Fear of negative evaluation and eating attitudes: a replication and extension study

OBJECTIVE: Preliminary research has found a link between restrictive eating attitudes and a fear of negative evaluation (FNE). However, such work has focused exclusively on these fears in relation to people in general. The current study sought to replicate and extend these findings by exploring links between restriction and FNE in relation to close friends and relatives. METHOD: Ninety-one young women completed two versions of the short Fear of Negative Evaluation Scale (FNE). First, they completed the standard scale (in relation to people in general), and then an amended version (in relation to close friends and relatives). Next, they completed the three eating-related subscales of the Eating Disorders Inventory (EDI). RESULTS: For the whole group, both general and close FNE were significantly and positively correlated with restrictive (drive for thinness and body dissatisfaction), but not with bulimic attitudes. However, only general FNE had significant individual predictive power on restrictive attitudes when these two forms of FNE were entered into a regression analysis. DISCUSSION: Among nonclinical populations, negative evaluation fears regarding people in general are linked with restrictive but not with bulimic psychopathology.     

Fear of negative evaluation and the development of eating psychopathology: a longitudinal study among nonclinical women

OBJECTIVE: We replicated the cross-sectional relationship between restrictive eating attitudes and a fear of being negatively evaluated by others and tested whether negative evaluation fears longitudinally predict changes in eating attitudes over a 7-month period. METHOD: During the first week of an academic year, and again during Week 33, 143 female students completed the Fear of Negative Evaluation Scale (FNE), the Rosenberg Self-Esteem Scale (RSE), the Hospital Anxiety and Depression Scale (HADS), and the three eating scales of the Eating Disorders Inventory (EDI). RESULTS: The exclusive link between heightened negative evaluation fears and restrictive eating attitudes was replicated cross-sectionally. However, the longitudinal model predicting the development of restriction was nonsignificant. In contrast, alongside depression, negative evaluation fears predicted an increase in bulimic attitudes, whereas self-esteem predicted an increase in body dissatisfaction. DISCUSSION: The findings support a model whereby individuals with heightened fears of negative evaluation may use restrictive pathology to raise their status among peers. If this mechanism of dealing with negative evaluation fears is not sufficient in the long term, individuals may develop bulimic symptoms to deal with their negative evaluation fears.     

A Descriptive Narrative of Healthy Eating

Abstract

This paper explores the profile of healthy and unhealthy eating consumers in terms of demographic, psychographic and communicative variables. Data from 3,388 respondents to the 1999 DDB Needham Life Style Study were analyzed. The results show the healthy eaters to be environmentally conscious and health-oriented, suggesting an underlying theme of personal and social responsibility. The communicative activities of healthy eaters demonstrate an information orientation while unhealthy eaters are more entertainment oriented. Practical and social implications are discussed for social marketers regarding target segmentation and message design.     

A thematic content analysis of #cheatmeal images on social media: Characterizing an emerging dietary trend

Despite the pervasive social endorsement of “cheat meals” within pro‐muscularity online communities, there is an absence of empirical work examining this dietary phenomenon. The present study aimed to characterize cheat meals, and explore the meaning ascribed to engagement in this practice. Thematic content analysis was employed to code the photographic and textual elements of a sample (n = 600) that was extracted from over 1.6 million images marked with the #cheatmeal tag on the social networking site, Instagram. Analysis of the volume and type of food revealed the presence of very large quantities (54.5%) of calorie‐dense foods (71.3%) that was rated to qualify as an objective binge episode. Photographic content of people commonly portrayed highly‐muscular bodies (60.7%) in the act of intentional body exposure (40.0%). Meanwhile, textual content exemplified the idealization of overconsumption, a strict commitment to fitness, and a reward‐based framework around diet and fitness. Collectively, these findings position cheat meals as goal‐oriented dietary practices in the pursuit of physique‐ideals, thus underscoring the potential clinical repercussions of this socially‐endorsed dietary phenomenon.     

Food Choice and Nutrition: A Social Psychological Perspective

In this Special Issue, entitled “Food choice and Nutrition: A Social Psychological Perspective”, three broad themes have been identified: (1) social and environmental influences on food choice; (2) psychological influences on eating behaviour; and (3) eating behaviour profiling. The studies that addressed the social and environmental influences indicated that further research would do well to promote positive food choices rather than reduce negative food choices; promote the reading and interpretation of food labels and find ways to effectively market healthy food choices through accessibility, availability and presentation. The studies on psychological influences found that intentions, perceived behavioural control, and confidence were predictors of healthy eating. Given the importance of psychological factors, such as perceived behavioural control and self-efficacy, healthy eating interventions should reduce barriers to healthy eating and foster perceptions of confidence to consume a healthy diet. The final theme focused on the clustering of individuals according to eating behaviour. Some “types” of individuals reported more frequent consumption of fast foods, ready meals or convenience meals or greater levels of disinhibition and less control over food cravings. Intervention designs which make use of multi-level strategies as advocated by the Ecological Model of Behaviour change that proposes multi-level (combining psychological, social and environmental) strategies are likely to be more effective in reaching and engaging individuals susceptible to unhealthy eating habits than interventions operating on a single level.     

Social anxiety as a barrier to treatment for eating disorders

BACKGROUND: The goal of this pilot investigation is to determine the relationship between social anxiety and treatment-seeking behavior for eating disorders in an outpatient psychiatric clinic. METHOD: Twenty-eight patients seeking treatment for anorexia or bulimia at an outpatient eating disorders clinic completed a battery of self-report measures on eating pathology, attachment style and functioning, and social anxiety at initial intake appointment. Levels of eating pathology and social anxiety at consult were compared with service utilization records on entry into treatment. RESULTS: Individuals who did not engage in treatment had significantly higher levels of social anxiety (F = 8.29, df = 1, p < .05) compared with those who did engage in treatment. There were no differences in demographic characteristics, diagnoses, or level of eating pathology at intake. CONCLUSIONS: Social anxiety may act as a barrier to effective help-seeking and utilization of mental health treatment among individuals with eating disorders. Replication of these findings in a larger sample and more in-depth study of the mechanism of the observed association between use of services and social anxiety may be useful in planning more effective outreach in the community to underserved populations in need of treatment for eating disorders.     

Effect of social desirability on adolescent girls' responses to an eating disorders prevention program

OBJECTIVE: The current study examined whether a social desirability response bias is a source of measurement error in prevention research. METHOD: Six hundred and seventy-seven female students in Grade 7 (n = 345) and Grade 8 (n = 332) were divided into either an intervention condition, in which participants watched a videotape promoting body acceptance and discouraging dieting and then discussed issues related to the video, or a control condition. Questionnaires were completed at baseline, postintervention, and at 1-month follow-up. RESULTS: Social desirability scores were correlated at a low but significant level with baseline body dissatisfaction, drive for thinness, bulimic tendencies, intention to diet, and size discrepancy for intervention participants. Social desirability did not correlate significantly with change over time in the outcome measures. DISCUSSION: The findings suggested that changes in girls' self-reports related to a prevention program were relatively free of social desirability response bias.