Cited by 1,251Eating Disorders and BehaviorsNutrition, Health and Food BehaviorBody Image and Dysmorphia Studies

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A prospective test of the dual pathway model of bulimic pathology: mediating effects of dieting and negative affect

Stice, Eric·2001·Journal of Abnormal Psychology

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Abstract

Because there have been few longitudinal investigations of integrative etiological theories of bulimia nervosa, this study prospectively tested the dual-pathway model using random regression growth curve models and data from a 3-wave community sample of adolescent girls (N = 231). Initial pressure to be thin and thin-ideal internalization predicted subsequent growth in body dissatisfaction, initial body dissatisfaction predicted growth in dieting and negative affect, and initial dieting and negative affect predicted growth in bulimic symptoms. There was prospective evidence for most of the hypothesized mediational effects. Results are consistent with the assertion that pressure to be thin, thin-ideal internalization, body dissatisfaction, dieting, and negative affect are risk factors for bulimic pathology and provide support for the dual-pathway model.

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“(Baek, 2018; Kim, 2006; Lee, 2013; Ma & Cho, 2022; Sin, 2018 많았으며 (Cho & Park, 2013; Jang & Chang, 2021; Stice, 2001), 다양한 외모관리행동에 미 치는 영향을 다룬 연구는 상대적으로 부족한 실정이다 (Kang, 2017).”
Function Over Form: A Longitudinal Study of Predictors and Mediation Pathways for Disordered Eating in Elite Athletes
Fatt, S. J., Hay, P., George, E. S., JEACOCKE, N. A., Rogers, K. D., & Mitchison, D. (2025) · Sports Medicine - Open · doi:10.1186/s40798-025-00920-y · Cited by 1
“For example, Stice’s [12] dual-pathway model theorised that the internalisation of societal appearance-ideals leads to disordered eating through body dissatisfaction.”
Eating and Substance Use: A Comparison of Latter-day Saint and Non-Latter-day Saint College Females
Sandberg, M. (2007) · ScholarsArchive (Brigham Young University) · Cited by 1
Investigating the Effects of Obesity Prevention Campaigns
Simpson, C. C. (2015) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/vrb1-ej26 · Cited by 1
“9 linked with overeating or binge eating, resulting in weight gain over time (Stice, 2001).”
BackgroundResult
Preventing Weight Gain in First Year College Students: An Internet-based Intervention
Gow, R. W. (2008) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/bknj-kh45 · Cited by 1
“However, Stice et al.’s (2006) meta-analysis found that program delivery by a trained professional was not”
BackgroundResultInfluential
The development and pilot testing of a school-based prevention programme for eating disorders
Sharpe, H. (2013) · UPT. Syiah Kuala University Library (Syiah Kuala University) · Cited by 1
MULTILOCUS DOPAMINE GENE VARIATION, REWARD SENSITIVITY, AND ABERRANT EATING
Donofry, S. D. (2014) · D-Scholarship@Pitt (University of Pittsburgh) · Cited by 1
The relationships between alexithymia, perfectionism, selfesteem, ethnicity and body image disturbance
Kantack, W. A. (2014) · Cited by 1
The Effect of Personality Style and Emotion Dysregulation on Female Adolescents' Eating Attitude : A Comparison between Different Body Mass Index(BMI) Groups
Jo, H.-J., & Kim, J. M. (2015) · 한국가정관리학회지 · doi:10.7466/jkhma.2015.33.5.55 · Cited by 1
“여자 청소년의 경우 2차 성징에 따른 지방층의 증가는 신체 불만족을 더욱 부추겨(S. Chaung & J. Park, 1997; R. J. Hazler & E. A. Mellin, 2004), 음식물 섭취의 지나친 제한, 과도한 운동, 하제 사용 등의 이상 섭식행동을 일으키는 요인이 될 수 있다(M. Fyler, J. Schumacher, J. Banning, & H. J. Gam, 2014; E. Stice, 2001; 2002; T. L. Tylka, 2004).”
Relationship among Eating Behavior, Effortful Control, and Working Memory in Female Young Adults
Momoi, K., Ohara, K., Okita, Y., Mase, T., Miyawaki, C., Fujitani, T., & Nakamura, H. (2016) · Health · doi:10.4236/health.2016.812122 · Cited by 1
“Research has shown that effortful control is related to eating pathology [3]-[5].”
Background
The Role Of Expectancies In Binge Eating Behavior
LaRose, J. G. (2006) · Journal of International Crisis and Risk Communication Research · Cited by 1
Problems Related to Eating, Nutrition, and Body Image
Modica, C. A. (2018) · Principles of specialty nursing · doi:10.1007/978-3-319-31772-4_31 · Cited by 1
Conference proceedings of the 4th Masterclass Psychiatry: Transcultural Psychiatry – Diagnostics and Treatment, Luleå, Sweden, 22–23 February 2018 (Region Norrbotten in collaboration with the Maudsley Hospital and Tavistock Clinic London)
Werneke, U. (2018) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2018.1481525 · Cited by 1
Retracted
Sex, Gender, and Intelligence
Halpern, D. F., Flores-Mendoza, C. E., & Rindermann, H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108561716.014 · Cited by 2
Nadhmotnosť a obezita u vysokoškolákov. Vybrané aspekty životného štýlu a psychiky.
Zusková, K., Buková, A., Bakalár, P., Brtková, M., Kůchelová, Z., & Hančová, M. (2020) · Univerzita Pavla Jozefa Šafárika v Košiciach - Vydavateľstvo ŠafárikPress eBooks · doi:10.33542/nao2020-905-4 · Cited by 2
The Impact of Eating Disorders and Self-Disorders on Women’s Behavior in Kuwait
Al-Tayyar, H., & Al-Khalidi, N. K. (2022) · Journal of Behavioral and Brain Science · doi:10.4236/jbbs.2022.124006 · Cited by 1
“Thin ideal internalization has a key role in the development of eating pathology, according to the dual pathway model [1], and the tripartite influence model [2], the degree to which one buys into and connects with the value of being thin, and so presents thinness and its pursuit as important to one’s sense of self, i…”
Background
Examining the structure of eating pathology through scale construction
Forbush, K. T., O’Hara, M. W., Watson, D., Bowers, W. A., Clark, L. A., & Markon, K. (2011) · doi:10.17077/etd.dglbotob · Cited by 1
“…Martinez (2004) found that the EDE symptom composite score correlated .50 with diagnoses of DSM-IV depression, but only .40 with the Ideal-Body Stereotype Scale – Revised (Stice, 2001) and .46 with the Satisfaction and Dissatisfaction with Body Parts Scale (Berscheid, Walster, & Bohrnstedt, 1973).”
Method
Peer Risk Factors and Eating Disorders
Lunde, C., & Frisén, A. (2015) · Wiley eBooks · doi:10.1002/9781118574089.ch31 · Cited by 1
Beloved bodies & forbidden Foods : media influence on body image and food intake
Anschütz, D. J. (2011) · Radboud Repository (Radboud University) · Cited by 1
A test of an etiological model: The development of disordered eating in Division-I university female gymnasts and swimmers/divers.
Anderson, C. M. (2009) · doi:10.12794/metadc12073 · Cited by 1
Testing a Comprehensive Model of Muscle Dysmorphia Symptomatology in a Nonclinical Sample of Men
Woodruff, E. J. (2012) · University of North Texas Digital Library (University of North Texas) · doi:10.12794/metadc149688 · Cited by 1
“…disturbances in women is well-established (e.g., Ogden & Mundray, 1996; Stice, 2002; Stice, Schupak-Neuberg, Shaw, & Stein, 1994; StriegelMoore et al., 1986; Thompson & Stice, 2001), less is known about the relationship of these variables to MD symptomatology or other EEBI disturbances among men.”
Background

