Skip to main content
Log in

Exploring Sociocultural Influences Affecting Body Image in Survivors of Childhood Sexual Assault

  • Original Article
  • Published:
Journal of Child & Adolescent Trauma Aims and scope Submit manuscript

Abstract

This phenomenological study explored the lived experiences of survivors of childhood sexual assault, their meaning making process of the assault, and how messages from their sociocultural environment affected their relationship with, and perception of, their bodies. Utilizing a social constructivist framework, the research team interviewed eleven (n = 11) participants from a variety of backgrounds who were gender assigned female at birth and had survived childhood sexual assault (CSA). Four major themes emerged from the narratives collected. These include sociocultural impacts which included four subthemes: family relationships, peer relationships, societal and environmental influences, and cultural and ethnic influences; meaning making of the critical event, i.e., childhood sexual assault; self-perception of their bodies; internal processes that have shaped their perceptions and meaning making, i.e., thoughts, feelings, and behaviors. Findings indicate major influence of sociocultural factors in shaping participant’s internal processes as survivors of CSA, meaning making, and subsequently self-perceptions of, and relationship with, their bodies. We discuss CSA and body image keeping the intersectionality of the individual, their experiences, and the impact of sociocultural contexts on that intersectionality.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ahrens, C. E. (2006). Being silenced: The impact of negative social reactions on the disclosure of rape. American journal of community psychology, 38(3–4), 263–274. https://doi.org/10.1007/s10464-006-9069-9

    Article  PubMed  PubMed Central  Google Scholar 

  • Atkins, D. (2012). Looking queer: Body image and identity in lesbian, bisexual, gay, and transgender communities. Routledge.

  • Bartky, S. L. (1990). Foucault, femininity, and the modernization of patriarchal power. Femininity and domination: Studies in the phenomenology of oppression (pp. 63–82). New York: Routledge.

    Google Scholar 

  • Blanchard-Dallaire, C., & Hébert, M. (2014). Social relationships in sexually abused children: Self-reports and teachers’ evaluation. Journal of Child Sexual Abuse, 23(3), 326–344. https://doi.org/10.1080/10538712.2014.888123

    Article  PubMed  Google Scholar 

  • Boyatzis, C. J., & Quinlan, K. B. (2008). Women’s body image, disordered eating, and religion: A critical review of the literature. Research in the Social Scientific Study of Religion, 19, 183–208.

    Google Scholar 

  • Bronfenbrenner, U. (2005). Making human beings human: Bioecological perspectives on human development. Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Brown, L. S. (2008). Cultural competence in trauma therapy: Beyond the flashback. Washington, D.C.: American Psychological Association.

    Book  Google Scholar 

  • Bryant-Davis, T. (2005). Thriving in the wake of trauma: A multicultural guide. Westport, CT: Praeger Publishers.

    Google Scholar 

  • Butler, J. (2004). Undoing gender. New York, NY: Routledge.

    Book  Google Scholar 

  • Cafri, G., Yamamiya, Y., Brannick, M., & Thompson, J. K. (2005). The influence of sociocultural factors on body image: A meta-analysis. Clinical Psychology: Science and practice, 12(4), 421–433. https://doi.org/10.1093/clipsy.bpi053

    Article  Google Scholar 

  • Calhoun, L. G., & Tedeschi, R. G. (2006). Handbook of posttraumatic growth: Research and Practice. Mahway, NJ: Lawrence Erlbaum Associates, Inc.

    Google Scholar 

  • Cash, T. F., & Deagle, E. A., III (1997). The nature and extent of body-image disturbances in anorexia nervosa and bulimia nervosa: A meta-analysis. International Journal of Eating disorders, 22, 107–126.

