Objectification theory asserts that poor interoceptive awareness and features of anxiety, such as social anxiety, may be two potential mechanisms that place women at risk for both eating disorders and depression. Existing research supports this theory; however, few studies have examined the extent to which these two constructs may serve as mediators in the relationship between self-objectification and eating disorder symptoms and/or depression. Therefore, the current study evaluated the potential mediational roles of interoceptive awareness and social anxiety using the nonparametric bootstrapping procedure for multiple mediation. College-aged women (N = 214) completed self-report measures assessing self-objectification, disordered eating, depression, interoceptive awareness, and social anxiety. Results indicate that both interoceptive awareness and social anxiety are significant mediators in the relationship between self-objectification and eating disorder symptoms and depression. These findings lend further support to objectification theory and contribute to a greater understanding of the etiological underpinnings of eating disorders and depression in women. Practice implications of these results suggest that targeting both self-objectifying and socially anxious behaviors and cognitions may be an important component for reducing vulnerability to disordered eating.
AhernA. L.HetheringtonM. M. (2006). The thin ideal and body image: An experimental study of implicit attitudes. Psychology of Addictive Behaviors, 20, 338–342.
2.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Rev.). Washington, DC: Author.
3.
AnestisM. D.PetersonC. B.Bardone-ConeA. M.KleinM. H.MitchellJ. E.CrosbyR. D.JoinerT. E. (2009). Affective lability and impulsivity in a clinical sample of women with bulimia nervosa: The role of affect in severely dysregulated behavior. International Journal of Eating Disorders, 42, 259–266.
4.
AustinS. (2000). Prevention research in eating disorders: Theory and new directions. Psychological Medicine, 30, 1249–1262.
5.
BaronR.KennyD. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
6.
BeckA. T.SteerR. A. (1984). Internal consistencies of the original and revised Beck Depression Inventory. Journal of Clinical Psychology, 40, 1365–1367.
7.
BeckA. T.SteerR. A.BrownG. K. (1996). Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
8.
BulikC. M.SullivanP. F.FearJ. L.JoyceP. R. (1997). Eating disorders and antecedent anxiety disorders: A controlled study. Acta Psychiatrica Scandanavia, 96, 101–107.
9.
CalogeroR. M. (2004). A test of objectification theory: The effect of the male gaze on appearance concerns in college women. Psychology of Women Quarterly, 28, 16–21.
10.
CalogeroR. M.DavisW. N.ThompsonJ. K. (2005). The role of self-objectification in the experience of women with eating disorders. Sex Roles, 52, 43–50.
11.
CitrinL. B.RobertsT. A.FredricksonB. L. (2004). Objectification theory and emotions: A feminist psychological perspective on gendered affect. In TiedensL. Z.LeachC. W. (Eds.), The social life of emotions (pp. 203–223). Cambridge, UK: Cambridge University Press.
12.
CollinsK. A.WestraH. A.DozoisD. J. A.StewartS. H. (2005). The validity of the brief version of the Fear of Negative Evaluation Scale. Anxiety Disorders, 19, 345–359.
13.
DukeD.KrishnanM.FaithM.StorchE. A. (2006). The psychometric properties of the Brief Fear of Negative Evaluation Scale. Anxiety Disorders, 20, 807–817.
14.
FairburnC. G.CooperZ.DollH. A.O’ConnorM. E.BohnK.HawkerD. M.PalmerR. L. (2000). Transdiagnostic cognitive-behavioral therapy for patients with eating disorders: A two-site trial with 60-week follow-up. American Journal of Psychiatry, 166, 311–319.
15.
FredricksonB. L.RobertsT. (1997). Objectification theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21, 173–206.
16.
FredricksonB. L.RobertsT.NollS. M.QuinnD. M.TwengeJ. M. (1998). That swimsuit becomes you: Sex differences in self-objectification, restrained eating, and math performance. Journal of Personality and Social Psychology, 75, 269–284.
17.
GarnerD. M. (2004). Eating Disorder Inventory – Third Edition referral manual. Odessa, FL: Psychological Assessment Resources, Inc.
18.
