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

Publication dates
Authors	Bidstrup, 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.
Year	2021
Journal	International Journal of Obesity
Journal citation	46, pp. 1-9
Publisher	Springer Nature
ISSN	0307-0565
Digital Object Identifier (DOI)	https://doi.org/10.1038/s41366-021-00982-4
Scopus EID	2-s2.0-85116811345
Research or scholarly	Research
Page range	1-9
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	09 Oct 2021
Publication process dates
Accepted	29 Sep 2021
Deposited	07 Mar 2022

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