|
Magazine Consumption and Dieting Beauty and Fashion Magazine Reading and Anorectic Cognitions As Predictors of Dieting Behavior in College-Age Women Steven R. Thomsen, Ph.D. Department of Communication Brigham Young University Provo, Utah 84602 (801) 378-2078 [log in to unmask] Robert L. Gustafson Department of Journalism Ball State University J. Kelly McCoy, Ph.D. Department of Family Sciences Brigham Young University Marleen Williams, Ph.D. Counseling Services Brigham Young University A paper submitted to the Magazine Division of the Association for Education in Journalism and Mass Communication, April 1998 Abstract The study was conducted to explore the relationship between the reading of women's beauty and fashion magazines, dieting behavior, and the existence of anorectic cognitions in college-age women. Unlike past studies, which have examined the relationship between the quantity of beauty and fashion magazines read and eating disorders, this study assesses the impact of reading frequency, preferences for articles, photos, or ads, and motivation for reading on dieting behavior, which is considered to be precursor to the development of eating disorders. Surveys were administered to 540 women enrolled in general studies courses at two universities. Moderate, statistically significant correlations were found between the consumption variables and dieting behaviors as well as the anorectic cognitions measures. Discriminant analysis was used to determine what variables, related to magazine reading and use, body anxiety, weight assessment, and anorectic cognitions (using the Mizes Anorectic Cognition Scale), best predict dieting behavior. Results indicate that of the media consumption variables, frequency of reading, a motivation to read for self improvement, and reading because of a desire to lose weight and look like the models made the largest relative contributions to predicting current dieting behavior. Introduction Anorexia nervosa has been characterized as a biopsychosocial disorder resulting in distortions in self-image and self-perception that lead a substantial number of women to develop an intense fear of food and weight gain to the point that many literally starve themselves to death. Dieting has been identified as a precursor to the development of most eating disorders, including anorexia nervosa (Smolak and Striegel-Moore, 1996; Connors, 1996; Levine, Smolak, & Hayden, 1994). Ironically, dieting has become so commonplace among adolescent and college-age women that researchers who study this behavior often must distinguish between "normative" dieting practices and "maladaptive" dieting and eating (Polivy & Herman, 1987). Estimates are that as many as 40 to 60 percent of all high school girls are on a diet, with indications that significant numbers of pre-adolescent, elementary-age school girls also have now become frequent dieters (Smolak and Striegel-Moore, 1996; American School Health Association, 1989; Rosen & Gross, 1987; Wadden, Brown, Foster, & Linowitz, 1991). Recent research has identified a number of social, cultural, familial, and biological forces that, when combined with the presence of maladaptive eating practices, can contribute to the pathogenesis of anorexia nervosa, which may affect as many as 4 percent to 22 percent of all college age women (Harrison & Cantor, 1997; Connors, 1996). A growing number of scholars have suggested that the mass media may be an important sociocultural force in the cultivation of unrealistic standards of beauty and the development of eating disorder symptomatology (Levine & Smolak, 1996; Stice, Schupak-Neuberg, Shaw & Stein, 1994; Silverstein, Perdue, Peterson & Kelley, 1986; Harrison & Cantor, 1997). The media, it has been argued, inundates women with a steady stream of messages--both visual and editorial--that suggest to be attractive and successful one must be "ultraslender." This emphasis on appearance and attractiveness is believed to lead many women to internalize and unrealistic and unattainable thin "ideal-body stereotype." This, in turn, leads to the development of body size dissatisfaction and, potentially, to eating disorder symptomatology (Myers & Biocca, 1992; Stice, et al., 1994). Television and magazines, particularly those whose content has been described as "thinness-depicting" and "thinness-promoting," have been identified as having the strongest influence of all media formats in perpetuating unrealistic beliefs about the importance of thinness (Harrison & Cantor, 1997; Stice et al., 1994; Silverstein et al., 1986). Of the two, magazines may have the most powerful effect. In their study of 422 female and male college students, Harrison and Cantor (1997) reported that magazine reading, compared to television viewing, was the most consistent predictor of eating disordered thinking. They found that readership of fitness and beauty magazines, in particular, produced the strongest association with eating disorder symptoms, particularly the "body dissatisfaction" and "drive for thinness." While a number of recent studies have reported the relationship between media exposure and eating disordered thinking, few have looked specifically at the relationship between media use and dieting. The study explores the relationship between the reading of women's beauty and fashion magazines, dieting behavior, and the existence of anorectic cognitions that might serve as a warning signal that a woman is at risk to develop an eating disorder. Specifically, the study examines the relationship that exists between magazine consumption patterns and dieting behavior, with the specific purpose of determining if the consumption variables can be used to distinguish between dieters and non-dieters. The authors believe that this relationship may be significant in increasing our understanding of the role of the media in the etiology of eating disorders. Relevant Literature Because it functions within a broad social and cultural context, the mass media is recognized as one of the strongest mediating influences in the etiology of anorexia nervosa. Much of the research on mass media influences on eating disorder symptomatology has focused on the frequency and nature of messages and images that perpetuate a "thin-ideal" as part of the female gender role. A number of studies using content analysis, for example, have reported that models, actors, and centerfolds have become less "curvaceous" over the past several decades, suggesting that a trend toward a much thinner "ideal" is being presented to women (Garner, Garfinkel, Schwartz & Thompson, 1980; Silverstein, et al., 1986; Czajka-Narins & Parham, 1990). It is believed that this "thin ideal" is particularly amplified in advertising, fashion and beauty magazines, and television programming where body image and attractiveness are heavily emphasized in message images and content (Myers & Biocca, 1992; Harrison & Cantor, 1997; Levine, Smolak, & Hayden, 1994). Downs and Harrison (1985) noted that 25 percent of network television commercials used "attractiveness-based messages," which they defined as those which make explicit or indirect promises of beauty or thinness as a result of the audience taking the desired action or using the promoted product. More of this emphasis on attractiveness appears to be directed at women than at men. Silverstein et al. (1986), for example, reported that women in television shows, magazine advertisements, and movies were much more likely to be "thin" than their male counterparts. They also reported that women's magazines were much more likely to run ads for diet food and figure-enhancing products than men's magazines. Evans, Rutberg, Sather, and Turner (1991) also have argued that magazines have a significant role in the perpetuation of the stereotypical "thin ideal," particularly among teenage readers. Evans et al. suggest that magazines play an important role in adolescent socialization, more specifically, in the development of values and "identity achievement." They analyzed the content a year's worth of issues of Sassy, Seventeen, and Young Miss, three leading magazines, based on 1988 circulation figures, targeted to teenage girls. Articles were coded by content topic: beauty, fashion, entertainment, celebrity, health, and recurrent columns (i.e., horoscope, advice). Advertisements were coded by product or service orientations, which included beauty care and cosmetic use, clothes and fashion accessories, feminine hygiene, education or career advisement services, health (i.e., nutrition and exercise), sundry personal services, and entertainment. They reported that these magazines typically approach the topic of "self improvement" by focusing on fashion dressing and physical beautification. The advertisements, they suggested, also reinforce this pattern: Articles and advertisements mutually reinforced an underlying value that the road to happiness is attracting males for successful heterosexual life by way of physical beautification (p. 110). In their analysis of the content of certain women's magazines, Nemeroff, Stein, Diehl, and Smilack (1994) reported that fashion magazines contained more health and fitness articles than "traditional" and "modern" women's magazines, although "traditional" magazines did show a strong focus on weight loss. While health and fitness and exercise articles appear to be increasing as "weight loss" articles decline, they note that the distinction between the two types of articles has not been methodologically "clean" in other research. Wiseman et al. (1992), for example, have argued that exercise articles could easily be interpreted as weight loss articles in disguise. The hypothesized link between exposure to magazine content and internalization of the "thin ideal" becomes all the more important given Smith's (1985) findings that anorectics are significantly more media conscious and more influenced by media on body images than non anorectics. When asked to rank the top three institutions that influence their knowledge of an ideal body shape, anorectics ranked media in general first, friends second, and magazines third. The non-anorectics ranked peers first, followed by magazines, and then by general media. Levine and Smolak (1996) also confirm this: . . .it is quite common for patients with anorexia nervosa (AN) or bulimia nervosa (BN) to recall that models in fashion magazines have been a source of motivation and guidance in their quest for slenderness and self control. (p. 237-238) It is generally believed that adolescent women, anorectics in particular, use these media and sociocultural messages to create an internalized "ideal body," and then make it their goal to match this shape. "It is reasonable to imagine," write Myers and Biocca (1992), "that each of these body messages is just one strike of a chisel in sculpting the ideal body image inside a young women's mind (p. 111)." Several recent studies have attempted to create and map the theoretical links between exposure to images and messages about the "thin ideal" and eating disordered behavior. The goal has been to provide empirical evidence that exposure contributes to anorexia nervosa. Anderson and DiDomenico (1992), for example, have suggested a "dose-response" relationship. They found that greater exposure to thinness promoting media images and content is associated with greater levels of disordered thinking. Harrison and Cantor (1997), as previously mentioned, reported statistically significant relationships between reading fashion magazines and reported "body dissatisfaction" as well as between reading health and fitness magazines and a "drive for thinness," as measured by the Eating Disorder Inventory (EDI). They conclude: historical trends, content analyses, and effects studies all suggest that media trends may indeed be linked to the idealization of thinness and, thus, to the development of eating disorders in media consumers. These findings all support the cognitive model developed by Stice et al. (1994). Stice and his colleagues tested a path-analysis model which postulates that media exposure leads to gender role endorsement and, in turn, to the internalization of a "thin ideal" body stereotype. They found that this internalization had a modest, but significant correlation with the development of "body dissatisfaction." This dissatisfaction occurs as the individual compares her perception of her actual body size with the internalized ideal. As the dissatisfaction mounts, eating disorder symptoms are believed to follow. They, in fact, reported a substantial and statistically significant (.57) correlation between body dissatisfaction and eating disorder symptoms. Dieting, AN and Media. Smolak and Striegel-Moore (1996) have suggested that dieting serves as the starting point that initiates a number of other maladaptive eating practices that can continue throughout the lifetime of many women. The onset of an eating disorder typically occurs during the period of early adolescence or early adulthood, when these young women are likely to be heavily involved with, and influenced by the mass media and highly