Skip to main content
Top
Published in: Community Mental Health Journal 7/2019

01-10-2019 | Eating Disorder | Original Paper

Disordered Eating Pathology and Body Image Among Adolescent Girls in Israel: The Role of Sense of Coherence

Authors: Yael Latzer, Sarah L. Weinberger-Litman, Zohar Spivak-Lavi, Orna Tzischinsky

Published in: Community Mental Health Journal | Issue 7/2019

Login to get access

Abstract

Disordered eating pathology (DEP) represents a range of behaviors and attitudes, from negative body image to full blown eating disorders, appearing mainly in adolescent females. DEP is related to a plethora of biological and psychological factors, including various coping strategies. Sense of coherence (SOC) is a coping mechanism defined as an external and internal ability to adapt to stress and has been found to be associated with better mental health outcomes. However, SOC has not been examined in relation to DEP. Therefore, the aim of this study is to examine the relationship between SOC, DEP and body image disturbances among adolescent girls. The sample consisted of 248 Israeli girls (12–18), who completed self-reported questionnaires. SOC was negatively associated with DEP and body dissatisfaction. The overall rate of those in the high risk group for EDs was found to be higher than previously seen among samples from a similar population (22.5% vs. 19.5%), and was found to have a significantly lower levels of SOC and more negative body image than those at lower risk. Greater SOC was found to be associated with lower levels of DEP. It is suggested that strengthening SOC be incorporated into eating disorder prevention and treatment. Results emphasize the importance of SOC to well-being and mental health.
Literature
go back to reference Abraham, S., Boyd, C., Lal, M., Luscombe, G., & Taylor, A. (2009). Time since menarche, weight gain and body image awareness among adolescent girls: Onset of eating disorders? Journal of Psychosomatic Obstetrics & Gynecology, 30(2), 89–94.CrossRef Abraham, S., Boyd, C., Lal, M., Luscombe, G., & Taylor, A. (2009). Time since menarche, weight gain and body image awareness among adolescent girls: Onset of eating disorders? Journal of Psychosomatic Obstetrics & Gynecology, 30(2), 89–94.CrossRef
go back to reference Antonovsky, A. (1979). Health, stress and coping. San Francisco: Jossey-Bass. Antonovsky, A. (1979). Health, stress and coping. San Francisco: Jossey-Bass.
go back to reference Antonovsky, A. (1983). The sense of coherence: Development of a research instrument. Newsletter and research report of the W.S. Schwartz research center for behavioral medicine, Tel Aviv University, vol. 1, pp. 11–22 Antonovsky, A. (1983). The sense of coherence: Development of a research instrument. Newsletter and research report of the W.S. Schwartz research center for behavioral medicine, Tel Aviv University, vol. 1, pp. 11–22
go back to reference Antonovsky, A. (1985). The life cycle, mental health and the sense of coherence. Israel Journal of Psychiatry and Related Sciences, 22, 273–280.PubMed Antonovsky, A. (1985). The life cycle, mental health and the sense of coherence. Israel Journal of Psychiatry and Related Sciences, 22, 273–280.PubMed
go back to reference Antonovsky, A. (1987). Unraveling the mystery of health. San Francisco: Jossey-Bass. Antonovsky, A. (1987). Unraveling the mystery of health. San Francisco: Jossey-Bass.
go back to reference Binkowska-Bury, M., & Januszewicz, P. (2010). Sense of coherence and health related behavior among university students—A questionnaire survey. Central European Journal of Public Health, 18, 145–150.CrossRefPubMed Binkowska-Bury, M., & Januszewicz, P. (2010). Sense of coherence and health related behavior among university students—A questionnaire survey. Central European Journal of Public Health, 18, 145–150.CrossRefPubMed
