Relationship Between Body Image Concerns and Eating Disorder Risk, Social Fear and Quality of Life in School and College Girls
Abstract
Introduction: Body image concerns involve negative perceptions and attitudes about body size and shape. It is a significant public health concern linked to emotional distress, low self-esteem, depression, and eating disorders (ED), particularly among adolescent females.
Objectives: To examine the impact of body image concerns on eating disorder risk, social fear and quality of life among female students aged 15–21 years.
Method: A sample of 400 school and college girls was surveyed, those with body image concerns were selected for further analysis of ED risk, SF and QoL using a modified, pretested questionnaire, and the data
were statistically analysed.
Results:The study found that 40.4% of participants had negative body image concerns, with schoolgirls (24.4 ± 3.4) showing a higher prevalence than college girls (25.9 ± 3.1). Eating disorder risk and combination(ED &SF) were more common among schoolgirls, while social fear prevalence was similar in both groups. Both groups reported poor quality of life, but schoolgirls with body image concerns had significantly lower quality
of life linked to ED risk (t = 3.96**) and combination of ED risk & SF (t= 2.75**). No significant difference was observed in quality of life for SF alone. A strong negative correlation was found between quality of
life and ED risk (r = -0.31*, -0.28*) or SF (r = -0.46*, -0.34*), but not for those with both ED risk and SF.
Conclusions: The study highlights how negative body image concerns contribute to other problems and affect the quality of life of female students. Interventions like self-monitoring, healthy eating, exercise, media literacy, self-esteem building, and psychoeducation can help reduce body image dissatisfaction.
How to cite this article:
Sobana R M, Nisha P M, Banu H S, Deva B J.
Relationship Between Body Image Concerns and
Eating Disorder Risk, Social Fear and Quality of
Life in School and College Girls. Chettinad Health
City Med J. 2025;14(2):25-31.
DOI: https://doi.org/10.24321/2278.2044.202520
References
Damiano SR, Gregg KJ, Spiel EC, McLean SA, Wertheim EH, Paxton SJ. Relationships between body size
attitudes and body image of 4-year-old boys and girls, and attitudes of their fathers and mothers. Journal of
Eating Disorders. 2015 Dec;3:1-0. [Google Scholar] [Pubmed]
Tylka TL, Wood-Barcalow NL. What is and what is not positive body image? Conceptual foundations and
construct definition. Body image. 2015 Jun 1;14:118 29. [Google Scholar] [Pubmed]