Associations between family weight-based teasing, eating pathology, and psychosocial functioning among adolescent military dependents

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

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Article number24
JournalInternational journal of environmental research and public health
Volume17
Issue number1
DOIs
StatePublished - Jan 2020

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Eating
Pathology
Weights and Measures
Self Concept
Obesity
Parents
Binge-Eating Disorder
Depression
Social Adjustment
Crime Victims
Psychopathology
Weight Gain
Siblings
Fasting
Interviews
Equipment and Supplies
Research
Population

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Pearlman, Arielle T. ; Schvey, Natasha A. ; Higgins Neyland, M. K. ; Solomon, Senait ; Hennigan, Kathrin ; Schindler, Rachel ; Leu, William ; Gillmore, Dakota ; Shank, Lisa M. ; Lavender, Jason M. ; Burke, Natasha L. ; Wilfley, Denise E. ; Sbrocco, Tracy ; Stephens, Mark ; Jorgensen, Sarah ; Klein, David ; Quinlan, Jeffrey ; Tanofsky-Kraff, Marian. / Associations between family weight-based teasing, eating pathology, and psychosocial functioning among adolescent military dependents. In: International journal of environmental research and public health. 2020 ; Vol. 17, No. 1.
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title = "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.",
author = "Pearlman, {Arielle T.} and Schvey, {Natasha A.} and {Higgins Neyland}, {M. K.} and Senait Solomon and Kathrin Hennigan and Rachel Schindler and William Leu and Dakota Gillmore and Shank, {Lisa M.} and Lavender, {Jason M.} and Burke, {Natasha L.} and Wilfley, {Denise E.} and Tracy Sbrocco and Mark Stephens and Sarah Jorgensen and David Klein and Jeffrey Quinlan and Marian Tanofsky-Kraff",
year = "2020",
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Pearlman, AT, Schvey, NA, Higgins Neyland, MK, Solomon, S, Hennigan, K, Schindler, R, Leu, W, Gillmore, D, Shank, LM, Lavender, JM, Burke, NL, Wilfley, DE, Sbrocco, T, Stephens, M, Jorgensen, S, Klein, D, Quinlan, J & Tanofsky-Kraff, M 2020, 'Associations between family weight-based teasing, eating pathology, and psychosocial functioning among adolescent military dependents', International journal of environmental research and public health, vol. 17, no. 1, 24. https://doi.org/10.3390/ijerph17010024

Associations between family weight-based teasing, eating pathology, and psychosocial functioning among adolescent military dependents. / Pearlman, Arielle T.; Schvey, Natasha A.; Higgins Neyland, M. K.; Solomon, Senait; Hennigan, Kathrin; Schindler, Rachel; Leu, William; Gillmore, Dakota; Shank, Lisa M.; Lavender, Jason M.; Burke, Natasha L.; Wilfley, Denise E.; Sbrocco, Tracy; Stephens, Mark; Jorgensen, Sarah; Klein, David; Quinlan, Jeffrey; Tanofsky-Kraff, Marian.

In: International journal of environmental research and public health, Vol. 17, No. 1, 24, 01.2020.

Research output: Contribution to journalArticle

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T1 - Associations between family weight-based teasing, eating pathology, and psychosocial functioning among adolescent military dependents

AU - Pearlman, Arielle T.

AU - Schvey, Natasha A.

AU - Higgins Neyland, M. K.

AU - Solomon, Senait

AU - Hennigan, Kathrin

AU - Schindler, Rachel

AU - Leu, William

AU - Gillmore, Dakota

AU - Shank, Lisa M.

AU - Lavender, Jason M.

AU - Burke, Natasha L.

AU - Wilfley, Denise E.

AU - Sbrocco, Tracy

AU - Stephens, Mark

AU - Jorgensen, Sarah

AU - Klein, David

AU - Quinlan, Jeffrey

AU - Tanofsky-Kraff, Marian

PY - 2020/1

Y1 - 2020/1

N2 - 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.

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