Development and aetiology of body dissatisfaction in adolescent boys and girls

Dion, Jacinthe; Blackburn, Marie-Eve; Auclair, Julie; Laberge, Luc; Veillette, Suzanne; Gaudreault, Marco; Vachon, Patrick; Perron, Michel; Touchette, Évelyne

doi:10.1080/02673843.2014.985320

Cited by 141Eating Disorders and BehaviorsBody Image and Dysmorphia StudiesNutrition, Health and Food Behavior

Development and aetiology of body dissatisfaction in adolescent boys and girls

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Dion, Jacinthe, Blackburn, Marie-Eve, Auclair, Julie, Laberge, Luc, Veillette, Suzanne, Gaudreault, Marco, Vachon, Patrick, Perron, Michel +1 more·2015·International Journal of Adolescence and Youth

DOI 10.1080/02673843.2014.985320PMC PMC4391290

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Abstract

between the ages of 14 and 18, and to identify factors associated with BD at age 18, among 413 adolescents. Between the ages of 14 and 18, the proportion of girls wanting to be thinner increased, although it remained unchanged among boys. A ratio of 1:2 girls and 1:5 boys reported having seriously tried to lose weight. Factors associated with BD in girls at age 18 were (1) wanting to be thinner, (2) body mass index (BMI), (3) weight control behaviours and (4) negative comments about weight. Factors associated with BD in boys at age 18 were (1) wanting to be thinner or bigger, (2) BMI, (3) having experienced sexual intercourse and (4) negative comments about weight. The high prevalence of BD and weight-related concerns suggest a need for early interventions.

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Dion et al. found a greater prevalence of body dissatisfaction (wanting to be thinner) in females from age 14 to 18.
“Dion et al. [24] found a greater prevalence of body dissatisfaction (wanting to be thinner) in females from age 14 to 18.”
From Effects of Social Media and Smartphone Use on Body Esteem in Female Adolescents: Testing a Cognitive and Affective Model (2020) · cites this paper as [24]

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Background
Obesity in Adolescents
Kelly, A. S., Armstrong, S., Michalsky, M. P., & Fox, C. K. (2024) · JAMA · doi:10.1001/jama.2024.11809 · Cited by 156 · see citing works
Body Image Dissatisfaction and Anxiety Trajectories During Adolescence
Vannucci, A., & Ohannessian, C. M. (2017) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2017.1390755 · Cited by 133 · see citing works
“Body image dissatisfaction is common among adolescents, with prevalence rates ranging from 30% to 80% (Dion et al., 2015).”
Background
Insatisfação com a imagem corporal e fatores associados em adolescentes
de Carvalho, G. X., Nunes, A. P. N., de Moraes, C. L., & da Veiga, G. V. (2020) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232020257.27452018 · Cited by 101 · see citing works
“Dieting and unhealthy weight control behaviors during adolescence: Do they predict changes in weight ten years later? J Adolesc Health 2012; 50(1):80-86.”
BackgroundMethodInfluential
Body image dissatisfaction and its determinants among young primary-school adolescents
Latiff, A. A., Muhamad, J., & Rahman, R. A. (2017) · Journal of Taibah University Medical Sciences · doi:10.1016/j.jtumed.2017.07.003 · Cited by 94 · see citing works
Correlates of Body Dissatisfaction in Children.
Dion, J., Hains, J., Vachon, P., Plouffe, J., Laberge, L., Perron, M., McDuff, P., Kalinova, É., & Leone, M. (2016) · Jornal de Pediatria · doi:10.1016/j.jpeds.2015.12.045 · Cited by 83 · see citing works
Normative body image development: A longitudinal meta-analysis of mean-level change
Lacroix, E., Smith, A. J., Incé A. Husain, Orth, U., & von Ranson, K. M. (2023) · Body Image · doi:10.1016/j.bodyim.2023.03.003 · Cited by 94 · see citing works
Effects of Social Media and Smartphone Use on Body Esteem in Female Adolescents: Testing a Cognitive and Affective Model
Yang, H., Wang, J. J., Tng, G. Y. Q., & Yang, S. (2020) · Children · doi:10.3390/children7090148 · Cited by 81 · see citing works
“[24] found a greater prevalence of body dissatisfaction (wanting to be thinner) in females from age 14 to 18.”
Background
Body dissatisfaction in adolescent boys.
Baker, J. H., Neyland, M. K. H., Thornton, L. M., Runfola, C. D., Larsson, H., Lichtenstein, P., & Bulik, C. M. (2019) · Developmental Psychology · doi:10.1037/dev0000724 · Cited by 75 · see citing works
“Body dissatisfaction tends to onset during adolescence; it has been estimated that 49% to 84% of adolescents experience body dissatisfaction (Dion et al., 2015), with this dissatisfaction increasing over time (Bucchianeri, Arikian, Hannan, Eisenberg, & Neumark-Sztainer, 2013).”
