Associations between Family Weight-Based Teasing, Eating Pathology, and Psychosocial Functioning among Adolescent Military Dependents

Abstract

Weight-based teasing (WBT) by family members is commonly reported among youth and is associated with eating and mood-related psychopathology. Military dependents may be particularly vulnerable to family WBT and its sequelae due to factors associated with their parents’ careers, such as weight and fitness standards and an emphasis on maintaining one’s military appearance; however, no studies to date have examined family WBT and its associations within this population. Therefore, adolescent military dependents at-risk for adult obesity and binge-eating disorder were studied prior to entry in a weight gain prevention trial. Youth completed items from the Weight-Based Victimization Scale (to assess WBT by parents and/or siblings) and measures of psychosocial functioning, including the Beck Depression Inventory-II, The Rosenberg Self-Esteem Scale, and the Social Adjustment Scale. Eating pathology was assessed via the Eating Disorder Examination interview, and height and fasting weight were measured to calculate BMIz. Analyses of covariance, adjusting for relevant covariates including BMIz, were conducted to assess relationships between family WBT, eating pathology, and psychosocial functioning. Participants were 128 adolescent military dependents (mean age: 14.35 years old, 54% female, 42% non-Hispanic White, mean BMIz: 1.95). Nearly half the sample (47.7%) reported family WBT. Adjusting for covariates, including BMIz, family WBT was associated with greater eating pathology, poorer social functioning and self-esteem, and more depressive symptoms (ps ≤ 0.02). Among military dependents with overweight and obesity, family WBT is prevalent and may be linked with eating pathology and impaired psychosocial functioning; prospective research is needed to elucidate the temporal nature of these associations.

Document Details

Document Type
Pub Defense Publication
Publication Date
Dec 18, 2019
Source ID
10.3390/ijerph17010024

Entities

People

  • Arielle T. Pearlman
  • Dakota Gillmore
  • David Klein
  • Denise E Wilfley
  • Jason M. Lavender
  • Jeffrey D. Quinlan
  • Kathrin Hennigan
  • Lisa M Shank
  • M. K. Higgins Neyland
  • Marian Tanofsky-Kraff
  • Mark Stephens
  • Natasha A Schvey
  • Natasha L Burke
  • Rachel Schindler
  • Sarah Jorgensen
  • Senait Solomon
  • Tracy Sbrocco
  • William Leu

Organizations

  • Defense Health Agency
  • National Institute of Diabetes and Digestive and Kidney Diseases

Tags

Fields of Study

  • Medicine
  • Psychology

Readers

  • Gender and Food Studies
  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.