A biopsychosocial model for body image assessment in adolescents: Media use, eating behavior, and muscle building in focus

Authors

DOI:

https://doi.org/10.33448/rsd-v13i12.47688

Keywords:

Body image; Biopsychosocial models; Adolescents; Social media; Body dissatisfaction.

Abstract

Introduction: The use of social media is strongly linked to a high prevalence of body image dissatisfaction, eating disorders, and body modification behaviors among adolescents. Objective: This study aims to test a biopsychosocial model to evaluate the influence of social media use on body image dissatisfaction and inappropriate behaviors related to eating and muscle-building, according to the gender and age of Brazilian adolescents. Method: 304 adolescents (60.2% female), aged between 12 and 16 years (13.8±0.81 years), participated in the study. Descriptive statistics were computed, and the correlations among study variables were examined separately for boys and girls. The model was tested using Path Analysis. The model fit was evaluated using the Comparative Fit Index (CFI), Global Fit Index (GFI), and Root Mean Square Error of Approximation (RMSEA). Analyses were conducted using the Jamovi statistical software. Results: The test of the hypothetical model, after modification indices adjustments, revealed a good fit to the data, although differences in pathways were observed between boys and girls. Conclusion: We conclude that the tested biopsychosocial model is suitable for assessing the relationships between social media use, body image dissatisfaction, eating restriction behaviors, and muscle-building behaviors among Brazilian adolescents of both sexes.

References

Adami, F., Frainer, D. E. S., de Souza Almeida, F., de Abreu, L. C., Valenti, V. E., Demarzo, M. M. P., de Mello Monteiro, C. B., & de Oliveira, F. R. (2012). Construct validity of a figure rating scale for Brazilian adolescents. Nutrition Journal, 11(1), 24. https://doi.org/10.1186/1475-2891-11-24

Ahrens, J., Brennan, F., Eaglesham, S., Buelo, A., Laird, Y., Manner, J., Newman, E., & Sharpe, H. (2022). A Longitudinal and Comparative Content Analysis of Instagram Fitness Posts. International Journal of Environmental Research and Public Health, 19(11). https://doi.org/10.3390/ijerph19116845

Al Sulaimi, M. R., Hutaglung, F. D., & Ali, S. K. B. S. (2022). The Mediating Effect of Physical Activity in the Relationship between Body Image and Life Satisfaction. International Journal of Instruction, 15(2), 349–372. https://doi.org/10.29333/iji.2022.15220a

Arjona, Á., Monserrat, M., & Checa, J. C. (2024). Use of Social Media, Satisfaction with Body Image, and the Risk of Manifesting Eating Disorders. Social Sciences, 13(2). https://doi.org/10.3390/socsci13020105

Belsky, J., Steinberg, L., Houts, R. M., & Halpern-Felsher, B. L. (2010). The development of reproductive strategy in females: Early maternal harshness earlier menarche increased sexual risk taking. Developmental Psychology, 46(1), 120–128. https://doi.org/10.1037/a0015549

Boursier, V., Gioia, F., & Griffiths, M. D. (2020). Objectified Body Consciousness, Body Image Control in Photos, and Problematic Social Networking: The Role of Appearance Control Beliefs. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00147

Brown, T. (2015). Confirmatory Factor Analysis for Applied Research (2.ed). Guilford Press.

Castellanos Silva, R., & Steins, G. (2023). Social media and body dissatisfaction in young adults: An experimental investigation of the effects of different image content and influencing constructs. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1037932

Cavazos-Rehg, P. A., Fitzsimmons-Craft, E. E., Krauss, M. J., Anako, N., Xu, C., Kasson, E., Costello, S. J., & Wilfley, D. E. (2020). Examining the self-reported advantages and disadvantages of socially networking about body image and eating disorders. International Journal of Eating Disorders, 53(6), 852–863. https://doi.org/10.1002/eat.23282