Background
Prevalence of body weight dissatisfaction among adolescents: a systematic review
Martini, M. C. S., de Assumpção, D., Barros, M. B. D. A., Mattei, J., & Filho, A. D. A. B. (2022) · Revista Paulista de Pediatria · doi:10.1590/1984-0462/2023/41/2021204 · Cited by 56 · see citing works
Body image and adolescence: A behavioral impairment model
Senín‐Calderón, C., Testal, J. F. R., Garcelán, S. P., & Perpiñá, C. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.12.003 · Cited by 56 · see citing works
Anxiety and depression in adolescents with a visible difference: A systematic review and meta-analysis
van Dalen, M., Dierckx, B., Pasmans, S. G. M. A., Aendekerk, E. W. C., Mathijssen, I. M. J., Koudstaal, M. J., Timman, R., Williamson, H., Hillegers, M. H. J., Utens, E. M. W. J., et al. (2020) · Body Image · doi:10.1016/j.bodyim.2020.02.006 · Cited by 44 · see citing works
Dismantling prevention: Comparison of outcomes following media literacy and appearance comparison modules in a randomised controlled trial
McLean, S. A., Wertheim, E. H., Marques, M. D., & Paxton, S. J. (2016) · Journal of Health Psychology · doi:10.1177/1359105316678668 · Cited by 39 · see citing works
“Body image, prevention, school, media literacy, appearance comparison of girls reporting a desire to be thinner (Dion et al., 2014).”
Sport participation, body satisfaction and depressive symptoms in adolescence: a moderated-mediation analysis of gender differences
Gómez‐Baya, D., Berjano, R. M., de Matos, M. G., & Tomico, A. (2017) · European Journal of Developmental Psychology · doi:10.1080/17405629.2017.1364988 · Cited by 32 · see citing works
“Body dissatisfaction can be defined as the discrepancy between the perceived shape and the ideal shape (Dion et al., 2015) and is part of the wider and”
Background
Association between body image dissatisfaction and obesity among schoolchildren aged 7-10years.
da Cunha, F. C. L., Silva, D. S., Alvarenga, M. D. S., & de Vasconcelos, F. D. A. G. (2016) · Physiology and Behavior · doi:10.1016/j.physbeh.2016.03.022 · Cited by 18 · see citing works
Individual and Parental Factors of Adolescents’ mHealth App Use: Nationally Representative Cross-sectional Study
Güleç, H., & Šmahel, D. (2022) · JMIR mhealth and uhealth · doi:10.2196/40340 · Cited by 29 · see citing works
Goodform: A cluster randomised controlled trial of a school-based program to prevent body dissatisfaction and muscle building supplement use among adolescent boys
Yager, Z., Doley, J. R., McLean, S. A., & Griffiths, S. (2022) · Body Image · doi:10.1016/j.bodyim.2022.11.003 · Cited by 28 · see citing works
Body Image Development and Sexual Satisfaction: A Prospective Study From Adolescence to Adulthood
Kvalem, I. L., Træen, B., Marković, A. P., & von Soest, T. (2018) · The Journal of Sex Research · doi:10.1080/00224499.2018.1518400 · Cited by 28 · see citing works
“However, an increase in body mass index (BMI) in young male adults can be a consequence of an increase in muscle mass, which may influence body evaluation in the opposite direction (Calzo et al., 2013; Dion et al., 2015).”
Background
Association Between Internet Use and Body Dissatisfaction Among Young Females: Cross-Sectional Analysis of the Canadian Community Health Survey
Carter, A., Forrest, J. I., & Kaida, A. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.5636 · Cited by 26 · see citing works
“[2], as did a 4-year longitudinal study of young women in Quebec (57.1% at baseline; 65.8% at follow-up) [3].”
Influential
Physical education Teachers’ and public health Nurses’ perception of Norwegian high school Students’ participation in physical education – a focus group study
Abildsnes, E., Stea, T. H., Berntsen, S., Omfjord, C. S., & Rohde, G. E. (2015) · BMC Public Health · doi:10.1186/s12889-015-2660-y · Cited by 20 · see citing works
“Furthermore, in a recently published longitudinal study high levels of body dissatisfaction throughout adolescence (14–18 years of age), especially among girls was reported [36].”
Background
Perceived overweight/obesity, low resilience, and body size dissatisfaction among adolescents
Borinsky, S. A., Gaughan, J., & Feldman‐Winter, L. (2019) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2019.08.002 · Cited by 19 · see citing works
Positive Youth Development and Depression: An Examination of Gender Differences in Croatia and Spain
Gómez-Baya, D., Babić-Čikeš, A., Hirnstein, M., Kurtovic, A., Vrdoljak, G., & Wiium, N. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.689354 · Cited by 21 · see citing works
“, 2008), body dissatisfaction (Dion et al., 2015), ruminative coping (Krause et al.”
