediation effects of body esteem. , 2012, Body image.

[23]  S. Tamir,et al.  The Effect of “In Favor of Myself”: Preventive Program to Enhance Positive Self and Body Image among Adolescents , 2013, PloS one.

[24]  S. Ballard,et al.  Gender Differences in Body Satisfaction: An Examination of Familial and Individual Level Variables , 2011, FSR 2011.

[25]  Eric Stice,et al.  Eating disorder prevention: current evidence-base and future directions. , 2013, The International journal of eating disorders.

[26]  D Waller,et al.  Binge Eating: A Transdiagnostic Psychopathology , 2020, Definitions.

[27]  E. Penelo,et al.  Disordered eating prevention programme in schools: a 30-month follow-up. , 2011, European eating disorders review : the journal of the Eating Disorders Association.

[28]  S Harter,et al.  The development of multiple role-related selves during adolescence , 1997, Development and Psychopathology.

[29]  H. Pope,et al.  Biceps and Body Image: The Relationship Between Muscularity and Self-Esteem, Depression, and Eating Disorder Symptoms. , 2004 .

[30]  P. Lachenbruch Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[31]  J. Daniluk,et al.  Mothers and Their Adolescent Daughters: Relationship Between Self-Esteem, Gender Role Identity, Body Image , 1997 .

[32]  Jonathon D. Brown Self-esteem and self-evaluation: Feeling is believing. , 1993 .

[33]  A. Greenwald,et al.  Psychological perspectives on the self , 1982 .

[34]  A. Cepeda-Benito,et al.  Eating Disorder Prevention Research: A Meta-Analysis , 2006, Eating disorders.

[35]  T. Wade,et al.  A preliminary controlled evaluation of a school-based media literacy program and self-esteem program for reducing eating disorder risk factors. , 2003, The International journal of eating disorders.

[36]  D. Neumark-Sztainer,et al.  Weight control behaviors and dietary intake among adolescents and young adults: longitudinal findings from Project EAT. , 2009, Journal of the American Dietetic Association.

[37]  P. Varnado-Sullivan,et al.  Acceptability of programs for the prevention of eating disorders. , 2006, Journal of clinical psychology.

[38]  L. Ricciardelli,et al.  A longitudinal study of pubertal timing and extreme body change behaviors among adolescent boys and girls. , 2004, Adolescence.

[39]  I. JáureguiLobera,et al.  Traditional and new strategies in the primary prevention of eating disorders: a comparative study in Spanish adolescents. , 2010 .

[40]  A. Bhardwaj,et al.  Gender Difference in Pre-adolescents' Self-esteem , 2013 .

[41]  L. Maes,et al.  Breakfast consumption and its socio-demographic and lifestyle correlates in schoolchildren in 41 countries participating in the HBSC study , 2009, International Journal of Public Health.