The Sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3) and its earlier versions are measures designed to assess societal and interpersonal aspects of appearance ideals.Correlational, structural equation modeling, and prospective studies of the SATAQ-3 have shown consistent and significant associations with measures of body image disturbance and eating pathology. In the current investigation, the SATAQ-3 was revised to improve upon some conceptual limitations and was evaluated in four US and three international female samples, as well as a US male sample. In Study 1, exploratory and confirmatory factor analyses for a sample of women from the Southeastern US (N = 859) indicated a 22-item scale with five factors: Study 2 replicated the factorial validity, reliability, and convergent validity of the SATAQ-4 in an international sample of women drawn from Italy, England, and Australia (N = 362). Study 3 examined a sample of college males from the US (N = 271); the five-factor solution was largely replicated, yet there was some evidence of an underlying structure unique to men. Future research avenues include additional item testing and modification of the scale for men, as well as adaptation of the measure for children and adolescents.Keywords: SATAQ, internalization, appearance ideals, sociocultural pressure, measurement, body image, eating disturbance. DEVELOPMENT AND VALIDATION OF THE SATAQ-4 5 Development and Validation of the Sociocultural AttitudesTowards Appearance Research has demonstrated an array of negative consequences associated with body image disturbance and eating pathology (e.g., decreased self-esteem, negative affect, unhealthy weight control practices, and serious medical complications) (Grossbard, Lee, Neighbors, & Larimer, 2009; Mellor, Fuller-Tyszkie, McCabe, & Ricciardelli, 2010;Mintz & Betz, 1988;Rodin, Silberstein, & Striegel-Moore, 1984;Stice, 2002). Consequently, researchers have sought to understand the etiology and maintenance of these disorders in order to illuminate potential points of intervention (Cash & Smolak, 2011;Stice, 2002). One prominent etiological model that has received strong empirical support is the tripartite influence model (Thompson, Heinberg, Altabe, & Tantleff-Dunn, 1999), which is based on socioculturual theories of body image disturbance and disordered eating (Keel & Forney, 2013;Tiggemann, 2011). This model posits that individuals are pressured by powerful social agents (i.e., peers, family, and the media) to adhere to culturally-sanctioned appearance ideals, which emphasize thinness for women and muscularity for men. These social pressures are proposed to lead individuals to internalize relevant appearance ideals (i.e., to set the ideal as one's own personal standard of attractiveness).Internalization of the often unattainable ideal is thought to lead to body dissatisfaction,which is an established risk factor for unhealthy weight control practices and disordered eating (Thompson, Schaefer, & Menzel, 2012).Because females report higher le...

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Disparities in eating disorder (ED) risk, diagnosis, and treatment for those who occupy multiple marginalized social identities (e.g., combined racial/ethnic and sexual minority statuses), underscore the need for advancing multicultural research in the ED field. In this article, we argue that intersectionality-informed approaches, which

Objective Preadolescent loss-of-control-eating (LOC-eating) is a risk factor for excess weight gain and binge-eating-disorder. We evaluated feasibility and acceptability of a preventive family-based interpersonal psychotherapy (FB-IPT) program. FB-IPT was compared to family-based health education (FB-HE) to evaluate changes in children’s psychosocial functioning, LOC-eating, and body mass. Method A randomized, controlled pilot trial was conducted with 29 children, 8 to 13 years who had overweight/obesity and LOC-eating. Youth-parent dyads were randomized to 12-week FB-IPT (n=15) or FB-HE (n=14) and evaluated at post-treatment, six-months, and one-year. Changes in child psychosocial functioning, LOC-eating, BMI, and adiposity by dual-energy-X-ray-absorptiometry were assessed. Missing follow-up data were multiply imputed. Results FB-IPT feasibility and acceptability were indicated by good attendance (83%) and perceived benefits to social interactions and eating. Follow-up assessments were completed by 73% FB-IPT and 86% FB-HE at post-treatment, 60% and 64% at six-months, and 47% and 57% at one-year. At post-treatment, children in FB-IPT reported greater decreases in depression (95% CI −7.23, −2.01, Cohen’s d=1.23) and anxiety (95% CI −6.08, −0.70, Cohen’s d=.79) and less odds of LOC-eating (95% CI −3.93, −0.03, Cohen’s d=.38) than FB-HE. At six-months, children in FB-IPT had greater reductions in disordered-eating attitudes (95% CI −0.72, −0.05, Cohen’s d=.66) and at one-year, tended to have greater decreases in depressive symptoms (95% CI −8.82, 0.44, Cohen’s d=.69) than FB-HE. There was no difference in BMI gain between the groups. Discussion Family-based approaches that address interpersonal and emotional underpinnings of LOC-eating in preadolescents with overweight/obesity show preliminary promise, particularly for reducing internalizing symptoms. Whether observed psychological benefits translate into sustained prevention of disordered-eating or excess weight gain requires further study.