Suzanne E Mazzeo

Suzanne E Mazzeo
Virginia Commonwealth University | VCU · Department of Psychology

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101
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Publications

Publications (101)
Article
Full-text available
This study used focus group methodology to identify culturally-specific barriers to, and facilitators of, eating disorder (ED) treatment-seeking for South Asian (SA) American women. Seven focus groups were conducted with 54 participants (Mage=20.11 years, SD=2.52), all of whom had lived in the United States for at least three years; (63.0% of the s...
Article
Background Attrition and treatment adherence are notorious challenges in paediatric obesity interventions. Objective To evaluate if brief, pretreatment motivational interviewing (MI) can improve retention (at baseline, post‐assessment and follow‐up assessment) and adherence (i.e. attendance) in a parent‐exclusive paediatric obesity intervention....
Article
The aim of this study is to examine outcomes from MI Values, a motivational interviewing (MI) intervention implemented adjunctive to obesity treatment. Adolescents (n = 99; 73% African American; 74% female; mean body mass index [BMI] percentile = 98.9 ± 1.2) were randomized to receive two MI sessions or education control. All adolescents participat...
Article
Genetic and environmental factors contribute to the etiology of anorexia nervosa (AN). The co-twin control design is one of the most powerful methods available to evaluate environmental factors that could contribute to differences between monozygotic (MZ) twins who are discordant for AN. Using available data from a unique and rare sample of 22 Swed...
Article
Objective: A pattern of disordered eating involving a pathological fixation with healthy food consumption, labeled orthorexia nervosa (ON), has recently generated attention; however, research has not yet investigated perceptions of ON-related behaviors. This study examined potential stigmatization of ON, compared with DSM-5 ED diagnoses. Method:...
Article
The use of online calorie tracking applications and activity monitors is increasing exponentially. Anecdotal reports document the potential for these trackers to trigger, maintain, or exacerbate eating disorder symptomatology. Yet, research has not examined the relation between use of these devices and eating disorder-related attitudes and behavior...
Article
Public health campaigns are often used to prevent or reduce obesity. However, social psychological theory suggests these efforts might not be universally helpful and could potentially have detrimental consequences. This investigation explored the effects of obesity prevention campaigns. Participants were randomized to view either weight-focused or...
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Pediatric obesity is a public health concern. High attrition from treatment negatively impacts outcomes, particularly among lower income and ethnic minority populations. NOURISH+ is a parent-exclusive childhood weight management treatment targeting at-risk children aged 5-11 years who are overweight or obese. The current study sought to enhance und...
Article
Tweens (children ages ~ 8–14 years) are a relatively recently defined age group, increasingly targeted by marketers. Individuals in this age group are particularly vulnerable to opinions and behaviors presented in media messages, given their level of cognitive and social development. However, little research has examined messages about appearance,...
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Purpose: Weight stigma involves stereotyping individuals based on body size. Individuals with obesity face weight stigma in many areas of their lives, and consequences can include impairment of mental and physical health, relationships, and academic performance. Weight-stigmatizing messages are pervasive in mass media, but the degree and character...
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Introduction: Binge and loss of control (LOC) eating are significant concerns among many adolescents and are associated with poor physical, social, and psychological functioning. Black girls appear to be particularly vulnerable to binge and LOC eating. Yet, empirically validated, culturally sensitive treatments for these disordered eating behavior...
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Although African American families are at particular risk for obesity and its associated health comorbidities, few interventions have directly targeted low-income members of this group living in subsidized public housing. Using a consensual qualitative research approach, we conducted 11 interviews with African American mothers living in two public...
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This study examined psychometric properties and baseline/post-treatment racial differences in the Child Feeding Questionnaire (CFQ) in parents of overweight/obese children in a randomized controlled obesity trial. Participants were 302 (n = 285 mothers, n = 17 fathers) diverse (n = 207 Black, n = 80 White), treatment-seeking parents of children (5–...
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Objective: We examined the association between the genetic and environmental factors contributing to the liability to having ever engaged in self-induced vomiting (SIV initiation) and the genetic and environmental factors contributing to regular SIV behaviors (weekly or daily) for weight control. Method: SIV was assessed in 3,942 women from mono...
