Fifteen-Year Prevalence, Trajectories, and Predictors of Body Dissatisfaction From Adolescence to Middle Adulthood

Shirley B. Wang, Ann F Haynos, Melanie M. Wall, Chen Chen, Marla E Eisenberg, Dianne R Neumark-Sztainer

Research output: Contribution to journalArticle

Abstract

Body dissatisfaction is common in adolescence and associated with negative outcomes (e.g., eating disorders). We identified common individual trajectories of body dissatisfaction from midadolescence to adulthood and predictors of divergent patterns. Participants were 1,455 individuals from four waves of Project EAT (Eating and Activity in Teens and Young Adults), a population-based, 15-year longitudinal study. Aggregate body dissatisfaction increased over 15 years, which was largely attributable to increases in weight. Growth mixture modeling identified four common patterns of body dissatisfaction, revealing nearly 95% of individuals experienced relatively stable body dissatisfaction from adolescence through adulthood. Baseline depression, self-esteem, parental communication/caring, peer dieting, and weight-based teasing predicted differing trajectories. Body dissatisfaction appears largely stable from midadolescence onward. There may be a critical period for body image development during childhood/early adolescence. Clinicians should intervene with clients experiencing body dissatisfaction before it becomes chronic and target depression, self-esteem, parent/child connectedness, and responses to teasing and peer dieting.

Original languageEnglish (US)
JournalClinical Psychological Science
DOIs
StatePublished - Jan 1 2019

Fingerprint

Self Concept
Depression
Weights and Measures
Body Image
Longitudinal Studies
Young Adult
Eating
Communication
Growth
Population
Critical Period (Psychology)
Feeding and Eating Disorders

Keywords

  • adolescence
  • body dissatisfaction
  • longitudinal
  • open materials
  • population-based
  • trajectories

Cite this

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title = "Fifteen-Year Prevalence, Trajectories, and Predictors of Body Dissatisfaction From Adolescence to Middle Adulthood",
abstract = "Body dissatisfaction is common in adolescence and associated with negative outcomes (e.g., eating disorders). We identified common individual trajectories of body dissatisfaction from midadolescence to adulthood and predictors of divergent patterns. Participants were 1,455 individuals from four waves of Project EAT (Eating and Activity in Teens and Young Adults), a population-based, 15-year longitudinal study. Aggregate body dissatisfaction increased over 15 years, which was largely attributable to increases in weight. Growth mixture modeling identified four common patterns of body dissatisfaction, revealing nearly 95{\%} of individuals experienced relatively stable body dissatisfaction from adolescence through adulthood. Baseline depression, self-esteem, parental communication/caring, peer dieting, and weight-based teasing predicted differing trajectories. Body dissatisfaction appears largely stable from midadolescence onward. There may be a critical period for body image development during childhood/early adolescence. Clinicians should intervene with clients experiencing body dissatisfaction before it becomes chronic and target depression, self-esteem, parent/child connectedness, and responses to teasing and peer dieting.",
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