Childress, A. C., Brewerton, T. D., Hodges, E. L., & Jarrell, M. P. (1993). The Kids’ Eating Disorders Survey (KEDS): A Study of Middle School Students. Journal of the American Academy of Child and Adolescent Psychiatry, 32(4), 843–850. https://doi.org/10.1097/00004583-199307000-00021

Çimke, S., & Yıldırım Gürkan, D. (2023). Factors affecting body image perception, social media addiction, and social media consciousness regarding physical appearance in adolescents. Journal of Pediatric Nursing, 73, e197–e203. https://doi.org/10.1016/j.pedn.2023.09.010

Colak, M., Bingol, O. S., & Dayi, A. (2023). Self-esteem and social media addiction level in adolescents: The mediating role of body image. Indian Journal of Psychiatry, 65(5), 595–600. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_306_22

Dahlgren, C. L., Sundgot-Borgen, C., Kvalem, I. L., Wennersberg, A. L., & Wisting, L. (2024). Further evidence of the association between social media use, eating disorder pathology and appearance ideals and pressure: a cross-sectional study in Norwegian adolescents. Journal of Eating Disorders, 12(1). https://doi.org/10.1186/s40337-024-00992-3

DiStefano, C., Morgan, G. B. (2014). A Comparison of Diagonal Weighted Least Squares Robust Estimation Techniques for Ordinal Data. Structural Equation Modeling, 21(3), 425-438. doi: 10.1080/10705511.2014.915373

Grogan, S. (2017). Body Image: Understanding Body Dissatisfaction in Men, Women and Children (3rd ed.). Routledge. https://doi.org/10.4324/9781315681528

Gualdi-Russo, E., Rinaldo, N., & Zaccagni, L. (2022). Physical Activity and Body Image Perception in Adolescents: A Systematic Review. In International Journal of Environmental Research and Public Health, 19(20). MDPI. https://doi.org/10.3390/ijerph192013190

Haroz, E. E., Ybarra, M. L., & Eaton, W. W. (2014). Psychometric evaluation of a self-report scale to measure adolescent depression: The CESDR-10 in two national adolescent samples in the United States. Journal of Affective Disorders, 158, 154–160. https://doi.org/10.1016/j.jad.2014.02.009

Hartman-Munick, S. M., Gordon, A. R., & Guss, C. (2020). Adolescent body image: influencing factors and the clinician’s role. In Current opinion in pediatrics, 32(4), 455–460). NLM (Medline). https://doi.org/10.1097/MOP.0000000000000910

Ho, S. S., Lee, E. W. J., & Liao, Y. (2016). Social Network Sites, Friends, and Celebrities: The Roles of Social Comparison and Celebrity Involvement in Adolescents’ Body Image Dissatisfaction. Social Media and Society, 2(3). https://doi.org/10.1177/2056305116664216

Kvardova, N., Lacko, D., & Machackova, H. (2023). The validity of the Czech version of Body Appreciation Scale-2 for adolescents. Journal of Eating Disorders, 11(1). https://doi.org/10.1186/s40337-023-00897-7

Li, C. H. (2016). Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavioral Research Methods, 48(3), 936-49 https://doi.org/10.3758/s13428-015-0619-7

Lucibello, K. M., Sabiston, C. M., Pila, E., & Arbour-Nicitopoulos, K. (2023). An integrative model of weight stigma, body image, and physical activity in adolescents. Body Image, 45, 1–10. https://doi.org/10.1016/j.bodyim.2023.01.003

Mahon, C., & Hevey, D. (2021). Processing Body Image on Social Media: Gender Differences in Adolescent Boys’ and Girls’ Agency and Active Coping. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.626763

McLean, S. A., Paxton, S. J., & Wertheim, E. H. (2016). Does Media Literacy Mitigate Risk for Reduced Body Satisfaction Following Exposure to Thin-Ideal Media? Journal of Youth and Adolescence, 45(8), 1678–1695. https://doi.org/10.1007/s10964-016-0440-3

