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Internalised Weight Stigma Mediates Relationships Between Perceived Weight Stigma and Psychosocial Correlates in Individuals Seeking Bariatric Surgery: a Cross-sectional Study
Purpose Research suggests that internalised weight stigma may explain the relationship between perceived weight stigma and adverse psychological correlates (e.g. depression, disordered eating, body image disturbances). However, few studies have assessed this mechanism in individuals seeking bariatri...
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| Published in: | Obesity surgery 2022-11, Vol.32 (11), p.3675-3686 |
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| container_issue | 11 |
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| container_title | Obesity surgery |
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| creator | Bidstrup, Hugh Brennan, Leah Hindle, Annemarie Kaufmann, Leah de la Piedad Garcia, Xochitl |
| description | Purpose
Research suggests that internalised weight stigma may explain the relationship between perceived weight stigma and adverse psychological correlates (e.g. depression, disordered eating, body image disturbances). However, few studies have assessed this mechanism in individuals seeking bariatric surgery, even though depression and disordered eating are more common in this group than the general population.
Materials and Methods
We used data from a cross-sectional study with individuals seeking bariatric surgery (
n
= 217; 73.6% female) from Melbourne, Australia. Participants (
M
age
= 44.1 years,
SD
= 11.9;
M
BMI
= 43.1,
SD
= 7.9) completed a battery of self-report measures on weight stigma and biopsychosocial variables, prior to their procedures. Bias-corrected bootstrapped mediations were used to test the mediating role of internalised weight stigma. Significance thresholds were statistically corrected to reduce the risk of Type I error due to the large number of mediation tests conducted.
Results
Controlling for BMI, internalised weight stigma mediated the relationship between perceived weight stigma and psychological quality of life, symptoms of depression and anxiety, stress, adverse coping behaviours, self-esteem, exercise avoidance, some disordered eating measures and body image subscales, but
not
physical quality of life or pain.
Conclusion
Although the findings are cross-sectional, they are mostly consistent with previous research in other cohorts and provide partial support for theoretical models of weight stigma. Interventions addressing internalised weight stigma may be a useful tool for clinicians to reduce the negative correlates associated with weight stigma.
Graphical abstract |
| doi_str_mv | 10.1007/s11695-022-06245-z |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9613718</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2729295697</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-6ac5f3b9f40d8651d0f6cd4cb6bdc0ca90f8acf162e7726ff793dc172a80638d3</originalsourceid><addsrcrecordid>eNp9ks1u1DAUhS0EokPhBVggS2zYBPyT2DELpHZEYaQiKgbE0vLYNxmXjDPYyVTTl-IVcZhS_iRWXtzvnGsfH4QeU_KcEiJfJEqFqgrCWEEEK6vi-g6aUUnqgpSsvotmRAlS1IrxI_QgpUtCGBWM3UdHXBBVCiZn6NsiDBCD6XwChz-Db9cDXg6-3Rj8Dpw3AyT8AToz-D6ktd8mfArDFUDAFxAt-N0_MhMcvkh7u-5Tb73p8LyPcXLITj7gRXB-591ouoSXAF98aPGpiXlT9BYvx9hC3L_EBs9jn1KRwE6rs81yGN3-IbrXZCU8ujmP0aez1x_nb4vz928W85PzwpayHAphbNXwlWpK4mpRUUcaYV1pV2LlLLFGkaY2tslxgJRMNI1U3FkqmamJ4LXjx-jVwXc7rjbgLIQhmk5vo9-YuNe98frPSfBr3fY7rQTlktbZ4NmNQey_jpAGvfHJQteZAP2YNJOUc0qE5Bl9-hd62Y_Tn0wUU0xVQslMsQNlp1wiNLeXoURPfdCHPujcB_2jD_o6i578_oxbyc8CZIAfgJRHIUf_a_d_bL8DugvG3A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2729295697</pqid></control><display><type>article</type><title>Internalised Weight Stigma Mediates Relationships Between Perceived Weight Stigma and Psychosocial Correlates in Individuals Seeking Bariatric Surgery: a Cross-sectional Study</title><source>Springer Link</source><creator>Bidstrup, Hugh ; Brennan, Leah ; Hindle, Annemarie ; Kaufmann, Leah ; de la Piedad Garcia, Xochitl</creator><creatorcontrib>Bidstrup, Hugh ; Brennan, Leah ; Hindle, Annemarie ; Kaufmann, Leah ; de la Piedad Garcia, Xochitl</creatorcontrib><description>Purpose
Research suggests that internalised weight stigma may explain the relationship between perceived weight stigma and adverse psychological correlates (e.g. depression, disordered eating, body image disturbances). However, few studies have assessed this mechanism in individuals seeking bariatric surgery, even though depression and disordered eating are more common in this group than the general population.
Materials and Methods
We used data from a cross-sectional study with individuals seeking bariatric surgery (
n
= 217; 73.6% female) from Melbourne, Australia. Participants (
M
age
= 44.1 years,
SD
= 11.9;
M
BMI
= 43.1,
SD
= 7.9) completed a battery of self-report measures on weight stigma and biopsychosocial variables, prior to their procedures. Bias-corrected bootstrapped mediations were used to test the mediating role of internalised weight stigma. Significance thresholds were statistically corrected to reduce the risk of Type I error due to the large number of mediation tests conducted.
