King's College London

Research portal

A psychosocial risk factor model for female eating disorders: A European multicentre project

Research output: Contribution to journalArticlepeer-review

Isabel Krug, Matthew Fuller-Tyszkiewicz, Sarah Mitchell, Fernando Fernandez-Aranda, Andreas Karwautz, Gudrun Wagner, Marija Anderluh, Laura Bellodi, Benedetta Nacmias, Valdo Rica, Sandro Sorbi, Kate Tchanturia, David Collier, Janet Treasure, Nadia Micali

Original languageEnglish
Article numberO39
JournalJournal of Eating Disorders
Issue number1
Published24 Nov 2014

King's Authors


Aim To investigate through Structural Equation Modelling (SEM), the relationship between parenting styles, teasing about body weight/shape or eating, internalization of the thin ideal and body dissatisfaction amongst eating disorders (EDs) and controls and to see whether the risk factor model differed across various European countries and ED subtypes. Method The total sample comprised 1373 participants(ED patients=618).The Cross-Cultural Questionnaire (CCQ) was used to assess the above-mentioned risk factors. Results SEM analyses showed that the best fitting model was one allowing risk paths to vary across countries [x2(425) =2105.271,p<.0001,RMSEA,=022,CFI=980]. In all countries teasing about weight/shape or eating was associated with body dissatisfaction(directly and via internalization of the thin ideal).There was a strong significant path from body dissatisfaction to ED(standardised path coefficient across countries:0.44-0.69, p<0.0001).Teasing about weight/ shape or eating also directly predicted EDs (in the UK, Spain and Slovenia).There was however a weak effect of parenting on both teasing about weight/shape or eating and EDs directly. Risk models slightly varied across ED diagnoses. Conclusion Our hypothesised model was partially confirmed; in particular the central role of teasing on EDs both directly and mediated by internalization of the thin ideal and body dissatisfaction was shown across five European countries.Conversely, the effect of parenting varied by country and therefore might have cross-cultural effects.

View graph of relations

© 2020 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454