Volume 4, Issue 3 (September 2022)                   Iranian Evolutionary and Educational Psychology 2022, 4(3): 450-463 | Back to browse issues page

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Gashtil S, Haji Alizadeh K. Effectiveness of a School-based Body Image Intervention on Eating Problems and Self-Esteem in Female Adolescents with Eating Disorders. Iranian Evolutionary and Educational Psychology 2022; 4 (3) :450-463
URL: http://ieepj.hormozgan.ac.ir/article-1-496-en.html
1- Department of Psychology, Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran
Abstract:   (873 Views)
Social media can cause body dissatisfaction by presenting social ideals about appearance. This dissatisfaction can lead to eating problems and low self-esteem, which is frequently seen in adolescents. Therefore, intervention in this situation can be valuable for research and treatment purposes. The present study aimed to investigate the effectiveness of the school-based intervention “Dove Confident Me” on eating problems and self-esteem in female adolescents with eating disorders. This quasi-experimental research was performed using a pre-test-post-test design with a control group. The statistical population of the research included all female high school students in Bandar Abbas (Iran) in 2021. A total of 47 female students were selected by purposive sampling and randomly assigned to experimental (23 people) and control (24 people) groups. Eating Disorder Diagnostic Scale (EDDS) and Rosenberg Self-Esteem Scale (RSES) were used to collect data. Research hypotheses were tested using multivariate covariance analysis (MANCOVA). The results indicated that the school-based intervention “Dove Confident Me” had a significant effect on the improvement of symptoms of eating disorders (F = 6.41, p < 0.05) and self-esteem (F = 5.35, p < 0.05) in female adolescents with eating disorders. According to the findings, the “Dove Confident Me” intervention can improve eating problems and self-esteem of female adolescents with eating disorders by correcting social ideals about appearance and improving media literacy. Furthermore, it can be applied as an effective treatment and training method.
Full-Text [PDF 479 kb]   (182 Downloads)    
Type of Study: Original | Subject: Educational Psychology
Received: 2022/03/13 | Accepted: 2022/06/15 | Published: 2022/09/1