GodartN. T.FlamentM. F.CurtF.PerdereauF.LangF.VenisseJ. L.FermanianJ. (2003). Anxiety disorders in subjects seeking treatment for eating disorders: A DSM-IV controlled study. Psychiatry Research, 117, 245–258.
19.
GreenleafC.McGreerR. (2006). Disordered eating attitudes and self-objectification among physically active and sedentary female college students. The Journal of Psychology: Interdisciplinary and Applied, 140, 187–198.
20.
HawkinsN.RichardsP. S.Mac GranleyH.SteinD. M. (2004). The impact of exposure to the thin-ideal media image on women. Eating Disorders, 12, 35–50.
21.
HinrichsenH.WallerG.van GerkoK. (2004). Social anxiety and agoraphobia in the eating disorders: Associations with eating attitudes and behaviours. Eating Behaviors, 5, 285–290.
22.
HinrichsenH.WrightF.WallerG.MeyerC. (2003). Social anxiety and coping strategies in the eating disorders. Eating Behaviors, 4, 117–126.
23.
HoekH. W. (2006). Incidence, prevalence and mortality of anorexia nervosa and other eating disorders. Current Opinion in Psychiatry, 19, 389–394.
24.
HoganE. M.McReynoldsC. J. (2004). An overview of anorexia nervosa, bulimia nervosa, and binge eating disorders: Implications for rehabilitation professionals. Journal of Applied Rehabilitation Counseling, 35, 26–34.
25.
HonkalampiK.HintikkaJ.TanskanenA.LehtonenJ.ViinamäkiH. (2000). Depression is strongly associated with alexithymia in the general population. Journal of Psychosomatic Research, 48, 99–104.
26.
HudsonJ. I.HiripiE.PopeH. G.KesslerR. C. (2007). The prevalence and correlates of eating disorders in the national comorbidity survey replication. Biological Psychiatry, 61, 348–358.
27.
KuehnerC. (2003). Gender differences in unipolar depression: An update of epidemiological findings and possible explanations. Acta Psyhiatrica Scandanavia, 108, 163–174.
28.
LearyM. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371–375.
29.
LeonG. R.FulkersonJ. A.PerryC. L.CudeckR. (1993). Personality and behavioral vulnerabilities associated with risk status for eating disorders in adolescent girls. Journal of Abnormal Psychology, 102, 438–444.
30.
LeonG. R.FulkersonJ. A.PerryC. L.Early-ZaldM. B. (1995). Prospective analysis of personality and behavioral vulnerabilities and gender influences in the later development of disordered eating. Journal of Abnormal Psychology, 104, 140–149.
31.
MallinckrodtB.AbrahamW. T.WeiM.RussellD. W. (2006). Advances in testing the statistical significance of mediation effects. Journal of Counseling Psychology, 53, 372–378.
32.
MarcusS. M.YoungE. A.KerberK. B.KornsteinS.FarabaughA. H.MitchellJ.RushA. J. (2005). Gender differences in depression: Findings from the STAR*D study. Journal of Affective Disorders, 87, 141–150.
33.
MillerL. C.MurphyR.BussA. H. (1981). Consciousness of body: Private and public. Journal of Personality and Social Psychology, 41, 397–406.
34.
MoradiB.HuangY.-P. (2008). Objectification theory and psychology of women: A decade of advances and future directions. Psychology of Women Quarterly, 32, 377–398.
35.
MuehlenkampJ. J.Saris-BaglamaR. (2002). Self-objectification and its psychological outcomes for college women. Psychology of Women Quarterly, 26, 371–379.
36.
MyersT. A.CrowtherJ. H. (2008). Is self-objectification related to interoceptive awareness? An examination of potential mediating pathways to disordered eating attitudes. Psychology of Women Quarterly, 32, 172–180.
37.
NollS. M.FredricksonB. L. (1998). A mediational model linking self-objectification, body shame, and disordered eating. Psychology of Women Quarterly, 22, 623–636.
38.
OhayonM. M.SchatzbergA. F. (2010). Social phobia and depression: Prevalence and comorbidity. Journal of Psychosomatic Research, 68, 235–243.
39.
