Weight concerns and cognitive style: Which carries more "weight" in the prediction of smoking among college women?

Abstract

Although weight concerns and smoking are related, anorexic and bulimic women, both of whom have elevated weight concerns, have significant differences in smoking status. Fewer anorexic women smoke, compared with bulimic women, suggesting that weight concerns do not fully explain smoking status. This study investigated the contribution of one factor, cognitive style, to differences in smoking status among college women with different levels of weight concerns: Anorexic tendencies (n = 47), bulimic tendencies (n = 62), weight concerns (n = 56), and no weight concerns (n = 76). Nearly 47% of women with bulimic tendencies, 37.5% of women with weight concerns, and 27.7% of women with anorexic tendencies were current smokers. A total of 22% of women without weight concerns were current smokers. A logistic regression model revealed that race, age, the Personal Standards subscale of the Frost Multidimensional Perfectionism Scale, the Self-Control and Self-Esteem subscale of the Brief Mizes Anorectic Cognitions Questionnaire, and membership in the bulimic tendencies category were significant independent predictors of smoking status. Both weight concerns and cognitive-style variables, including perfectionism and self-control, carried "weight" in the prediction of smoking among college women. In light of these findings, treatment research should explore both the behavioral and cognitive factors associated with weight-concerned college smokers.