go back to reference Braun-Lewensohn, O., Idan, O., Lindström, B., & Margalit, M. (2017). Salutogenesis: Sense of coherence in adolescence. The handbook of salutogenesis (pp. 123–136). Cham: Springer.CrossRef Braun-Lewensohn, O., Idan, O., Lindström, B., & Margalit, M. (2017). Salutogenesis: Sense of coherence in adolescence. The handbook of salutogenesis (pp. 123–136). Cham: Springer.CrossRef
go back to reference Bucchianeri, M. M., Arikian, A. J., Hannan, P. J., Eisenberg, M. E., & Neumark- Sztainer, D. (2013). Body dissatisfaction from adolescence to young adulthood: Findings from a 10-year longitudinal study. Body Image, 10(1), 1–7.CrossRefPubMed Bucchianeri, M. M., Arikian, A. J., Hannan, P. J., Eisenberg, M. E., & Neumark- Sztainer, D. (2013). Body dissatisfaction from adolescence to young adulthood: Findings from a 10-year longitudinal study. Body Image, 10(1), 1–7.CrossRefPubMed
go back to reference Byrne, D. G., Davenport, S. C., & Mazanov, J. (2007). Profiles of adolescent stress: The development of the adolescent stress questionnaire (ASQ). Journal of Adolescence, 30, 393–416.CrossRefPubMed Byrne, D. G., Davenport, S. C., & Mazanov, J. (2007). Profiles of adolescent stress: The development of the adolescent stress questionnaire (ASQ). Journal of Adolescence, 30, 393–416.CrossRefPubMed
go back to reference Cooper, P., Taylor, M., Cooper, Z., & Fairburn, C. (1987). The development and validation of the Body Shape Questionnaire. International Journal of Eating Disorders, 6, 485–494.CrossRef Cooper, P., Taylor, M., Cooper, Z., & Fairburn, C. (1987). The development and validation of the Body Shape Questionnaire. International Journal of Eating Disorders, 6, 485–494.CrossRef
go back to reference Ebert, S. A., Tucker, D. C., & Roth, D. L. (2002). Psychological resistance factors as predictors of general health status and physical symptom reporting. Psychology, Health & Medicine, 7, 363–375.CrossRef Ebert, S. A., Tucker, D. C., & Roth, D. L. (2002). Psychological resistance factors as predictors of general health status and physical symptom reporting. Psychology, Health & Medicine, 7, 363–375.CrossRef
go back to reference Eriksson, M. (2007). Unravelling the mystery of salutogenesis. The evidence base of the salutogenic research as measured by Antonovsky’s sense of coherence (Doctoral dissertation). Åbo Akademis Tryckeri, Turki. Eriksson, M. (2007). Unravelling the mystery of salutogenesis. The evidence base of the salutogenic research as measured by Antonovsky’s sense of coherence (Doctoral dissertation). Åbo Akademis Tryckeri, Turki.
go back to reference Eriksson, M., & Lindström, B. (2006). Antonovsky’s sense of coherence scale and the relation with health: A systematic review. Journal of Epidemiology Community Health, 60, 376–381.CrossRefPubMed Eriksson, M., & Lindström, B. (2006). Antonovsky’s sense of coherence scale and the relation with health: A systematic review. Journal of Epidemiology Community Health, 60, 376–381.CrossRefPubMed
go back to reference Garner, D. M. (1991). The eating disorder inventory manual. Odessa: Psychological Assessment Resources. Garner, D. M. (1991). The eating disorder inventory manual. Odessa: Psychological Assessment Resources.
go back to reference Garner, D. M., & Garfinkel, P. E. (1979). The eating attitudes test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279.CrossRefPubMed Garner, D. M., & Garfinkel, P. E. (1979). The eating attitudes test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279.CrossRefPubMed
go back to reference Garner, D. M., Olmstad, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15–34.CrossRef Garner, D. M., Olmstad, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15–34.CrossRef
go back to reference Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871–878.CrossRefPubMed Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871–878.CrossRefPubMed