Background
Weight associated factors in relation to health-related quality of life (HRQoL) in Iranian adolescents
Jalali‐Farahani, S., Abbasi, B., & Daniali, M. (2019) · Health and Quality of Life Outcomes · doi:10.1186/s12955-018-1074-9 · Cited by 18 · see citing works
Young adult mental health sequelae of eating and body image disturbances in adolescence
Linardon, J., Greenwood, C. J., Fuller‐Tyszkiewicz, M., Macdonald, J. A., Spry, E., Hutchinson, D. M., Youssef, G. J., Sanson, A. V., Wertheim, E. H., McIntosh, J. E., et al. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23575 · Cited by 17 · see citing works
Intolerable feelings of uncertainty within the body: Associations between interoceptive awareness, intolerance of uncertainty, and body dissatisfaction
Bijsterbosch, J. M., Hasenack, B., van Rooijen, B., Sternheim, L. C., Boelen, P. A., Dijkerman, H. C., & Keizer, A. (2023) · Journal of Adolescence · doi:10.1002/jad.12237 · Cited by 17 · see citing works
Body dissatisfaction and its association with domains of physical activity and of sedentary behavior in a sample of 15,632 adolescents
Tebar, W. R., Canhin, D. D. S., Colognesi, L. A., Morano, A. E. V. A., Silva, D. T. C., & Christófaro, D. G. D. (2020) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh-2019-0241 · Cited by 18 · see citing works
Feeling ‘too fat’ rather than being ‘too fat’ increases unhealthy eating habits among adolescents – even in boys
van Vliet, J. S., Gustafsson, P. A., & Nelson, N. (2016) · Food & Nutrition Research · doi:10.3402/fnr.v60.29530 · Cited by 16 · see citing works
“Attitudes among girls regarding an ideal thinner body make them more likely to engage in various forms of weight reduction behaviours, including skipping breakfast (1, 9, 11, 18).”
Background
Kaslı Olma Dürtüsü Ölçeği’nin Türkçe Uyarlaması: Geçerlik ve Güvenirlik Çalışması
Selvi, K., & Bozo, Ö. (2019) · Nesne Psikoloji Dergisi · doi:10.7816/nesne-07-14-05 · Cited by 17 · see citing works
Agreement between Weight Status and Perceived Body Size and the Association with Body Size Satisfaction in Children
Leppers, I., Tiemeier, H. W., Swanson, S. A., Verhulst, F. C., Jaddoe, V. W. V., Franco, O. H., & Jansen, P. W. (2017) · Obesity · doi:10.1002/oby.21934 · Cited by 14 · see citing works
“A few small studies have shown that children with overweight and obesity often do have the desire to be thinner, but it has not been investigated how this relates with self-perception of body size (11,12).”
Background
The main physical components of body image from the perspectives of Iranian adolescents: a qualitative study
Jalali‐Farahani, S., Amiri, P., Zarani, F., & Azizi, F. (2021) · BMC Public Health · doi:10.1186/s12889-020-10096-7 · Cited by 15 · see citing works
Dysmorphic concern and behavioural impairment related to body image in adolescents
Senín‐Calderón, C., Gálvez‐González, J., Garcelán, S. P., Camacho, C., & Testal, J. F. R. (2019) · International Journal of Psychology · doi:10.1002/ijop.12646 · Cited by 15 · see citing works
Body dissatisfaction and dieting among Finnish adolescents: a 20-year population-based time-trend study
Mishina, K. E., Kronström, K., Heinonen, E., & Sourander, A. (2024) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-023-02327-0 · Cited by 14 · see citing works
“These concerns include for example muscularity-oriented disordered eating behavior [14], wishes to be thinner and attempts to lose weight [15].”
Background
Knowledge, Attitude and Behaviours Related to Weight Control and Body-Image Perceptions among Chinese High School Students
Lee, C. Y., Yusof, H. M., & Zakaria, N. S. (2019) · Malaysian Journal of Medical Sciences · doi:10.21315/mjms2019.26.5.11 · Cited by 14 · see citing works
“Such finding is in contrast with that of previous findings for adolescents in other countries that reported almost half of the adolescents engaged in weightcontrol behaviours (28, 29).”
Result
Psychopathology, Body Image and Quality of Life in Female Children and Adolescents With Anorexia Nervosa: A Pilot Study on the Acceptability of a Pilates Program
MARTÍNEZ-SÁNCHEZ, S. M., Martínez-García, C., Martínez-García, T. E., & Munguía‐Izquierdo, D. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.503274 · Cited by 13 · see citing works
“A score of 0 was interpreted as satisfaction with body image, and a score different than 0 was interpreted as body dissatisfaction (Satisfied = 0; Dissatisfied = 1) (34).”
Background
Development and validation of the body image scale for youth (BISY)
Jalali‐Farahani, S., Amiri, P., Zarani, F., Zayeri, F., & Azizi, F. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00657-z · Cited by 15 · see citing works
“In this regard, previous findings demonstrated that while girls tend to be dissatisfied with their bodies when their BMI is average or above average; boys tend to be dissatisfied with their bodies when they have a BMI either below or above average [39, 40].”
Background
Body image dissatisfaction is associated with perceived body weight among secondary school adolescents in Harar Town, eastern Ethiopia
Tekola, A., Regassa, L. D., Mandefro, M., Shawel, S., Kassa, O., Bayisa, F. S., Nimani, T. D., Masrie, A., Tamire, A., & Roba, K. T. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1397155 · Cited by 12 · see citing works
Adolescents’ use of online food delivery applications and perceptions of healthy food options and food safety: a cross-sectional study in the United Arab Emirates
Saleh, S. T., Osaili, T. M. I., Al‐Jawaldeh, A., Hasan, H. A., Hashim, M. S., Mohamad, M. N., Qiyas, S. J. A., Sabbah, H. A., Daour, R. A., Rajaby, R. A., et al. (2024) · Frontiers in Nutrition · doi:10.3389/fnut.2024.1385554 · Cited by 11 · see citing works
‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents
Craddock, N., Garbett, K. M., Haywood, S., Nasution, K., White, P., Saraswati, L. A., Rizkiah, C., Medise, B. E., & Diedrichs, P. C. (2021) · BMC Public Health · doi:10.1186/s12889-021-11770-0 · Cited by 11 · see citing works
Cross-national time trends in adolescent body weight perception and the explanatory role of overweight/obesity prevalence
Geraets, A. F. J., Cosma, A. P., Fismen, A., Ojala, K., Pierannunzio, D., Kelly, C. N. M., Melkumova, M., Vassallo, C., Rakić, J. G., & Heinz, A. (2023) · Child and Adolescent Obesity · doi:10.1080/2574254x.2023.2218148 · Cited by 11 · see citing works
“It might be that adolescent girls are more likely to have tried to lose or control weight by harmful means than boys (Ojala et al. 2012; Dion et al. 2015).”
