ArticleEating and weight disorders : EWD2020
Psychological distress and quality of life in Iranian adolescents with overweight/obesity: mediating roles of weight bias internalization and insomnia.
Article in Eating and weight disorders : EWD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Adapting the Health Stigma and Discrimination Framework to understand the association between stigma and sleep deficiency: A systematic review.Sleep health · 2022Pooled it
- Weight Stigma and Mental Health in Youth: A Systematic Review and Meta-Analysis.Journal of pediatric psychology · 2022Pooled it
- A Pathway Analysis of Factors Affecting Quality of Life in Peritoneal Dialysis Patients: A Cross-Sectional Study Based on Individual and Family Self-Management Theory.Patient preference and adherence · 2025Article
- Changes in health-related quality of life and sleep habits after a 6-month non-randomised cluster-controlled trial among children with overweight or obesity.European child & adolescent psychiatry · 2024Article
- The Relationship between Weight Bias Internalization and Quality of Life among Overweight and Obese Youths in Thailand.Ethiopian journal of health sciences · 2024Article
- The relationship between internalised weight bias and biopsychosocial outcomes in children and youth: a systematic review.Journal of eating disorders · 2024Review
- Weight bias internalization is positively associated with insomnia symptom severity in young women with disordered eating.Sleep health · 2024Article
- Age and gender differences in misperceptions of body shape in a Taiwanese population.Journal of eating disorders · 2023Article
- From Weight Bias Internalization to Health-Related Quality of Life: Self-esteem and Psychopathology in Pre-bariatric Surgery Patients.Obesity surgery · 2022Article
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- Internet gaming as a coping method among schizophrenic patients facing psychological distress.Journal of behavioral addictions · 2020Article
- Article
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Authors and funding
7 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo examine whether weight-related self-stigma (aka weight bias internalization) and insomnia are potential predictors of psychological distress and quality of life (QoL) among Iranian adolescents with overweight (OW)/obesity (OB). To examine whether weight-related self-stigma and insomnia are potential mediators in the relationship between excess weight and health outcomes of distress and QoL.
methodsAll participants (n = 934; 444 males; mean age = 15.7 ± 1.2 years; zBMI = 2.8 ± 1.0) completed questionnaires on weight-related self-stigma and insomnia at baseline. Six months later, they completed questionnaires on psychological distress and QoL to assess health outcomes. Relationships among variables were tested using mediation analyses with bootstrapping method.
resultsWeight-related self-stigma significantly mediated the effects of zBMI on psychological distress (effect = 0.22; bootstrapping SE = 0.09; 95% CI = 0.08, 0.45), psychosocial QoL (effect = - 0.64; bootstrapping SE = 0.19; 95% CI = - 1.10, - 0.32), and physical QoL (effect = - 1.35; bootstrapping SE = 0.54; 95% CI = - 2.43, - 0.26). Insomnia also significantly mediated the effects of zBMI on psychological distress (effect = 2.18; bootstrapping SE = 0.31; 95% CI = 1.61, 2.81), psychosocial QoL (effect = - 0.89; bootstrapping SE = 0.33; 95% CI = - 1.60, - 0.28), and physical QoL (effect = - 0.83; bootstrapping SE = 0.42; 95% CI = - 1.69, - 0.02). Full mediations were found in psychosocial QoL; partial mediations were found in psychological distress and physical QoL.
conclusionsWeight-related self-stigma and insomnia were significant mediators in the effects of excess weight on health outcomes. Therefore, it is important to identify and treat weight-related self-stigma and insomnia for adolescents with OW/OB. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.
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