Po-Ching Huang, Janet D Latner, Nadia Bevan, Mark D Griffiths, Jung-Sheng Chen, Chi Hsien Huang, Kerry S O'Brien, Chung-Ying Lin
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Given that individuals who are overweight/have obesity have different vulnerabilities, this population was separately analyzed alongside the total study population.</p><p><strong>Methods: </strong>An online survey comprising the Perceived Weight Stigma Scale, Weight Bias Internalization Scale (WBIS), Depression, Anxiety and Stress Scale-21 (DASS-21), and modified Yale Food Addiction Scale Version 2 was completed by 601 participants (59.6% females; mean age 29.3 years [SD = 6.07]). A total of 219 participants were categorized as being overweight/having obesity.</p><p><strong>Results: </strong>A direct correlation was found between PWS and FA (standardized coefficient [β] = 0.28, p < 0.001) among both populations, and was mediated by IWS and psychological distress (β [95% CI] = 0.03 [0.01, 0.05] for WBIS score and 0.10 [0.06, 0.14] for DASS-21 score) among the total participants, but only mediated by psychological distress among participants who were overweight/had obesity (β [95% CI] = 0.14 [0.06, 0.24]).</p><p><strong>Conclusions: </strong>The results demonstrated novel perspectives by showing the direct association between PWS and FA and the mediating roles of IWS and psychological distress. Treatment strategies such as psychological acceptance and psychoeducation could be used to reduce weight stigma, which could have positive downstream benefits of ameliorating FA. Future research may seek to study strategies for reducing weight stigma and psychological distress, to investigate their efficacy in improving disordered eating.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"150"},"PeriodicalIF":3.5000,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443792/pdf/","citationCount":"0","resultStr":"{\"title\":\"Internalized weight stigma and psychological distress mediate the association of perceived weight stigma with food addiction among young adults: A cross-sectional study.\",\"authors\":\"Po-Ching Huang, Janet D Latner, Nadia Bevan, Mark D Griffiths, Jung-Sheng Chen, Chi Hsien Huang, Kerry S O'Brien, Chung-Ying Lin\",\"doi\":\"10.1186/s40337-024-01112-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Perceived weight stigma (PWS) and internalized weight stigma (IWS) are both associated with psychological distress and food addiction (FA). 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引用次数: 0
摘要
背景：知觉体重成见（PWS）和内化体重成见（IWS）都与心理困扰和食物成瘾（FA）有关。本研究利用之前提出的 "周期性肥胖/体重鄙视"（COBWEBS）模型，对该框架进行了扩展，以调查内化体重鄙视和心理困扰对青少年中的体重鄙视与食物成瘾之间关系的中介作用。鉴于超重/肥胖的个体具有不同的脆弱性，本研究将这部分人群与全部研究人群一起进行单独分析：601名参与者（59.6%为女性；平均年龄29.3岁[SD = 6.07]）完成了一项在线调查，调查内容包括感知体重羞辱量表、体重偏差内化量表（WBIS）、抑郁、焦虑和压力量表-21（DASS-21）以及修订版耶鲁食物成瘾量表2。共有 219 名参与者被归类为超重/肥胖：研究结果表明，PWS 与 FA 之间存在直接关联，而 IWS 和心理困扰起着中介作用，这为研究提供了新的视角。心理接纳和心理教育等治疗策略可用于减少体重耻辱感，从而对改善 FA 产生积极的下游效益。未来的研究可能会寻求研究减少体重耻辱感和心理困扰的策略，以调查它们在改善饮食失调方面的功效。
Internalized weight stigma and psychological distress mediate the association of perceived weight stigma with food addiction among young adults: A cross-sectional study.
Background: Perceived weight stigma (PWS) and internalized weight stigma (IWS) are both associated with psychological distress and food addiction (FA). Using the previously proposed 'cyclic obesity/weight-based stigma' (COBWEBS) model, the present study extended the framework to investigate the mediating effects of IWS and psychological distress in the association between PWS and FA among young adults. Given that individuals who are overweight/have obesity have different vulnerabilities, this population was separately analyzed alongside the total study population.
Methods: An online survey comprising the Perceived Weight Stigma Scale, Weight Bias Internalization Scale (WBIS), Depression, Anxiety and Stress Scale-21 (DASS-21), and modified Yale Food Addiction Scale Version 2 was completed by 601 participants (59.6% females; mean age 29.3 years [SD = 6.07]). A total of 219 participants were categorized as being overweight/having obesity.
Results: A direct correlation was found between PWS and FA (standardized coefficient [β] = 0.28, p < 0.001) among both populations, and was mediated by IWS and psychological distress (β [95% CI] = 0.03 [0.01, 0.05] for WBIS score and 0.10 [0.06, 0.14] for DASS-21 score) among the total participants, but only mediated by psychological distress among participants who were overweight/had obesity (β [95% CI] = 0.14 [0.06, 0.24]).
Conclusions: The results demonstrated novel perspectives by showing the direct association between PWS and FA and the mediating roles of IWS and psychological distress. Treatment strategies such as psychological acceptance and psychoeducation could be used to reduce weight stigma, which could have positive downstream benefits of ameliorating FA. Future research may seek to study strategies for reducing weight stigma and psychological distress, to investigate their efficacy in improving disordered eating.
期刊介绍：
Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice.
The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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