Background
Trait-Based Emotional Intelligence, Body Image Dissatisfaction, and HRQoL in Children
Pollatos, O., Georgiou, E., Kobel, S., Schreiber, A. C., Dreyhaupt, J., & Steinacker, J. M. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00973 · Cited by 11 · see citing works
“While the prevalence of these disorders is rising, especially among girls (2), their onset is gradually dropping (3).”
Background
Psychosocial functioning in pediatric patients with pectus excavatum and pectus carinatum
Bahadır, A. T., Bektaşoğlu, P. K., Cakıroglu, A., Afacan, C., & Yüksel, M. (2017) · TURKISH JOURNAL OF MEDICAL SCIENCES · doi:10.3906/sag-1511-66 · Cited by 10 · see citing works
Can I Love My Body Even if It Doesn’t Look Like the Porn Stars’? Longitudinal Associations Between Pornography Use Frequency and Body Appreciation in a Diverse Sample of Adolescents
Paquette, M., Bőthe, B., Dion, J., Girouard, A., & Bergeron, S. (2023) · Archives of Sexual Behavior · doi:10.1007/s10508-023-02679-3 · Cited by 10 · see citing works
“These changes and distress could lead to body dissatisfaction (Bucchianeri et al., 2013; Dion et al., 2015).”
Background
Imagen corporal percibida en mujeres adolescentes deportistas y no deportistas (Perceived body image in female adolescent athletes and non-athletes)
Contreras, M. O., Solis, O., Pinto, N. S., & Rodríguez‐Villalobos, J. M. (2020) · Retos · doi:10.47197/retos.v37i37.72386 · Cited by 9 · see citing works
Use of social networking sites and desire for slimness among 10‐year‐old girls and boys: A population‐based birth cohort study
Sugimoto, N., Nishida, A., Ando, S., Usami, S., Toriyama, R., Morimoto, Y., Koike, S., Yamasaki, S., Kanata, S., Fujikawa, S., et al. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23202 · Cited by 9 · see citing works
Clinical, Psychopathological, Physical, and Sleep Evolution in Adolescents with Restrictive Anorexia Nervosa Participating in a Day Hospital Program
MARTÍNEZ-SÁNCHEZ, S. M., Martínez-García, T. E., & Munguía‐Izquierdo, D. (2020) · Psychiatry Investigation · doi:10.30773/pi.2020.0016 · Cited by 9 · see citing works
Relationship of Body Image and Self-Esteem in Adolescents with Different Types of Constitutional Development: Preliminary Results
Tiunova, A. (2015) · Activitas Nervosa Superior · doi:10.1007/bf03379626 · Cited by 8 · see citing works
“The received results also refine the results of one study (Dion et al., 2015) that self-esteem is more connected with factors associated with physical appearance compared with body dissatisfaction.”
BackgroundResult
Factor structure and psychometric properties of the Spanish version of the Body Image Avoidance Questionnaire (BIAQ)
Senín‐Calderón, C., Santos-Morocho, J., & Testal, J. F. R. (2019) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-019-00650-7 · Cited by 8 · see citing works
Body Image and Lifestyle Behaviors in High School Adolescents
Bordeleau, M., Alméras, N., Panahi, S., & Drapeau, V. (2023) · Children · doi:10.3390/children10071263 · Cited by 8 · see citing works
“In girls, the desire to reduce body size has been shown to increase based on their body weight, while boys reported a higher desire to be bigger when classified as underweight [10].”
BackgroundResult
Sociocultural influences of parents on body dissatisfaction in adolescents
Ivanović, M., Milosavljevic, S., & Ivanović, U. (2017) · Fizicko vaspitanje i sport kroz vekove · doi:10.1515/spes-2016-0021 · Cited by 8 · see citing works
Examining psychosocial correlates of physical activity and sedentary behavior in youth with and without HIV
Malete, L., Tladi, D., Etnier, J. L., Makhanda, J., & Anabwani, G. M. (2019) · PLoS ONE · doi:10.1371/journal.pone.0225890 · Cited by 8 · see citing works
“Research evidence has established relationships between body weight dissatisfaction, depression, negative self-evaluations, and low participation in PA [21,22,23].”