1. Al Sabbah, H., Vereecken, C. A., Elgar, F. J., Nansel, T., Aasvee, K., Abdeen, Z., Ojala, K., Ahluwalia, N., & Maes, L. (2009). Body weight dissatisfaction and communication with parents among adolescents in 24 countries: international cross-sectional survey. BMC public health, 9(1), 1-10. [DOI:10.1186/1471-2458-9-52]
2. Atkinson, M. J., Diedrichs, P. C., & Garbett, K. M. (2017). Evaluating a School-Based Intervention for Body Image ('Dove Confident Me: 5-Part Body Confidence Workshops for Schools') Among Adolescent Girls and Boys: Results from a Cluster Randomized Controlled Effectiveness Trial. Journal of adolescent health, 60(2), S5. [DOI:10.1016/j.jadohealth.2016.10.031]
3. Bird, E. L., Halliwell, E., Diedrichs, P. C., & Harcourt, D. (2013). Happy Being Me in the UK: A controlled evaluation of a school-based body image intervention with pre-adolescent children. Body image, 10(3), 326-334. [DOI:10.1016/j.bodyim.2013.02.008]
4. Chamay-Weber, C., Narring, F., & Michaud, P.-A. (2005). Partial eating disorders among adolescents: A review. Journal of adolescent health, 37(5), 416-426. [DOI:10.1016/j.jadohealth.2004.09.014]
5. Chen, G., He, J., Zhang, B., & Fan, X. (2021). Revisiting the relationship between body dissatisfaction and eating disorder symptoms in Chinese adolescents: the mediating roles of regulatory emotional self-efficacy and depression symptoms. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26(1), 239-247. [DOI:10.1007/s40519-020-00848-0]
6. Craddock, N., Garbett, K. M., Haywood, S., Nasution, K., White, P., Saraswati, L., Rizkiah, C., Medise, B. E., & Diedrichs, P. C. (2021). 'Dove Confident Me Indonesia: Single Session': study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents. BMC public health, 21(1), 1-20. [DOI:10.1186/s12889-021-11770-0]
7. Cruz-Sáez, S., Pascual, A., Wlodarczyk, A., & Echeburúa, E. (2020). The effect of body dissatisfaction on disordered eating: The mediating role of self-esteem and negative affect in male and female adolescents. Journal of health psychology, 25(8), 1098-1108. [DOI:10.1177/1359105317748734]
8. Diedrichs, P. C., Atkinson, M. J., Steer, R. J., Garbett, K. M., Rumsey, N., & Halliwell, E. (2015). Effectiveness of a brief school-based body image intervention 'Dove Confident Me: Single Session'when delivered by teachers and researchers: Results from a cluster randomised controlled trial. Behaviour Research and Therapy, 74, 94-104. [DOI:10.1016/j.brat.2015.09.004]
9. Freire, G. L. M., da Silva Paulo, J. R., da Silva, A. A., Batista, R. P. R., Alves, J. F. N., & do Nascimento Junior, J. R. A. (2020). Body dissatisfaction, addiction to exercise and risk behaviour for eating disorders among exercise practitioners. Journal of Eating Disorders, 8(1), 1-9. [DOI:10.1186/s40337-020-00300-9]
10. Galmiche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000-2018 period: a systematic literature review. The American journal of clinical nutrition, 109(5), 1402-1413. [DOI:10.1093/ajcn/nqy342]
11. Garbett, K. M., Lewis-Smith, H., Chaudhry, A., Shroff, H., Dhillon, M., White, P., & Diedrichs, P. C. (2021). Acceptability and preliminary efficacy of a school-based body image intervention in urban India: a pilot randomised controlled trial. Body image, 37, 282-290. [DOI:10.1016/j.bodyim.2021.02.011]
12. Iannaccone, M., D'Olimpio, F., Cella, S., & Cotrufo, P. (2016). Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: A mediation model. Eating behaviors, 21, 80-83. [DOI:10.1016/j.eatbeh.2015.12.010]
13. Keski-Rahkonen, A., & Mustelin, L. (2016). Epidemiology of eating disorders in Europe: prevalence, incidence, comorbidity, course, consequences, and risk factors. Current opinion in psychiatry, 29(6), 340-345. [DOI:10.1097/YCO.0000000000000278]
14. Khabir, L., Mohamadi, N., & Rahimi, C. (2014). The Validation of Eating Disorder Diagnostic Scale (EDDS) [Research Article]. Journal of Kermanshah University of Medical Sciences, 18(2), 100-107. [DOI:10.22110/jkums.v18i2.1689]
15. Kim, S. (2018). Eating disorders, body dissatisfaction, and self-esteem among South Korean women. Social Behavior and Personality: an international journal, 46(9), 1537-1546. [DOI:10.2224/sbp.6801]
16. Laporta-Herrero, I., Jáuregui-Lobera, I., Barajas-Iglesias, B., & Santed-Germán, M. Á. (2018). Body dissatisfaction in adolescents with eating disorders. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 23(3), 339-347. [DOI:10.1007/s40519-016-0353-x]
17. McLean, S. A., Rodgers, R. F., Slater, A., Jarman, H. K., Gordon, C. S., & Paxton, S. J. (2021). Clinically significant body dissatisfaction: Prevalence and association with depressive symptoms in adolescent boys and girls. European Child & Adolescent Psychiatry, 1-12. [DOI:10.1007/s00787-021-01824-4]
18. Mohamadi, K., Refahi, Z., & Samani, S. (2014). Mediating role of self-esteem for quality of life and at risk behavior. JOURNAL OF PSYCHOLOGICAL MODELS AND METHODS, 3(14), 29-43. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=385693
19. Mohammadi, N. (2005). The Preliminary Study of Validity and Reliability of Rosenberg's Self-esteem Scale. Developmental & Clinical Psychology, 1(4), 55-62. https://jip.stb.iau.ir/article_512444_99af3e08d674cea2513142fb0f823b58.pdf
20. Naeimi, A. F., Haghighian, H. K., Gargari, B. P., Alizadeh, M., & Rouzitalab, T. (2016). Eating disorders risk and its relation to self-esteem and body image in Iranian university students of medical sciences. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 21(4), 597-605. [DOI:10.1007/s40519-016-0283-7]
21. Richardson, S. M., & Paxton, S. J. (2010). An evaluation of a body image intervention based on risk factors for body dissatisfaction: A controlled study with adolescent girls. International Journal of Eating Disorders, 43(2), 112-122. [DOI:10.1002/eat.20682]
22. Rosenberg, M. (1965). Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy. Measures package, 61(52), 18. [DOI:10.1037/t01038-000]
23. Roustaee, R., Hajifaraji, M., Dezhkam, M., Houshiar-rad, A., Mehrabi, Y., & Zowghi, T. (2013). Prevalence of eating disorders and some of the factors related to them among high school female students in the City of Tehran, 2010 [Research]. Iranian Journal of Nutrition Sciences & Food Technology, 8(1), 135-144. http://nsft.sbmu.ac.ir/article-1-1242-fa.html
24. Rozzell, K., Klimek, P., Brown, T., & Blashill, A. J. (2019). Prevalence of eating disorders among US children aged 9 to 10 years: Data from the adolescent brain cognitive development (ABCD) study. JAMA pediatrics, 173(1), 100-101. [DOI:10.1001/jamapediatrics.2018.3678]
25. Safarzade, S., & Mahmoody Khorandi, Z. (2015). Survey on Eating Disorders (Mental Anorexia , Bulimia) among 13-18-Year- Old Adolescents of Gonabad City in 2014 [Research]. Journal of Rafsanjan University of Medical Sciences, 14(5), 393-404. http://journal.rums.ac.ir/article-1-2457-fa.html
26. Souto, D. F., Costa, B. A. D. O., Oliveira, A. M. G., Flório, F. M., & Zanin, L. (2017). Risk behaviors related to eating disorders in adolescents and its association with dental erosion. Revista de Odontologia da UNESP, 46, 66-71. [DOI:10.1590/1807-2577.05916]
27. Stice, E., Telch, C. F., & Rizvi, S. L. (2000). Development and validation of the Eating Disorder Diagnostic Scale: a brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological assessment, 12(2), 123-131. [DOI:10.1037/1040-3590.12.2.123]
28. The American Psychiatric Association, A. P. A. (2020). The American Psychiatric Association practice guideline for the treatment of patients with schizophrenia. American Psychiatric Pub. [DOI:10.1176/appi.books.9780890424841]
29. Yager, Z. (2019). Promoting positive body image and embodiment in schools: Past, present, and future. In T. L. Tylka & N. Piran (Eds.), Handbook of positive body image and embodiment: Constructs, protective factors, and interventions (pp. 346-359). Oxford University Press. [DOI:10.1093/med-psych/9780190841874.003.0033]
30. Zakhour, M., Haddad, C., Sacre, H., Tarabay, C., Zeidan, R. K., Akel, M., Hallit, R., Kheir, N., Obeid, S., & Salameh, P. (2021). Differences in the associations between body dissatisfaction and eating outcomes by gender? A Lebanese population study. Revue d'Épidémiologie et de Santé Publique, 69(3), 134-144. [DOI:10.1016/j.respe.2021.02.003]

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