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Weight-related stigma mediates the relationship between weight status and bodily pain: A conceptual model and call for further research
Journal article   Open access   Peer reviewed

Weight-related stigma mediates the relationship between weight status and bodily pain: A conceptual model and call for further research

KayLoni L. Olson and Janell L. Mensinger
Body image, v 30, pp 159-164
Sep 2019
PMID: 31362217
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918660View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Bodily pain Internalized weight bias Mediation Pain management Weight Weight stigma
•Weight stigma and internalized weight bias are associated with pain-related interference.•Stigma mediated the relationship between body mass and pain among all individuals.•Internalized bias only mediated the relationship among women without a pain condition. Women are disproportionately impacted by pain compared to men, highlighting the need to better understand factors that contribute to this gender disparity. Previous findings suggest weight-related stigma may be associated with pain among women attempting to lose weight. The goal of this study is to determine if experienced and/or internalized weight bias mediate the relationship between body mass index (BMI) and pain-related impairment in a large, community-based sample of women across the weight spectrum (N = 309; MAge = 56.5, SD = 14.5; MBMI = 28.5, SD = 7.1), and to evaluate whether this relationship differs for women with a pain condition. Analyses were performed using the Conditional-PROCESS Macro to examine the relationships between BMI, pain-related impairment, internalized and experienced weight-stigma, and the potentially moderating effect of pain-related conditions on these relationships. After adjusting for covariates, both experienced stigma and internalized weight stigma statistically mediated the BMI and pain-related impairment relationship; however, in the tests of moderated mediation, the indirect effect of internalized weight bias only held true for those without pain conditions. These findings offer a preliminary conceptual model and highlight the importance of pain research to include weight-related stigma.

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13 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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

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

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

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