Background
A cognitive dissonance body image intervention ‘Free Being Me’ delivered by guide leaders to adolescent girl guides in India: A pilot and acceptability trial
Paraskeva, N., Pegram, G., Goel, R., Mandhaani, M., Suneja, V., White, P., & Diedrichs, P. C. (2023) · Body Image · doi:10.1016/j.bodyim.2023.101658 · Cited by 7 · see citing works
Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma
van Dalen, M., Hermans, M. M., Leemreis, W., Kraaij, V., de Laat, P. D., Pasmans, S., Versnel, S., Koudstaal, M., Hillegers, M., Utens, E., et al. (2021) · The Cleft Palate-Craniofacial Journal · doi:10.1177/10556656211031411 · Cited by 6 · see citing works
“Indeed, studies have shown that the majority of adolescents in the general population experience body dissatisfaction (Dion et al., 2015).”
Background
Negative comments about adolescents’ body weight: What are they and what is their connection with body image?
Gagné, A., Blackburn, M.-È., & Dion, J. (2023) · European Review of Applied Psychology · doi:10.1016/j.erap.2023.100889 · Cited by 6 · see citing works
Sociocultural attitudes towards appearance questionnaire-4-revised (SATAQ-4R): validation in a community sample of Norwegian adolescents
Lie, S. Ø., Bastos, R. V. S., Sundgot-Borgen, C., Wisting, L., & Dahlgren, C. L. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-01151-4 · Cited by 6 · see citing works
“Among several components of body image, body dissatisfaction refers to a negative evaluation of one’s body [9], and is a well-known risk and maintenance factor for eating disorders (EDs) [10].”
Trajectories of body dissatisfaction among South Korean youth: Findings from a nationally representative sample
Yu, J. J. (2016) · Body Image · doi:10.1016/j.bodyim.2016.10.002 · Cited by 6 · see citing works
Adolescents’ Responses to Cereal Ads: An Assessment of Weight and Gender
Castonguay, J. S., Bakir, A., & Blodgett, J. G. (2019) · Journal of Food Products Marketing · doi:10.1080/10454446.2019.1678208 · Cited by 6 · see citing works
Parental practices, body dissatisfaction and weight control practices in female adolescents from public schools in southern Brazil
Dell’Osbel, R. S., Donatti, T., Henn, R. L., Cremonese, C., Capp, E., & Gregoletto, M. L. D. O. (2020) · British Journal Of Nutrition · doi:10.1017/s0007114520004250 · Cited by 6 · see citing works
“It is known that weight loss attempts are significantly greater among individuals with BD(53,54), in addition to, at the age of 18 years, increasing the chances of having BD and wanting a thinner figure about two times(11).”
BackgroundMethodInfluential
Yetişkin Bireylerde Vücut Farkındalığı ve Antropometrik Ölçümlerle İlişkisi
Koçyiğit, E., Arslan, N., & Köksal, E. (2018) · Journal of Nutrition and Dietetics · doi:10.33076/2018.bdd.317 · Cited by 6 · see citing works
“Yapılan araştırmalar cinsiyet farkı gözetmeksizin bireylerin vücut ağırlıklarını oldukları ağırlıktan daha düşük tahmin ettiğini ve bu durumun yeme bozukluğu tanısı olanlarda, adölesanlarda, fazla kilolu ve obez bireylerde daha belirgin olduğunu bildirmektedir (28-30).”
Reframing How Providers Advocate for Adolescent Well-Being in Body Image, Eating, and Weight
Ozbardakci, E. V., & Lydecker, J. A. (2023) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2023.03.008 · Cited by 6 · see citing works
Association between body image dissatisfaction and body anthropometric indices among Chinese children and adolescents at different developmental stages
Wang, Y., Cao, R., Peng, X., Zhang, L., Zhang, Z., & Fu, L. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.926079 · Cited by 5 · see citing works
Body satisfaction, problematic smartphone use, sleep deprivation, and psychological well-being in adolescents: A half-longitudinal serial mediation study
KURTULUŞ, H. Y., Deniz, M. E., & Satıcı, S. A. (2025) · Journal of Health Psychology · doi:10.1177/13591053241311013 · Cited by 4 · see citing works
“This dissatisfaction stems from the discrepancy between the perceived physical appearance and the ideal physical appearance (Dion et al., 2015).”
Adolescent Diet Culture: Where Does it Originate?
Weiss, A. L., Miller, J. N., & Chermak, R. (2022) · Springer eBooks · doi:10.1007/978-3-031-10565-4_3 · Cited by 4 · see citing works
Developing Out-of-School, Community-Based Physical Activity Programs for Youth From Communities Affected by Poverty
Richards, K. A. R., Shiver, V. N., Kuipers, K. L., & Jacobs, J. M. (2023) · Journal of Physical Education Recreation & Dance · doi:10.1080/07303084.2023.2185330 · Cited by 4 · see citing works
Changes in social inequalities in excess body weight and body dissatisfaction among adolescents in Barcelona, Spain, 2016–2021
Lopez-Muley, C., López, M. J., Pérez, K., Sánchez, E., & Serral, G. (2024) · Public Health · doi:10.1016/j.puhe.2024.07.012 · Cited by 4 · see citing works
Investigating the factors affecting adolescents’ test anxiety in Greece during the COVID-19 pandemic
Trikoilis, D. (2023) · Pastoral Care in Education · doi:10.1080/02643944.2023.2214920 · Cited by 4 · see citing works
“Teenagers frequently experience body image dissatisfaction, with prevalence rates ranging from 30% to 80% (Dion et al., 2014).”
