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Associations between Family Weight-Based Teasing, Eating Pathology, and Psychosocial Functioning among Adolescent Military Dependents

Author

Listed:
  • Arielle T. Pearlman

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA)

  • Natasha A. Schvey

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA)

  • M. K. Higgins Neyland

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Military Cardiovascular Outcomes Research Program (MiCOR), Bethesda, MD 20814, USA
    Metis Foundation, 300 Convent St #1330, San Antonio, TX 78205, USA)

  • Senait Solomon

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Military Cardiovascular Outcomes Research Program (MiCOR), Bethesda, MD 20814, USA
    Metis Foundation, 300 Convent St #1330, San Antonio, TX 78205, USA)

  • Kathrin Hennigan

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Military Cardiovascular Outcomes Research Program (MiCOR), Bethesda, MD 20814, USA
    Metis Foundation, 300 Convent St #1330, San Antonio, TX 78205, USA)

  • Rachel Schindler

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Military Cardiovascular Outcomes Research Program (MiCOR), Bethesda, MD 20814, USA
    Metis Foundation, 300 Convent St #1330, San Antonio, TX 78205, USA)

  • William Leu

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA)

  • Dakota Gillmore

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA)

  • Lisa M. Shank

    (Military Cardiovascular Outcomes Research Program (MiCOR), Bethesda, MD 20814, USA
    Metis Foundation, 300 Convent St #1330, San Antonio, TX 78205, USA)

  • Jason M. Lavender

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Military Cardiovascular Outcomes Research Program (MiCOR), Bethesda, MD 20814, USA
    Metis Foundation, 300 Convent St #1330, San Antonio, TX 78205, USA)

  • Natasha L. Burke

    (Department of Psychology, Fordham University, Bronx, NY 10458, USA)

  • Denise E. Wilfley

    (Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, MO 63110, USA)

  • Tracy Sbrocco

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA)

  • Mark Stephens

    (Department of Family and Community Medicine, Pennsylvania State University, Old Main, State College, PA 16801, USA)

  • Sarah Jorgensen

    (Fort Belvoir Community Hospital, Fort Belvoir, VA 22060, USA)

  • David Klein

    (Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Malcolm Grow Medical Clinics and Surgery Center, Joint Base Andrews, MD 20762, USA)

  • Jeffrey Quinlan

    (Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA)

  • Marian Tanofsky-Kraff

    (Department of Medical & Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Department of Family Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
    Military Cardiovascular Outcomes Research Program (MiCOR), Bethesda, MD 20814, USA)

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 BMI z . Analyses of covariance, adjusting for relevant covariates including BMI z , 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 BMI z : 1.95). Nearly half the sample (47.7%) reported family WBT. Adjusting for covariates, including BMI z , 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.

Suggested Citation

  • 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. , 2019. "Associations between Family Weight-Based Teasing, Eating Pathology, and Psychosocial Functioning among Adolescent Military Dependents," IJERPH, MDPI, vol. 17(1), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:24-:d:299397
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    References listed on IDEAS

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    1. Fernando Garcia & Emilia Serra & Oscar F. Garcia & Isabel Martinez & Edie Cruise, 2019. "A Third Emerging Stage for the Current Digital Society? Optimal Parenting Styles in Spain, the United States, Germany, and Brazil," IJERPH, MDPI, vol. 16(13), pages 1-20, July.
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