Investigating the Relationship Between Weight-Related Self-Stigma and Mental Health for Overweight/Obese Children in Hong Kong

Chan, Ka; Lee, Clara; Cheng, Cho Man; Hui, Lok Yiu; So, Wan Tung; Yu, Tik Shun; Lin, Chung Ying

doi:10.1097/nmd.0000000000001021

Cited by 34 publications

(47 citation statements)

References 36 publications

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“…Research among adults suggests that sociodemographic variables, such as socioeconomic status, gender and age, might also contribute to WBI [23,24]. With regard to children, no effects of age on WBI were observed across different age groups [15][16][17][18][19]. Concerning gender, previous evidence is inconsistent.…”

Section: Introductionmentioning

confidence: 99%

“…Ratcliffe and Ellison [14] have addressed several variables that might enhance vulnerability to WBI. Obviously, higher weight status and experienced weight stigmatization are detrimental factors for WBI in children and adolescents [11,[15][16][17][18]. Beyond that, the authors [14] postulate that body dissatisfaction, self-esteem and emotional problems are not only consequences of, but also predisposing factors for WBI.…”

Section: Introductionmentioning

confidence: 99%

“…Just one study that included only children with overweight reported no significant association between self-esteem and WBI [22]. In addition, there is consistent cross-sectional evidence that WBI is associated with emotional problems [11,16,17,[19][20][21].…”

Section: Introductionmentioning

confidence: 99%

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Intrapersonal predictors of weight bias internalization among elementary school children: a prospective analysis

Gmeiner

Warschburger

2020

BMC Pediatr

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Background: Weight-related stigmatization is a widespread problem. Particularly the internalization of weightrelated stereotypes and prejudices (weight bias internalization, WBI) is related to mental and physical health impairments. To date, little is known about the risk factors of WBI. Previous studies are mainly cross-sectional and based on adult samples. As childhood is a sensitive period for the development of a healthy self-concept, we examined predictors of WBI in children. Methods: The final sample included 1,463 schoolchildren (6-11 years, 51.7% female) who took part in a prospective study consisting of three measurement waves. The first two waves delivered data on objective weight status and self-reported weight-related teasing, body dissatisfaction, relevance of one's own figure, self-esteem and depressive symptoms; WBI was measured during the third wave. To examine predictors of WBI, we ran hierarchical regression analyses and exploratory mediation analyses. Results: Lower parental education level, higher child weight status, female gender, experience of teasing, higher body dissatisfaction, higher figure-relevance, and higher depression scores were found to be predictive for higher WBI scores. Body dissatisfaction (only for girls) and the relevance of one's own figure (both genders) mediated the association between self-esteem and WBI; no weight-related differences were observed. Conclusions: Our study offers longitudinal evidence for variables that enable the identification of children who are at risk for WBI. Thus, the findings deliver starting points for interventions aimed at the prevention of adverse health developments that come along with WBI.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Intrapersonal predictors of weight bias internalization among elementary school children: a prospective analysis

Gmeiner

Warschburger

2020

BMC Pediatr

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“…This suggests that weight‐related self‐stigma indirectly predicts binge eating via food addiction. It is not surprising that food addiction was the strongest mediator between weight‐related self‐stigma and binge eating because individuals with obesity have higher weight‐related self‐stigma (Chan et al, ). It has also been reported that individuals with food addiction are typically overweight or obese (Barry, Brescoll, Brownell, & Schlesinger, ; Gearhardt et al, ; Gearhardt et al, ).…”

Section: Discussionmentioning

confidence: 99%

A prospective study on the link between weight‐related self‐stigma and binge eating: Role of food addiction and psychological distress

Ahorsu

Lin

Imani

et al. 2020

Intl J Eating Disorders

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Objectives This prospective study investigated the link between weight‐related self‐stigma and binge eating by (a) examining the temporal association between weight‐related self‐stigma and binge eating; (b) investigating the mediating role of food addiction in the association between weight‐related self‐stigma and binge eating; and (c) examining the mediating role of psychological distress in the association between weight‐related self‐stigma and binge eating. Method Participants comprised 1,497 adolescents (mean = 15.1 years; SD = 6.0). Body mass index and weight bias were assessed at baseline; psychological distress (i.e., depression, anxiety, and stress) assessed and food addiction at 3 months; and binge eating at 6 months. The mediation model was analyzed using Model 4 in the PROCESS macro for SPSS with 10,000 bootstrapping resamples. Results There was no significant direct association between weight‐related self‐stigma and binge eating. However, food addiction and psychological distress significantly mediated the association between weight‐related self‐stigma and binge eating. Discussion These findings highlight the indirect association between weight‐related self‐stigma and binge eating via food addiction and psychological distress. Consequently, intervention programs targeting food addiction and psychological distress among adolescents may have significant positive effects on outcomes for weight‐related self‐stigma and binge eating. The findings will be beneficial to researchers and healthcare professionals working with adolescents during this critical developmental period.

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“…Internalized stigma is defined as the acceptance of stigma by a stigmatized person as part of the person's own system of values and self-concept [12]. Studies on the groups with high levels of stigma, such as people with mental illness [13][14][15][16][17][18][19][20] or family members of people with mental illness [21][22][23][24][25][26], children with learning disabilities [27], people with epilepsy [28], people with weight concerns [29][30][31][32][33][34][35][36][37][38][39], and people with HIV [40][41][42] highlight the highly negative effects of internalized stigma. However, so far, research on the internalized stigma of people with disability and its consequences is scarce.…”

Section: Introductionmentioning

confidence: 99%

Psychological Quality of Life in People with Physical Disability: The Effect of Internalized Stigma, Collective Action and Resilience

Silván-Ferrero

Recio

Molero

et al. 2020

IJERPH

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Purpose: The main objective of this study was to examine the role of social identification, collective action and resilience in reducing the negative consequences of internalized stigma on the psychological quality of life of people with physical disability using path analysis. We propose a model with two paths: the first through social identification and collective action and the second via resilience. Method: A total of 288 Spanish people with physical disability aged between 18 and 82 years (46.4% males; mean [SD] of age = 45.1 [12.3] responded to the questionnaire. Data were collected for three months through an online survey. Results: The tested model adequately fit the data. We found that the relationship between internalized stigma and the psychological quality of life of people with physical disability was mediated by resilience. However, neither social identification nor collective action mediated the association between internalized stigma and quality of life among our participants. Conclusions: The results confirmed the negative association between internalized stigma and quality of life in the population with physical disability. The results show that some interactive processes, such as resilience, may contribute to decreasing the negative effects of internalized stigma. In contrast, no effects of identification with the group or collective action intention were found.

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Investigating the Relationship Between Weight-Related Self-Stigma and Mental Health for Overweight/Obese Children in Hong Kong

Cited by 34 publications

References 36 publications

Intrapersonal predictors of weight bias internalization among elementary school children: a prospective analysis

Intrapersonal predictors of weight bias internalization among elementary school children: a prospective analysis

A prospective study on the link between weight‐related self‐stigma and binge eating: Role of food addiction and psychological distress

Psychological Quality of Life in People with Physical Disability: The Effect of Internalized Stigma, Collective Action and Resilience

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