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      Warning labels on fashion images: Short‐ and longer‐term effects on body dissatisfaction, eating disorder symptoms, and eating behavior

      1 , 2 , 3 , 4
      International Journal of Eating Disorders
      Wiley

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          Abstract

          <div class="section"> <a class="named-anchor" id="S1"> <!-- named anchor --> </a> <h5 class="section-title" id="d554100e142">Objective:</h5> <p id="P1">Fashion warning labels that caution readers about digitally altered images have been recommended and adopted by several countries to prevent body dissatisfaction and eating disorders. This study investigated the short- and longer-term influence of fashion warning labels on affect, body dissatisfaction, eating disorder symptoms, and snack consumption using a randomized-controlled experiment. </p> </div><div class="section"> <a class="named-anchor" id="S2"> <!-- named anchor --> </a> <h5 class="section-title" id="d554100e147">Method:</h5> <p id="P2">Female undergraduates ( <i>n</i> = 118) were randomized to view and rate responses to fashion images either with or without a warning label. They then consumed snacks and completed questionnaires. 64 participants (54%) completed follow-up online surveys asking them to view and rate new fashion images with or without warning labels once per week for four weeks. Primary outcomes were affect, body dissatisfaction, eating disorder symptoms, and kilocalories consumed. </p> </div><div class="section"> <a class="named-anchor" id="S3"> <!-- named anchor --> </a> <h5 class="section-title" id="d554100e155">Results:</h5> <p id="P3">Overall, fashion warning labels had no short-term effects on affect, body dissatisfaction, or kilocalories consumed in the lab. However, individuals who reported engaging in restrictive eating consumed fewer kilocalories when exposed to advertisements with warning labels ( <i>M</i> = 170.33, <i>SD</i> = 120.78) versus no labels ( <i>M</i> = 286.46, <i>SD</i> = 166.30), <i>p</i> = .008. Warning labels also had no protective effects after repeated exposure over four weeks on affect or eating disorder symptoms, and significantly increased appearance orientation ( <i>p</i> = .001). </p> </div><div class="section"> <a class="named-anchor" id="S4"> <!-- named anchor --> </a> <h5 class="section-title" id="d554100e179">Discussion:</h5> <p id="P4">Warning labels on media images are unlikely to be an effective policy tool to prevent negative affect, body dissatisfaction, and eating disorder symptoms, and, in some cases, may exacerbate these concerns. </p> </div>

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          Most cited references34

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          Risk and maintenance factors for eating pathology: a meta-analytic review.

          Eric Stice (2002)
          This meta-analytic review of prospective and experimental studies reveals that several accepted risk factors for eating pathology have not received empirical support (e.g., sexual abuse) or have received contradictory support (e.g.. dieting). There was consistent support for less-accepted risk factors(e.g., thin-ideal internalization) as well as emerging evidence for variables that potentiate and mitigate the effects of risk factors(e.g., social support) and factors that predict eating pathology maintenance(e.g., negative affect). In addition, certain multivariate etiologic and maintenance models received preliminary support. However, the predictive power of individual risk and maintenance factors was limited, suggesting it will be important to search for additional risk and maintenance factors, develop more comprehensive multivariate models, and address methodological limitations that attenuate effects.
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            The effect of experimental presentation of thin media images on body satisfaction: A meta-analytic review

            The effect of experimental manipulations of the thin beauty ideal, as portrayed in the mass media, on female body image was evaluated using meta-analysis.
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              Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature.

              The purpose of this study was to systematically review the reliability of scores on the Eating Disorder Examination (EDE) and the Eating Disorder Examination-Questionnaire (EDE-Q) and to examine the validity of their use as measures of eating disorder symptoms. Articles describing the psychometric properties of the EDE and EDE-Q were identified in a systematic search of major computer databases and a review of reference lists. Articles were selected based on a priori inclusion and exclusion criteria. Fifteen studies were identified that examined the psychometrics of the EDE, whereas 10 studies were found that examined the psychometrics of the EDE-Q. Both instruments demonstrated reliability of scores. There is evidence that scores on the EDE and EDE-Q correlate with scores on measures of similar constructs and support for using the instruments to distinguish between cases and non-cases. Additional research is needed to broaden the generalizability of the findings. Copyright © 2011 Wiley Periodicals, Inc.
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                Author and article information

                Journal
                International Journal of Eating Disorders
                Int J Eat Disord
                Wiley
                0276-3478
                1098-108X
                November 27 2018
                October 2018
                November 27 2018
                October 2018
                : 51
                : 10
                : 1153-1161
                Affiliations
                [1 ]Department of Psychology, Sociology, and Social WorkWest Texas A&amp;M University Canyon Texas
                [2 ]Department of PsychiatryUniversity of Minnesota Medical Center Minneapolis Minnesota
                [3 ]Department of PsychologyFurman University Greenville South Carolina
                [4 ]Department of Medical Ethics and Health Policy, Perelman School of MedicineUniversity of Pennsylvania Philadelphia Pennsylvania
                Article
                10.1002/eat.22951
                6289689
                30480830
                fa7fb688-fe8f-4754-98ae-c3da78e6ba6b
                © 2018

                http://onlinelibrary.wiley.com/termsAndConditions#vor

                http://doi.wiley.com/10.1002/tdm_license_1.1

                History

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