A meta-analysis of associations between weight bias internalization and conceptually-related correlates: A step towards improving construct validity

Romano, Kelly A.; Heron, Kristin E.; Sandoval, Cassidy M.; Howard, Lindsay M.; MacIntyre, Rachel I.; Mason, Tyler B.

doi:10.1016/j.cpr.2022.102127

Cited by 25 publications

(30 citation statements)

References 40 publications

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“…In conducting our search, we examined the search strategies of two previous systematic reviews on internalized weight stigma ( 1 , 20 ), and utilized the search terms for internalized weight stigma that were first identified by Pearl and Puhl ( 1 ) and also used by Romano et al [( 20 ): weight bias internalization; weight bias internalization; internalized weight bias; internalized weight bias; internalized weight stigma; internalized weight stigma; self-directed weight stigma; self-directed weight bias; weight self-stigma]. The search was conducted in seven databases on January 31, 2022, by the second author: PubMed, SCOPUS, Science Direct, EMBASE, PsychINFO, CINAHL, and Web of Science.…”

Section: Methodsmentioning

confidence: 99%

“…The search structure and process are summarized in Figure 1 . Notably, we identified an additional 20 papers that were not included in the meta-analysis conducted by Romano et al ( 20 ), two of which were published online after October 2021, when their search was conducted.…”

Section: Methodsmentioning

confidence: 99%

Section: Body Dissatisfaction and Internalized Weight Stigma: An Exam...mentioning

confidence: 99%

“…Although researchers have recently conducted a meta-analysis of internalized weight stigma and related body image correlates, including body dissatisfaction, positive body image, and weight control beliefs ( 20 ), we identified two important limitations of this meta-analysis that we seek to address in our current meta-analysis. First, in identifying papers that measured negative body image, Romano et al ( 20 ) included papers that measured appearance, weight, or shape dissatisfaction as well as body shame, weight-contingent self-worth, body image flexibility, body image avoidance, self-objectification, and appearance anxiety. We assert that many, if not all, of these latter concepts may be regarded as distinct constructs (e.g., body shame and self-objectification: Fredrickson and Roberts, ( 21 ); McKinley and Hyde, ( 22 )) and may not adequately quantify construct proliferation between body dissatisfaction and internalized weight stigma.…”

Section: Body Dissatisfaction and Internalized Weight Stigma: An Exam...mentioning

confidence: 99%

“…Second, given that researchers have examined internalized weight stigma in both clinical and community-based samples, but have yet fully to compare differences in the degree of internalized weight stigma in these populations, we were also interested in examining potential differences in clinical and community-based samples. Population-based differences were not examined in the analysis conducted by Romano et al ( 20 ) but may further our understanding of which groups are most affected by the conceptual and measurement overlap.…”

Section: Body Dissatisfaction and Internalized Weight Stigma: An Exam...mentioning

confidence: 99%

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Examining the Conceptual and Measurement Overlap of Body Dissatisfaction and Internalized Weight Stigma in Predominantly Female Samples: A Meta-Analysis and Measurement Refinement Study

