An evaluation of the tripartite influence model of body dissatisfaction and eating disturbance with adolescent girls
Abstract
The Tripartite Influence Model of body image and eating disturbance proposes that three formative influences (peer, parents, and media) affect body image and eating problems through two mediational mechanisms: internalization of the thin-ideal and appearance comparison processes. The current study evaluated this model in a sample of 325 sixth through eighth grade girls. Simple path analyses indicated that internalization and comparison fully mediated the relationship between parental influence and body dissatisfaction and partially mediated the relationship between peer influence and body dissatisfaction. Additionally, internalization and comparison partially mediated the relationship between media influence and body dissatisfaction. Six a priori SEM models based on the full Tripartite Influence Model were also evaluated. A resulting model was found to be an adequate fit to the data, supporting the viability of the Tripartite Model as a useful framework for understanding processes that may predispose young women to develop body image disturbances and eating dysfunction.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Internalization, together with social comparison processes, is proposed to link societal messages of a specific body ideal to the development of body dissatisfaction.
“It is this internalization, together with social comparison processes, which are proposed to be the link between the societal message of a specific body ideal and the development of body dissatisfaction (Stice et al., 2001; Tiggemann, 2003; Keery et al., 2004; Sypeck et al., 2006; Schaefer et al., 2015).”
From The degree to which the cultural ideal is internalized predicts judgments of male and female physical attractiveness (2022) · cites this paper as Keery et al., 2004
The tripartite influence model has received widespread empirical support.
“While this model has received widespread empirical support (see Keery et al., 2004;Rodgers et al., 2015;Shroff & Thompson, 2006), the sociocultural context of girls' appearance pressures and beauty ideals has evolved over time.”
From Incorporating social media and muscular ideal internalization into the tripartite influence model of body image: Towards a modern understanding of adolescent girls’ body dissatisfaction (2022) · cites this paper as Keery et al., 2004
These results are consistent with past research, which shows that media exposure is associated with internalization of the thin ideal among adolescent girls.
“These results are consistent with past research, which shows that media exposure is associated with internalization of the thin ideal among adolescent girls (Keery et al., 2004;Shroff & Thompson, 2006).”
From Incorporating social media and muscular ideal internalization into the tripartite influence model of body image: Towards a modern understanding of adolescent girls’ body dissatisfaction (2022) · cites this paper as Keery et al., 2004
Cites
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788 · see citing works
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1173 · Cited by 91,542 · see citing works
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532 · see citing works
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
A theory of social comparison processes
Festinger, L. (1954) · Human Relations · doi:10.1177/001872675400700202 · Cited by 20,926 · see citing works
Exacting beauty: Theory, assessment, and treatment of body image disturbance.
Thompson, J. K., Heinberg, L. J., Altabe, M., & Tantleff-Dunn, S. (1999) · doi:10.1037/10312-000 · Cited by 3,100 · cited 1× · see citing works
“Additionally, the measure of internalization used inStice (2001) has been shown to index not internalization, but awareness of media images and messages (Thompson et al., 2004).”
MethodSelf-citationKraemer, H. C., Stice, E., Kazdin, A., Offord, D., & Kupfer, D. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.6.848 · Cited by 1,712 · see citing works
Bioenergetic studies in adult patients recovering from semi-starvation.
Heymsfield, S., McManus, C., Hill, J., Digirolamo, M., Nixon, D., Head, A., & Grossman, G. (1985) · PubMed · Cited by 1,410 · see citing works
Thompson, J. K., & Stice, E. M. (2001) · Current Directions in Psychological Science · doi:10.1111/1467-8721.00144 · Cited by 1,407 · see citing works
Self-citationStice, E. (2001) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.110.1.124 · Cited by 1,251 · cited 4× · see citing works
“Accordingly, researchers in the past few years have invested an enormous amount of effort in attempts to define, measure, and evaluate formative influences that may lead to the onset of such disturbances (Shisslak & Crago, 2001; Stice, 2001; Stice & Hoffman, 2004; Wertheim, Paxton, & Blaney, 2004).”