    Article  PubMed  Google Scholar 

  • Clark, L., & Tiggemann, M. (2008). Sociocultural and individual psychological predictors of body image in young girls: A prospective study. Developmental psychology, 44(4), 1124–1134. https://doi.org/10.1037/0012-1649.44.4.1124

    Article  PubMed  Google Scholar 

  • Clay, D., Vignoles, V. L., & Dittmar, H. (2005). Body image and self-esteem among adolescent girls: Testing the influence of sociocultural factors. Journal of research on adolescence, 15(4), 451–477. https://doi.org/10.1111/j.1532-7795.2005.00107.x

    Article  Google Scholar 

  • Creswell, J. W. (2014). ). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Los Angeles, Sage.

  • Cribb, V. L., & Haase, A. M. (2016). Girls feeling good at school: School gender environment, internalization and awareness of sociocultural attitudes associations with self-esteem in adolescent girls. Journal of Adolescence, 46, 107–114. https://doi.org/10.1016/j.adolescence.2015.10.019

    Article  PubMed  Google Scholar 

  • Dittmar, H., Halliwell, E., & Stirling, E. (2009). Understanding the impact of thin media models on women’s body-focused affect: The roles of thin-ideal internalization and weight-related self-discrepancy activation in experimental exposure effects. Journal of Social and Clinical Psychology, 28(1), 43–72. https://doi.org/10.1521/jscp.2009.28.1.43

    Article  Google Scholar 

  • Dworkin, E. R., Jaffe, A. E., Bedard-Gilligan, M., & Fitzpatrick, S. (2021). PTSD in the Year Following Sexual Assault: A Meta-Analysis of Prospective Studies. Trauma, Violence, & Abuse. https://doi.org/10.1177/15248380211032213

  • Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American journal of preventive medicine, 14(4), 245–258.

    Article  PubMed  Google Scholar 

  • Finkelhor, D., Shattuck, A., Turner, H. A., & Hamby, S. L. (2014). The lifetime prevalence of child sexual abuse and sexual assault assessed in late adolescence. Journal of adolescent Health, 55(3), 329–333.

    Article  Google Scholar 

  • Grogan, S. (2006). Body image and health: Contemporary perspectives. Journal of health psychology, 11(4), 523–530. https://doi.org/10.1177/1359105306065013

    Article  PubMed  Google Scholar 

  • Harper, B., & Tiggemann, M. (2008). The effect of thin ideal media images on women’s self-objectification, mood, and body image. Sex roles, 58(9), 649–657.

    Article  Google Scholar 

  • Harvey, M. R. (1996). An ecological view of psychological trauma and trauma recovery. Journal of Traumatic Stress, 9(1), 3–23.

    Article  PubMed  Google Scholar 

  • Herman, J. (2015). Trauma and recovery. New York, NY: Basic Books.

    Google Scholar 

  • Hills, P. J., Pleva, M., Seib, E., & Cole, T. (2021). Understanding how university students use perceptions of consent, wantedness, and pleasure in labeling rape. Archives of sexual behavior, 50(1), 247–262.

    Article  PubMed  Google Scholar 

  • Jaconis, M., Boyd, S. J., & Gray, M. J. (2020). History of sexual violence and associated negative consequences: The mediating role of body image dissatisfaction. Journal of loss and trauma, 25(2), 107–123. https://doi.org/10.1080/15325024.2019.1660500

    Article  Google Scholar 

  • Javier, S. J., & Belgrave, F. Z. (2019). I’m not white, I have to be pretty and skinny”: A qualitative exploration of body image and eating disorders among asian american women. Asian American journal of psychology, 10(2), 141.

    Article  PubMed  Google Scholar 

  • Kelch-Oliver, K., & Ancis, J. R. (2011). Black women’s body image: An analysis of culture-specific influences. Women & Therapy, 34(4), 345–358. https://doi.org/10.1080/02703149.2011.592065

    Article  Google Scholar 

  • Kennedy, A. C., & Prock, K. A. (2018). I still feel like I am not normal”: A review of the role of stigma and stigmatization among female survivors of child sexual abuse, sexual assault, and intimate partner violence. Trauma Violence & Abuse, 19(5), 512–527. https://doi.org/10.1177/152483801667360

    Article  Google Scholar 

  • Khan, S. R., Hirsch, J. S., Wambold, A., & Mellins, C. A. (2018). I didn’t want to Be’That girl’’: The Social Risks of labeling, telling, and reporting sexual assault. Sociological Science, 5, 432–460.

