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The Korean Journal of Woman Psychology

The effects of maternal negative body image and negative feedback on appearance on abnormal eating behaviors of female college students: Moderated mediational effect

Abstract

The purpose of the present study was to examine whether daughters’ negative body image would mediate the relationship between maternal negative body image and daughters’ abnormal eating behaviors, and if such mediating effect would differ depending on the daughters’ perceived level of maternal negative feedback on appearance among female undergraduate students. A total sample of 202 mother-daughter pairs participated in the survey, and data was analyzed using SPSS Macro. The main results are as follows. First, daughters’ negative body image had a full mediating effect on the relationship between maternal negative body image and daughters’ abnormal eating behaviors. Second, daughters’ perception of their mothers’ negative feedback on appearance moderated the association between daughters’ negative body image and abnormal eating behaviors. That is, as the frequency of maternal negative feedback on appearance increased, the relationship between daughters’ negative body image and abnormal eating behaviors increased. Third, the moderated mediating model was supported in that the mediating effect of daughters’ negative body image on the relationship between maternal negative body image and daughters’ abnormal eating behaviors increased as maternal negative feedback increased.

keywords
Negative Body Image, Maternal Negative Feedback on Appearance, Abnormal Eating Behaviors, Moderated mediational effect, 부정적 신체이미지, 모의 외모에 대한 부정적 피드백, 이상섭식행동, 조절된 매개효과

Reference

1.

강여주, 이광호 (2007). 직업 무용수의 신체이미지 분속. 한국체육학회지, 15(3), 257- 271.

2.

고애란, 조선명 (2001). 외모에 대한 사회, 문화적 태도와 신체이미지가 의복추구혜택에 미치는 영향-청소년기 여학생의 연령 집단별 차이 비교. 한국의류학회지, 25(7), 1227-1238.

3.

공성숙, 현명선 (2002). 섭식장애 환자의 모녀관계. 정신간호학회지, 11(2), 249-259.

4.

국민건강보험자료 (2015. 2. 29). “폭식증” 환자 여성이 남성에 비해 15배 많아.

5.

김미옥, 은종국, 장은재 (2009). 여대생들의 체중에 대한 인식과 신체 부위별 만족도. 한국식품영양학회지, 22(2), 205-214.

6.

김은하, 이신영 (2016). 여자대학(원)생의 자아분화와 이상섭식행동간의 관계: 정서표현양가성을 통한 심리적 수용의 조절된 매개효과 검증. 한국심리학회지: 학교, 13(1), 181-204.

7.

김정규 (2015). 게슈탈트 심리치료. 서울: 학지사.

8.

김정욱 (2000). 섭식장애. 서울: 학지사.

9.

박정수, 이민규, 신희천 (2007). 여대생의 절식 및 폭식행동에 대한 자기-평가의 신체 중요성 지각 모형. 한국심리학회지: 임상, 26(1), 73-91.

10.

박지연, 신민섭, 김은정 (2011). 내현적 자기애 성향과 이상섭식행동의 관계에서 신체에 대한 수치심 매개효과 검증. 한국심리학회지: 임상, 30(3), 663-679.

11.

성미혜, 류다영, 마득상 (2005). 여대생의 섭식장애에 영향을 미치는 요인에 관한 연구. 한국학교보건학회지, 18(1), 71-82.

12.

손은정 (2011). 완벽주의, 자기비난, 자기의식, 신체불만족 및 신경성 폭식증 증상간의 관계. 한국심리학회지: 일반, 30(1), 165- 183.

13.

우수희, 송근혜, 조규판 (2012). 대학생의 자기분화가 자아탄력성 및 대인관계에 미치는 영향. 한국교육문제연구, 30(4), 59-80.

14.

이민규, 이호, 박세현, 손창호, 정영조, 홍성국 (1998). 한국판 식사 태도검사-26(The Korean Version of Eating Attitudes Test-26: KEAT-26) 표준화 연구 1: 신뢰도 및 요인분석. 정신신체의학, 6(2), 156-175.

15.

이상선, 오경자 (2004). 몸매와 체중에 근거한 자기 평가와 신체 불만족이 이상섭식행동에 미치는 영향. 한국심리학회: 임상, 23(1), 91-106.

16.

이신혜, 조용래 (2014). 자기 자비의 부족이 여자 청소년의 폭식행동에 미치는 영향과 그 기제: 신체불만족, 섭식절제 및 부적 정서의 매개효과. 인지행동치료, 14(1), 103-121.