BackgroundMethodInfluentialStice, E. M. (2001) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.110.1.124 · Cited by 1,247 · see citing works
The sociocultural attitudes towards appearance scale‐3 (SATAQ‐3): Development and validation
Thompson, J. K., van den Berg, P., Roehrig, M., Guarda, Á. S., & Heinberg, L. J. (2004) · International Journal of Eating Disorders · doi:10.1002/eat.10257 · Cited by 1,178 · see citing works
Self-citationThe problem of equivalent models in applications of covariance structure analysis.
MacCallum, R. C., Wegener, D. T., Uchino, B. N., & Fabrigar, L. R. (1993) · Psychological Bulletin · doi:10.1037/0033-2909.114.1.185 · Cited by 912 · see citing works
Screening for Adolescent Depression: A Comparison of Depression Scales
ROBERTS, R. E., LEWINSOHN, P. M., & SEELEY, J. R. (1991) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199101000-00009 · Cited by 850 · see citing works
Handbook of Eating Disorders and Obesity
Herpertz, S., de Zwaan, M., & Zipfel, S. (2024) · Springer eBooks · doi:10.1007/978-3-662-67662-2 · Cited by 664 · see citing works
Field, A. E., Camargo, C. A., Taylor, C. B., Berkey, C. S., Roberts, S. B., & Colditz, G. A. (2001) · PEDIATRICS · doi:10.1542/peds.107.1.54 · Cited by 614 · see citing works
The Tripartite Influence model of body image and eating disturbance
van den Berg, P., Thompson, J. K., Obremski, K. M., & Coovert, M. D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00499-3 · Cited by 577 · see citing works
Self-citationValidity of self-report measures of girls' pubertal status
Brooks-Gunn, J., Warren, M. P., Rosso, J., & Gargiulo, J. (1987) · Child Development · doi:10.2307/1130220 · Cited by 513 · see citing works
The Relation of Sociocultural Factors to Eating Attitudes and Behaviors among Middle School Girls
Levine, M. P., Smolak, L., & Hayden‐Wade, H. A. (1994) · The Journal of Early Adolescence · doi:10.1177/0272431694014004004 · Cited by 414 · see citing works
Thompson, J. K. (2003) · Body Image · doi:10.1016/s1740-1445(03)00004-4 · Cited by 379 · see citing works
Self-citationThompson, J. K., Cattarin, J. A., Fowler, B., & Fisher, E. (1995) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6501_11 · Cited by 354 · see citing works
Self-citationThe McKnight Investigators (2003) · American Journal of Psychiatry · doi:10.1176/ajp.160.2.248 · Cited by 354 · see citing works
The Body Electric: Thin-Ideal Media and Eating Disorders in Adolescents
Harrison, K. (2000) · Journal of Communication · doi:10.1111/j.1460-2466.2000.tb02856.x · Cited by 338 · see citing works
Body image, eating disorders, and obesity in youth: assessment, prevention, and treatment
(2009) · Choice Reviews Online · doi:10.5860/choice.46-4715 · Cited by 327 · see citing works
Field, A. E., Camargo, C. A., Taylor, C. B., Berkey, C. S., & Colditz, G. A. (1999) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.153.11.1184 · Cited by 296 · see citing works
Stice, E. M., Ziemba, C., Margolis, J., & Flick, P. (1996) · Behavior Therapy · doi:10.1016/s0005-7894(96)80042-6 · Cited by 295 · see citing works
2. THE MEASUREMENT OF SELF-ESTEEM
Rosenberg, M. (1965) · Princeton University Press eBooks · doi:10.1515/9781400876136-003 · Cited by 279 · see citing works
A self-image questionnaire for young adolescents (SIQYA): Reliability and validity studies
Petersen, A. C., Schulenberg, J. E., Abramowitz, R. H., Offer, D., & Jarcho, H. D. (1984) · Journal of Youth and Adolescence · doi:10.1007/bf02089104 · Cited by 254 · see citing works
The Physical Appearance Comparison Scale
Thompson, J. K., Heinberg, L. J., & Tantleff‐Dunn, S. (1991) · Digital Commons - University of South Florida (University of South Florida) · Cited by 244 · see citing works
Self-citationInvestigation of Body Comparison Among Adolescent Girls1
Schutz, H. K., Paxton, S. J., & Wertheim, E. H. (2002) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.2002.tb00264.x · Cited by 207 · see citing works
Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment.