    Article  Google Scholar 

  • Larkin, M., & Thompson, A. R. (2012). Interpretive phenomenological analysis in mental health and psychotherapy research. In D. Harper, & A. R. Thompson (Eds.), Qualitative research methods in Mental Health and Psychotherapy: A guide for students and practitioners (pp. 101–116). Malden, MA: John Wiley & Sons.

    Google Scholar 

  • LeMaire, K. L., Oswald, D. L., & Russell, B. L. (2016). Labeling sexual victimization experiences: The role of sexism, rape myth acceptance, and tolerance for sexual harassment. Violence and victims, 31(2), 332–346.

    Article  PubMed  Google Scholar 

  • Levine, M. P., & Murnen, S. K. (2009). Everybody knows that mass media are/are not [pick one] a cause of eating disorders”: A critical review of evidence for a causal link between media, negative body image, and disordered eating in females. Journal of Social and Clinical Psychology, 28(1), 9–42. https://doi.org/10.1521/jscp.2009.28.1.9

    Article  Google Scholar 

  • Lowe, M. A. (2006). Looking good: College women and body image, 1875–1930. Johns Hopkins University Press.

  • Mascolo, M. F. (1994). Toward a social constructivist psychology: The case of self-evaluative emotional development. Journal of Constructivist Psychology, 7(2), 87–106. https://doi.org/10.1080/10720539408405071

    Article  Google Scholar 

  • McCabe, M. P., & Ricciardelli, L. A. (2003). Sociocultural influences on body image and body changes among adolescent boys and girls. The Journal of social psychology, 143(1), 5–26. https://doi.org/10.1080/00224540309598428

    Article  PubMed  Google Scholar 

  • Moustakas, C. (1994). Transcendental phenomenology: Conceptual framework. Phenomenological research methods, 25–42. https://doi.org/10.4135/9781412995658.d4

  • Nouri, M., Hill, L. G., & Orrell-Valente, J. K. (2011). Media exposure, internalization of the thin ideal, and body dissatisfaction: Comparing asian american and european american college females. Body image, 8(4), 366–372.

    Article  PubMed  Google Scholar 

  • O’Dea, J. A., & Caputi, P. (2008). Association between socioeconomic status, weight, age and gender, and the body image and weight control practices of 6-to 19-year-old children and adolescents. Health Education Research, 16(5), 521–532.

    Article  PubMed  Google Scholar 

  • Park, C. L. (2010). Making sense of meaning literature: An integrative review of meaning-making and its effects on adjustment to stressful life events. Psychological Bulletin, 136(2), 257–301. https://doi.org/10.1037/a0018301

    Article  PubMed  Google Scholar 

  • Patton, M. Q. (2015). Qualitative research and evaluation methods. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Peterson, Z. D., & Muehlenhard, C. L. (2004). Was it rape? The function of women’s rape myth acceptance and definitions of sex in labeling their own experiences. Sex Roles, 51(3), 129–144.

    Article  Google Scholar 

  • Quick, V. M., & Byrd-Bredbenner, C. (2014). Disordered eating, socio-cultural media influencers, body image, and psychological factors among a racially/ethnically diverse population of college women. Eating behaviors, 15(1), 37–41. https://doi.org/10.1016/j.eatbeh.2013.10.005

    Article  PubMed  Google Scholar 

  • Rape, Abuse, & Incest National Network [RAINN]. (2022). Types of sexual violence. Retrieved from: https://www.rainn.org/types-sexual-violence