17.

정민 (2015). 외모에 대한 사회문화적 영향이 지역 여대생의 이상섭식행동에 미치는 영향-신체자본성, 거절민감성의 매개효과. 지역사회연구, 23(2), 165-182.

18.

조희경, 이정윤 (2010). 외모에 대한 사회문화적 영향과 여자 청소년의 이상섭식행동의 관계: 신체비교와 인지왜곡의 매개효과. 청소년상담연구, 18(1), 43-58.

19.

Abbate-Daga, G., Gramaglia, C., Amianto, F., Marzola, E., & Fassino, S. (2010). Attachment insecurity, personality, and body dissatisfaction. Journal of Nervous and Mental Disorders, 198, 520-524.

20.

Aquilino, W. S., & Supple. A. (2001). Long-term effects of parenting practices during adolescence on well-being outcomes in young adulthood. Journal of Family Issues, 22, 289-308.

21.

Ata, R. N., Ludden, A. B., & Lally, M. M. (2007). Effects of gender and family, friend, and media influences on eating behaviors and body image during adolescence. Journal of Youth and Adolescence, 36, 1024-1037.

22.

Attie, A., & Brooks-Gunn, J. (1989). Development of eating problems in adolescent girls: A longitudinal study. Developmental Psychology, 25, 70-79.

23.

Baker, C. W., Whisman, M. A., & Brownell, K. D. (2000). Studying intergenerational transmission of eating attitudes and behaviors: Methodological and conceptual questions. Health Psychology, 19, 376–383.

24.

Baron, R, M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173- 1182.

25.

Benedikt, R., Wertheim, E. H., Love, A. (1998). Eating attitudes and weight-loss attempts in female adolescents and their mothers. Journal of Youth and Adolescence, 27, 43-57.

26.

Benninghoven, D., Tesch, N., Kunzendorf, S., & Jantschek, G. (2007). Body image in patients with eating disorders and their mothers, and the role of family functioning. Comprehensive Psychiatry, 48, 118-123.

27.

Birsch, L. L., Fisher, J. O., & Davison, K. K. (2003). Learning to overeat: Maternal use of restrictive feeding practices promotes girls’ eating in the absence of hunger. American Journal of Clinical Nursing, 78, 215-220.

28.

Bowlby, J. (1988). A secure base parent-child attachment and healthy human development. New York: Basic Books.

29.

Brown, T. A., Cash, T. F., & Mikulka, P. J. (1990). Attitudinal body-image assessment: Factor analysis of the Body-Self Relations Questionnaire. Journal of Personality Assessment, 55, 135-144.

30.

Brown, A., Mountford, V., & Waller, G. (2013). Therapeutic alliance and weight gain during cognitive-behaviour therapy for anorexia nervosa. Behaviour Research and Therapy, 51, 216-220.

31.

Byely, L., Archibald, A. B., Graber, J., & Brooks-Gunn, J. (2000). A prospective study of familial and social influences on girls’ body image and dieting. International Journal of Eating Disorder, 28, 155-164.

32.

Byrne, S. M., Cooper, Z., & Fairburn, C. G. (2004). Psychological predictors of weight regain in obesity. Behaviour Research and Therapy, 42, 1341-1356.

33.

Carter, J. C., Blackmore, E., Sutanada-Pinnock, K., & Woodside, D. B. (2004). Relapse in anorexia nervosa: A survival analysis. Psychological Medicine, 34, 671-679.

34.

Conley, A. R., (2004). Positive feedback on appearance, value placed on appearance, and need for disordered eating behavior among undergraduate females. Honors Projects, PAGE 27.

35.

Cooley, E., Toray, T., Wang, M. C., & Valdez, N. N. (2008). Maternal effects on daughters’ eating pathology and body image. Eating Behaviors, 9, 52-61.

36.

Fairburn, C. G., Welch, S. L., Doll, H. A., Davies, B. A., & O’conner, M. E. (1997). Risk factors for bulimia nervosa. A community-based case-control study. Achieves of General Psychiatry, 54, 509-517.

37.

Fairburn, C. G., Cooper, Z., Doll, H. A., O’Connor, M. E., Bohn, K., Hawker, D. M., Wales, J. A., & Palmer, R. L. (2009). Transdiagnostic cognitive-behavioral therapy for patients with eating disorders: A two-site trial with 60-week follow-up. American Journal of Psychiatry, 166, 311-319.

38.