go back to reference Greenberg, L., Cwikel, J. M., & Mirsky, J. (2007). Cultural correlates of eating attitudes: A comparison between native-born and immigrant university students in Israel. The International Journal of Eating Disorders, 40, 51–58.CrossRefPubMed Greenberg, L., Cwikel, J. M., & Mirsky, J. (2007). Cultural correlates of eating attitudes: A comparison between native-born and immigrant university students in Israel. The International Journal of Eating Disorders, 40, 51–58.CrossRefPubMed
go back to reference Harel, Y., Ellenbogen-Frankovits, S., Molcho, M., Abu-Ashas, K., & Habib, J. (2002). Youth in Israel. Jerusalem: Brookdale Institute. Harel, Y., Ellenbogen-Frankovits, S., Molcho, M., Abu-Ashas, K., & Habib, J. (2002). Youth in Israel. Jerusalem: Brookdale Institute.
go back to reference Harrison, A., Sullivan, S., Tchanturia, K., & Treasure, J. (2010). Emotional functioning in eating disorders: Attentional bias, emotion recognition and emotion regulation. Psychological Medicine, 40(11), 1887–1897.CrossRefPubMed Harrison, A., Sullivan, S., Tchanturia, K., & Treasure, J. (2010). Emotional functioning in eating disorders: Attentional bias, emotion recognition and emotion regulation. Psychological Medicine, 40(11), 1887–1897.CrossRefPubMed
go back to reference Hilbert, A., Pike, K. M., Goldschmidt, A. B., Wilfley, D. E., Fairburn, C. G., Dohm, F. A., et al. (2014). Risk factors across the eating disorders. Psychiatry Research, 220(1), 500–506.CrossRefPubMedPubMedCentral Hilbert, A., Pike, K. M., Goldschmidt, A. B., Wilfley, D. E., Fairburn, C. G., Dohm, F. A., et al. (2014). Risk factors across the eating disorders. Psychiatry Research, 220(1), 500–506.CrossRefPubMedPubMedCentral
go back to reference Hintermair, M. (2004). Sense of coherence: A relevant resource in the coping process of mothers of deaf and hard-of-hearing children? Journal of Deaf Studies and Deaf Education, 9, 15–26.CrossRefPubMed Hintermair, M. (2004). Sense of coherence: A relevant resource in the coping process of mothers of deaf and hard-of-hearing children? Journal of Deaf Studies and Deaf Education, 9, 15–26.CrossRefPubMed
go back to reference Hoek, H. W. (2016). Review of the worldwide epidemiology of eating disorders. Current Opinion in Psychiatry, 29(6), 336–339.CrossRefPubMed Hoek, H. W. (2016). Review of the worldwide epidemiology of eating disorders. Current Opinion in Psychiatry, 29(6), 336–339.CrossRefPubMed
go back to reference Holland, G., & Tiggemann, M. (2016). A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image, 17, 100–110.CrossRefPubMed Holland, G., & Tiggemann, M. (2016). A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image, 17, 100–110.CrossRefPubMed
go back to reference Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the national co-morbidity survey replication. Biological Psychiatry, 61, 348–358.CrossRefPubMed Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the national co-morbidity survey replication. Biological Psychiatry, 61, 348–358.CrossRefPubMed
go back to reference Ianuca, I. (1990). Validation of the EAT in Israel (Doctoral dissertation). School of Medicine; Tel Aviv University, Israel. Ianuca, I. (1990). Validation of the EAT in Israel (Doctoral dissertation). School of Medicine; Tel Aviv University, Israel.
go back to reference Latzer, Y., Spivak-Lavi, Z., & Katz, R. (2015). Disordered eating and media exposure among adolescent girls: the role of parental involvement and sense of empowerment. International Journal of Adolescence and Youth, 20(3), 375–391.CrossRef Latzer, Y., Spivak-Lavi, Z., & Katz, R. (2015). Disordered eating and media exposure among adolescent girls: the role of parental involvement and sense of empowerment. International Journal of Adolescence and Youth, 20(3), 375–391.CrossRef
go back to reference Latzer, Y., & Tzischinsky, O. (2003). Weight concern, dieting and eating behaviors. A survey of Israeli high school girls. International Journal of Adolescent Medicine and Health, 15, 295–305.CrossRefPubMed Latzer, Y., & Tzischinsky, O. (2003). Weight concern, dieting and eating behaviors. A survey of Israeli high school girls. International Journal of Adolescent Medicine and Health, 15, 295–305.CrossRefPubMed
