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Refining the conceptualization and assessment of internalized weight stigma: A mixed methods approach
Journal article   Peer reviewed

Refining the conceptualization and assessment of internalized weight stigma: A mixed methods approach

Rebecca L Pearl, Thomas A Wadden, Laurie C Groshon, Hannah F Fitterman-Harris, Caroline Bach and Erica M LaFata
Body image, v 44, pp 93-102
Mar 2023
PMID: 36549092

Abstract

Body Image - psychology Concept Formation Female Humans Male Middle Aged Self Concept Social Stigma Weight Prejudice
Internalized weight stigma has gained increasing attention in empirical studies, though questions remain about the adequacy of existing measures. The current study utilized a mixed methods approach, including a novel semi-structured interview, to revisit the conceptualization of internalized weight stigma and explore in more depth the stereotypes and impacts of weight reported by individuals with high scores on the widely-used Weight Bias Internalization Scale. All participants were interviewed as part of the screening procedures for two clinical trials (Study 1 n = 84, mean age=47.8 years, 83.3% women, 67.9% Black, mean BMI=39.2 kg/m ; Study 2 n = 129, mean age=50.0 years, 88.4% women, 65.1% white, mean BMI=37.8 kg/m ). The most common weight stereotypes identified were being lazy, lacking willpower or self-control, and having poor eating habits. Up to 66% of participants reported that they did not endorse negative weight stereotypes or apply them to themselves. The most highly identified impacts of weight were on self-image (>70%) and emotions (68-83%), followed by social (37-62%) and health concerns (20-25%). Approximately 60% of participants indicated that weight affected their self-directed thoughts and feelings "very much" to "extremely." Findings have implications for understanding and assessing internalized weight stigma in research and in clinical settings where interventions are needed.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

InCites Highlights

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
Psychology, Clinical
Psychology, Multidisciplinary
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