Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: A mediation model

• We investigated eating disorder risk in obese and normal weight adolescents.
• Significant differences between the two groups in eating disorder behavior emerged.
• Body shame mediated the relationship between self-esteem and eating disorder risk.
• A potential underlying mechanism for eating pathology development is discussed.

ObjectiveTo investigate dysfunctional eating behaviors and psychological variables typically associated to eating disturbances such as low self-esteem, perfectionism, shame, perceived parental care and protectiveness in obese and normal weight adolescents and to examine how the main powerful eating disorder risk factors interact with each other which explains eating psychopathology vulnerability.Method111 high school students (68 males; age range 13–19 years) classified as obese and 111 age-, sex- and social status-homogeneous normal weight controls were included in the current study. All participants were asked to fill out self-report measures of parental behavior as perceived by the offspring, eating disturbance attitudes and behaviors, self-esteem, perfectionism and shame.ResultsSignificant differences between the two groups in relation to dysfunctional eating behaviors emerged. Body shame had the strongest relationship to eating problems vulnerability and acted as a mediator in the relationship between low self-esteem and eating disorder risk among both obese and non-obese youngsters.ConclusionsThese findings further our understanding of a potential underlying mechanism for eating pathology development in youngsters in general and in obese adolescents in particular, which is of great importance in terms of prevention and treatment.