Chapter
Biological, psychological, sociocultural, and environmental factors influence whether an individual is at risk for becoming overweight or obese. Prevention assumes that individuals have some degree of susceptibility to obesity and would benefit from medical and psychosocial interventions to counter that susceptibility. Prevention has multiple level...
Article
Binge eating is increasingly prevalent in college students (White, Reynolds-Malear, & Cordero, 2011). Binge episodes involve eating an objectively large quantity of food in a discrete amount of time and a perceived lost control over eating (American Psychiatric Association [APA], 2013). Strong negative affect commonly precedes and follows each epis...
Article
Reports an error in "Racial Variations in Binge Eating, Body Image Concerns, and Compulsive Exercise Among Men" by Nichole R. Kelly, Elizabeth W. Cotter, Marian Tanofsky-Kraff and Suzanne E. Mazzeo ( Psychology of Men & Masculinity , Advanced Online Publication, Aug 25, 2014, np). The name of author Elizabeth W. Cotter was misspelled as Elizabeth E...
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Full-text available
Evidence suggests that adolescents’ experience of binge eating (BE) might differ in important ways from that of adults. Moreover, although BE appears more common in African American women than other disordered eating behaviors, little is known about the influence of cultural factors on this behavior in adolescents. The current investigation used qu...
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The current study examined whether distress tolerance and negative urgency moderate the link between depressive symptoms and binge eating frequency, and between disordered eating attitudes and binge eating frequency. Young adult women (N = 186) completed questionnaires assessing depressive symptoms, cognitive restraint, eating, shape and weight con...
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Objective Although there is general agreement that parents should be involved in pediatric obesity treatment, few studies have investigated the effectiveness of interventions that target parents exclusively. Moreover, the effectiveness of this approach has not been adequately assessed with racially diverse families, particularly African Americans,...
Article
There is an urgent need for innovative approaches to pediatric obesity treatment. There is also a demand for targeted strategies that reduce attrition and improve treatment adherence. Intervening exclusively with parents of overweight children is a novel approach with demonstrated efficacy in reducing child body mass index (BMI) percentile. Motivat...
Article
Disordered eating behavior is common in college women. Thus, it is important to develop programs to reduce eating disorder (ED) risk. Studies suggest that dissonance-based (DB) prevention programs successfully reduce ED risk factors; however, face-to-face DB groups lack anonymity and convenience. One way to address these barriers is to adapt DB pro...
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As a novel investigation of the role of White racial identity, the current study explored the link between White guilt and disordered eating. Young adult women (N=375), 200 of whom self-identified as White. Measures assessed disordered eating, trait guilt, White guilt, and affect. White guilt is interrelated with disordered eating, particularly bul...
Article
The current study explored the prevalence of body checking and body image avoidance behaviors in a large sample of undergraduate women (N=1011). The factor structures of two relevant measures, the Body Checking Questionnaire and the Body Image Avoidance Questionnaire, were compared with factor structures proposed by the development studies. Subscal...
Article
To describe the treatment development and pilot testing of a group parenting intervention, NURTURE (Networking, Uniting, and Reaching out To Upgrade Relationships and Eating), for mothers with histories of eating disorders. Based on focus group findings, extant research, and expert opinion, NURTURE was designed to be delivered weekly over 16 (1.5 h...
Article
Binge eating in young men is associated with obesity and metabolic dysfunction, as well as disordered eating attitudes and behaviors. Although preliminary research suggests that Asian American males might be more likely to binge eat and report body image concerns compared with men of other races/ethnicities, few studies have investigated racial var...
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Importance Previous studies have indicated that the psychopathological dimensions of borderline personality disorder (BPD) are influenced by a unitary liability factor. However, to our knowledge, the underlying etiological nature of the individual criteria for BPD as defined by the DSM-IV has not been explored.Objective To determine the structure...
Article
Positive body image, such as body appreciation or acceptance, has gone largely unexamined in women of color in comparison with more pathological body attitudes. In an effort to promote and extend positive body image research, this study examined the reliability and validity of the Body Appreciation Scale (BAS) in Black college women, as well as the...
Article
This study examined the associations of weight-related teasing and daily hassles with eating pathology, as well as potential mediators of these relations, among a racially diverse sample of adolescents. Participants were 92 primarily African American 11-17-year-olds seeking treatment for obesity. Data were collected at baseline. Both daily hassles...