susceptible to cultural pressures to be thin (Smolak & Striegel-Moore, 1996; Heatherton, Mahamedi, Striepe, & Field, 1997; Polivy & Herman, 1987; Levine & Smolak, 1996). The effects of that influence can persist for a long time. In their longitudinal study of college-age women dieters, for example, Heatherton, Mahamedi, Striepe, and Field (1997) found that one in five of the women who met the clinical criteria for an eating disorder in college continued to meet that criteria 10 years later. Polivy and Herman (1987) have argued that the cultural preference for thinness has led to a reconstruction of what constitutes "normal" eating practices. Women whose weight is close to the mean for their age and height are now likely to see themselves as overweight and are likely to engage eating practices that are actually severely restrictive. They argue that, "societally normal eating may not be normal or appropriate by physiological standards. . .and may itself be regarded as disordered or pathological" (p. 635). Noting the role of the media in this reconceptualization of "normal" eating, they continue: Society's current preference for slimness has affected eating behavior and attitudes toward food. As this preference has evolved and has become more strongly entrenched, the media has propagated information on how to achieve a slim physique, mainly by means of weight-reducing diets. (p. 636) The Current Study This study seeks to investigate the relationship between the consumption of beauty and fashion magazines, dieting, and anorectic cognitions in college-age women. Several key research questions will be explored: RQ1: Does a relationship exist between frequency of reading, preferences for text, photos, and ads, and dieting behavior? RQ2: Does a relationship exist between frequency of reading, preferences for text, photos, and ads, and the presence of anorectic cognitions, as measured by the Mizes Anorectic Cognition Scale and its subscales? RQ3: Which motivations for reading beauty and fashion magazines are most associated with dieting behavior and anorectic thinking? RQ4: What variables, related to magazine consumption, body anxiety, weight assessment, and anorectic cognitions best predict dieting behavior in college-age women? Methodology Data for this study was collected via a multiple-section survey administered to female undergraduate students enrolled in general studies mass communication classes at a mid-sized Midwestern university and in communication and general studies religion classes at a large Western university in the fall of 1997. College-age women have been identified as one of the highest at-risk groups for the development of eating disorders (Conners, 1996). Variables In previous research on media use and the development of anorectic and bulimic thinking, magazine "consumption" has been measured by asking subjects to indicate how many issues they read of a particular magazine or category of magazines. This approach to measuring consumption, however, may provide only a limited understanding of how the use of a particular medium affects the cultivation and internalization of particular ideas and beliefs. For this study, we reconstructed "magazine consumption" to include three separate, but related, factors or categories: "frequency," "consumption preferences," and "motivation for reading." Frequency. In the first section of the survey, a list of eight magazine categories was presented (news and current events, beauty and fashion, entertainment and music, health and fitness, religious, science and nature, literary, and sports). Using a 7-point scale (0 = "never," 1 = "once a year," 2 = "2 to 5 times a year," 3 = "6 to 11 times a year," 4 = "once a month," 5 = "2 to 4 times a month," and 6 = "5 or more times a month"), the respondents were asked to indicate the general frequency with which they read or looked at magazines in each of the categories. Consumption Preferences. The next section asked respondents specifically about the way in which they "consume" or read beauty and fashion magazines. The purpose was to assess the frequency with which they looked at the pictures or read the articles and advertisements. Using a 5-point scale (0 = "0 percent," 1 = "25 percent," 2 = "50 percent," 3 = "75 percent," 4 = "100 percent") each respondent was asked to indicate the approximate percentage of articles they typically read in an issue, the percentage of photographs they typically look at, and the percentage of advertisements they usually read when they look at beauty and fashion magazines. Motivation for Reading. The third "consumption" measure was designed to assess the respondents' motivations for reading women's beauty and fashion magazines. The authors, as part of an ongoing project on the role of the media in the etiology of anorexia nervosa, have conducted qualitative, semi-structured interviews with 20 outpatients at an eating disorder treatment facility in a Western state. In the interviews, the authors have probed and explored the way in which these outpatients consumed, and continue to use, beauty and fashion magazines, both before and during their treatment. Using insights obtained from these interviews, the authors developed a 17-item, Likert-type scale to assess reading motivation. The items in that scale, and the results of the factor analysis applied to the scale, are presented and discussed in the results section of this article. Body Anxiety and Weight Assessment. Body anxiety for this study was measured by listing seven body areas (bust, thighs, buttocks, hips, abdomen, legs and waist) and overall weight, and then asking the respondents to indicate by using a 5-point scale (0 = "never," 1 = "rarely," 2 = "sometimes," 3 = "often," and 4 = "almost always") how anxious, tense or nervous they feel, in general, about that specific body area/part. The final body anxiety score was produced by summing the scores of the eight individual items. This approach was adapted from the Physical Trait Anxiety Scale, a fairly standard and widely-used measure of how an individual feels about specific parts of her appearance. To obtain an overall weight assessment, each respondent was asked to respond to 6-point scale (1 = "underweight," 2 = "just about right," 3 = "less than 5 pounds overweight," 4 = "5 to 10 pounds overweight," 5 = "10 to 15 pounds overweight," 6 = "15 or more pounds overweight") that indicated her perception of her overall body weight. Given that even the most emaciated anorectics claim they feel fat, we were interested only in the respondents' perceptions