Thompson, J. K., & Smolak, L. (2001) · American Psychological Association eBooks · doi:10.1037/10404-000 · Cited by 203 · see citing works
Self-citationProspective predictors of the onset of anorexic and bulimic syndromes
Tyrka, A. R., Waldron, I., Graber, J. A., & Jeanne Brooks-gunn, B. (2002) · International Journal of Eating Disorders · doi:10.1002/eat.10094 · Cited by 149 · see citing works
The Yale-Brown-Cornell eating disorder scale: A new scale to assess eating disorder symptomatology
Sunday, S. R., Halmi, K. A., & Einhorn, A. M. (1995) · International Journal of Eating Disorders · doi:10.1002/1098-108x(199511)18:3 · Cited by 138 · see citing works
Santonastaso, P., Friederici, S., & Favaro, A. (1999) · Psychopathology · doi:10.1159/000029067 · Cited by 92 · see citing works
Risk and protective factors in the development of eating disorders.
Shisslak, C. M., & Crago, M. A. (2001) · American Psychological Association eBooks · doi:10.1037/10404-004 · Cited by 92 · see citing works
Elmore, D. K., & de Castro, J. M. (1990) · International Journal of Eating Disorders · doi:10.1002/1098-108x(199003)9:2 · Cited by 88 · see citing works
Binge eating before the onset of dieting: A distinct subgroup of bulimia nervosa?
Haiman, C., & Devlin, M. J. (1999) · International Journal of Eating Disorders · doi:10.1002/(sici)1098-108x(199903)25:2 · Cited by 45 · see citing works
Keery, H., Shroff, H., Thompson, J. K., Wertheim, E. H., & Smolak, L. (2004) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/bf03325046 · Cited by 45 · see citing works
Self-citationRosenberg, M. (1965) · Princeton University Press eBooks · doi:10.1515/9781400876136-009 · Cited by 24 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Holland, G., & Tiggemann, M. (2016) · Body Image · doi:10.1016/j.bodyim.2016.02.008 · Cited by 1,395 · see citing works
Neumark-Sztainer, D., Paxton, S. J., Hannan, P. J., Haines, J., & Story, M. (2006) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2005.12.001 · Cited by 1,087 · see citing works
Fardouly, J., Diedrichs, P. C., Vartanian, L. R., & Halliwell, E. (2015) · Body Image · doi:10.1016/j.bodyim.2014.12.002 · Cited by 1,009 · see citing works
Social Media and Body Image Concerns: Current Research and Future Directions
Fardouly, J., & Vartanian, L. R. (2016) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2015.09.005 · Cited by 801 · see citing works
Social comparison as a predictor of body dissatisfaction: A meta-analytic review.
Myers, T. A., & Crowther, J. H. (2009) · Journal of Abnormal Psychology · doi:10.1037/a0016763 · Cited by 730 · see citing works
Body dissatisfaction from adolescence to young adulthood: Findings from a 10-year longitudinal study
Bucchianeri, M. M., Arikian, A. J., Hannan, P. J., Eisenberg, M. E., & Neumark-Sztainer, D. (2013) · Body Image · doi:10.1016/j.bodyim.2012.09.001 · Cited by 615 · see citing works
Facebook Photo Activity Associated with Body Image Disturbance in Adolescent Girls
Meier, E. P., & Gray, J. (2014) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2013.0305 · Cited by 585 · see citing works
Fardouly, J., & Vartanian, L. R. (2015) · Body Image · doi:10.1016/j.bodyim.2014.10.004 · Cited by 522 · see citing works
Picture Perfect: The Direct Effect of Manipulated Instagram Photos on Body Image in Adolescent Girls
Kleemans, M., Daalmans, S., Carbaat, I., & Anschütz, D. (2018) · Media Psychology · doi:10.1080/15213269.2016.1257392 · Cited by 421 · see citing works
Fardouly, J., Willburger, B. K., & Vartanian, L. R. (2018) · New Media & Society · doi:10.1177/1461444817694499 · Cited by 421 · see citing works
Tylka, T. L. (2011) · Body Image · doi:10.1016/j.bodyim.2011.04.008 · Cited by 411 · see citing works