Article
To examine the link between binge eating, executive functioning, and behavioral impulsivity. Fifty women who reported engaging in weekly binge eating in the absence of regular compensatory behaviors and 66 women with no history of binge eating completed several self-report questionnaires and a brief neuropsychological battery, including the Wiscons...
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Objective: To clarify directions for research and practice, research literature evaluating nutrition and dietary interventions in college and university settings was reviewed. Design: Systematic search of database literature. Setting: Postsecondary education. Participants: Fourteen research articles evaluating randomized controlled trials or...
Article
Research has identified a relation between exposure to thin-ideal magazine and television media images and eating disorder pathology. However, few studies have examined the potential influence of Internet media on eating disorder behaviors and attitudes. This study investigated associations among image-focused media exposure, body dissatisfaction,...
Article
The current study provides Eating Disorder Examination Questionnaire (EDE-Q) norms for Black undergraduate women (N=395). EDE-Q subscale scores, clinical cutoffs, and disordered eating behavior were compared with previously published norms for primarily White undergraduate and community samples. The current sample endorsed mean EDE-Q scores similar...
Article
Loss of control (LOC) eating affects a significant number of adolescents of all racial and ethnic backgrounds and is associated with numerous psychosocial problems, including depression, anxiety, low self-esteem, body dissatisfaction, and weight concerns. However, empirically validated, culturally sensitive treatments for adolescents with these dis...
Article
Most measures of eating disorder symptoms and risk factors were developed in predominantly White female samples. Yet eating disorders affect individuals of all racial and ethnic backgrounds. Black women appear more vulnerable to certain forms of eating pathology, such as binge eating, and less susceptible to other eating disorder symptoms and risk...
Article
The current study explored whether specific cognitive coping strategies moderated the relation between global eating disorder symptomatology and binge eating frequency. Global eating disorder symptomatology and cognitive coping strategies (i.e., self-blame, acceptance, rumination, positive refocusing, refocus on planning, positive reappraisal, putt...
Article
NOURISH is a community-based treatment program for parents of overweight and obese children (ages 6-11, BMI≥85th percentile). This study examined the impact of Nourishing Our Understanding of Role modeling to Improve Support and Health on child and parent dietary intake, secondary trial outcomes. In Virginia from 2008 to 2009, this randomized contr...
Article
We assessed the impact of reducing the binge eating frequency and duration thresholds on the diagnostic criteria for bulimia nervosa (BN) and binge eating disorder (BED). We estimated the lifetime population prevalence of BN and BED in 13,295 female twins from the Swedish Twin study of Adults: Genes and Environment employing a range of frequency an...
Article
The comorbidity of posttraumatic stress disorder (PTSD) and eating disorders (EDs) is high among women but has been understudied in men. Little is known about the association between partial or subthreshold PTSD and EDs among women or men. This study included PTSD and ED data from male (n = 2,382) and female (n = 3,310) National Comorbidity Survey-...
Article
To examine social cognitive factors associated with physical activity (PA) among preadolescent girls. Social cognitive theory was used to examine PA in girls (N=90; 71% African American) participating in Girls on the Run. Multiple regressions explored factors associated with PA at posttesting and 3-month follow-up. Significant increases in PA, soci...
Article
These three studies examined the hypothesis that prenatal exposure to sex hormones influences twins' risk for eating disorders based on co-twin sex, such that individuals with a female co-twin would be more likely than individuals with a male co-twin to meet diagnostic criteria for an eating disorder. Male and female twins from the United States (N...
Article
Pediatric overweight is associated with numerous physical and psychological health risks, and overweight children are at significant risk for obesity in adulthood. African-American children are at particularly high risk for obesity and related health complications. However, this racial group has traditionally had limited access to obesity treatment...
Article
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This study investigated whether low levels of self-forgiveness were associated with eating disorder symptomatology. Participating women (N = 51) had diagnoses of anorexia nervosa, bulimia nervosa, or no eating disorder diagnosis. They completed 3 measures of self-forgiveness. Women with eating disorders had lower levels of self-forgiveness compared...
Article
Research from overweight/obese clinical samples links weight instability to poor health. This study investigated whether negative health outcomes were associated with weight instability in a population-based sample. One thousand five hundred ten women and 1,111 men from the Mid-Atlantic Twin Registry completed questionnaires assessing demographics,...