ParkerG.RoyK.EyersK. (2003). Cognitive behavior therapy for depression? Choose horses for courses. American Journal of Psychiatry, 160, 825–834.
40.
PiranN.CormierH. C. (2005). The social construction of women and disordered eating patterns. Journal of Counseling Psychology, 52, 549–558.
41.
PreacherK. J.HayesA. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36, 717–731.
42.
PreacherK. J.HayesA. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
43.
SchwalbergM. D.BarlowD. H.AlgerS. A.HowardL. J. (1992). Comparison of bulimics, obese binge eaters, social phobics, and individuals with panic disorder on comorbidity across DSM-III-R anxiety disorders. Journal of Abnormal Psychology, 101, 675–681.
44.
ShapiroJ. R.BerkmanN. D.BrownleyK. A.SedwayJ. A.LohrK. N.BulikC. M. (2007). Bulimia nervosa treatment: A systematic review of randomized controlled trials. International Journal of Eating Disorders, 40, 321–336.
45.
ShepherdR-M.EdelmanR. J. (2009). The interrelationship of social anxiety with anxiety, depression, locus of control, ways of coping, and ego strength amongst university students. College Quarterly, 12, 13–17.
46.
ShieldsS. A.MalloryM. E.SimonA. S. (1989). The body awareness questionnaire: Reliability and validity. Journal of Personality Assessment, 53, 802–815.
47.
ShroutP. E.BolgerN. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422–445.
48.
SimL.ZemanJ. (2004). Emotion awareness and identification skills in adolescent girls with bulimia nervosa. Journal of Clinical Child and Adolescent Psychology, 33, 760–771.
49.
SlaterA.TiggemannM. (2002). A test of objectification theory in adolescent girls. Sex Roles, 46, 343–349.
50.
SperanzaM.CorcosM.LoasG.StéphanP.GuilbaudO.Perez-DiazF.JeammetP. (2005). Depressive personality dimensions and alexithymia in eating disorders. Psychiatry Research, 135, 153–163.
51.
SpoorS. T.BekkerM. H.Van HeckG. L.CroonM. A. (2005). Inner body and outward appearance: The relationships between appearance orientation, eating disorder symptoms, and internal body awareness. Eating Disorders, 13, 479–490.
52.
SteerR. A.ClarkD. A. (1997). Psychometric characteristics of the Beck Depression Inventory-II with college students. Measurement and Evaluation in Counseling and Development, 30, 128–136.
53.
StorchE. A.RobertiJ. W.RothD. A. (2004). Factor structure, concurrent validity, and internal consistency of the Beck Depression Inventory—Second Edition in a sample of college students. Depression and Anxiety, 19, 187–189.
54.
SyskoR. S.DevlinM. J.WalshB. T.ZimmerliE.KissileffH. R. (2007). Satiety and test meal intake among women with binge eating disorder. International Journal of Eating Disorders, 40, 554–561.
55.
SzymanskiD. M.HenningS. L. (2007). The role of self-objectification in women’s depression: A test of objectification theory. Sex Roles, 56, 45–53.
56.
TiggemannM.KuringJ. K. (2004). The role of body objectification in disordered eating and depressed mood. British Journal of Clinical Psychology, 43, 299–311.
57.
TiggemannM.LynchJ. (2001). Body image across the life span in adult women: The role of self-objectification. Developmental Psychology, 37, 243–253.
58.
TiggemannM.SlaterA. (2001). A test of objectification theory in former dancers and non dancers. Psychology of Women Quarterly, 25, 57–64.
59.
TylkaT. L.HillM. S. (2004). Objectification theory as it relates to disordered eating among college women. Sex Roles, 51, 719–730.
60.
U.S. Department of Health and Human Services. (2000). The practical guide identification, evaluation, and treatment of overweight and obesity in adults. (00-4084). Washington, DC: U.S. Government Printing Office.
61.
WonderlichS. A.EngelS. G.PetersonC. B.RobinsonM. D.CrosbyR. D.MitchellJ. E.SimonichH. K. (2008). Examining the conceptual model of integrative cognitive-affective therapy for BN: Two assessment studies. International Journal of Eating Disorders, 41, 748–754.
