Obesity and psychosocial impairment: mediating roles of health status, weight/shape concerns and binge eating in a community sample of women and men

Zutven, Kim van; Mond, Jonathan; Latner, Janet D.; Rodgers, Bryan

doi:10.1038/ijo.2014.100

Cited by 32 publications

(44 citation statements)

References 45 publications

(69 reference statements)

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“…The finding that BD was a stronger mediator of the association between obesity and impairment in emotional well‐being than SRH, for both boys and girls, is notable and consistent with findings from a recent study in adults . More generally, the current findings are consistent with a growing body of evidence suggesting that BD may exhibit a greater influence on mental health outcomes among individuals with obesity than other potential mediating variables .…”

Section: Discussionsupporting

confidence: 90%

Obesity and emotional well‐being in adolescents: Roles of body dissatisfaction, loss of control eating, and self‐rated health

Gall

Zutven

Lindström

et al. 2016

Obesity

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Section: Discussionsupporting

confidence: 90%

Obesity and emotional well‐being in adolescents: Roles of body dissatisfaction, loss of control eating, and self‐rated health

Gall

Zutven

Lindström

et al. 2016

Obesity

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“…Scores range from 10 to 50, with higher scores indicating higher levels of distress, and scores of 30 or higher being indicative of clinical levels of distress. The K‐10 has demonstrated high internal consistency and validity in predicting clinically significant levels of distress in general population samples . Cronbach's alphas for boys and girls in the present study sample were 0.87 and 0.91, respectively.…”

Section: Methodsmentioning

confidence: 66%

“…Data for n = 9 participants who were younger than 12 years or older than 18 years of age, n = 70 participants with high levels of missing or corrupt data, and n = 4 participants who did not indicate their gender were excluded. The final sample therefore comprised N = 1666 12–18 year‐old boys ( n = 531; 32%) and girls ( n = 1135; 68.0%) …”

Section: Methodsmentioning

confidence: 99%

Disentangling body image: The relative associations of overvaluation, dissatisfaction, and preoccupation with psychological distress and eating disorder behaviors in male and female adolescents

Mitchison

Hay

Griffiths

et al. 2016

Intl J Eating Disorders

115

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Objective: The distinctiveness and relative clinical significance of overvaluation, dissatisfaction, and preoccupation with body weight/shape remains inconclusive. This study sought to add to the evidence by testing associations between these three body image constructs and indicators of clinical significance.Method: Male and female secondary students (N 5 1,666) aged 12-18 years completed a survey that included measures of dissatisfaction with, overvaluation of, and preoccupation with weight/ shape, psychological distress, eating disorder behaviors, and basic demographic information. Conditional process analysis was employed to test the independent and mediating effects of overvaluation, dissatisfaction, and preoccupation on distress, dietary restraint, and objective binge eating.Results: Overvaluation, dissatisfaction, and preoccupation were highly correlated (r 5 0.47-0.84). In girls, preoccupation demonstrated the strongest independent and mediating effects on distress, dietary restraint, and binge eating; whereas neither the direct or indirect effects of dissatisfaction on distress and overvaluation on binge eating were significant. Among boys however, the direct and indirect effects of overvaluation, dissatisfaction, and preoccupation on distress and eating disorder behaviors were relatively equal.Discussion: Preoccupation with weight/ shape may be particularly clinically significant in girls, whereas all constructs of body image disturbance may be equally clinically significant in boys. The findings are consistent with the view that these constructs, while closely related, are distinct. V C 2016 Wiley Periodicals, Inc.

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“…Results for social support among individuals with obesity are mixed and far from generalizability. Four studies find lower social support in children , adolescents , and adults with obesity , while another one does not in adolescents . Higher levels of loneliness were reported in one study .…”

Section: Resultsmentioning

confidence: 82%

“…Three studies show elevated levels of body dissatisfaction in children with obesity . One study showed the same associated in adults . Fonseca et al operationalized body dissatisfaction by asking whether the respondents thought they were “not very good looking” or “not good looking at all.” These categories were collapsed and revealed a significantly higher proportion of body dissatisfaction in adolescent with obesity.…”

Section: Resultsmentioning

confidence: 99%

Weight stigma “gets under the skin”-evidence for an adapted psychological mediation framework-a systematic review

Sikorski

Luppa

Luck

et al. 2014

Obesity

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Objective: Research consistently shows a negative view of individuals with obesity in the general public and in various other settings. Stigma and discrimination can be considered chronic stressors, as these factors have a profound impact on the psychological well-being of the affected individuals. This article proposes a framework that entails a mediation of the adverse effects of discrimination and stigmatization on mental well-being through elevated psychological risk factors that are not unique to weight but that could affect overweight and normal-weight individuals alike. Methods: A systematic review was conducted to assess the prevalence of psychological risk factors, such as self-esteem and coping, in individuals with obesity. Results: Forty-six articles were assessed and included for detailed analysis. The number of studies on these topics is limited to certain dimensions of psychological processes. The best evaluated association of obesity and psychosocial aspects is seen for self-esteem. Most studies establish a negative association of weight and self-esteem in children and adults. All studies with mediation analysis find a positive mediation through psychological risk factors on mental health outcomes. Conclusions: This review shows that elevated psychological risk factors are existent in individuals with obesity and that they may be a mediator between weight discrimination and pathopsychological outcomes.

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Obesity and psychosocial impairment: mediating roles of health status, weight/shape concerns and binge eating in a community sample of women and men

Abstract: A greater focus on body acceptance may be indicated in obesity prevention and weight-management programs.

Cited by 32 publications

References 45 publications

Obesity and emotional well‐being in adolescents: Roles of body dissatisfaction, loss of control eating, and self‐rated health

Obesity and emotional well‐being in adolescents: Roles of body dissatisfaction, loss of control eating, and self‐rated health

Disentangling body image: The relative associations of overvaluation, dissatisfaction, and preoccupation with psychological distress and eating disorder behaviors in male and female adolescents

Weight stigma “gets under the skin”-evidence for an adapted psychological mediation framework-a systematic review

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