Results
Controlling for BMI, internalised weight stigma mediated the relationship between perceived weight stigma and psychological quality of life, symptoms of depression and anxiety, stress, adverse coping behaviours, self-esteem, exercise avoidance, some disordered eating measures and body image subscales, but
not
physical quality of life or pain.
Conclusion
Although the findings are cross-sectional, they are mostly consistent with previous research in other cohorts and provide partial support for theoretical models of weight stigma. Interventions addressing internalised weight stigma may be a useful tool for clinicians to reduce the negative correlates associated with weight stigma.
Graphical abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>ISSN: 1708-0428</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-022-06245-z</identifier><identifier>PMID: 36094627</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Bariatric Surgery ; Body image ; Cross-Sectional Studies ; Female ; Gastrointestinal surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Mental depression ; Obesity, Morbid - surgery ; Original Contributions ; Quality of Life ; Self image ; Social Stigma ; Stigma ; Surgery ; Weight Prejudice</subject><ispartof>Obesity surgery, 2022-11, Vol.32 (11), p.3675-3686</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-6ac5f3b9f40d8651d0f6cd4cb6bdc0ca90f8acf162e7726ff793dc172a80638d3</citedby><cites>FETCH-LOGICAL-c474t-6ac5f3b9f40d8651d0f6cd4cb6bdc0ca90f8acf162e7726ff793dc172a80638d3</cites><orcidid>0000-0003-0034-4068 ; 0000-0001-5572-3132 ; 0000-0001-5595-9532 ; 0000-0002-9180-5888 ; 0000-0002-9319-8671</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27900,27901</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36094627$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bidstrup, Hugh</creatorcontrib><creatorcontrib>Brennan, Leah</creatorcontrib><creatorcontrib>Hindle, Annemarie</creatorcontrib><creatorcontrib>Kaufmann, Leah</creatorcontrib><creatorcontrib>de la Piedad Garcia, Xochitl</creatorcontrib><title>Internalised Weight Stigma Mediates Relationships Between Perceived Weight Stigma and Psychosocial Correlates in Individuals Seeking Bariatric Surgery: a Cross-sectional Study</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Purpose
Research suggests that internalised weight stigma may explain the relationship between perceived weight stigma and adverse psychological correlates (e.g. depression, disordered eating, body image disturbances). However, few studies have assessed this mechanism in individuals seeking bariatric surgery, even though depression and disordered eating are more common in this group than the general population.
Materials and Methods
We used data from a cross-sectional study with individuals seeking bariatric surgery (
n
= 217; 73.6% female) from Melbourne, Australia. Participants (
M
age
= 44.1 years,
SD
= 11.9;
M
BMI
= 43.1,
SD
= 7.9) completed a battery of self-report measures on weight stigma and biopsychosocial variables, prior to their procedures. Bias-corrected bootstrapped mediations were used to test the mediating role of internalised weight stigma. Significance thresholds were statistically corrected to reduce the risk of Type I error due to the large number of mediation tests conducted.
Results
Controlling for BMI, internalised weight stigma mediated the relationship between perceived weight stigma and psychological quality of life, symptoms of depression and anxiety, stress, adverse coping behaviours, self-esteem, exercise avoidance, some disordered eating measures and body image subscales, but
not
physical quality of life or pain.
Conclusion
Although the findings are cross-sectional, they are mostly consistent with previous research in other cohorts and provide partial support for theoretical models of weight stigma. Interventions addressing internalised weight stigma may be a useful tool for clinicians to reduce the negative correlates associated with weight stigma.
