Internalised weight stigma as a mediator of the relationship between experienced/perceived weight stigma and biopsychosocial outcomes : A systematic review

Journal article

Bidstrup, Hugh, Brennan, Leah, Kaufmann, Leah and de la Piedad Garcia, Xochitl. (2021). Internalised weight stigma as a mediator of the relationship between experienced/perceived weight stigma and biopsychosocial outcomes : A systematic review. International Journal of Obesity. 46, pp. 1-9. https://doi.org/10.1038/s41366-021-00982-4
AuthorsBidstrup, Hugh, Brennan, Leah, Kaufmann, Leah and de la Piedad Garcia, Xochitl
Abstract

Objective
To systematically review studies that have assessed the mediating role of internalised weight stigma on the relationship between experienced/perceived weight stigma and any biopsychosocial outcomes.

Methods
PsycINFO, PsycExtra, Web of Science, CINAHL, Medline and Embase were systematically searched. Identified studies were double screened (HB and XPG).

Results
Seventeen studies (across 16 articles) met our inclusion criteria (N = 21,172), and almost all studies measured only psychological outcomes (n = 15). Eight studies found consistent evidence for internalised weight stigma as a mediator of the relationship between experienced/perceived weight stigma and disordered eating outcomes. Preliminary evidence was found for the mediating role of internalised weight stigma on the relationship between experienced/perceived weight stigma and body shame, body dissatisfaction, exercise behaviour, healthcare experiences and behaviours, bodily pain and parental weight talk. However, the findings were inconsistent for depression and anxiety, although only two studies reported these.

Conclusion
This review provides preliminary evidence for internalised weight stigma as an intervening variable in the relationship between experienced/perceived weight stigma and adverse health outcomes. Results suggest that there are potential benefits of interventions addressing internalised weight stigma to improve health outcomes. However, these findings must be considered in the context of the psychometric limitations of the Weight Bias Internalisation Scale, which was used in all but one study.

Year2021
JournalInternational Journal of Obesity
Journal citation46, pp. 1-9
PublisherSpringer Nature
ISSN0307-0565
Digital Object Identifier (DOI)https://doi.org/10.1038/s41366-021-00982-4
Scopus EID2-s2.0-85116811345
Research or scholarlyResearch
Page range1-9
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online09 Oct 2021
Publication process dates
Accepted29 Sep 2021
Deposited07 Mar 2022
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