Skip to main content

Advertisement

Log in

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

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • 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.

    Article  Google Scholar 

  • Antonovsky, A. (1979). Health, stress and coping. San Francisco: Jossey-Bass.

    Google Scholar 

  • 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. (1985). The life cycle, mental health and the sense of coherence. Israel Journal of Psychiatry and Related Sciences, 22, 273–280.

    CAS  PubMed  Google Scholar 

  • Antonovsky, A. (1987). Unraveling the mystery of health. San Francisco: Jossey-Bass.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Chapter  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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., & 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.

    Article  PubMed  Google Scholar 

  • Garner, D. M. (1991). The eating disorder inventory manual. Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Garner, D. M., & Garfinkel, P. E. (1979). The eating attitudes test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Harel, Y., Ellenbogen-Frankovits, S., Molcho, M., Abu-Ashas, K., & Habib, J. (2002). Youth in Israel. Jerusalem: Brookdale Institute.

    Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Hoek, H. W. (2016). Review of the worldwide epidemiology of eating disorders. Current Opinion in Psychiatry, 29(6), 336–339.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Ianuca, I. (1990). Validation of the EAT in Israel (Doctoral dissertation). School of Medicine; Tel Aviv University, Israel.

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Latzer, Y., & Tzischinsky, O. (2005). Eating attitudes in a diverse sample of Israeli adolescent females: A comparison. Journal of Adolescence, 28, 317–323.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Lerner, R. M., Boyd, M. J., & Du, D. (2010). Adolescent development. The Corsini Encyclopedia of Psychology, 1, 2. https://doi.org/10.1002/9780470479216.corpsy0019.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Maor, N. R., Sayag, S., Dahan, R., & Hermoni, D. (2006). Eating attitudes among adolescents. The Israel Medical Association Journal, 8, 627–629.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • Myrin, B., & Lagerstrom, M. (2008). Sense of coherence and psychosocial factors among adolescents. Acta Paediatrica, 97, 805–811.

    Article  CAS  PubMed  Google Scholar 

  • 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.

    CAS  PubMed  Google Scholar 

  • Prentice, M., & Jebb, A. (2001). Beyond body mass index. Obesity Review, 2, 141–147.

    Article  CAS  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Skemp-Arlt, K. M. (2006). Body image dissatisfaction and eating disturbances among children and adolescents. Journal of Physical Education, Recreation & Dance, 77, 45–51.

    Article  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • Steinberg, L. (2002). Adolescence. Boston: McGraw-Hill.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yael Latzer.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Latzer, Y., Weinberger-Litman, S.L., Spivak-Lavi, Z. et al. Disordered Eating Pathology and Body Image Among Adolescent Girls in Israel: The Role of Sense of Coherence. Community Ment Health J 55, 1246–1252 (2019). https://doi.org/10.1007/s10597-019-00446-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-019-00446-0

Keywords

Navigation