Favaro, A., Ferrara, S., & Santonastaso, P. (2003). The spectrum of eating disorders in young women: A prevalence study in general population sample. Psychosomatic Medicine, 65, 701-708.

39.

Field, A. E., Camargo, C. A., Taylor, C. B., Berkey, C. S., Roberts, S. B., & Colditz, G. A. (2001). Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys. Pediatrics, 107, 54-60.

40.

Francis, L. A., & Birch, L. L. (2005). Maternal influences on daughters’ restrained eating behavior. Health Psychology, 24, 548-554.

41.

Fulkerson, J. A., McGuire, M. T., Neumark- Stainer, D., Story, M., French, S. A., & Perry, C. L. (2002). Weight-related attitudes and behaviors of adolescent boys and girls who are encouraged to diet by their mothers. International Journal of Obesity, 26, 1579-1587.

42.

Garbett, K. M., Diedrichs, P. C. (2016). Improving uptake and engagement with child body image interventions delivered to mothers: Understanding mother and daughter preferences for intervention content. Body Image, 19, 24-27.

43.

Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273-279.

44.

Gilbert, N., & Meyer, C. (2005). Fear of negative evaluation and eating attitudes: A replication and extension study. Journal of Eating Disorders, 37, 360-363.

45.

Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: A pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13, 353-379.

46.

Goldenberg, H., & Goldenberg, I. (2002). Counseling today’s families (4th ed.). Pacific Grove, CA: Thomson Brooks/Cole.

47.

Greenwood, D., Pietromonaco, P. R., & Long, C. R. (2008). Young women’s attachment style and interpersonal engagement with female TV stars. Journal of Social and Personal Relationships, 25, 387-407.

48.

Grilo, C. M. (2013). Why do cognitive body image feature such as overvaluation of shape/weight in the binge eating disorder diagnosis? International Journal of Eating Disorder, 46, 208-211.

49.

Gross, R. M., & Nelson, E. S. (2000). Perceptions of parental messages regarding eating and weight and their impact on disordered eating. Journal of College Student Psychotherapy, 15, 57-78.

50.

Haworth-Hoeppner, S. (2000). The critical shapes of body image: The role of culture and family in the production of eating disorders. Journal of Marriage and Family, 62, 212-227.

51.

Herbozo, S. (2004). The development and validation of the verbal commentary on physical appearance scale. Unpublished Master Thesis. University of South Florida.

52.

Hilbert, A., & Tuschen-Caffier, B. (2004). Body image interventions in cognitive- behavioural therapy of binge-eating disorder; A component analysis. Behaviour Research and Therapy, 42, 1325-1339.

53.

Holtom-Viesel, A., & Allan, S. (2014). A systematic review of the literature on family functioning across all eating disorder diagnoses in comparison to control families. Clinical Psychology Review, 34, 29-43.

54.

Kenny, M. E., Griffiths, J., & Grossman, J. (2005). Self-image and parental attachment among late adolescents in Belize. Journal of Adolescence, 28, 649-664.

55.

Keery, H., Boutelle, K., Van den Berg, P., & Thompson, J. K. (2005). The impact of appearance-related teasing by family members. The Journal of Adolescence Health, 37, 120-127.

56.

Kichler, J. C., & Crowther, J. H. (2001). Young girls’ eating attitudes and body image dissatisfaction: Associations with communication and modeling. The Journal of Early Adolescence, 29, 212-232.

57.

Killeya-Jones, L., Costanzo, P., Malone, P., Quinlan, N., & Miller-Johnson, S. (2007). Norm-narrowing and self- and other perceived aggression in early-adolescent same-sex and mixed-sex cliques. Journal of School Psychology, 45, 549-565.

58.

Kim, E. H., Lee, E., & Kim, T. H. (2014). A pathway to self-esteem: The direct/indirect influence of attachment to others, fathers, and peers. Journal of Human Studies, 33, 219-236.

59.

King, L., & Harter, S. (2006). Sociocultural values of appearance and attachment processes: An integrated model of eating disorder symptomatology. Eating Behaviors, 7, 134-151.

60.

Kluck, A. S. (2010). Family influence on disordered eating: The role of body image dissatisfaction. Body Image, 7, 8-12.

61.

Lavender, J. M., & Anderson, D. A. (2010). Contribution of emotion regulation difficulties to disordered eating and body dissatisfaction in college men. International Journal of Eating Disorders, 43, 352-357.

62.

Lavin, M. A., & Cash, T. F. (2000). Effects of exposure to information about appearance stereotyping and discrimination on women’s body image. International Journal of Eating Disorders, 29, 51-58.