Morán, C., Victoriano, M., Parra, J., Ibacache, X., Pérez, R., Sánchez, J., Sáez, K., & Mosso, C. (2024). Body dissatisfaction, self-esteem, depressive symptoms, and nutritional status in adolescents. Andes Pediatrica, 95(1), 69–76. https://doi.org/10.32641/andespediatr.v95i1.4779

O’Brien, K. S., Caputi, P., Minto, R., Peoples, G., Hooper, C., Kell, S., & Sawley, E. (2009). Upward and downward physical appearance comparisons: Development of scales and examination of predictive qualities. Body Image, 6(3), 201–206. https://doi.org/10.1016/J.BODYIM.2009.03.003

Paraskeva, N., Haywood, S., Hasan, F., Nicholls, D., Toledano, M. B., & Diedrichs, P. C. (2024). An exploration of having social media influencers deliver a first-line digital intervention to improve body image among adolescent girls: A qualitative study. Body Image, 51, 101753. https://doi.org/https://doi.org/10.1016/j.bodyim.2024.101753

Ricciardelli, L. A., & Mccabe, M. P. (2002). Psychometric evaluation of the Body Change Inventory An assessment instrument for adolescent boys and girls. Eating Behaviors, 3(1), 45–59. https://doi.org/10.1016/S1471-0153(01)00044-7

Ricciardelli, L. A., & McCabe, M. P. (2004). A Biopsychosocial Model of Disordered Eating and the Pursuit of Muscularity in Adolescent Boys. Psychological Bulletin, 130(2), 179–205. https://doi.org/10.1037/0033-2909.130.2.179

Roberts, S. R., Maheux, A. J., Hunt, R. A., Ladd, B. A., & Choukas-Bradley, S. (2022). Incorporating social media and muscular ideal internalization into the tripartite influence model of body image: Towards a modern understanding of adolescent girls’ body dissatisfaction. Body Image, 41, 239–247. https://doi.org/10.1016/j.bodyim.2022.03.002

Roberts, S. R., Maheux, A. J., Ladd, B. A., & Choukas-Bradley, S. (2022). The Role of Digital Media in Adolescents’ Body Image and Disordered Eating. In J. Nesi, E. H. Telzer & M. J. Prinstein (Eds.), Handbook of Adolescent Digital Media Use and Mental Health (pp. 242–263). Cambridge University Press.

https://doi.org/10.1017/9781108976237

Rodgers, R. F., Paxton, S. J. & McLean, S. A. (2014). A Biopsychosocial Model of Body Image Concerns and Disordered Eating in Early Adolescent Girls. Journal of Youth and Adolescence, 43(5), 814–823. https://doi.org/10.1007/s10964-013-0013-7

Rodgers, R. F., Slater, A., Gordon, C. S., McLean, S. A., Jarman, H. K. & Paxton, S. J. (2020). A Biopsychosocial Model of Social Media Use and Body Image Concerns, Disordered Eating, and Muscle-Building Behaviors among Adolescent Girls and Boys. Journal of Youth and Adolescence, 49(2), 399–409. https://doi.org/10.1007/s10964-019-01190-0

Rosenberg, M. (1965). Society and the Adolescent Self-Image. Princeton University Press. http://www.jstor.org/stable/j.ctt183pjjh

Schaefer, L. M., Burke, N. L., Thompson, J. K., Dedrick, R. F., Calogero, R. M., Frederick, D. A., Anderson, D. A., Schaumberg, K., Dittmar, H., Clark, E., Adams, Z., Macwana, S., Paxton, S. J., Heinberg, L. J., Bardone-Cone, A. M., Higgins, M. K., Kelly, M., Nerini, A., Stefanile, C., … Thompson, K. (2015). Development and Validation of the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4). In Psychological Assessment, 27(1), http://dx.doi.org/!0.1037/a0037917

Schilder, P. (1981). A imagem do corpo. Martins Fontes.

