The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Adults with Overweight

The present study examined data from a randomized controlled trial exploring whether behavioral weight loss treatment was associated with changes in internalized weight bias. The relationship between internalized weight bias and psychological functioning was also assessed. Participants were 106 men...

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Main Authors: Rachel D. Marshall, Kerry S. O’Brien, Janet D. Latner
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Obesities
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Online Access:https://www.mdpi.com/2673-4168/2/1/3
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author Rachel D. Marshall
Kerry S. O’Brien
Janet D. Latner
author_facet Rachel D. Marshall
Kerry S. O’Brien
Janet D. Latner
author_sort Rachel D. Marshall
collection DOAJ
description The present study examined data from a randomized controlled trial exploring whether behavioral weight loss treatment was associated with changes in internalized weight bias. The relationship between internalized weight bias and psychological functioning was also assessed. Participants were 106 men and women with overweight or obesity enrolled in a treatment outcome study using the Lifestyle Balance Program. Participants completed measures of internalized weight bias, anti-fat attitudes, self-esteem, body image concern, depressive symptoms, anxiety, and stress. Variables were assessed at baseline, post-treatment, and six-month follow-up. Weight bias internalization significantly decreased over the course of treatment. Baseline and follow-up internalized weight bias scores predicted change in body weight. Participants reporting the lowest levels of internalized weight bias at baseline lost nearly twice as much weight as participants reporting the highest levels of internalized weight bias. Significant associations were found between internalized weight bias, body image concern, and self-esteem. Findings indicate a relationship between internalized weight bias and weight change during behavioral weight loss treatment, highlighting the importance of assessing baseline levels of internalized weight bias in weight loss treatment studies. Higher internalized weight bias predicted poorer weight loss outcomes, indicating a need for tailored treatment approaches.
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spelling doaj-art-0c2ee5d663c2481ba8022c37767c31322025-01-13T16:16:21ZengMDPI AGObesities2673-41682022-01-0121213410.3390/obesities2010003The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Adults with OverweightRachel D. Marshall0Kerry S. O’Brien1Janet D. Latner2Department of Psychology, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USASchool of Social Sciences, Monash University, Melbourne 3800, AustraliaDepartment of Psychology, University of Hawai‘i at Mānoa, Honolulu, HI 96822, USAThe present study examined data from a randomized controlled trial exploring whether behavioral weight loss treatment was associated with changes in internalized weight bias. The relationship between internalized weight bias and psychological functioning was also assessed. Participants were 106 men and women with overweight or obesity enrolled in a treatment outcome study using the Lifestyle Balance Program. Participants completed measures of internalized weight bias, anti-fat attitudes, self-esteem, body image concern, depressive symptoms, anxiety, and stress. Variables were assessed at baseline, post-treatment, and six-month follow-up. Weight bias internalization significantly decreased over the course of treatment. Baseline and follow-up internalized weight bias scores predicted change in body weight. Participants reporting the lowest levels of internalized weight bias at baseline lost nearly twice as much weight as participants reporting the highest levels of internalized weight bias. Significant associations were found between internalized weight bias, body image concern, and self-esteem. Findings indicate a relationship between internalized weight bias and weight change during behavioral weight loss treatment, highlighting the importance of assessing baseline levels of internalized weight bias in weight loss treatment studies. Higher internalized weight bias predicted poorer weight loss outcomes, indicating a need for tailored treatment approaches.https://www.mdpi.com/2673-4168/2/1/3internalized weight biasanti-fat attitudesbehavioral weight lossoverweightobesitybody image
spellingShingle Rachel D. Marshall
Kerry S. O’Brien
Janet D. Latner
The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Adults with Overweight
Obesities
internalized weight bias
anti-fat attitudes
behavioral weight loss
overweight
obesity
body image
title The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Adults with Overweight
title_full The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Adults with Overweight
title_fullStr The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Adults with Overweight
title_full_unstemmed The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Adults with Overweight
title_short The Relationship of Internalized Weight Bias to Weight Change in Treatment-Seeking Adults with Overweight
title_sort relationship of internalized weight bias to weight change in treatment seeking adults with overweight
topic internalized weight bias
anti-fat attitudes
behavioral weight loss
overweight
obesity
body image
url https://www.mdpi.com/2673-4168/2/1/3
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