Article
Entertainment magazine websites provide a continuous stream of celebrity news accessed by over 13 million unique viewers each month. Celebrities' experiences of pregnancy and new motherhood appear to be popular topics within these media outlets; however, little research has investigated the content of this coverage. In this study, investigators cod...
Article
Silhouette measures are one approach to assessing body dissatisfaction in children, although little is known about their use among racially diverse, overweight girls seeking weight-loss treatment. This study assessed racial differences in body dissatisfaction and body size perceptions of 58 girls (ages 6-11, 66% Black, 34% White) participating in a...
Article
Obesity is associated with an array of negative physical and psychosocial symptoms in adolescents. Numerous interventions have emerged to address this significant public health concern. However, few have focused on African American females, a group at particularly high risk for negative health behaviors and associated complications. Moreover, altho...
Article
Eating disorders (EDs) are highly stigmatized conditions. This study explored factors hypothesized to influence this stigmatization including ethnicity, gender, ED subtype, and proposed etiology. Undergraduates (N = 235) read scenarios depicting fictional characters varying on ethnicity, gender ED subtype, and etiology. Participants reported percep...
Article
This study's objective was to examine dietary and metabolic changes in obese adolescents who completed 6 months of participation in an outpatient multidisciplinary weight management program (N = 67). Participants (75% African American, 66% female, mean age = 13.7 years) completed 24-hour dietary recalls and underwent measurement of anthropometrics...
Article
Weight suppression (WS), maintaining a body weight below one's maximum adult weight, is associated with bingeing, purging, and weight gain in clinical samples. We investigated associations between eating disorder-related variables and WS and additive genetic (A), common (C), and unique (E) environmental contributions to WS in a population-based sam...
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Family, twin, and adoption studies of anorexia nervosa (AN), bulimia nervosa (BN), binge-eating disorder (BED), and the proposed purging disorder presentation (PD) have consistently demonstrated that genetic factors contribute to the variance in liability to eating disorders. In addition, endophenotypes and component phenotypes of eating disorders...
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Recent behavioral genetic studies have emphasized the importance of investigating eating disorders at the level of individual symptoms, rather than as overall diagnoses. We examined the heritability of binge eating disorder (BED) using an item-factor analytic approach, which estimates contributions of additive genetic (A), common environmental (C),...
Article
The transition to college has been identified as a critical period for increases in overweight status. Overweight college students are at-risk of becoming obese adults, and, thus prevention efforts targeting college age individuals are key to reducing adult obesity rates. The current study evaluated an Internet intervention with first year college...
Chapter
The rates of pediatric overweight in the United States and in other industrialized countries have risen dramatically in recent years. Pediatric overweight is associated with poor physical, psychological, and social Quality of Life (QOL). Overweight children and adolescents are at greater risk for weight-related health problems, emotional and psycho...
Chapter
Pediatric obesity is a significant public health concern. Currently, over one third of children and adolescents in the United States are either overweight or obese. Complications associated with pediatric obesity include chronic health problems and impaired psychosocial functioning. Obese adolescents are particularly vulnerable to the deleterious e...
Article
The current study evaluated a structural equation model of objectification theory among European American (n = 408) and African American women (n = 233). Modeling results indicated a particularly strong association between thin-ideal internalization/body monitoring and eating disorder symptoms, with weaker relationships among body dissatisfaction,...
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Full-text available
Twin studies have suggested that additive genetic factors significantly contribute to liability to bulimia nervosa (BN). However, the diagnostic criteria for BN remain controversial. In this study, an item-factor model was used to examine the BN diagnostic criteria and the genetic and environmental contributions to BN in a population-based twin sam...
Article
Stigmatization towards obese individuals has not decreased despite the increasing prevalence of obesity. Nonetheless, stigmatization remains difficult to study, given concerns about social desirability. To address this issue, this study used paired comparisons and cluster analysis to examine how undergraduates (n=189) categorized scenarios describi...
Article
Patients and families often are aware of research on genetic factors influencing eating disorders. Accurate interpretations of research on environmental and genetic risk factors can be empowering to patients and families; however, misinterpretations could prove detrimental. Clinicians who are not versed in genetic research may believe they are ill...
Article
BMI is highly heritable. Yet, trends in obesity highlight environmental influences on body weight. Monozygotic (MZ) twins discordant for overweight offer a unique opportunity to examine these factors. MZ male (n=8 pairs) and female twins (n=10 pairs) discordant for overweight (defined as the BMI of one twin being at least 24.5, and the BMI of his/h...