of their weight, and not the actual weights. Anorectic Cognitions. The survey instrument included the 33-item Mizes Anorectic Cognitions Scales (MAC). Permission was obtained from its author to use this scale, which assess cognitions relevant to anorexia nervosa and bulimia nervosa. According to its author, the MAC scale assess three areas: rigid weight and eating regulation, weight and eating behavior as the basis of approval from others, and excessive self-control as a component of self-esteem (Mizes, 1990, 1992). Mizes (1990) has reported that high MAC scorers have a greater general emphasis on weight regulation, were more likely than control groups to rate higher various benefits of losing or maintaining weight, use more calorie restriction strategies, and, to a lesser extent, use more strategies to increase real or presumed calorie expenditure. Dieting Behavior. Finally, each respondent was asked to indicate whether she had dieted "at least once in the past six months" and whether she was currently on a diet. Results In all, 540 usable surveys were obtained from the female students at the two universities. The students ranged in age from 18 to 26. The respondents were fairly equally distributed in terms of class standing, with the largest concentrations indicating they were sophomores or juniors. Two respondents indicated they were graduate students. The data was analyzed using the SPSS 6.1 statistical package for Windows 95 systems. Consumption Measures. As indicated in Table 1, the respondents typically read women's beauty and fashion magazines about once a month (M = 3.828, SD = 1.578). Slightly more than 60 percent of the respondents, in fact, said they read beauty and fashion magazines at least once a month and 16.9 percent read them more than once a week. As indicated by Table 2, beauty and fashion magazines, not surprisingly, are the most frequently read category of magazines by the college-age women in this study, followed closely by news and current events magazines (M = 3.761, SD = 1.601) and entertainment and music magazines (M = 3.352, SD = 1.732). The respondents also indicated that they prefer to look at the photographs (M = 3.335, SD = .933) more than they tend to read the articles (M = 2.234, SD = .986) or the advertisements (M = 2.117, SD = 1.037) (see Table 3). ------------------------------------ Insert Table 1 about here ------------------------------------ ------------------------------------ Insert Table 2 about here ------------------------------------ ------------------------------------ Insert Table 3 about here ------------------------------------ Table 4 lists the 17 items in the scale developed to assess motivation for reading and presents the results of a principal components factor analysis using a varimax rotation method. The scale, based on interviews with anorectic outpatients, is being developed and tested by the authors. A reliability test for the scale produced a Cronbach's alpha of .83. The analysis produced a five-factor solution. Primary factor loadings are reported for each factor. Factor 1 (Loselbs), measures the degree to which the respondents are motivated to diet and look like the models in the magazines. Factor 2 (Popular) indicates the degree to which the respondents believe that reading beauty and fashion magazines will help them be happier and more popular with family and friends. Factor 3 (Improve) measures the degree to which the respondents use the magazines for self-improvement purposes. Factor 4 (Bored) measures the degree to which respondents read only when they are bored, and Factor 5 (Models) measures the respondent's recognition that the models' appearances do not reflect what is normal for most women. ------------------------------------ Insert Table 4 about here ------------------------------------ Anorectic Cognitions. The Mizes Anorectic Cognition Scale produces scores that range from 33 to 165. Higher scores indicate a greater presence of anorectic cognitions and a greater potential risk for the development of an eating disorder. In attempts to validate his anorectic cognitions scale, Mizes has reported that the mean score for test groups, whose members were previously diagnosed as having anorexia nervosa according to American Psychological Association DSM-III-R criteria, was 115.6 (SD = 14.7). Control groups, consisting of healthy populations, have produced a baseline mean score of 65.1 (SD = 12.3) (See Table 5). ------------------------------------ Insert Table 5 about here ------------------------------------ Respondents to our study produced a group mean score of 74.9 (SD = 22.3). Twenty-four respondents (4.4 percent) scored 116 or higher on the MAC, which is consistent with estimates that at least 4 percent of college-age women are likely to suffer from an eating disorder. Table 5 presents the scores for the test group for the total MAC (TotMac) scale as well as the rigid weight and eating regulation (Rigid), weight and eating behavior as the basis of approval from others (Approve), and excessive self control as a component of self-esteem (Control) subscales.[1] Dieting Behavior. As indicated by Table 6, 47.6 percent of the women surveyed indicated that they had dieted at least once in the past 6 months. Table 7 reports that nearly one in four (22.4 percent) were currently on a diet. ------------------------------------ Insert Tables 6 and 7 about here ------------------------------------ Relationships Among Key Variables. As anticipated, modest, but statistically significant relationships were found among a number of the beauty and fashion magazine consumption variables, dieting behavior, the anorectic cognition measures, body anxiety, and weight assessment (See Table 8). For example, statistically significant correlations were found for the relationships between beauty and fashion magazine reading frequency (BeautyF) and MAC scores (r = .24), current dieting (Dietnow) (r = .23), and dieting in the past 6 months (Diet6) (r = .25). Not surprisingly, larger correlations were found between the dieting measures and total MAC scores (Diet6 x TotMac, r = .51; Dietnow x TotMac, r = .47). ------------------------------------ Insert Table 8 about here ------------------------------------ Of the motivation for reading factors, "Loselbs" and "Popular" produced the largest correlations with dieting behavior (Loselbs x Diet6, r = .41; Loselbs x DietNow, r = .39; Popular x Diet6, r = .27; Popular x DietNow, r = .23) and total MAC scores (Loselbs x TotMac, r = .63; Popular x TotMac, r = .55). "Loselbs" and "Popular" also produced moderate correlations with the three MAC subscales (Loselbs x Approve, r = .45; Loselbs x Control, r = .62; Loselbs x Rigid, r = .59; Popular x Approve, r = .54; Popular x Control, r = .40; Popular x Rigid, r = .51). These two motivation factors produced moderate correlations with body anxiety (Loselbs x Anxiety, r = .48; Popular x Anxiety, r = .37) and overall weight assessment (Loselbs x Assess, r = .30; Popular x Assess, r = .23). Reading for self improvement (Improve) produced moderate, but smaller correlations with the percentage of ads read (Bfads) (r = .27), percentage of pictures looked at (Bfpix) (r = .27) and articles read (Bftext) (r = .36). Not surprisingly, reading to learn to lose weight and look like the models (Loselbs) also produced moderate correlations with percentages of ads (r = .23) and pictures (r = .29), but not with text. This is consistent with previous research which suggests that readers may be more influenced by the images that perpetuate the thin ideal than the accompanying articles. ------------------------------------ Insert Table 9 about here ------------------------------------ Discriminant Analysis Results. A stepwise discriminant function analysis was performed using the consumption, weight assessment, body anxiety, and anorectic cognition (MAC and the three subscales) measures and current dieting behavior (Dietnow) as the group or dependent variable. The resulting function (See Table 9) was significant (Wilk's Lambda = .7062, d.f. = 5, p = .0000) and produced a canonical correlation coefficient of .5421. As Table 9 indicates, the function produced by the discriminant analysis retained five variables: the total score on the Mizes Anorectic Cognitions Scale (TotMac), overall weight assessment (Assess), beauty and fashion magazine reading frequency (BeautyF), a desire to lose weight and look like the models in the beauty and fashion magazines (Loselbs), and a belief that reading beauty and fashion magazines will lead to self-improvement (Improve). Table 9 reveals that the total MAC score (.57544), beauty and fashion magazine reading frequency (.39806), and weight assessment (.39593) measures provided the greatest relative contributions to the overall discriminant function. "Improve" was inversely related to the outcome, suggesting that dieters are reading for reasons other than relationship building or for information on fashion and dating trends. Table 10 indicates that the discriminant function correctly classified 77 percent of the respondents. While this was a smaller percentage than we had hoped for, the distance between the group centroids (See Table 9) indicates that the function actually does a good job of discriminating between the groups. ------------------------------------ Insert Table 10 about here ------------------------------------ ------------------------------------ Insert Table 11 about here ------------------------------------ A second stepwise discriminant function analysis was performed using the consumption, weight assessment, body anxiety, and anorectic cognition (MAC and the three subscales) measures and dieting behavior in the past 6 months (Diet6) as the group or dependent variable. The resulting function (See Table 11) was significant (Wilk's Lambda = .6704, d.f. = 5, p = .0000) and produced a canonical correlation coefficient of .5741. Again, five variables were retained: the total score on the Mizes Anorectic Cognitions Scale (TotMac), overall weight assessment (Assess), beauty and fashion magazine reading frequency (BeautyF), body trait anxiety (Anxiety), and the MAC Weight and Approval Subscale (Approve). The total MAC score (.77068) and overall weight assessment (.31484) made the greatest relative contributions to this second function, which also ------------------------------------ Insert Table 12 about here ------------------------------------ correctly classified 77 percent of the respondents (See Table 12). Again, the reported distance between group centroids suggest the function successfully discriminates between dieting behaviors. Discussion These findings confirm the relationship between beauty and fashion magazine reading, anorectic cognitions and dieting behavior in college-age women. While past research has linked the quantity of reading to eating disordered thinking and behavior, this study finds that the frequency of reading and the motivation for reading may be important factors in these complex relationships. Frequency of reading and several of the motivation factors, particularly a desire to lose weight and look like the models, and a belief that reading will increase happiness and popularity, are positively correlated with the existence of anorectic cognitions, heightened body anxiety, a belief that one is overweight, and dieting. The findings of this study suggest that knowing why a woman reads beauty and fashion magazines, particularly if she is a frequent reader, may be an initial step in understanding the degree to which she is at risk to develop an eating disorder. In the two discriminant analysis functions produced in this study, frequency of reading made moderate contributions to the prediction of both current and past dieting behavior. Two of the motivation factors, a desire to lose weight and look like the models, and a belief that reading will improve relationships and lead to self-improvement, made moderate contributions to the prediction of current dieting behavior. In both discriminant functions, total MAC scores made the largest contribution to the predictive equation. This suggests that the existence of anorectic thinking and the frequency of reading, motivation factors, body anxiety, and weight assessment all combine to discriminate between dieters and non-dieters. What it cannot explain, however, is whether one or more of these factors predates the existence of the others, or if they are simply comorbid. So what does this mean? Two possible explanations can be considered here. As has been hypothesized in recent research, readers of these magazines internalize the "thin-ideal" female stereotype that is presented. Dieting, then, may be a manifestation of the effects of this ongoing internalization and the woman's desire to obtain this ideal. The positive relationship between reading frequency and actual dieting is consistent with this model. A second possibility is that women who are already at risk may be instrumentally using beauty and fashion magazines to find support for their eating disordered thinking by actively seeking out