Weight-based stigmatization, psychological distress, &amp; binge eating behavior among obese treatment-seeking adults

Ashmore, Jamile; Friedman, Kelli E.; Reichmann, Simona K.; Musante, Gerard J.

doi:10.1016/j.eatbeh.2007.09.006

Cited by 153 publications

(136 citation statements)

References 24 publications

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“…Recently, studies have emphasized the damaging impact of internalized weight-stigma in healthy eating behaviors of individuals with overweight and obesity (Ashmore et al, 2008;Pearl & Puhl, 2014;Schvey & White, 2015). Nonetheless, the psychological processes through which this relationship is operated on are still underexplored.…”

Section: Discussionmentioning

confidence: 99%

“…Even in the absence of perceived discrimination, the perception of being a target of stigma is related to poorer health (e.g., Ratner, Halim, & Amodio, 2013). Moreover, weight stigma is associated with disordered eating behaviors (O´Brien et al, 2016;Vartanian & Porter, 2016), particularly binge eating (Ashmore, Friedman, Reichmann, & Musante, 2008;Lillis, Hayes, & Levin, 2011). Additionally, this weight bias discrimination tends to be internalized by individuals with overweight and obesity reflecting negative self-evaluations of one's weight and physical appearance and perceived discrimination (Durso & Latner, 2008;Lillis, Luoma, Levin, & Hayes, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Finding the link between internalized weight-stigma and binge eating behaviors in Portuguese adult women with overweight and obesity: The mediator role of self-criticism and self-reassurance

et al. 2017

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Literature has emphasized the negative role of internalized self-stigma in unhealthy eating behaviors in individuals with overweight and obesity. Still, less is known about the psychological processes that mediate this relationship. Self-criticism and the inability to reassure the self are considered to play crucial roles on eating behaviors. This study aims to: 1) explore the associations between BMI, weight self-stigma, self-criticism, self-reassurance and binge-eating; 2) explore differences in weight self-stigma and self-criticism tendencies between women with and without Binge Eating Disorder (BED); 3) test the mediator effect of selfcriticism and self-reassurance on the relationship between weight self-stigma and binge-eating severity. Participants were 125 Portuguese adult women with overweight and obesity (MBMI= 34.44; SD =5.51). Participants were weighted and completed a set of self-report measures. BED was assessed through a clinical structured interview. Results showed that women with BED display higher levels of weight self-stigma and self-criticism and lower tendencies to be selfreassuring, than women without BED. Additionally, the mediation model tested indicated that the effect of weight self-stigma on binge eating severity was in part partially mediated by a selfto-self-relationship that is critical, harsh and punitive and by a decreased ability to be reassuring when facing setbacks. Overall, the model accounted for 45% of binge eating symptoms severity. These findings may inform clinical practice with clients who present high levels of weight selfstigma. Results suggest the relevance of targeting self-criticism and promoting a self-to-self relationship that is caring and reassuring, as a way of diminishing binge eating behaviors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Finding the link between internalized weight-stigma and binge eating behaviors in Portuguese adult women with overweight and obesity: The mediator role of self-criticism and self-reassurance

et al. 2017

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“…However, scientific evidence suggests that weight stigma is not a beneficial tool for motivating weight loss. Weight stigma is counterproductive for public health and increases the likelihood for unhealthy eating behaviors, avoidance of physical activity, impaired weight loss efforts, and decreased use of preventive health services (Amy, Aalborg, Lyons, & Keranen, 2006;Ashmore et al, 2008;Carels et al, 2009;Puhl & Brownell, 2006;Puhl & Heuer, 2010). In contrast, studies suggest that communicating acceptance and providing support, rather than instilling stigma and shame, are more appropriate and effective strategies to promote healthy lifestyle behaviors in obese persons (Lillis, Hayes, Bunting, & Masuda, 2009).…”

Section: Discussionmentioning

confidence: 99%

Obesity Stigma in Online News: A Visual Content Analysis

Heuer

McClure

Puhl

2011

Journal of Health Communication

184

137

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This study conducted a content analysis to examine the types of images that accompany online news stories about obesity and to determine how obese people are portrayed in news photographs. Images were selected from news articles about obesity obtained from 5 major news Web sites, during a 2-week period in September of 2009. Images accompanying news stories about obesity (N ¼ 549) were systematically coded. Of 441 individuals identified in news photographs, 65% were overweight=obese and 27% were nonoverweight. Overall, 72% of images that depicted an overweight or obese person were portrayed in a negative, stigmatizing manner. Overweight=obese individuals were significantly more likely to have their heads cut out of the photos, to be portrayed showing only their abdomens or lower bodies, and to be shown eating or drinking than were nonoverweight individuals. Overweight=obese individuals were significantly less likely to be shown fully clothed, wearing professional clothing, or exercising than were nonoverweight individuals. Obese individuals are frequently stigmatized in online news photographs; this phenomenon has important implications for public perceptions of obese persons and may reinforce pervasive prejudice and discrimination.

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“…Individuals who experience weight stigmatization also have increased risk of binge eating, exercise avoidance, poorer weightloss treatment outcomes, and underutilization of health care services (Amy, Aalborg, Lyons, & Keranen, 2006;Ashmore, Friedman, Reichmann, & Musante, 2008;Carels et al, 2009;Vartanian & Shaprow, 2008), challenging the popular belief that weight bias motivates individuals to lose weight and become healthy Puhl, Moss-Racusin, & Schwartz, 2007). Although the majority of research thus far has documented negative health consequences associated with experiences of stigma, there are still ambiguities about how weight stigma influences health.…”

mentioning

confidence: 99%

Positive media portrayals of obese persons: Impact on attitudes and image preferences.

2012

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Objective: The purpose of this research was to assess the impact of nonstereotypical, positive media portrayals of obese persons on biased attitudes, as well as propose a change in media practices that could reduce public weight bias and consequent negative health outcomes for those who experience weight stigma. Method: Two online experiments were conducted in which participants viewed either a stigmatizing or a positive photograph of an obese model. In Experiment 1 (N ϭ 146), participants viewed a photograph of either a Caucasian or African American obese woman; in Experiment 2 (N ϭ 145), participants viewed either a Caucasian male or female obese model. Multiple linear regression models were used to analyze outcomes for social distance attitudes toward the obese models depicted in the images, in addition to other negative attitudes and image preferences. Results: Participants who viewed the stigmatizing images endorsed stronger social distance attitudes and more negative attitudes toward obese persons than participants who viewed the positive images, and there was a stronger preference for the positive images than the stigmatizing images. These results were consistent regardless of the race or gender of the obese model pictured. Conclusion: The findings indicate that more positive media portrayals of obese individuals may help reduce weight stigma and its associated negative health outcomes.

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Weight-based stigmatization, psychological distress, & binge eating behavior among obese treatment-seeking adults

Cited by 153 publications

References 24 publications

Finding the link between internalized weight-stigma and binge eating behaviors in Portuguese adult women with overweight and obesity: The mediator role of self-criticism and self-reassurance

Finding the link between internalized weight-stigma and binge eating behaviors in Portuguese adult women with overweight and obesity: The mediator role of self-criticism and self-reassurance

Obesity Stigma in Online News: A Visual Content Analysis

Positive media portrayals of obese persons: Impact on attitudes and image preferences.

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