63.

McKinley, N. M. (1999). Women and objectified body consciousness: Mothers’ and daughters’ body experience in cultural, developmental, and family context. Developmental Psychology, 35, 760-769.

64.

McVey, G. L., Pepler, D., Davis, R., Flett, G., & Abdolell, M. (2002). Risk and protective factors associated with disordered during early adolescence. Journal of Early Adolescence, 22, 76-96.

65.

Mikulincer, M., & Shaver, P. R. (2007). An attachment perspective on psychopathology. World Psychiatry, 11, 11-15.

66.

Milan, S., & Acker, J. C. (2014). Early attachment quality moderates eating disorder risk among adolescent girls. Psychology & Health, 29, 896-914.

67.

Muehlenkamp, J. J., Swanson, J. D., & Brausch, A. M. (2005). Self-objectification, risk taking, and self-harm in college women. Psychology of Women Quarterly, 29, 24-32.

68.

Neff, K. D., & McGeehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9, 225-240.

69.

Ogden, J., & Elder, C. (2000). The role of family status and ethnic group on body image and eating behavior. International Journal of Eating Disorders, 23, 309-315.

70.

Pike, K. M., & Rodin, J. (1991). Mothers, daughters, and disordered eating. Journal of Abnormal Psychology, 100, 198-204.

71.

Phan, T., & Tylka, T. L. (2006). Exploring a model and moderators of disordered eating with Asian American college women. Journal of Counseling Psychology, 53, 36-47.

72.

Polivy, J., & Herman, C. P. (2002). Causes of eating disorders. Annual Review of Psychology, 53, 187-213.

73.

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717-731.

74.

Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42, 185-227.

75.

Schwartz, D. J., Phares, V., Tantleff-Dunn, S., & Thompson, J. K. (1999). Body image, psychological functioning, and parental feedback regarding physial appearance. International Journal of Eating Disorders, 25, 339-343.

76.

Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: A cognitive-behavioral analysis. Behaviour Research and Therapy, 40, 73-91.

77.

Shaw, H. E., Stice, E., & Springer, D. W. (2004): Perfectionism, body dissatisfaction, and self-esteem in predicting bulimic symptomatology: Lack of replication. International Journal of Eating Disorders, 36, 41-47.

78.

Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422-445.

79.

Smolak, L., Levine, M. P., Schermer, F. (1999). Parental input and weight concerns among elementary school children. International Journal of Eating Disorders, 25, 263-271.

80.

Song, H., Thompson, R. A., & Ferrer, E. (2009) Attachment and self-evaluation n Chinese adolescence: Age and gender differences, Journal of Adolescence, 32, 1267-1286.

81.

Squires, C., Lalanne, C., Murday, N., Simoglou, V., & Vaivre-Douret, L. (2014). The influence of eating disorders on mothers’ sensitivity and adaptation during feeding: A longitudinal observational study. BMC Pregnancy and Childbirth, 14, 14-274.

82.

Stice, E., Presnell, K., & Spangler, D. (2002). Risk factors for binge eating onset in adolescent girls: A 2-year prospective investigation. Health Psychology, 21, 131-138.

83.

Striegel-Moore, R. H., & Cachelin, F. M. (1999). Body image concerns and disordered eating in adolescent girls: Risk and protective factors. In N. G. Johnson, M. C. Roberts, & J. Worell (Eds.), Beyond appearance: A new look at adolescent girls (pp. 85-108). Washington, DC: American Psychological Association.

84.

Tantleff-Dunn, S., Thompson, J. K., & Dunn, M. F. (1995). Development and validation of the Feedback on Physical Appearance Scale (FOPAS). Eating Disorders: Journal of Treatment and Prevention, 3, 341-350.

85.

Tiggemann, M., & Lowes, J. (2002). Predictors of maternal control over children’s eating behavior. Appetite, 39, 1-7.

86.

Usmiani, S., & Daniluk, J. (1997). Mothers and their adolescent daughter: Relationship between self-esteem, gender role identity, body image. Journal of Youth and Adolescence, 25, 45-62.

87.

Vincent, M. A., & McCabe, M. P. (2000). Gender differences among adolescents in family, and peer influences on body dissatisfaction, weight loss, and binge eating behaviors. Journal of Youth and Adolescence, 29, 205-221.

88.

Winston, A. P. (2005). Projection, introjection, and identity in anorexia nervosa. British Journal of Psychotherapy, 21, 389-399.

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