images and information that reinforce the cultivated or internalized "thin-ideal" and that provide them with the motivation to obtain their "goal." The relationship between frequency of reading, motivation factors that include the need to learn about diets, and several of the anorectic cognition measures, particularly a rigid desire to control one's weight and the belief that this control will lead to greater happiness, self-esteem, and social acceptance, is consistent with this explanation and with Levine et al.'s (1994) contention that the uses and gratifications approach may provide a useful theoretical framework for understanding the role of the mass media in the etiology of eating disorders. Connors (1996) has theorized that eating disorders occur as a result of the convergence of two types of risk factors or experiential domains. One domain of his model suggests that sociocultural factors, physical, and developmental factors lead to a negative body image, a preoccupation with weight, and, ultimately, to "normative discontent" dieting patterns. The introduction of the second set of risk factors increases the dieter's risk of developing more severe eating disorder symptoms. These factors include difficulties with self regulation, psychological impairment, anxiety, low self-esteem, or other affective disorders. In some cases, these are brought on as a result of trauma, temperament/ biological predisposition, or dysfunctional family environments. By suggesting the existence of an interrelationship between media use, dieting behavior and anorectic cognitions as measured by the MAC scale, which assesses difficulties with self-esteem, self-identity, coping behaviors, and unusually high needs for control and acceptance, the results of this study also provide some empirical support for the Conners model. Future Research. Dieting is a complex set of behaviors. One limitation of this study is that it asked the respondents about dieting only in general terms. As has been suggested, dieting can be viewed as a continuum of behaviors that might be seen as ranging from "normative" practices to more extreme, restrictive behaviors. Future research should explore the link between beauty and fashion magazine consumption and very specific maladaptive dieting practices, such as the use of diuretics, laxatives, fasting, extreme caloric restriction, excessive exercise to burn calories, and vomiting--all behaviors that indicate that the individual has gone beyond "normative discontent" dieting patterns and has embraced behaviors that are more symptomatic of anorexia nervosa and bulimia nervosa. This would greatly enhance our understanding of the the connect between reading these types of magazines and gateway behaviors that can lead to eating disorders. This study's findings that the motivation factors made relatively important contributions to understanding dieting behavior suggests that additional research should be conducted to refine, develop, and validate an instrument capable of assessing the motivations for reading women's beauty and fashion magazines and the potential instrumental uses of these types of publications by both healthy and at-risk readers. Finally, ethnographic research with actual diagnosed anorectic populations might help provide answers to the question of whether media use contributes to the pathogenesis anorectic thinking or if it becomes instrumental only after the onset of other affective, self-regulatory problems. Bibliography American School Health Association, Association for the Advancement of Health Education and Society for Public Health Education (1989). The national adolescent student health survey: A report on the health of America's youth. Oakland, CA: Third Party. Andersen, A. E. & DiDomenico, L. (1992). Diet vs. shape content in popular male and female magazines: A dose response relationship to the incidence of eating disorders? International Journal of Eating Disorders, 11 (3), 283-287. Connors, M. E. (1996). Development vulnerabilities for eating disorders. In L. Smolak, M. P. Levine, & R. Striegel-Moore (eds.), The Developmental Psychopathology of Eating Disorders: Implications for Research, Prevention, and Treatment (pp. 235- 257). Mahwah, N.J.: Lawrence Erlbaum. Crandall, C. S. (1988). Social contagion of binge eating. Journal of Personality and Social Psychology, 55, 588-598. Czajka-Narins, D. M. & Parham, E. S. (1990). Fear of fat: Attitudes toward obesity. Nutrition Today, January/February, 26-32. Downs, A. C. & Harrison, S. K. (1985). Embarrassing age spots or just plain ugly? Physical attractiveness stereotyping as an instrument of sexism on American television commercials. Sex Roles 13 (1/2), 9-19. Evans, E. D., Rutberg, J., Sather, C., & Turner, C. (1991). Content analysis of contemporary teen magazines for adolescent females. Youth & Society, 23 (1), 99- 120. Garfinkel, P. E. & Garner, D. M. (1982). Anorexia Nervosa: A multidimensional perspective. New York: Brunner/Mazel. Garner, D. M. & Garfinkel, P. E. (1980). Socio-cultural factors in the development of anorexia nervosa. Psychological Medicine, 10, 647-656. Garner, D. M., Garfinkel, P. E., Schwartz, D., & Thompson, M. (1980). Cultural expectations of thinness in women. Psychological Reports, 47, 483-491. Garner, D. M., Garfinkel, P. E., Stancer, H. C., & Moldofsky, H. (1976). Body image disturbances in anorexia nervosa and obesity. Psychosomatic Medicine 38 (5), 227- 336. Gordon, R. A. (1988). A sociocultural interpretation of the current epidemic of eating disorders. In B. J. Blinder, B. F. Chaiting, & R. Goldstein (Eds.), The eating disorders (pp. 151-163). Great Neck, N.Y.: PMA. Harrison, K. & Cantor, J. (1997). The relationship between media consumption and eating disorders. Journal of Communication, 47 (1), 40-67. Heatherton, T. F., Mahamedi, F., Striepe, M., & Field, A. E. (1997). A 10-year longitudinal study of body weight, dieting, and eating disorder symptoms. Journal of Abnormal Psychology 106 (1), 117-125 Irving, L. M. (1990). Mirror images: Effects of the standard of beauty on the self- and body-esteem of women exhibiting varying levels of bulimic symptoms. Journal of Clinical and Social Psychology 9, 230-242. Koenig, L. J. & Wasserman, E. L. (1995). Body image and dieting failure in college men and women: Examining links between depression and eating problems. Sex Roles 32 (3/4), 225-249. Levine, M. P. & Smolak, L. (1996). Media as a context for the development of disordered eating. In L. Smolak, M. P. Levine, & R. Striegel-Moore (eds.), The Developmental Psychopathology