Direct and indirect effects of sociocultural influences on disordered eating among Malaysian male and female university students. A mediation analysis of psychological distress

• Published in: Appetite Vol. 56; no. 3; pp. 778 - 783
• Main Authors: Gan, Wan Ying, Mohd Nasir, Mohd Taib, Zalilah, Mohd Shariff, Hazizi, Abu Saad
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ltd 01.06.2011; Elsevier
• Subjects: Adolescent; Adult; Anxiety Disorders - complications; Anxiety Disorders - psychology; Biological and medical sciences; college students; Culture; Depressive Disorder - complications; Depressive Disorder - psychology; Direct and indirect effects; Disordered eating; distress; eating disorders; equations; Feeding and Eating Disorders - complications; Feeding and Eating Disorders - psychology; Feeding. Feeding behavior; Female; females; Fundamental and applied biological sciences. Psychology; Humans; ingestion; Malaysia; Male; males; Medical sciences; Metabolic diseases; Pressure to be thin; Psychiatric Status Rating Scales; Psychological distress; Psychology. Psychoanalysis. Psychiatry; Psychology. Psychophysiology; questionnaires; Social Behavior; Stress, Psychological - complications; Stress, Psychological - psychology; Structural equation model; Students - psychology; Surveys and Questionnaires; universities; valleys; Vertebrates: anatomy and physiology, studies on body, several organs or systems; Weight-related teasing; Young Adult; Asia; Malaysia; Direct and indirect effects; Psychological distress; Disordered eating; Structural equation model; Pressure to be thin; Weight-related teasing; Human; Social influence; Feeding behavior; Structural equation modeling; Nutrition; Psychology; University environment; Male; Student; Eating disorder; Mediation; Pressure; Weight; Teasing; University; Female; Psychopathology
• ISSN: 0195-6663; 1095-8304
• DOI: 10.1016/j.appet.2011.03.005

► Sociocultural influences and disordered eating mediated by psychological distress. ► Psychological distress acts as a partial mediator among females. ► Psychological distress acts as a complete mediator among males. This study aimed to examine the role of psychological distress in the relationships between sociocultural influences (social pressure to be thin and weight teasing) and disordered eating. Data were collected from 584 university students (59.4% females and 40.6% males), aged 18–24 years old ( M = 20.6, SD = 1.4), selected from four universities in the Klang Valley, Malaysia. Participants completed four standardized questionnaires which measured social pressure to be thin, weight-related teasing, psychological distress and disordered eating. A good fit structural equation modeling (SEM) model was developed for both sexes. For males, the SEM model revealed that sociocultural influences showed an indirect effect on disordered eating through psychological distress. For females, the model showed an indirect effect of sociocultural influences on disordered eating through psychological distress, as well as a direct effect of sociocultural influences on disordered eating. In conclusion, psychological distress mediated the relationships between sociocultural influences and disordered eating in both males and females. Our results suggest that disordered eating intervention programs on reducing psychological distress in university students may be beneficial.