Background
A Qualitative Exploration of Body Image from the Perspective of Adolescents with a Focus on Psychological Aspects: Findings from Iran
Jalali‐Farahani, S., Amiri, P., Zarani, F., & Azizi, F. (2021) · Child Psychiatry & Human Development · doi:10.1007/s10578-021-01235-1 · Cited by 4 · see citing works
Gender-based analysis of body dissatisfaction among youths in Singapore: findings from the National Youth Mental Health Study
Samari, E., Vaingankar, J. A., Tan, B. C. W., Chang, S. S. H., Tan, Y. W. B., Archana, S., Chua, Y. C., Tang, C. Y. Z., Lee, Y. P., Chew, C. S. E., et al. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1505161 · Cited by 6 · see citing works
Pengaruh Ketidakpuasan Tubuh terhadap Kecenderungan Gangguan Makan pada Remaja
Permanasari, K., & Arbi, D. K. A. (2022) · Buletin Riset Psikologi dan Kesehatan Mental (BRPKM) · doi:10.20473/brpkm.v2i1.36592 · Cited by 3 · see citing works
Mental Health of Russian Adolescents during the COVID-19 Pandemic
Slobodskaya, H. R., Safronova, M. V., Semenova, N. B., Kornienko, O. S., Rippinen, T. O., Валентиновна, Р. Е., Leto, I. V., Petrenko, E. N., Козлова, Е. А., Варшал, А. В., et al. (2023) · Psikhiatriya · doi:10.30629/2618-6667-2023-21-1-16-26 · Cited by 3 · see citing works
Determinants of Disordered Eating Behaviours (DEBs) among Adolescent Female School Students in Riyadh, Saudi Arabia: A Qualitative Study
Alsheweir, A., Goyder, E., Alzahrani, M. A., & Caton, S. J. (2024) · Nutrients · doi:10.3390/nu16132119 · Cited by 3 · see citing works
“A longitudinal study focused on understanding the aetiology of body dissatisfaction in adolescent girls aged 14 to 18 years concluded that their body dissatisfaction is linked to the desire to be thinner, weight control practises, negative comments about weight, and BMI [17].”
Background
Biopsychosocial correlates of body satisfaction in 7- to 8-year old children: a cross-sectional and prospective investigation
Smıth, D. J., Damiano, S. R., McLean, S. A., Wertheim, E. H., & Paxton, S. J. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-01178-7 · Cited by 4 · see citing works
“Regarding biological factors, it is of interest that BMI was unrelated to body satisfaction in this sample when this relationship is consistently observed in adolescents [28, 83, 84].”
Eating Disorders and Body Image Across the Lifespan: A Focus on Boys and Men in Midlife and Beyond
Brown, T. A., & Lavender, J. M. (2021) · Springer eBooks · doi:10.1007/978-3-030-67127-3_21 · Cited by 3 · see citing works
The developmental course of the link between weight concerns and cigarette use across adolescence: Differences by gender
Hochgraf, A. K., Lanza, S. T., Fosco, G. M., & McHale, S. M. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23586 · Cited by 3 · see citing works
CONNECTIONS BETWEEN BODY IMAGE AND ADOLESCENTS’ HEALTH, PSYCHOLOGICAL AND SOCIAL VARIABLES
Argüelles, D. F., Fernández‐Río, J., & Estrada, J. A. C. (2022) · Journal of Sport and Health Research · doi:10.58727/jshr.89470 · Cited by 3 · see citing works
A structural equation model of intuitive eating with adolescents
Williot, A., Blackburn, M.-È., Auclair, J., Brault, M., Carbonneau, N., & Dion, J. (2023) · European Review of Applied Psychology · doi:10.1016/j.erap.2022.100816 · Cited by 4 · see citing works
Body image dissatisfaction during the first year of pediatric inflammatory bowel disease diagnosis
Cushman, G. K., Rea, K. E., Westbrook, A. L., Alexander, C., & Reed, B. (2023) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1002/jpn3.12095 · Cited by 3 · see citing works
Imagem corporal e fatores associados em estudantes da rede municipal de ensino em uma cidade no sul do Brasil
Quandt, V. G., Martins‐Silva, T., Kaufmann, C. C., Bielemann, R. M., Muniz, L. C., & Mintem, G. C. (2024) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232024295.01542023 · Cited by 3 · see citing works
Body image dissatisfaction intervention program based on a three-factor model of appearance comparison, appearance comments, and social media among Chinese children
Wei, Z., Liu, K., Yang, W., Zhang, Y., Fu, H., & Fu, L. (2025) · Humanities and Social Sciences Communications · doi:10.1057/s41599-025-05396-5 · Cited by 3 · see citing works
“Children are more likely to experience body image dissatisfaction due to their characteristics of physical, cognitive, and emotional (Dion et al., 2014).”
Body Image in Adolescents – A Clinical Issue
Pemde, H. K. (2015) · The Indian Journal of Pediatrics · doi:10.1007/s12098-015-1901-5 · Cited by 3 · see citing works
“BD in boys at 18 y was associated with wanting to be thinner or bigger, BMI, having experienced sexual intercourse and negative comments about weight [9].”
