Culture-specific influences on body image and eating distress in a sample of urban Bulgarian women: The roles of faith and traditional fasting

•Local culture was implicated in eating distress in a trans-cultural female sample.•Faith was indirectly involved in eating distress by relating to dietary restraint.•Vulnerable women tended to use faith and fasting to perpetuate eating problems.•Women with lower EAT scores tended to use faith and fasting for spiritual reasons.•Local culture may bridge body dissatisfaction and eating pathology in this sample.

The purpose of this study was to examine the influence of local culture on body image and eating distress in a sample of urban Bulgarian women. Specifically, we focused on two affiliated factors unique to the Bulgarian context: faith and traditional fasting. Findings revealed that women could be divided into two groups who behaved differently based on the severity of their eating disorder symptomatology. For women with higher EAT-40 scores (i.e., vulnerable women), faith seemed to have harmful effects, perhaps by virtue of motivating or reinforcing asceticism and dietary restraint. For these women fasting was likely but one strategy for weight management and the achievement of a desired thin figure consistent with the socio-cultural models. In contrast, among women with lower EAT-40 scores, faith seemed to have a protective effect against excessive dieting. These women were more likely to use fasting in the way intended by religious scripture, for faith-related reasons that have nothing to do with body image. This study contributes to the literature by emphasizing the importance of culturally unique factors that may be implicated in the relationship between body dissatisfaction and overt eating distress in the trans-cultural context. When expanded, this research can be of use in helping formulate custom interventions and public health policies aimed at preventing such conditions in Bulgaria and possibly in similar post-communist cultures.