go back to reference Latzer, Y., & Tzischinsky, O. (2005). Eating attitudes in a diverse sample of Israeli adolescent females: A comparison. Journal of Adolescence, 28, 317–323.CrossRefPubMed Latzer, Y., & Tzischinsky, O. (2005). Eating attitudes in a diverse sample of Israeli adolescent females: A comparison. Journal of Adolescence, 28, 317–323.CrossRefPubMed
go back to reference Latzer, Y., Tzischinsky, O., & Azaiza, F. (2007). Disordered eating related behaviors among Arab schoolgirls in Israel: An epidemiological study. International Journal of Eating Disorders, 40, 263–270.CrossRefPubMed Latzer, Y., Tzischinsky, O., & Azaiza, F. (2007). Disordered eating related behaviors among Arab schoolgirls in Israel: An epidemiological study. International Journal of Eating Disorders, 40, 263–270.CrossRefPubMed
go back to reference Levine, M. P., & Smolak, L. (2009). Recent developments and promising directions in the prevention of negative body image and disordered eating in children and adolescents. Body Image, Eating Disorders, and Obesity in Youth, 2, 215–239. Levine, M. P., & Smolak, L. (2009). Recent developments and promising directions in the prevention of negative body image and disordered eating in children and adolescents. Body Image, Eating Disorders, and Obesity in Youth, 2, 215–239.
go back to reference Maor, N. R., Sayag, S., Dahan, R., & Hermoni, D. (2006). Eating attitudes among adolescents. The Israel Medical Association Journal, 8, 627–629.PubMed Maor, N. R., Sayag, S., Dahan, R., & Hermoni, D. (2006). Eating attitudes among adolescents. The Israel Medical Association Journal, 8, 627–629.PubMed
go back to reference Mitchison, D., & Mond, J. (2015). Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: A narrative review. Journal of Eating Disorders, 3(1), 20.CrossRefPubMedPubMedCentral Mitchison, D., & Mond, J. (2015). Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: A narrative review. Journal of Eating Disorders, 3(1), 20.CrossRefPubMedPubMedCentral
go back to reference Myrin, B., & Lagerstrom, M. (2008). Sense of coherence and psychosocial factors among adolescents. Acta Paediatrica, 97, 805–811.CrossRefPubMed Myrin, B., & Lagerstrom, M. (2008). Sense of coherence and psychosocial factors among adolescents. Acta Paediatrica, 97, 805–811.CrossRefPubMed
go back to reference Niv, N., Kaplan, Z., Mitrani, E., & Shiang, J. (1998). Validity study of the EDI-2 in Israeli population. The Israel Journal of Psychiatry and Related Sciences, 35(4), 287.PubMed Niv, N., Kaplan, Z., Mitrani, E., & Shiang, J. (1998). Validity study of the EDI-2 in Israeli population. The Israel Journal of Psychiatry and Related Sciences, 35(4), 287.PubMed
go back to reference Prentice, M., & Jebb, A. (2001). Beyond body mass index. Obesity Review, 2, 141–147.CrossRef Prentice, M., & Jebb, A. (2001). Beyond body mass index. Obesity Review, 2, 141–147.CrossRef
go back to reference Shohat, T., Flint-Bretler, O., & Tzischinsky, O. (2010). Sleep patterns electronic media exposure and day time sleep related behavior among Israeli adolescent. Acta Pediatrica, 99, 1396–1400.CrossRef Shohat, T., Flint-Bretler, O., & Tzischinsky, O. (2010). Sleep patterns electronic media exposure and day time sleep related behavior among Israeli adolescent. Acta Pediatrica, 99, 1396–1400.CrossRef
go back to reference Skemp-Arlt, K. M. (2006). Body image dissatisfaction and eating disturbances among children and adolescents. Journal of Physical Education, Recreation & Dance, 77, 45–51.CrossRef Skemp-Arlt, K. M. (2006). Body image dissatisfaction and eating disturbances among children and adolescents. Journal of Physical Education, Recreation & Dance, 77, 45–51.CrossRef
