ABSTRACT
Objectives
Understanding the role of coping strategies in the relationship between body dissatisfaction and maladaptive eating behaviors in adolescents may play a key role in ensuring treatment sustainability and improving body image. This study aims to evaluate the mediating role of coping strategies in the relationship between body dissatisfaction and maladaptive eating behaviors of individuals aged 15-17.
Materials and Methods
Four hundred and six adolescents between the ages of 15-17 living in İstanbul participated in the study. The research was designed as a quantitative study and used the relational screening method. The participants were administered a socio-demographic information form, the Body Value Scale-2, the Dutch Eating Behavior Questionnaire, and the Coping Scale for Adolescents.
Results
The findings show that body satisfaction in adolescents has indirect effects on maladaptive eating behavior through avoidant and negative coping styles. The mediating role of coping styles in this relationship is significant and is understood to be an important factor in explaining maladaptive eating behavior, and the indirect effect was found to have a full mediating role.
Conclusion
It has been shown that low body satisfaction levels in adolescents increase the use of avoidant and negative coping strategies and that these strategies trigger maladaptive eating behaviors. These results indicate that body perception plays a critical role in the psychosocial development of adolescents and that maladaptive eating behaviors are more common in adolescents with high body dissatisfaction. In order to better understand the relationship between body dissatisfaction in adolescents, maladaptive eating behaviors, coping strategies and each other, comprehensive studies with larger samples are needed.
Keywords:
Adolescence, body dissatisfaction, maladaptive eating behaviors, coping strategies
References
1Aslan M. Beden algısı ve beden imajı kavramlarının incelenmesi. Sosyal Bilimler Araştırmaları Dergisi. 2004;6:45-60.
2Uzdil Z, Özenoğlu A, Ünal G. Lise öğrencilerinde yeme tutumlarının beslenme alışkanlıkları, antropometrik ve demografik özellikleri ile ilişkisi. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2017;7:11-18.
3Stice E, Whitenton K. Risk factors for body dissatisfaction in adolescent girls: a longitudinal investigation. Dev Psychol. 2002;38:669-678.
4Legenbauer T, Thiemann P, Vocks S. Body image disturbance in children and adolescents with eating disorders: current evidence and future directions. Z Kinder Jugendpsychiatr Psychother. 2014;42:51-59.
5Folkman S, Lazarus RS. Coping as a mediator of emotion. J Pers Soc Psychol. 1988;54:466-475.
6Kulaksızoğlu A. Ergenlik psikolojisi. İstanbul: Remzi Kitabevi; 2009.
7Türküm AS, Kızıltaş A, Sarıyer A. Anadolu Üniversitesi Psikolojik Danışma ve Rehberlik Merkezi’nin hedef kitlesinin psikolojik ihtiyaçlarına ilişkin ön çalışma. Turk Psychol Counsel Guid J. 2004;3:15-27.
8Holt MK, Espelage DL. Problem-solving skills and relationship attributes among women with eating disorders. J Couns Dev. 2002;80:346-354.
9Tylka TL, Wood-Barcalow NL. The body appreciation scale-2: item refinement and psychometric evaluation. Body Image. 2015;12:53-67.
10van Strien T, Frijters JER, Bergers GPA, Defares PB. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int J Eat Disord. 1986;5:295-315.
11Spirito A, Stark LJ, Williams C. Development of a brief coping checklist for use with pediatric populations. J Pediatr Psychol. 1988;13:555-574.
12Bedel A, Işık E, Hamarta E. Psychometric properties of the KIDCOPE in Turkish adolescents. Education and Science. 2014;39(Suppl2):227-235.
13Schilder P. The image and appearance of the human body. London: Routledge; 1950.
14Pesa JA, Syre TR, Jones E. Psychosocial differences associated with body weight among female adolescents: the importance of body image. J Adolesc Health. 2000;26:330-337.
15Thompson JK, Coovert MD, Richards KJ, Johnson S, Cattarin J. Development of body image, eating disturbance, and general psychological functioning in female adolescents: covariance structure modeling and longitudinal investigations. Int J Eat Disord. 1995;18:221-236.
16Fairburn CG, Harrison PJ. Eating disorders. Lancet. 2003;361:407-416.
17Steinberg L. Age differences in the development of social and emotional competence. In: Lamb ME, Lerner RM, editors. Handbook of child psychology and developmental science. 7th ed. Vol. 3. Hoboken (NJ): Wiley; 2017. p. 665-696.
18Thompson JK, Stice E. Thin-ideal internalization: mounting evidence for a new risk factor for body-image disturbance and eating pathology. Curr Dir Psychol Sci. 2001;10:181-183.
19Neagu A. Body image: a theoretical framework. Proc Rom Acad Ser B Chem Life Sci Geosci. 2015;17:29-38.
20Babayiğit Z, Alçalar N, Bahadır G. Obez kadınlarda tıkanırcasına yeme bozukluğunun psikopatoloji ve bilişsel açıdan incelenmesi. Turkiye Klinikleri J Med Sci. 2013;33:1077-1087.
21Hamarta E. Ergenlerin sosyal kaygılarının kişilerarası problem çözme ve mükemmeliyetçilik açısından incelenmesi. İlköğretim Online. 2009;8:729-740.
22Akkoyunlu S, Türkçapar MH. Bir teknik: alternatif düşünce oluşturulması. J Cogn Behav Psychother Res. 2013;2:53-59.
23Folkman S, Lazarus RS. Stress-processes and depressive symptomatology. J Abnorm Psychol. 1986;95:107-13.
24Ball K, Lee C. Relationships between psychological stress, coping and disordered eating: a review. Psychol Health. 2000;14:1007-1035.
25Soukup VM, Beiler ME, Terrell F. Stress, coping style, and problem solving ability among eating-disordered inpatients. J Clin Psychol. 1990;46:592-599.