Background
The structure of adolescent mental health problems: The role of effortful control and school safety
Валентиновна, Р. Е., Slobodskaya, H. R., & Semenova, N. B. (2023) · Journal of Adolescence · doi:10.1002/jad.12166 · Cited by 2 · see citing works
İlçede öğrenim gören ortaokul öğrencilerinin beslenme alışkanlıkları
Kzbn, T. S. C. N., & Koçoğlu, D. (2021) · Mersin üniversitesi sağlık bilimleri dergisi/Mersin üniversitesi sağlık bilimleri dergisi · doi:10.26559/mersinsbd.790405 · Cited by 2 · see citing works
Associations between polygenic risk scores for cardiometabolic phenotypes and adolescent depression and body dissatisfaction
Ekberg, K. M., Michelini, G., Schneider, K. L., Docherty, A. R., Shabalin, A. A., Perlman, G., Kotov, R., Klein, D. N., & Waszczuk, M. A. (2024) · Pediatric Research · doi:10.1038/s41390-024-03323-z · Cited by 2 · see citing works
“18,19 Consistently, BMI is positively associated with body dissatisfaction, especially concerns around weight and body shape.”
The effect of emotional cues on attentional bias to food cues in women with body weight dissatisfaction
Xie, P., Sang, H., Wang, X., & Huang, C. (2025) · Appetite · doi:10.1016/j.appet.2025.107913 · Cited by 2 · see citing works
Distorted body representation in adolescent girls with anorexia nervosa
Bijsterbosch, J. M., Sternheim, L. C., Boelen, P. A., Danner, U. N., van Eikenhorst, C. H., Dijkerman, H. C., & Keizer, A. (2025) · Acta Psychologica · doi:10.1016/j.actpsy.2025.104830 · Cited by 2 · see citing works
Ideación suicida e insatisfacción con la imagen corporal en jóvenes escolarizados de la región Altos Sur de Jalisco
Montes, J. F. C., González, Ó. U. R., Rayas, P. M. D. C., León, Y. J. G., Alcalá, Y. A. M., & Hernández, D. L. A. (2018) · Revista de Psicología y Ciencias del Comportamiento de la Unidad Académica de Ciencias Jurídicas y Sociales · doi:10.29059/rpcc.20181207-74 · Cited by 2 · see citing works
Screening for Body Image Concerns, Eating Disorders, and Sexual Abuse in Adolescents
Spinner, S., & Rudolph, B. D. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-66130-0.00012-0 · Cited by 3 · see citing works
Developing a Positive Body Image in Young Women by the Means of Training Technologies
Белогай, К. Н., Morozova, I. S., Каган, Е. С., Ивановна, Г. М., & Borisenko, Y. V. (2019) · Counseling Psychology and Psychotherapy · doi:10.17759/cpp.2019270402 · Cited by 2 · see citing works
BODY IMAGE AND RELIGIOSITY IN ADOLESCENTS: A COMPARATION BETWEEN PUBLIC AND PRIVATE HIGH SCHOOL STUDENTS
Primaningtyas, W., PUTRI, A. A. A. K. A. N., & Hastuti, H. (2020) · Smart Medical Journal · doi:10.13057/smj.v2i2.35672 · Cited by 2 · see citing works
Dissemination of a dissonance-based body image promotion program for mothers and daughters in church settings: A controlled pilot study of Reclaiming Beauty
Blomquist, K. K., Ellison, W. D., Siddiqui, S., & Montgomery, K. (2023) · Body Image · doi:10.1016/j.bodyim.2023.101675 · Cited by 1 · see citing works
Teen sexual harassment, sexual orientation, and health in an urban setting
Bosch-Arís, M., León-Gómez, B. B., Forcadell‐Díez, L., Espinel-Flores, V., Serral, G., López, M. J., Vives‐Cases, C., Sanz‐Barbero, B., & Pérez, G. (2024) · Violence An International Journal · doi:10.1177/26330024241249188 · Cited by 1 · see citing works
“…yes but not in the last 30 days, never); (e) Bodily satisfaction (satis ﬁ ed/dissatis ﬁ ed) measured by the Contour Drawing Rating Scale (CDRS) (Dion et al., 2015); (f) Having experienced discrimination because of sexual orientation (yes/no), de ﬁ ned in the questionnaire as “ feeling upset or…”
Method
Ortaöğretim Düzeyinde Eğitim Gören Kız Öğrencilerde Sosyal Görünüş Kaygısı İle Beslenme Okuryazarlığı ve Yeme Tutumları Arasındaki İlişki
Çebi, M., & Ertekin, A. (2024) · Van Sağlık Bilimleri Dergisi · doi:10.52976/vansaglik.1513142 · Cited by 1 · see citing works
Unveiling Trends, Demographic Differences, and the Importance of Public Health Surveillance: Exploring Unhealthy Weight Control Behaviors Among Arizona Youth
Suh, B. C., Beccia, A. L., Celebrano, B., & Veilleux, N. (2025) · International Journal of Eating Disorders · doi:10.1002/eat.24421 · Cited by 1 · see citing works
Adolescents’ Experiences with Being Weighed at School: A Qualitative Interview Study in Norway
Risøy, M. K., & Gunnarskog, M. G. (2026) · Global Qualitative Nursing Research · doi:10.1177/23333936261435414 · Cited by 1 · see citing works
“Although BMI measurements are implemented with health-promoting intentions, the findings indicate that this practice may undermine those aims, particularly when psychological, social, and organizational factors are considered.”