of Eating Disorders: Implications for Research, Prevention, and Treatment (pp. 235-257). Mahwah, N.J.: Lawrence Erlbaum. Levine, M.P. Smolak, L. & Hayden, H. (1994). The relation of sociocultural factors to eating attitudes and behaviors among middle school girls. Journal of Early Adolescence 14 (4), 471-490. Martz, D. M., Sturgis, E. T., Gustafson, S. B. (1996). Development and preliminary validation of the cognitive behavioral dieting scale. International Journal of Eating Disorders 19 (3), 297-309. Mitchell, J. E. & Eckert, E. D. (1987). Scope and significance of eating disorders. Journal of Consulting and Clinical Psychology 55 (5), 628-634. Myers, P. N. & Biocca, F. A. (1992). The elastic body image: The effect of television advertising and programming on body image distortions in young women. Journal of Communication 42 (3), 108-133. Nemeroff, C. J., Stein, R. I., Diehl, N. S., Smilak, K. M. (1994). From the Cleavers to the Clintons: Role choices and body orientation as reflected in magazine article content. International Journal of Eating Disorders, 16 (2) 167-176. Parham, E. S., King, S. L., Bedell, M. L., & Martersteck, S. (1986). Weight control content of women's magazines: Bias and accuracy. International Journal of Obesity, 10, 19-27. Pike, K. M., & Rodin, J. (1991). Mothers, daughters, and disordered eating. Journal of Abnormal Psychology 100, 198-204. Polivy, J. & Herman, C. P. (1985). Dieting and binging: A causal analysis. American Psychologist 40 (2), 193-201. Polivy, J. & Herman, C. P. (1987). Diagnosis and treatment of normal eating. Journal of Consulting and Clinical Psychology 55 (5), 635-644. Pyle, R. I., Mitchell, J. E., & Eckert, E. D. (1981). Bulimia: A report of 34 cases. Journal of Clinical Psychiatry 42, 60-64. Rosen, J, & Gross, J. (1987). Prevalence of weight reducing and weight gaining in adolescent girls and boys. Health Psychology 6, 131-147. Satter, E. M. (1986). Childhood eating disorders. Journal of the American Dietetic Association 86, 357-361. Shugar, G. & Krueger, S. (1995). Aggressive family communication, weight gain, and improved family eating attitudes during systemic family therapy for anorexia nervosa. International Journal of Eating Disorders, 17 (1), 23-31. Silverstein, B., Perdue, L., Peterson, B., & Kelly, E. (1986). The role of the mass media in promoting a thin standard of bodily attractiveness for women. Sex Roles, 14 (9/10), 519-532. Smith, L. L. (1985, August). Media images and the ideal body shapes: A perspective on women with an emphasis on anorexics. A paper presented at the annual meeting of the Association for Education in Journalism and Mass Communication, Memphis, TN. Smolak, L. & Striegel-Moore, R. (1996). The implications of developmental research for eating disorders. In L. Smolak, M. P. Levine, & R. Striegel-Moore (eds.), The Developmental Psychopathology of Eating Disorders: Implications for Research, Prevention, and Treatment (pp. 235-257). Mahwah, N.J.: Lawrence Erlbaum. Spitzack, C. (1990). Confessing excess. Albany: State University of New York Press. Stice, E. (1994). Review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms of action. Clinical Psychology Review 14 (7), 633-661. Stice, E., Schupak-Neuberg, E., Shaw, H. E., & Stein, R. I. (1994). Relation of media exposure to eating disorder symptomatology: An examination of mediating mechanisms. Journal of Abnormal Psychology, 103 (4), 836-840. Thomas, A. & Chess, S. (1984). Genesis and evolution of behavioral disorders: From infancy to early adult life. The American Journal of Psychiatry 141 (1). Touyz, S. W., Beumont, P. J., Collins, J. K., & Cowie, I. (1985). Body shape perception in bulimia and anorexia nervosa. International Journal of Eating Disorders 4, 259-265. Wadden, T., Brown, G., Foster, G., & Linowitz, J. (1991). Salience of weight-related worries in adolescent makes and females. International Journal of Eating Disorders 10, 407-414. Wiseman, C. V., Gray, J. J., Moismann, J. E., & Ahrens, A. H. (1990). Cultural expectations of thinness in women: An update. International Journal of Eating Disorders, 11 (1), 85-89. Table 1 Beauty and Fashion Magazine Reading Frequencies Value Frequency Percent ------------------------------------------------------------------------------- ------------ Never 0 12 2.2 Once a Year 1 33 6.1 2 to 5 Times a Year 2 73 13.5 6 to 11 Times a Year 3 98 18.1 Once a Month 4 117 21.7 2 to 4 Times a Month 5 116 21.5 5 or More Times a Month 6 91 16.9 ------------------------------------------------------------------------------- ----------- Total 540 100 Mean = 3.828 SD = 1.578 Mode = 4 Table 2 Total Magazine Reading Frequencies By Category Category Mean SD ------------------------------------------------------------------------------- - Beauty and Fashion 3.828 1.578 News and Current Events 3.761 1.601 Entertainment and Music 3.352 1.732 Religious 2.381 2.129 Health and Fitness 2.146 1.640 Sports and Leisure 1.783 1.660 Science and Nature .972 1.307 Literary .939 1.328 ------------------------------------------------------------------------------- - Scale: 0 = Never 1 = Once a Year 2 = 2 to 5 Times a Year 3 = 6 to 11 Times a Year 4 = Once a Month 5 = 2 to 4 Times a Month 6 = 5 or More Times a Month Table 3 Percentages of Text, Photos, and Advertisements Typically Read in Beauty and Fashion Magazines Category Mean SD ------------------------------------------------------------------------------- ------------- Beauty and Fashion Magazines Text 2.234 .986 Photographs 3.335 .933 Advertisements 2.117 1.037 ------------------------------------------------------------------------------- --------------- Scale: 0 = Never 1 = 25 Percent 2 = 50 Percent 3 = 75 Percent 4 = 100 Percent Table 4 Factor Analysis Motivation for Reading Beauty and Fashion Magazines Scale (a = .83) Primary Factor Loadings Subscale/Question 1 2 3 4 5 -------------------------------------------------------------------------------- ------------------------------------------------------------------------- To diet and look like the models (Loselbs) (a = .74) 1. I read beauty and fashion magazines to learn about new diet programs I might want to try. .53 4. I wish I looked like the models in the fashion and beauty magazines I read. .77 5. When I read beauty and fashion magazines, I often imagine that I can look like the models in the photographs and ads. .67 11. Reading beauty and fashion magazines motivates me to lose weight. .63 To become more popular and happy (Popular) (a = .73) 6. The models in the photographs have a happy life. .75 7. I