Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion

Internalized weight stigma in women with class III obesity: A randomized controlled trial of a virtual lifestyle modification intervention followed by a mindful self‐compassion intervention

“…These findings extend this literature by showing that following an initial LM among women with Class III obesity and heightened Internalized‐WS, MSC training also yields greater increases in intuitive eating than does CON. Intuitive eating may emerge a novel and implicit outcome of self‐compassion training, consistent with prospective evidence linking changes in intuitive eating to reduced Internalized‐WS and increased self‐compassion 62 …”

Yoga at Every Size: A Preliminary Evaluation of a Brief Online Size-Inclusive Yoga and Body Gratitude Journaling Intervention to Enhance Positive Embodiment in Higher Weight College Women

“…Given that the Condition x Time interaction effects emerged as statistical trends in all three instances yet small-medium in magnitude suggests the promise of this intervention to impact these changes with further refinement. For instance, it is plausible that featuring a more intensive, structured writing prompt with examples more closely modeling prior research [e.g., ( 18 , 23 , 74 )], recruiting a larger sample of young women with identified [e.g., ( 23 )] or elevated weight bias internalization at baseline [e.g., ( 100 )], extending the length of the intervention [e.g., ( 11 )], and/or for example incorporating an explicit critique of diet culture and fat shaming at the sociocultural level [e.g., ( 102 , 103 )] may have proven useful in achieving this aim.…”

“…Meanwhile, increasing intervention length or other aspects of intensity in a larger sample may have led to greater targeted improvements. For example, Braun et al ( 11 ) found that increases in self-compassion correlated with increases in intuitive eating in their 12-week mindful yoga program. Alternatively, perhaps including the domain-specific assessment of body compassion may have produced more targeted effects as a function of this brief online yoga-based intervention [e.g., ( 4 )].…”

“…Additional methodological features to consider in future investigations involve: (1) incorporating an active control comparison condition to account for non-specific treatment effects, placebo effects, and demand effects [e.g., yoga without the body gratitude writing prompt; e.g., ( 23 , 77 )], (2) including a follow-up period to evaluate the maintenance of effects [e.g., ( 4 , 10 , 11 , 23 )], (3) using more objective measures of adherence to supplement self-report metrics, (4) further incentivizing completion of the daily body gratitude journaling component given the variable adherence observed (e.g., collecting the journals on a daily or weekly basis electronically with participants' consent, etc. ), (5) exploring the sustainability of program access within the college's or university's existing infrastructure (e.g., offering for academic course credit or as part of the available student campus-based wellness resources), and (6) designing a dismantling study [e.g., ( 98 )] guided by the Multiphase Optimization Strategy [MOST; ( 106 )] and evaluated using the Essential Properties of Yoga Questionnaire [EPYQ; ( 107 )] given the multiple intervention components involved.…”

“…Research conducted in predominantly female samples further suggests that yoga interventions that specifically target incorporating an emphasis on body acceptance and gratitude may stimulate more robust gains in positive body image and embodiment [e.g., ( 8 – 10 )]. Meanwhile, another study found that a 12-week mindful yoga intervention reduced internalized weight stigma in adults ( 11 ). Whereas, a systematic review found that yoga can alleviate symptoms in those with disordered eating ( 12 ).…”