Shroff, H., & Thompson, J. K. (2006) · Body Image · doi:10.1016/j.bodyim.2005.10.004 · Cited by 403 · see citing works
Self-citationRodgers, R. F., McLean, S. A., & Paxton, S. J. (2015) · Developmental Psychology · doi:10.1037/dev0000013 · Cited by 360 · see citing works
Body Image and Health: Contemporary Perspectives
Grogan, S. (2006) · Journal of Health Psychology · doi:10.1177/1359105306065013 · Cited by 353 · see citing works
de Vries, D. A., Peter, J., de Graaf, H., & Nikken, P. (2016) · Journal of Youth and Adolescence · doi:10.1007/s10964-015-0266-4 · Cited by 320 · see citing works
The Internet and Adolescent Girls’ Weight Satisfaction and Drive for Thinness
Tiggemann, M., & Miller, J. (2010) · Sex Roles · doi:10.1007/s11199-010-9789-z · Cited by 296 · see citing works
Manago, A. M., Ward, L. M., Lemm, K. M., Reed, L., & Seabrook, R. (2015) · Sex Roles · doi:10.1007/s11199-014-0441-1 · Cited by 269 · see citing works
Burnette, C. B., Kwitowski, M. A., & Mazzeo, S. E. (2017) · Body Image · doi:10.1016/j.bodyim.2017.09.001 · Cited by 246 · see citing works
Jarman, H. K., Marques, M. D., McLean, S. A., Slater, A., & Paxton, S. J. (2021) · Body Image · doi:10.1016/j.bodyim.2020.11.005 · Cited by 214 · see citing works
Scully, M., Swords, L., & Nixon, E. (2023) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2020.93 · Cited by 156 · see citing works
A Biopsychosocial Model of Body Image Concerns and Disordered Eating in Early Adolescent Girls
Rodgers, R. F., Paxton, S. J., & McLean, S. A. (2014) · Journal of Youth and Adolescence · doi:10.1007/s10964-013-0013-7 · Cited by 154 · see citing works
Cafri, G., van den Berg, P., & Thompson, J. K. (2006) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3502_12 · Cited by 157 · see citing works
Self-citationRoberts, S. R., Maheux, A. J., Hunt, R. A., Ladd, B. A., & Choukas-Bradley, S. (2022) · Body Image · doi:10.1016/j.bodyim.2022.03.002 · Cited by 154 · see citing works
The fit beauty ideal: a healthy alternative to thinness or a wolf in sheep’s clothing?
Uhlmann, L. R., Donovan, C. L., Zimmer-Gembeck, M. J., Bell, H. S., & Ramme, R. A. (2018) · Body Image · doi:10.1016/j.bodyim.2018.01.005 · Cited by 149 · see citing works
Bonfanti, R. C., Melchiori, F., Teti, A., Albano, G., Raffard, S., Rodgers, R., & Lo Coco, G. (2025) · Body Image · doi:10.1016/j.bodyim.2024.101841 · Cited by 154 · see citing works
Predicting body appreciation in young women: An integrated model of positive body image
Andrew, R., Tiggemann, M., & Clark, L. (2016) · Body Image · doi:10.1016/j.bodyim.2016.04.003 · Cited by 136 · see citing works
Fatt, S. J., Fardouly, J., & Rapee, R. M. (2019) · New Media & Society · doi:10.1177/1461444818821064 · Cited by 136 · see citing works
Jarman, H. K., Marques, M. D., McLean, S. A., Slater, A., & Paxton, S. J. (2021) · Journal of Youth and Adolescence · doi:10.1007/s10964-020-01390-z · Cited by 121 · see citing works
Rodgers, R. F. (2016) · Adolescent Research Review · doi:10.1007/s40894-015-0017-5 · Cited by 112 · see citing works
Burke, N. L., Schaefer, L. M., Karvay, Y. G., Bardone-Cone, A. M., Frederick, D. A., Schaumberg, K., Klump, K. L., Anderson, D. A., & Thompson, J. K. (2021) · Eating Behaviors · doi:10.1016/j.eatbeh.2021.101519 · Cited by 87 · see citing works
Self-citationYang, H., Wang, J. J., Tng, G. Y. Q., & Yang, S. (2020) · Children · doi:10.3390/children7090148 · Cited by 81 · see citing works
“As has been demonstrated, it is reasonable to believe that frequent exposure to and engagement with such social media content and other smartphone activities likely foster adolescent girls to internalize and aspire to thin ideals [10,41] and, as a result, adjust their attitudes and behaviors in unwholesome ways in ord…”