wish my life was as exciting as the lives of the models in the photographs. .75 10. If I could look like the models in the magazines I would be more popular. .57 12. Reading beauty and fashion magazines has helped make me more popular among my friends. .48 15. My parents would be pleased if I looked more like the models in the ads and photographs in fashion and beauty magazines. .50 Primary Factor Loadings Subscale/Question 1 2 3 4 5 -------------------------------------------------------------------------------- ------------------------------------------------------------------------- For self improvement (Improve) (a = .71) 2. I read beauty and fashion magazines to help me improve my relationships with the opposite sex. .72 3. I read beauty and fashion magazines to learn what the most popular current fashions are. .52 8. I read beauty and fashion magazines to learn how I can make myself a more interesting person. .68 9. I read beauty and fashion magazines because they lift my spirits and make me feel happy. .78 For entertainment/because I am bored (Bored) (a = .48) 16. I read fashion and beauty magazines just for entertainment or for something to do. .78 17. I usually only read fashion and beauty magazines when I'm bored. .63 Models aren't like "real" people (Models) (a = .45) 13. I think the models in the photographs and ads in beauty and fashion magazines are too thin. .74 14. Most models in fashion and beauty magazines have had their appearance enhanced by cosmetic surgery or other similar medical procedures. .75 -------------------------------------------------------------------------------- --------------------------------------------------------------------------- *Questions 13, 14, 16, and 17 are reverse coded. A 5-point Likert Scale is used (1 = "strongly disagree," 2 = "disagree," 3 = "neither disagree nor agree," 4 = "agree," 5 = "strongly agree"). Table 5 Mizes Anorectic Cognitions Scale and Subscales Scores. Mean Scores for Anorectics, Psychiatric Controls, and Current Subjects -------------------------------------------------------------------------------- ---------- Psychiatric Current Anorectics* Controls* Subjects -------------------------------------------------------------------------------- ---------- TotMac 115.6 65.1 74.9 (20.5) (14.7) (22.3) Rigid 71.3 35.0 42.7 (9.7) (8.7) (13.9) Control 25.8 16.4 18.6 (2.7) (3.5) (5.9) Approve 20.4 18.6 13.5 (5.8) (5.3) (4.9) -------------------------------------------------------------------------------- ----------- *Anorectic and Psychiatric Controls scores reported by Mizes (1992). Current subjects are the respondents to this study. **Numbers in parentheses are standard deviations. Table 6 Dieting Behavior Have You dieted at least once in the past 6 months? Frequency Percent ------------------------------------------------------------------------- No 283 52.4 Yes 257 47.6 ------------------------------------------------------------------------- Total 540 100 Table 7 Dieting Behavior Are you currently on a diet? Frequency Percent ------------------------------------------------------------------------- No 419 77.6 Yes 121 22.4 ------------------------------------------------------------------------- Total 540 100 Table 9 Stepwise Discriminant Analysis of Current Dieting Behavior Using Magazine Reading Frequencies, Motivation for Reading, Preference for Text, Photos and Advertisements, Body Anxiety, MAC Scores, and Weight Assessment as Predictor Variables Function 1 -------------------------------------------------------------------------------- ---------------------------- Variable Wilk's Standardized Step Added Lambda p Coefficient -------------------------------------------------------------------------------- ---------------------------- 1 TotMac .77767 .0000 .57594 2 Assess .74361 .0000 .39593 3 BeautyF .72083 .0000 .39806 4 Loselbs .71503 .0000 .29236 5 Improve .70616 .0000 - .26227 -------------------------------------------------------------------------------- ---------------------------- Function 1 Canonical Correlation = .5421, Wilk's Lambda = .7062, df = 5, p = .0000 Eigenvalue = .4161 Group Centroids No (0) -.34706 Yes (1) 1.19446 Table 10 Classification Table Actual Group Number of Predicted Group Membership Diet Now? Cases ----------------------------------- No Yes -------------------------------------------------------------------------------- ---------------------------- Group 0 415 316 99 No 76.1% 23.9% Group 1 121 24 97 Yes 19.8% 80.2% -------------------------------------------------------------------------------- ---------------------------- Percent of "grouped" cases correctly classified: 77.05 % Table 11 Stepwise Discriminant Analysis of Dieting Behavior in Past 6 Months Using Magazine Reading Frequencies, Motivation for Reading, Preference for Text, Photos and Advertisements, Body Anxiety, MAC Scores, and Weight Assessment as Predictor Variables Function 1 -------------------------------------------------------------------------------- ---------------------------- Variable Wilk's Standardized Step Added Lambda p Coefficient -------------------------------------------------------------------------------- ---------------------------- 1 TotMac .74166 .0000 .77068 2 Assess .69863 .0000 .31484 3 BeautyF .68445 .0000 .23804 4 Anxiety .67538 .0000 .25144 5 Approve .67043 .0000 - .22591 -------------------------------------------------------------------------------- ---------------------------- Function 1 Canonical Correlation = .5741, Wilk's Lambda = .6704, df = 5, p = .0000 Eigenvalue = .4916 Group Centroids No (0) -.67024 Yes (1) .73070 Table 12 Classification Table Actual Group Number of Predicted Group Membership Diet in Past 6 Cases ----------------------------------- Months? No Yes -------------------------------------------------------------------------------- ---------------------------- Group 0 279 221 61 No 78.4% 21.6% Group 1 257 63 194 Yes 24.5% 75.5% -------------------------------------------------------------------------------- ---------------------------- Percent of "grouped" cases correctly classified: 76.99 % [1] A prinicipal components factor analysis using varimax rotation of our data, however, produced a five factor solution. An SPSS option allowed us to rerun the analysis, forcing a three-factor solution. The three factors produced by this process were nearly identical to Mizes subscales. Reliability tests produced an overall alpha of .93 and alphas above .80 for each of the three subscales. Because of this, we used the subscales identified by Mizes in our analysis.
|