Influential
Understanding photo investment in adolescence and emerging adulthood: an examination of body-esteem, self-esteem and sex
Cuccì, G., Colombo, C. C., Natale, A. F. D., Confalonieri, E., & Villani, D. (2026) · European Journal of Developmental Psychology · doi:10.1080/17405629.2026.2701692 · Cited by 1 · see citing works
Eating Disorders and Depression in Adolescents: The Impact of Socioeconomic Factors, Family and Peer Relations
Livazović, G., & Mudrinić, I. (2018) · International Journal of Child Health and Nutrition · doi:10.6000/1929-4247.2018.07.02.5 · Cited by 1 · see citing works
Weight-Related Selves and Their Relationship With Body Mass Index Among Young Individuals in Curaçao
Dijkstra, P., van Brummen-Girigori, O. J., & Barelds, D. P. H. (2019) · Journal of Black Psychology · doi:10.1177/0095798419865402 · Cited by 1 · see citing works
“Originally, studies on weight-related selves were conducted in Western cultures, such as the Netherlands (Dalley & Buunk, 2009), France (e.g., Dion et al., 2015), and the United States (e.g., Fallon & Rozin, 1985).”
BackgroundResultInfluential
Analysis of the Role of Moderating Socio-Cultural Pressure for Weight Loss and Physical Changes in Obese and Normal Weight Adolescents
Ravesh, S. M. H. H. (2020) · Physical education sport and health culture in modern society · doi:10.29038/2220-7481-2020-01-107-115 · Cited by 1 · see citing works
Bridging Science and Practical Appliance in Resistance Training
Marinho, D. A., Forte, P., Cirilo-Sousa, M., & Neiva, H. P. (2023) · IntechOpen eBooks · doi:10.5772/intechopen.104335 · Cited by 1 · see citing works
Investigating Appearance Ideal Alignment of Popular Fitness Apparel Brands on Instagram
Monk, S., Fetter, S., Coyne, P., & Woodruff, S. J. (2023) · International Journal of Social Media and Online Communities · doi:10.4018/ijsmoc.331084 · Cited by 1 · see citing works

The Development of Associations Among Body Mass Index, Body Dissatisfaction, and Weight and Shape Concern in Adolescent Boys and Girls
Calzo, J. P., Sonneville, K. R., Haines, J., Blood, E., Field, A. E., & Austin, S. B. (2012) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2012.02.021 · Cited by 294 · see citing works
Risk factors for body dissatisfaction in adolescent boys and girls: A prospective study
Presnell, K. E., Bearman, S. K., & Stice, E. M. (2004) · International Journal of Eating Disorders · doi:10.1002/eat.20045 · Cited by 529 · see citing works
Clinically significant body dissatisfaction: prevalence and association with depressive symptoms in adolescent boys and girls
McLean, S. A., Rodgers, R. F., Slater, A., Jarman, H. K., Gordon, C. S., & Paxton, S. J. (2022) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-021-01824-4 · Cited by 86 · see citing works
Body dissatisfaction, drive for thinness, eating attitudes in overweight adolescent boys and girls
Karaoglanidis, A., Tsartspakis, I., Evaggellinou, C., Γρούϊος, Γ., & Koidou, E. (2018)
Body dissatisfaction in adolescence : risk indicators and protective factors
VITUNSKI, E. T. (2001) · UVic’s Research and Learning Repository (University of Victoria)

Authors: Dion, J., Blackburn, M.-E., Auclair, J., Laberge, L., Veillette, S., Gaudreault, M., Vachon, P., Perron, M., & Touchette, É.
Affiliations: Université du Québec à Chicoutimi (CA)
,
Cégep de Jonquière (CA)
Université du Québec à Trois-Rivières (CA)
Corresponding author: Dion, Jacinthe
ORCID: Dion, Jacinthe
Auclair, Julie
Laberge, Luc
Veillette, Suzanne
Touchette, Évelyne
Venue: International Journal of Adolescence and Youth
Publisher: Informa UK Limited
Published: 2014-12-03
Volume: 20
Issue: 2
Pages: 151-166
ISSN: 0267-3843 (ISSN-L)
2164-4527
DOI: 10.1080/02673843.2014.985320
PMC: PMC4391290
OpenAlex: W1999993784
Cited by: 141
References: 62
Citations by year: 2026: 9 · 2025: 13 · 2024: 13 · 2023: 24 · 2022: 10 · 2021: 17 · 2020: 14 · 2019: 16 · 2018: 4 · 2017: 7 · 2016: 9 · 2015: 5
FWCI: 8.28
Type: journal article
Language: en
Open access: gold
doi.org
Locations: International Journal of Adolescence and Youth (publishedVersion)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Constellation (Université du Québec à Chicoutimi) (acceptedVersion)
Le dépôt institutionnel (Université du Québec à Trois-Rivières) (acceptedVersion)
Funders: Université du Québec à Chicoutimi
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: body dissatisfaction, adolescents, body image, weight concern, body mass index, weight control behaviors, sexual intercourse, gender differences, etiology, development (biology), early intervention

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Development and aetiology of body dissatisfaction in adolescent boys and girls

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