Scully, M., Swords, L., & Nixon, E. (2020). Social comparisons on social media: Online appearance-related activity and body dissatisfaction in adolescent girls. Irish Journal of Psychological Medicine. https://doi.org/10.1017/ipm.2020.93

Snoek, H. M., van Strien, T., Janssens, J. M. A. M., & Engels, R. C. M. E. (2008). Restrained eating and BMI: A longitudinal study among adolescents. Health Psychology, 27(6), 753–759. https://doi.org/10.1037/0278-6133.27.6.753

Soares Filho, L. C., Batista, R. F. L., Cardoso, V. C., Simões, V. M. F., Santos, A. M., Coelho, S. J. D. D. A. C., & Silva, A. A. M. (2020). Body image dissatisfaction and symptoms of depression disorder in adolescents. Brazilian Journal of Medical and Biological Research, 54(1), 1–7. https://doi.org/10.1590/1414-431x202010397

Son, E. & Kwon, K. H. (2024). The impact of excessive dieting on eating disorders in adolescent women: a literature review. In Nutrition and Food Science, 54(2), 366–376). Emerald Publishing. https://doi.org/10.1108/NFS-06-2023-0127

Song, K., Lee, J., Lee, S., Jeon, S., Lee, H. S., Kim, H. S., & Chae, H. W. (2023). Height and subjective body image are associated with suicide ideation among Korean adolescents. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1172940

Terhoeven, V., Nikendei, C., Bärnighausen, T., Bountogo, M., Friederich, H. C., Ouermi, L., Sié, A. & Harling, G. (2020). Eating disorders, body image and media exposure among adolescent girls in rural Burkina Faso. Tropical Medicine and International Health, 25(1), 132–141. https://doi.org/10.1111/tmi.13340

Thompson, J. K. (2024). A few thoughts on recent operationalizations of the construct of internalization of appearance ideals. In Body Image, 48(3). Elsevier Ltd. https://doi.org/10.1016/j.bodyim.2023.101649

Thompson, J. K., Van Den Berg, P., Roehrig, M., Guarda, A. S. & Heinberg, L. J. (2004). The Sociocultural Attitudes Towards Appearance Scale-3 (SATAQ-3): Development and Validation. International Journal of Eating Disorders, 35(3), 293–304. https://doi.org/10.1002/eat.10257

Van Strien, T., Frijters, J. E., Bergers, G. P. & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for Assessment of Restrained, Emotional, and External Eating Behavior. Eating Disorders, 5(2), 295–326. https://doi.org/10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T

Vuong, A. T., Jarman, H. K., Doley, J. R. & McLean, S. A. (2021). Social media use and body dissatisfaction in adolescents: The moderating role of thin-and muscular-ideal internalisation. International Journal of Environmental Research and Public Health, 18(24). https://doi.org/10.3390/ijerph182413222

Yager, Z. & McLean, S. (2020). Muscle building supplement use in Australian adolescent boys: Relationships with body image, weight lifting, and sports engagement. BMC Pediatrics, 20(1). https://doi.org/10.1186/s12887-020-1993-6

Zeeni, N., Abi Kharma, J., Malli, D., Khoury-Malhame, M., & Mattar, L. (2024). Exposure to Instagram junk food content negatively impacts mood and cravings in young adults: A randomized controlled trial. Appetite, 195. https://doi.org/10.1016/j.appet.2024.107209

Published

09/12/2024

How to Cite

SOUZA, R. S. E. de; VIEIRA, E. de P.; MELO, G. F. de. A biopsychosocial model for body image assessment in adolescents: Media use, eating behavior, and muscle building in focus. Research, Society and Development, [S. l.], v. 13, n. 12, p. e111131247688, 2024. DOI: 10.33448/rsd-v13i12.47688. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/47688. Acesso em: 5 jan. 2025.

Issue

Section

Health Sciences