Saunders¹,

Nutter²,

Russell‐Mayhew³

2022

Front. Glob. Womens Health

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Both body dissatisfaction and internalized weight stigma have been identified as risk factors for many negative health outcomes for women, including depression and eating disorders. In addition to these contributions, these concepts have been found to overlap to various degrees in existing literature. We conducted a systematic review and meta-analysis on articles published prior to February 2022 to demonstrate the conceptual and measurement overlap between body dissatisfaction and internalized weight stigma as currently quantified. We identified 48 studies examining the interrelation between body dissatisfaction and internalized weight stigma in predominantly female samples. Stronger correlations between these two constructs, some bordering on multicollinearity, were prevalent in community samples compared to clinical samples and with some but not all the commonly used measures in the body image and weight stigma fields. Body mass index (BMI) moderated these relations such that individuals with higher self-reported BMI were more likely to report lower correlations between the constructs. This concept proliferation, stronger for individuals with lower BMIs and community samples, necessitates the need change how we conceptualize and measure body dissatisfaction and internalized weight stigma. To this end, we conducted study two to refine existing measures and lessen the degree of measurement overlap between internalized weight stigma and body dissatisfaction, particularly in community samples of women. We aimed to clarify the boundaries between these two concepts, ensuring measurement error is better accounted for. Female university students completed existing measures of body satisfaction and internalized weight stigma, which were analyzed using an exploratory followed by a confirmatory factor analysis. In our attempts to modify two existing measures of internalized weight stigma and body dissatisfaction, the majority of the internalized weight stigma items were retained. In contrast, most of the body dissatisfaction items either cross-loaded onto both factors or loaded on to the internalized weight stigma factor despite being intended for the body dissatisfaction factor, suggesting that the measurement issues identified in recent prior research may be due not only to the way we conceptualize and quantify weight stigma, but also the ways in which we quantify body dissatisfaction, across the existing corpus of body dissatisfaction scales.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Body Dissatisfaction and Internalized Weight Stigma: An Exam...mentioning

confidence: 99%

Section: Body Dissatisfaction and Internalized Weight Stigma: An Exam...mentioning

confidence: 99%

Section: Body Dissatisfaction and Internalized Weight Stigma: An Exam...mentioning

confidence: 99%

See 3 more Smart Citations

Examining the Conceptual and Measurement Overlap of Body Dissatisfaction and Internalized Weight Stigma in Predominantly Female Samples: A Meta-Analysis and Measurement Refinement Study

Saunders¹,

Nutter²,

Russell‐Mayhew³

2022

Front. Glob. Womens Health

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Relationships between weight bias internalization and biopsychosocial health outcomes: A prospective study in Chinese adolescents

Barnhart

Cui

et al. 2023

Intl J Eating Disorders

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Objective: An extensive literature has documented the deleterious effects of weight bias internalization (WBI) on biopsychosocial health outcomes. Still, this research is largely confined to the Western context. Furthermore, few studies have explored associations between WBI and biopsychosocial health outcomes, including in non-Western adolescent populations.Method: The present study explored the longitudinal relationships between WBI and body dissatisfaction, disordered eating, psychosocial impairment related to eating disorder features, and psychological and physical well-being in a sample (N = 1549; aged 11-18 years at baseline) of Chinese adolescents. Relationships between study variables were examined between two waves of data measurement (Time 1, baseline, and Time 2, 6-month). Cross-lagged and multivariate models were used to explore prospective relationships between WBI and biopsychosocial correlates.Results: Bidirectional relationships were observed between WBI and biopsychosocial correlates in Chinese adolescents. Adjusting for covariates and other predictor variables, higher body dissatisfaction, disordered eating, psychosocial impairment, and psychological distress at Time 1 predicted higher WBI at Time 2. Furthermore, higher WBI at Time 1 predicted higher body dissatisfaction, disordered eating, psychosocial impairment, and psychological distress at Time 2.Discussion: Weight bias internalization and psychosocial correlates were interrelated across time in Chinese adolescents. Improving WBI might be promising in the prevention of eating and body image disturbances and diminished psychosocial well-being.Similarly, reducing eating and body image disturbances and improving psychosocial well-being might be useful prevention targets in reducing WBI in Chinese adolescents.

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Adipositaschirurgie (Bariatrische Chirurgie)

Kapfhammer

2023

Depression, Angst Und Traumatischer Stress in Der Chirurgie

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A meta-analysis of associations between weight bias internalization and conceptually-related correlates: A step towards improving construct validity

Cited by 25 publications

References 40 publications

Examining the Conceptual and Measurement Overlap of Body Dissatisfaction and Internalized Weight Stigma in Predominantly Female Samples: A Meta-Analysis and Measurement Refinement Study

Examining the Conceptual and Measurement Overlap of Body Dissatisfaction and Internalized Weight Stigma in Predominantly Female Samples: A Meta-Analysis and Measurement Refinement Study

Relationships between weight bias internalization and biopsychosocial health outcomes: A prospective study in Chinese adolescents

Adipositaschirurgie (Bariatrische Chirurgie)

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