Weight bias internalization, emotion dysregulation, and non‐normative eating behaviors in prebariatric patients

Baldofski, Sabrina; Rudolph, Almut; Tigges, Wolfgang; Herbig, B.; Jurowich, Christian; Kaiser, Stefan; Dietrich, Arne; Hilbert, Anja

doi:10.1002/eat.22484

Cited by 49 publications

(42 citation statements)

References 32 publications

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“…We showed that individuals with obesity are less likely to attend to (e.g., think about) their emotions and less likely to engage in efforts to alter negative mood states compared to individuals with overweight or normal weight, which is consistent with literature showing that individuals with obesity have difficulties identifying and regulating their emotions (Baldofski et al, 2016; Michopoulos et al, 2015; Taube-Schiff et al, 2015; Zijlstra et al, 2012). These results are important for increasing our understanding of mechanisms that drive weight gain, as appetitive traits such as eating in the absence of hunger or food responsiveness may be influenced by the experience of negative emotions, which leads to weight gain (Crockett et al, 2015; Davis, 2009; Gianini et al, 2013; Konttinen et al, 2015; Raman et al, 2013).…”

Section: Discussionsupporting

confidence: 89%

“…Specifically, difficulties with emotion regulation have been associated with weight status and can lead to excess intake over time, such as through problematic coping behaviors like emotional eating (i.e., eating in response to emotions, even when not physically hungry) (Baldofski et al, 2016; French, Epstein, Jeffery, Blundell, & Wardle, 2012; Konttinen et al, 2015; Michopoulos et al, 2015; Taube-Schiff et al, 2015; Zijlstra et al, 2012). However, less is known about the relation between emotional intelligence and weight status.…”

Section: Introductionmentioning

confidence: 99%

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Identification and regulation of emotions in adults of varying weight statuses

2017

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Comparing individuals of varying weight statuses on their identification and regulation of emotions may increase our understanding of mechanisms that drive excess weight gain and highlight more precise weight regulation targets. In Study I (N=1,333), adults with obesity had reduced self-reported attention to and repair of emotions compared to adults with overweight or normal weight. In Study II (N=85), adults with obesity had deficits in assessor-administrated tasks of strategic emotional intelligence (i.e., understanding and using emotional information for self-management). Problems identifying and regulating emotions could impact emotion regulation processes that lead to problematic behaviors associated with eating and weight gain.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Identification and regulation of emotions in adults of varying weight statuses

2017

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“…normal weight, overweight and obesity). Among samples that only included persons with overweight/obesity, 16 studies found significant associations between WBI and BMI or weight status , and 17 found no significant associations . In studies that found significant associations, r values ranged from 0.12 to 0.40.…”

Section: Resultsmentioning

confidence: 99%

Weight bias internalization and health: a systematic review

2018

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A robust literature has documented the negative health effects of being the target of weight bias. Weight bias internalization (WBI) occurs when individuals apply negative weight stereotypes to themselves and self-derogate because of their body weight. Compared with experiences of weight bias, less is known about the relationship between WBI and mental and physical health, although more literature on this topic has emerged in recent years. The current systematic review identified 74 studies assessing the relationship between WBI and health and interventions designed to reduce WBI and improve health. Over half of identified studies were published from 2016 to 2017. Results showed strong, negative relationships between WBI and mental health outcomes. Fewer studies have examined the relationship between WBI and physical health, and results were less consistent. Key directions for future research are highlighted, including the need for prospective and experimental studies with greater sample diversity.

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“…Baldofski et al have shown that Weight Bias Internalization in bariatric surgery candidates increases their susceptibility to unusual eating behaviours (i.e. food addiction, emotional eating, and eating in the absence of hunger) through emotion dysregulation [25].…”

Section: Discussionmentioning

confidence: 99%

Reliability, validity, and factorial structure of the Turkish version of the Weight Self-Stigma Questionnaire (Turkish WSSQ)

Sevinçer

Kaya

Bozkurt

et al. 2017

Psychiatry and Clinical Psychopharmacology

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OBJECTIVE: The Weight Self-Stigma Questionnaire (WSSQ) is a comprehensive instrument for the assessment of weight self-stigma in obesity and has been validated in several languages. The purpose of this study was to examine the psychometric properties and validate the Turkish version of the WSSQ in a sample of severely obese patients in Turkey. METHODS: A cross-cultural adaptation of the WSSQ into Turkish was carried out, strictly according to recommended methods. The questionnaires including the Sociodemographic data form, the WSSQ, Beck Depression Inventory, Beck Anxiety Inventory, Eating Disorder Examination-Questionnaire, Rosenberg Self-esteem Scale, Dutch Eating Behavior Questionnaire Emotional Eating Subscale, and Impact of Weight on Quality of Life Questionnaire were completed by 120 consecutive severely obese patients (96 female, 24 male) in the outpatient clinics of the Department of Bariatric and Metabolic Surgery in a university setting in Turkey. All statistical analyses were performed by using SPSS version 23 for Windows. RESULTS: The Cronbach's α (internal reliability) for the two subscales of the WSSQ-selfdevaluation and fear of enacted stigma, and for the whole questionnaire (WSSQ Total) were 0.74, 0.81, and 0.83, respectively. The self-devaluation subscale, the enacted stigma subscale and the total WSSQ have a good internal consistency. Construct validity also appeared adequate as the WSSQ correlates with other measures largely in the manner we expected. Principal component factor analyses revealed a two-factor structure with an almost identical factor structure to that reported in the original study. Kaiser-Meyer-Olkin Measure of Sampling Adequacy was found to be 0.81 and Barlett's test of Sphericity χ 2 was found as 457.068 (p < .01). CONCLUSIONS: Our results suggested that Turkish WSSQ was a valid and reliable tool with a robust factorial structure to use for measuring weight-related self-stigma in clinical population in Turkey.ARTICLE HISTORY

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Weight bias internalization, emotion dysregulation, and non‐normative eating behaviors in prebariatric patients

Cited by 49 publications

References 32 publications

Identification and regulation of emotions in adults of varying weight statuses

Identification and regulation of emotions in adults of varying weight statuses

Weight bias internalization and health: a systematic review

Reliability, validity, and factorial structure of the Turkish version of the Weight Self-Stigma Questionnaire (Turkish WSSQ)

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