The detrimental impact of sociocultural pressures on adolescents’ body image has been widely established. However, it remains unclear why or for whom such pressures lead to increased appearance ideals internalization and appearance comparison. This cross-sectional study investigated moderating and indirect effects of identity confusion/synthesis in the relationship between (1) sociocultural pressures and (2) appearance ideals internalization and appearance comparison. The study comprised 685 community adolescents (13–19 years; M_age = 14.80; SD_age = 0.93; 55.2% girls). Participants completed self-report questionnaires on sociocultural pressures (Sociocultural Attitudes Toward Appearance Questionnaire-4; SATAQ-4), identity confusion/synthesis (Erikson Psychosocial Stage Inventory; EPSI), thin-ideal and muscular-ideal internalization (SATAQ-4), and appearance comparison (Physical Appearance Comparison Scale; PACS). Structural equation models with latent variables were estimated. The current results pointed to both moderating and indirect effects of identity formation in the relationship between sociocultural pressures and appearance ideals internalization and appearance comparison in boys and girls. No significant differences were found between boys and girls in the moderating or indirect models. These results highlight the need to integrate identity functioning in sociocultural theories on body image formation, and to address a healthy identity development in prevention and intervention programs targeting appearance ideals internalization and appearance comparison in adolescents.

Increasing research has indicated a strong association between identity functioning and eating disorder (ED) symptomatology. However, a detailed investigation of identity throughout ED treatment is lacking. The present longitudinal study examined identity in inpatients with an ED and explored its simultaneous change with ED symptomatology throughout treatment. A total of 225 female patients completed questionnaires at admission. From these 225 patients participating at admission (Wave 1), 110 also participated in at least one additional measurement wave, with 43.64% (n = 48) participating at admission and during treatment, 16.36% (n = 18) participating at admission and at discharge, and 40% (n = 44) participating at admission, during treatment and at discharge. Questionnaires on identity synthesis, identity confusion, identity processes, and ED symptomatology were completed. Latent growth curve modeling was used to address the research questions. Throughout treatment, a decrease in identity confusion and an increase in identity synthesis and adaptive identity processes were found. Accordingly, increases in identity synthesis and identification with commitment were related to general decreases in the drive for thinness and body dissatisfaction. Similarly, such decreases in ED symptoms were related to general decreases in identity confusion and ruminative exploration. The present study points to an increase in identity functioning throughout treatment, and longitudinal associations between identity functioning and ED symptomatology were found. Helping patients to decrease their ruminative exploration and to increase their identification with previously made life commitments and treating body/weight concerns could both be helpful in ED treatment.

The present paper includes two studies examining how identity functioning is related to (psychological characteristics of) somatic symptoms. Study 1 examined associations between identity and somatic symptoms, whereas Study 2 additionally examined associations between identity and psychological characteristics of somatic symptoms and investigated the mediating role of anxiety and depressive symptoms in the association between identity disturbance and (psychological characteristics of) somatic symptoms. The total sample consisted of adolescents and emerging adults aged 14–30, including 686 and 663 participants for Study 1 and 2, respectively. In both studies, youth in troubled diffusion reported the most (psychological characteristics of) somatic symptoms. Finally, significant indirect effects from identity disturbance to (psychological characteristics of) somatic symptoms through anxiety and depressive symptoms were found.

Identity formation was investigated in adolescent and emerging adult cancer survivors from a (neo-)Eriksonian perspective by comparing survivors to control participants. In survivors, associations ...