Cited by 390Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

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Psychosocial risk factors for eating disorders

Keel, Pamela K., Forney, K. Jean·2013·International Journal of Eating Disorders

DOI 10.1002/eat.22094

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Abstract

OBJECTIVE: One goal in identifying psychosocial risk factors is to discover opportunities for intervention. The purpose of this review is to examine psychosocial risk factors for disordered eating, placing research findings in the larger context of how etiological models for eating disorders can be transformed into models for intervention. METHOD: A qualitative literature review was conducted focusing on psychological and social factors that increase the risk for developing eating disorders, with an emphasis on well-replicated findings from prospective longitudinal studies. RESULTS: Epidemiological, cross-cultural, and longitudinal studies underscore the importance of the idealization of thinness and resulting weight concerns as psychosocial risk factors for eating disorders. Personality factors such as negative emotionality and perfectionism contribute to the development of eating disorders but may do so indirectly by increasing susceptibility to internalize the thin ideal or by influencing selection of peer environment. During adolescence, peers represent self-selected environments that influence risk. DISCUSSION: Peer context may represent a key opportunity for intervention, as peer groups represent the nexus in which individual differences in psychological risk factors shape the social environment and social environment shapes psychological risk factors. Thus, peer-based interventions that challenge internalization of the thin ideal can protect against the development of eating pathology.

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Authors: Keel, P. K., & Forney, K. J.
Affiliations: Florida State University (US)
ORCID: Keel, Pamela K.
Forney, K. Jean
Venue: International Journal of Eating Disorders
Publisher: Wiley
Published: 2013-05-09
Volume: 46
Issue: 5
Pages: 433-439
ISSN: 0276-3478 (ISSN-L)
1098-108X
DOI: 10.1002/eat.22094
OpenAlex: W2162083463
Cited by: 390
References: 38
Citations by year: 2026: 22 · 2025: 19 · 2024: 24 · 2023: 45 · 2022: 33 · 2021: 27 · 2020: 79 · 2019: 21 · 2018: 17 · 2017: 21 · 2016: 17 · 2015: 35 · 2014: 26 · 2013: 4
FWCI: 4.03
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: International Journal of Eating Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords: eating disorders, psychosocial risk factors, thin ideal, weight concern, negative affectivity, perfectionism, peer influence, adolescent peer groups, peer intervention, etiological models, intervention model
MeSH terms: Adolescent, Feeding and Eating Disorders, Body Image, Culture, Humans, Peer Group, Risk Factors, Social Environment, Thinness, Body Mass Index

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