Thinking meta-theoretically about the role of internalization in the development of body dissatisfaction and body change behaviors

Body Image. 2013 Sep;10(4):433-41. doi: 10.1016/j.bodyim.2013.06.005. Epub 2013 Jul 17.

Abstract

Internalization of societal standards of physical attractiveness (i.e., internalization of the thin ideal for women and internalization of the mesomorphic ideal for men) is a widely studied and robust risk factor for body dissatisfaction and maladaptive body change behaviors. Substantial empirical research supports internalization as both a mediator and a moderator of the relation between societal influences and body dissatisfaction. In this paper, a primer on mediation and moderation is followed by a review of literature and discussion of the extent to which internalization can theoretically fulfill the roles of both mediation and moderation. The literature review revealed a stark contrast in research design (experimental versus non-experimental design) when alternate conceptualizations of internalization are adopted. A meta-theoretical, moderated mediation model is presented. This model integrates previous research and can inform future empirical and clinical endeavors.

Keywords: Body image; Internalization of media ideals; Mediation; Moderation; Theory.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Attitude to Health*
  • Body Image / psychology*
  • Body Mass Index
  • Female
  • Health Behavior*
  • Humans
  • Internal-External Control*
  • Male
  • Personal Satisfaction*
  • Risk Factors
  • Self Concept
  • Surveys and Questionnaires