Authors: Stice, E.
Affiliations: The University of Texas at Austin (US)
Corresponding author: Stice, Eric
ORCID: Stice, Eric
Venue: Journal of Abnormal Psychology
Publisher: American Psychological Association (APA)
Published: 2001-02
Volume: 110
Issue: 1
Pages: 124-135
ISSN: 0021-843X (ISSN-L)
1939-1846
DOI: 10.1037/0021-843x.110.1.124
OpenAlex: W2097312669
Cited by: 1,251
References: 87
Citations by year: 2026: 33 · 2025: 38 · 2024: 44 · 2023: 57 · 2022: 54 · 2021: 48 · 2020: 88 · 2019: 46 · 2018: 47 · 2017: 58 · 2016: 47 · 2015: 87 · 2014: 80 · 2013: 67 · 2012: 76
FWCI: 23.64
Type: journal article
Language: en
Open access: closed
Locations: Journal of Abnormal Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (MH-19908, MH 01708, K01MH001708, T32MH019908)
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: bulimia nervosa, dual-pathway model, dieting, negative affect, body dissatisfaction, thin-ideal internalization, adolescent girls, bulimic symptoms, mediation
MeSH terms: Adolescent, Affect, Body Image, Bulimia, Feeding Behavior, Female, Humans, Internal-External Control, Models, Psychological, Prospective Studies, Psychiatric Status Rating Scales, Regression Analysis, Social Conformity, Body Mass Index

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A prospective test of the dual pathway model of bulimic pathology: mediating effects of dieting and negative affect

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