Article
This study evaluated structural equation models of the associations among family functioning, childhood abuse, depression, anxiety, alexithymia, and eating disorder symptomatology in a sample of 412 European American and 192 African American female undergraduates. Additionally, the specific roles of anxiety, depression, and alexithymia as mediators...
Article
To examine family social support and closeness to the patient for their association with diet in first-degree relatives (FDRs) of colon cancer patients. Participants (N=98) were interviewed by telephone to assess study constructs. Multiple hierarchical regressions examined relationships among family factors and diet. Family social support was assoc...
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Assessment of eating disorders at the symptom level can facilitate the refinement of phenotypes. We examined genetic and environmental contributions to liability to anorexia nervosa (AN) symptoms in a population-based twin sample using a genetic common pathway model. Participants were from the Norwegian Institute of Public Health Twin Panel (NIPHTP...
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The equal environments assumption, which holds that trait-relevant environments are equally correlated among monozygotic (MZ) and dizygotic (DZ) twin pairs, is essential to twin designs. Violations of this assumption could lead to biased parameter estimates in twin models. A variety of methods and measures have been used to test this assumption. No...
Article
Previous research has shown an association between bulimia (BN) and drug use disorders (DUD). The purpose of the present study was to investigate possible influences on the comorbidity between BN and DUD. Participants included 490 monozygotic and 354 dizygotic female twins and 930 females from opposite sex pairs. Multiple logistic regression analys...
Article
To explore how genetic epidemiology has informed the identification of endophenotypes and how endophenotypes may inform future classification of eating disorders. Literature review and synthesis. Although a number of endo- and subphenotypes have been suggested for eating disorders, few reach the rigorous definitions developed for candidate endophen...
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To evaluate the effects of a reality TV cosmetic surgery program on eating disordered attitudes, behaviors, mood, anxiety, and self-esteem. Participants (N=147 women) completed baseline surveys and were subsequently randomly assigned to one of two conditions: one in which they watched a reality TV cosmetic surgery program (The Swan) and one in whic...
Article
The authors examined applicants' perceptions of internship site types by specialty affiliation (clinical and counseling psychology). Multidimensional scaling analyses suggest that clinical psychology students focus their attention on internship site prestige, future job opportunities, opportunities for research, degree of client psychopathology and...
Article
Eating-disordered behavior is prevalent among college women. Few interventions have successfully reduced risk factors for these behaviors, however. The most promising interventions are both selective and interactive. This study compared two newer types of interventions that meet these criteria: cognitive dissonance and yoga programs. This study adv...
Article
The goals of this study were to examine the role of dissociation and depression as possible mediators of the relationship between several forms of childhood trauma and bulimic symptomatology and to explore potential ethnic differences in these relationships. Four hundred seventeen female undergraduates participated in this cross-sectional study. Th...
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Two studies investigated overweight in African American girls. First, African American adolescent girls (BMI was ≥ 85th percentile) and their mothers participated in focus groups addressing weight and eating. Although mothers and daughters shared some similar views on these issues, there were important discrepancies, with mothers expressing greater...
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Within the past three decades, the percentage of children who are overweight or at risk for overweight has more than doubled. Pediatric overweight negatively affects physical and psychological well-being, and overweight children are at high risk of becoming obese adults. Several parental variables are associated with childhood eating and weight pro...
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Full-text available
To examine gender and ethnic differences in psychosocial functioning among 100 (78% African American and 59% girls) treatment-seeking overweight 11- to 18-year-old adolescents. Self-esteem was examined as a potential mediator of the association between weight-related teasing and quality of life (QOL). Adolescents completed measures evaluating self-...
Article
The current study investigated associations among eating disorders, depressive symptoms during pregnancy and postpartum, and perfectionism in a population-based sample of women. Females who reported > or = 1 pregnancy (N = 1,119) completed questionnaires assessing perfectionism, eating disorder symptomatology, and depression during pregnancy and po...
Article
Bariatric surgery is an increasingly popular treatment for severe obesity. However, while rates of obesity are comparable across genders, women are much more likely to undergo bariatric surgery. Little research exists on gender differences among bariatric surgery candidates. This study examined gender differences and their correlates within a sampl...