BackgroundGordon, C. S., Rodgers, R. F., Slater, A. E., McLean, S. A., Jarman, H. K., & Paxton, S. J. (2020) · Body Image · doi:10.1016/j.bodyim.2020.02.003 · Cited by 79 · see citing works
Webb, H. J., Zimmer‐Gembeck, M. J., Waters, A. M., Farrell, L. J., Nesdale, D., & Downey, G. (2017) · Journal of Research on Adolescence · doi:10.1111/jora.12310 · Cited by 77 · see citing works
Mills, J. S., Minister, C., & Samson, L. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.983534 · Cited by 61 · see citing works
Maes, C., Trekels, J., Tylka, T. L., & Vandenbosch, L. (2021) · Body Image · doi:10.1016/j.bodyim.2021.05.004 · Cited by 52 · see citing works
Jarman, H. K., McLean, S. A., Slater, A., Marques, M. D., & Paxton, S. J. (2024) · New Media & Society · doi:10.1177/14614448211058468 · Cited by 53 · see citing works
Kim, M., & Park, W. (2016) · The Social Science Journal · doi:10.1016/j.soscij.2016.08.007 · Cited by 33 · see citing works
Skowronski, M., Busching, R., & Krahé, B. (2021) · Sex Roles · doi:10.1007/s11199-020-01187-1 · Cited by 27 · see citing works
Vartanian, L. R., Hayward, L. E., & Carter, J. J. (2023) · Self and Identity · doi:10.1080/15298868.2022.2070538 · Cited by 21 · see citing works
Is Fitspiration the Healthy Internet Trend It Claims to Be? A British Students’ Case Study.
Limniou, M., Mahoney, C., & Knox, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18041837 · Cited by 15 · see citing works
Ridley, B. J., Cornelissen, P. L., Maalin, N., Mohamed, S., Kramer, R. S. S., McCarty, K., & Tovée, M. J. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.980277 · Cited by 15 · see citing works
“It is this internalization, together with social comparison processes, which are proposed to be the link between the societal message of a specific body ideal and the development of body dissatisfaction (Stice et al., 2001; Tiggemann, 2003; Keery et al., 2004; Sypeck et al., 2006; Schaefer et al., 2015).”
BackgroundKvardova, N., Machackova, H., Maes, C., & Vandenbosch, L. (2025) · Journal of Youth and Adolescence · doi:10.1007/s10964-025-02159-y · Cited by 11 · see citing works
“While ample research demonstrates this for traditional media (Keery, Van Den Berg, et al., 2004; Lovering et al., 2018; Rodgers et al., 2011), a sequential order in these mediating variables can occur for social media.”
Zhang, W., Duan, R., Li, H., Fang, Y., Zhao, W., Wan, F., & Fan, J. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1805798
- Authors
- Keery, H., van den Berg, P., & Thompson, J. K.
- Affiliations
- University of Minnesota (US)
- University of South Florida (US)
- Corresponding author
- Thompson, J.Kevin
- ORCID
- Thompson, J.Kevin
- Venue
- Body Image
- Publisher
- Elsevier BV
- Published
- 2004-09
- Volume
- 1
- Issue
- 3
- Pages
- 237-251
- ISSN
- 1740-1445 (ISSN-L)
- OpenAlex
- W2019461812
- Cited by
- 815
- References
- 40
- Citations by year
- 2026: 52 · 2025: 47 · 2024: 54 · 2023: 49 · 2022: 58 · 2021: 88 · 2020: 45 · 2019: 31 · 2018: 27 · 2017: 31 · 2016: 47 · 2015: 48 · 2014: 41 · 2013: 48 · 2012: 25
- FWCI
- 12.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Body Image (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - University of South Florida (University of South Florida) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- Tripartite Influence Model, body dissatisfaction, disordered eating, adolescent girls, thin-ideal internalization, appearance comparison, parental influence, peer influence, media influence, mediation, eating disorder risk
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review