Graphical abstract</description><subject>Adult</subject><subject>Bariatric Surgery</subject><subject>Body image</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Quality of Life</subject><subject>Self image</subject><subject>Social Stigma</subject><subject>Stigma</subject><subject>Surgery</subject><subject>Weight Prejudice</subject><issn>0960-8923</issn><issn>1708-0428</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9ks1u1DAUhS0EokPhBVggS2zYBPyT2DELpHZEYaQiKgbE0vLYNxmXjDPYyVTTl-IVcZhS_iRWXtzvnGsfH4QeU_KcEiJfJEqFqgrCWEEEK6vi-g6aUUnqgpSsvotmRAlS1IrxI_QgpUtCGBWM3UdHXBBVCiZn6NsiDBCD6XwChz-Db9cDXg6-3Rj8Dpw3AyT8AToz-D6ktd8mfArDFUDAFxAt-N0_MhMcvkh7u-5Tb73p8LyPcXLITj7gRXB-591ouoSXAF98aPGpiXlT9BYvx9hC3L_EBs9jn1KRwE6rs81yGN3-IbrXZCU8ujmP0aez1x_nb4vz928W85PzwpayHAphbNXwlWpK4mpRUUcaYV1pV2LlLLFGkaY2tslxgJRMNI1U3FkqmamJ4LXjx-jVwXc7rjbgLIQhmk5vo9-YuNe98frPSfBr3fY7rQTlktbZ4NmNQey_jpAGvfHJQteZAP2YNJOUc0qE5Bl9-hd62Y_Tn0wUU0xVQslMsQNlp1wiNLeXoURPfdCHPujcB_2jD_o6i578_oxbyc8CZIAfgJRHIUf_a_d_bL8DugvG3A</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Bidstrup, Hugh</creator><creator>Brennan, Leah</creator><creator>Hindle, Annemarie</creator><creator>Kaufmann, Leah</creator><creator>de la Piedad Garcia, Xochitl</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0034-4068</orcidid><orcidid>https://orcid.org/0000-0001-5572-3132</orcidid><orcidid>https://orcid.org/0000-0001-5595-9532</orcidid><orcidid>https://orcid.org/0000-0002-9180-5888</orcidid><orcidid>https://orcid.org/0000-0002-9319-8671</orcidid></search><sort><creationdate>20221101</creationdate><title>Internalised Weight Stigma Mediates Relationships Between Perceived Weight Stigma and Psychosocial Correlates in Individuals Seeking Bariatric Surgery: a Cross-sectional Study</title><author>Bidstrup, Hugh ; Brennan, Leah ; Hindle, Annemarie ; Kaufmann, Leah ; de la Piedad Garcia, Xochitl</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-6ac5f3b9f40d8651d0f6cd4cb6bdc0ca90f8acf162e7726ff793dc172a80638d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Bariatric Surgery</topic><topic>Body image</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Quality of Life</topic><topic>Self image</topic><topic>Social Stigma</topic><topic>Stigma</topic><topic>Surgery</topic><topic>Weight Prejudice</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bidstrup, Hugh</creatorcontrib><creatorcontrib>Brennan, Leah</creatorcontrib><creatorcontrib>Hindle, Annemarie</creatorcontrib><creatorcontrib>Kaufmann, Leah</creatorcontrib><creatorcontrib>de la Piedad Garcia, Xochitl</creatorcontrib><collection>Springer_OA刊</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bidstrup, Hugh</au><au>Brennan, Leah</au><au>Hindle, Annemarie</au><au>Kaufmann, Leah</au><au>de la Piedad Garcia, Xochitl</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internalised Weight Stigma Mediates Relationships Between Perceived Weight Stigma and Psychosocial Correlates in Individuals Seeking Bariatric Surgery: a Cross-sectional Study</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2022-11-01</date><risdate>2022</risdate><volume>32</volume><issue>11</issue><spage>3675</spage><epage>3686</epage><pages>3675-3686</pages><issn>0960-8923</issn><issn>1708-0428</issn><eissn>1708-0428</eissn><abstract>Purpose
Research suggests that internalised weight stigma may explain the relationship between perceived weight stigma and adverse psychological correlates (e.g. depression, disordered eating, body image disturbances). However, few studies have assessed this mechanism in individuals seeking bariatric surgery, even though depression and disordered eating are more common in this group than the general population.
Materials and Methods
We used data from a cross-sectional study with individuals seeking bariatric surgery (
n
= 217; 73.6% female) from Melbourne, Australia. Participants (
M
age
= 44.1 years,
SD
= 11.9;
M
BMI
= 43.1,
SD
= 7.9) completed a battery of self-report measures on weight stigma and biopsychosocial variables, prior to their procedures. Bias-corrected bootstrapped mediations were used to test the mediating role of internalised weight stigma. Significance thresholds were statistically corrected to reduce the risk of Type I error due to the large number of mediation tests conducted.
Results
Controlling for BMI, internalised weight stigma mediated the relationship between perceived weight stigma and psychological quality of life, symptoms of depression and anxiety, stress, adverse coping behaviours, self-esteem, exercise avoidance, some disordered eating measures and body image subscales, but
not
physical quality of life or pain.
Conclusion
Although the findings are cross-sectional, they are mostly consistent with previous research in other cohorts and provide partial support for theoretical models of weight stigma. Interventions addressing internalised weight stigma may be a useful tool for clinicians to reduce the negative correlates associated with weight stigma.
Graphical abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36094627</pmid><doi>10.1007/s11695-022-06245-z</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-0034-4068</orcidid><orcidid>https://orcid.org/0000-0001-5572-3132</orcidid><orcidid>https://orcid.org/0000-0001-5595-9532</orcidid><orcidid>https://orcid.org/0000-0002-9180-5888</orcidid><orcidid>https://orcid.org/0000-0002-9319-8671</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Obesity surgery, 2022-11, Vol.32 (11), p.3675-3686 |
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| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9613718 |
| source | Springer Link |
| subjects | Adult Bariatric Surgery Body image Cross-Sectional Studies Female Gastrointestinal surgery Humans Male Medicine Medicine & Public Health Mental depression Obesity, Morbid - surgery Original Contributions Quality of Life Self image Social Stigma Stigma Surgery Weight Prejudice |
| title | Internalised Weight Stigma Mediates Relationships Between Perceived Weight Stigma and Psychosocial Correlates in Individuals Seeking Bariatric Surgery: a Cross-sectional Study |
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