go back to reference Smink, F. R., Van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality rates. Current Psychiatry Reports, 14(4), 406–414.CrossRefPubMedPubMedCentral Smink, F. R., Van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality rates. Current Psychiatry Reports, 14(4), 406–414.CrossRefPubMedPubMedCentral
go back to reference Steinberg, L. (2002). Adolescence. Boston: McGraw-Hill. Steinberg, L. (2002). Adolescence. Boston: McGraw-Hill.
go back to reference Stice, E., Marti, C. N., & Durant, S. (2011). Risk factors for onset of eating disorders: Evidence of multiple risk pathways from an 8-year prospective study. Behavior Research and Therapy, 49(10), 622–627.CrossRef Stice, E., Marti, C. N., & Durant, S. (2011). Risk factors for onset of eating disorders: Evidence of multiple risk pathways from an 8-year prospective study. Behavior Research and Therapy, 49(10), 622–627.CrossRef
go back to reference Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. Journal of Abnormal Psychology, 122(2), 445.CrossRefPubMed Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. Journal of Abnormal Psychology, 122(2), 445.CrossRefPubMed
go back to reference Stice, E., South, K., & Shaw, H. (2012). Future directions in etiologic, prevention, and treatment research for eating disorders. Journal of Clinical Child & Adolescent Psychology, 41(6), 845–855.CrossRef Stice, E., South, K., & Shaw, H. (2012). Future directions in etiologic, prevention, and treatment research for eating disorders. Journal of Clinical Child & Adolescent Psychology, 41(6), 845–855.CrossRef
go back to reference Udo, T., & Grilo, C. M. (2018). Prevalence and correlates of DSM-5 eating disorders in nationally representative sample of United States adults. Biological Psychiatry, 84, 345–354.CrossRefPubMedPubMedCentral Udo, T., & Grilo, C. M. (2018). Prevalence and correlates of DSM-5 eating disorders in nationally representative sample of United States adults. Biological Psychiatry, 84, 345–354.CrossRefPubMedPubMedCentral
go back to reference Wainwright, N. W., Surtees, P. G., Welch, A. A., Luben, R. N., Khaw, K. T., & Bingham, S. (2008). Sense of coherence, lifestyle choices and mortality. Journal of Epidemiologic Community Health, 62, 829–831.CrossRef Wainwright, N. W., Surtees, P. G., Welch, A. A., Luben, R. N., Khaw, K. T., & Bingham, S. (2008). Sense of coherence, lifestyle choices and mortality. Journal of Epidemiologic Community Health, 62, 829–831.CrossRef
go back to reference Weinberger-Litman, S. L., Latzer, Y., Litman, L., & Ozick, R. (2018). Extrinsic religious orientation and disordered eating pathology among modern orthodox Israeli adolescents: The mediating role of adherence to the superwoman ideal and body dissatisfaction. Journal of Religion and Health, 57(1), 209–222.CrossRefPubMed Weinberger-Litman, S. L., Latzer, Y., Litman, L., & Ozick, R. (2018). Extrinsic religious orientation and disordered eating pathology among modern orthodox Israeli adolescents: The mediating role of adherence to the superwoman ideal and body dissatisfaction. Journal of Religion and Health, 57(1), 209–222.CrossRefPubMed
go back to reference Wilfley, D., Stein, R., & Welch, R. (2003). Interpersonal psychotherapy. In J. Treasure, U. Schmidt, & E. van Furth (Eds.), Handbook of eating disorders (2nd ed., pp. 253–270). West Sussex: Wiley. Wilfley, D., Stein, R., & Welch, R. (2003). Interpersonal psychotherapy. In J. Treasure, U. Schmidt, & E. van Furth (Eds.), Handbook of eating disorders (2nd ed., pp. 253–270). West Sussex: Wiley.
Metadata
Title
Disordered Eating Pathology and Body Image Among Adolescent Girls in Israel: The Role of Sense of Coherence
Authors
Yael Latzer
Sarah L. Weinberger-Litman
Zohar Spivak-Lavi
Orna Tzischinsky
Publication date
01-10-2019
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 7/2019
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00446-0

Other articles of this Issue 7/2019

Community Mental Health Journal 7/2019 Go to the issue