  • Rodgers, R. F., Simone, M., Franko, D. L., Eisenberg, M. E., Loth, K., & Neumark-Sztainer, D. (2021). The longitudinal relationship between family and peer teasing in young adulthood and later unhealthy weight control behaviors: The mediating role of body image. International Journal of Eating Disorders, 54(5), 831–840. https://doi.org/10.1002/eat.23492

    Article  PubMed  Google Scholar 

  • Slade, P. D. (1988). Body image in anorexia nervosa. The British Journal of Psychiatry, 153(S2), 20–22. https://doi.org/10.1192/S0007125000298930

    Article  Google Scholar 

  • Smith, J. A., & Osborn, M. (2008). Interpretive phenomenological analysis. In J. A. Smith (Ed.) Qualitative Psychology (53–80). Thousand Oaks, CA:Sage.

  • Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretive phenomenological analysis: Theory, Method, and Research. Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Suisman, J. L., Thompson, J. K., Keel, P. K., Burt, S. A., Neale, M., Boker, S., Sisk, C., & Klump, K. L. (2014). Genetic and environmental influences on thin-ideal internalization across puberty and preadolescent, adolescent, and young adult development. International Journal of Eating Disorders, 47(7), 773–783.

    Article  PubMed  Google Scholar 

  • Ullman, S. (2010). Talking about sexual assault: Society’s response to survivors. Washington, D.C.: American Psychological Association.

    Book  Google Scholar 

  • Van Vonderen, K. E., & Kinnally, W. (2012). Media effects on body image: Examining media exposure in the broader context of internal and other social factors. American Communication Journal, 14(2), 41–57.

    Google Scholar 

  • Vygotsky, L. S. (1978). Mind in society. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Wade, T. D., Wilkinson, J., & Ben-Tovim, D. (2003). The genetic epidemiology of body attitudes, the attitudinal component of body image in women. Psychological Medicine, 33(8), 1395–1405. https://doi.org/10.1017/S0033291703008572

    Article  PubMed  Google Scholar 

  • Watson, L. B., Lewis, J. A., & Moody, A. T. (2019). A sociocultural examination of body image among black women. Body Image, 31, 280–287.

    Article  PubMed  Google Scholar 

  • Weaver, T. L., Griffin, M. G., & Mitchell, E. R. (2014). Symptoms of posttraumatic stress, depression, and body image distress in female victims of physical and sexual assault: Exploring integrated responses. Health care for women international, 35(4), 458–475. https://doi.org/10.1080/07399332.2013.858162

    Article  PubMed  PubMed Central  Google Scholar 

  • Wonderlich, S. A., Brewerton, T. D., Jocic, Z., Dansky, B. S., & Abbott, D. W. (1997). Relationship of childhood sexual abuse and eating disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 36(8), 1107–1115. https://doi.org/10.1097/00004583-199708000-00018

    Article  Google Scholar 

  • Yamamiya, Y., Shroff, H., & Thompson, J. K. (2008). The tripartite influence model of body image and eating disturbance: A replication with a japanese sample. International Journal of Eating Disorders, 41(1), 88–91. https://doi.org/10.1002/eat.20444

    Article  PubMed  Google Scholar 

  • You, S., Shin, K., & Kim, A. Y. (2017). Body image, self-esteem, and depression in korean adolescents. Child Indicators Research, 10(1), 231–245.

    Article  Google Scholar 

Download references

Funding

This research project was sponsored by start-up funds provided by Oklahoma State University to the PI and conducted as a collaboration between the Trauma Recovery and Growth Research Group and the Body Image and Disordered Eating lab at Oklahoma State University.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jyotsana Sharma.

Ethics declarations

Conflict of Interest

The authors have no conflict of interest to report.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sharma, J., Brodt, M., Osborn, K.D. et al. Exploring Sociocultural Influences Affecting Body Image in Survivors of Childhood Sexual Assault. Journ Child Adol Trauma 16, 731–744 (2023). https://doi.org/10.1007/s40653-023-00551-z

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40653-023-00551-z

Keywords

Navigation