Weight Stigma by Association Among Parents of Children With Obesity: A Randomized Trial

Lee, Kristen M.; Arriola-Sanchez, Lauren; Lumeng, Julie C.; Gearhardt, Ashley N.; Tomiyama, A. Janet

doi:10.1016/j.acap.2021.09.019

Cited by 16 publications

(15 citation statements)

References 45 publications

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“…Stronger internalised weight stigma predicts greater eating disorder psychopathology, higher levels of body dissatisfaction and poorer quality of life [5] and is common among people seeking bariatric surgery [6]. Stigma may also extend to the negative impacts of weight-stigma in parents of higher weight children [7].…”

Section: Weight Stigmamentioning

confidence: 99%

“…More detailed information is provided in Additional file 1: Appendix D: Table of screening instruments. 7 Assessment of anorexia nervosa and dietary restriction 8 The use of the broader ICD-11 diagnosis of anorexia nervosa without weight criterion (as is used in this guideline) is encouraged.…”

Section: Assessment Instrumentsmentioning

confidence: 99%

“…This is because the items that pick up on frequency of loss of c ontrol eating do not contribute towards the global EDE-Q score. If binge eating or loss of control is indicated in EDE-Q items-13-15, then it is optimal to also administer the Binge Eating Scale, as this latter measure 7 Note. Table 4 does not contain a comprehensive list of all instruments that may be used in the assessment of people with eating disorders who are of higher weight, but as stated, we selected those with the most ro bust evidence.…”

Section: Assessment Of Binge or Loss Of Control Eatingmentioning

confidence: 99%

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Management of eating disorders for people with higher weight: clinical practice guideline

Ralph¹,

Brennan

Byrne

et al. 2022

J Eat Disord

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Introduction The prevalence of eating disorders is high in people with higher weight. However, despite this, eating disorders experienced by people with higher weight have been consistently under-recognised and under-treated, and there is little to guide clinicians in the management of eating disorders in this population. Aim The aim of this guideline is to synthesise the current best practice approaches to the management of eating disorders in people with higher weight and make evidence-based clinical practice recommendations. Methods The National Eating Disorders Collaboration Steering Committee auspiced a Development Group for a Clinical Practice Guideline for the treatment of eating disorders for people with higher weight. The Development Group followed the ‘Guidelines for Guidelines’ process outlined by the National Health and Medical Research Council and aim to meet their Standards to be: 1. relevant and useful for decision making; 2. transparent; 3. overseen by a guideline development group; 4. identifying and managing conflicts of interest; 5. focused on health and related outcomes; 6. evidence informed; 7. making actionable recommendations; 8. up-to-date; and, 9. accessible. The development group included people with clinical and/or academic expertise and/or lived experience. The guideline has undergone extensive peer review and consultation over an 18-month period involving reviews by key stakeholders, including experts and organisations with clinical academic and/or lived experience. Recommendations Twenty-one clinical recommendations are made and graded according to the National Health and Medical Research Council evidence levels. Strong recommendations were supported for psychological treatment as a first-line treatment approach adults (with bulimia nervosa or binge-eating disorder), adolescents and children. Clinical considerations such as weight stigma, interprofessional collaborative practice and cultural considerations are also discussed. Conclusions This guideline will fill an important gap in the need to better understand and care for people experiencing eating disorders who also have higher weight. This guideline acknowledges deficits in knowledge and consequently the reliance on consensus and lower levels of evidence for many recommendations, and the need for research particularly evaluating weight-neutral and other more recent approaches in this field.

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Section: Weight Stigmamentioning

confidence: 99%

Section: Assessment Instrumentsmentioning

confidence: 99%

Section: Assessment Of Binge or Loss Of Control Eatingmentioning

confidence: 99%

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Management of eating disorders for people with higher weight: clinical practice guideline

Ralph¹,

Brennan

Byrne

et al. 2022

J Eat Disord

View full text Add to dashboard Cite

show abstract

“… 11 Moreover, the problem of obesity among children may jeopardize the wellbeing of parents, other family members, and parent–child relationship as well. For instance, Lee et al 12 found that parents of children with obesity may experience weight stigma by association, a situation which directly affects parents, the children, and the parent–child relationship.…”

Section: Introductionmentioning

confidence: 99%

Beliefs About Body Weight and Practices of Regulating Food and Physical Exercise Patterns of Children Among Parents in Southern Ethiopia

Zewude¹,

Siraw²,

Melese³

et al. 2022

PRBM

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The problem of childhood obesity is often associated with cultural values of body weight which includes the belief that voluptuous body size is a sign of good health status and better parental care. We examined the beliefs and behaviors of parents pertaining to preferred body weight of children, including practices of management of feeding and physical exercise patterns of children in southern Ethiopia. Methods: Using cross-sectional survey study design, a structured questionnaire was distributed to randomly selected parents. Quantitative data were collected from 215 respondents, inserted into SPSS software, and analyzed by frequency and percentage distributions, charts, and multinomial logistic regression techniques. Results: Most (59.1%) respondents want their child's body weight to be normal/neither fat nor thin. In addition, 58.2% of the study participants held the opinion that average body size is an indication of good health status. Furthermore, 72.6% of respondents revealed that they control the amount of food their child consumes with the aim of preventing obesity/overweight. Moreover, 79.5% of respondents encourage their children to sometimes walk on foot, instead of always relying on vehicles while 87% of them replied that they regulate the amount of time their children spend watching TV. Above all, parents' preference of voluptuous body size of children is significantly associated with age (

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“…This psychological model would fit with parents’ qualitative reports of being stigmatized for their children’s weights (e.g., Edmunds, 2005). Yet there is little empirical evidence for the basic phenomenon—that social perceivers genuinely view parents of children with high weight (PoCHs) as “bad” parents (Lee et al, 2022)—and we know of no work investigating why social perceivers might hold such stigma.…”

mentioning

confidence: 99%

Parents of Children With High Weight Are Viewed as Responsible for Child Weight and Thus Stigmatized

et al. 2022

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Courts in seven U.S. states have removed children with “obesity” from parental custody until children could maintain “healthy weights.” These rulings—alongside qualitative reports from parents of children with high weight (PoCHs)—suggest that PoCHs are judged as bad parents. Yet little work has tested whether people genuinely stigmatize PoCHs or what drives this phenomenon. In three experiments with U.S. online community participants ( N = 1,011; two preregistered), we tested an attribution theory model: Social perceivers attribute children’s weights to parents and thus stigmatize those parents. Experiments 1 and 2 support this model (across parent and child gender). Experiment 3 manipulated attributions of parental responsibility for child weight, revealing attenuated stigma with low attributions of responsibility. Findings are among the first to describe and explain stigma toward a large demographic (parents of children with obesity)—with real-world implications (e.g., for family separation, health care)—and may additionally illuminate the psychology underlying stigma toward parents of children with other potentially stigma-evoking identities.

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Weight Stigma by Association Among Parents of Children With Obesity: A Randomized Trial

Cited by 16 publications

References 45 publications

Management of eating disorders for people with higher weight: clinical practice guideline

Management of eating disorders for people with higher weight: clinical practice guideline

Beliefs About Body Weight and Practices of Regulating Food and Physical Exercise Patterns of Children Among Parents in Southern Ethiopia

Parents of Children With High Weight Are Viewed as Responsible for Child Weight and Thus Stigmatized

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