Bulimic symptoms and body image dissatisfaction in college women: more affected by climate or race?
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Updated: Jul 1, 2026

Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
Published on: May 31, 2021
Kristine L Lokken1, Sheri L Worthy, F Richard Ferraro
1University of Alabama at Birmingham, Department of Psychiatry and Behavioral Neurobiology, Birmingham, AL 35294-0018, USA. klokken@uabmc.edu
Abstract:
The authors examined bulimic symptoms and body image dissatisfaction (BID) in a sample of college women. No differences were found in comparisons of bulimic symptoms or BID between Southern and Northern White women, and both groups reported similar levels of awareness and internalization of sociocultural aesthetic standards of appearance. Southeastern Black women reported (a) significantly lower levels of bulimic symptoms in comparison with White women from the North and (b) lower levels of BID in comparison with White women from both Southern and Northern regions. Further, Southeastern Black women were significantly less likely to be aware of and endorse mainstream standards of appearance in comparison with both groups of White women. Findings support the hypothesis that having a positive body image and less susceptibility to mainstream aesthetic standards of appearance may reduce the risk of eating disorder pathology in Black women.
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