ArticleInternational journal of environmental research and public health2019
Psychological Pathway from Obesity-Related Stigma to Depression via Internalized Stigma and Self-Esteem among Adolescents in Taiwan.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Discrimination against adolescents with chronic diseases: a systematic review.European journal of pediatrics · 2024Pooled it
- Psychometric properties of the weight self-stigma questionnaire and weight bias internalization scale in postpartum women.BMC pregnancy and childbirth · 2026Article
- Is obesity associated with depression in low- and middle-income countries? Longitudinal evidence from Indonesia.International journal of obesity (2005) · 2025Article
- Mediating roles of weight stigma and physical activity avoidance in the associations between severity of gaming disorder and levels of physical activity among young adults.Journal of behavioral addictions · 2025Article
- Cross-Sectional and Longitudinal Associations Among Weight Stigma, Psychological Distress, and Eating Behaviors in Youth with Obesity: A Clinical Sample.Medicina (Kaunas, Lithuania) · 2025Article
- Gender differences in the relationship between weight bias internalization and psychological health outcomes among overweight and obese high school students in Thailand.Journal of education and health promotion · 2025Article
- The effects of weight self-stigma on psychological distress in adolescents: the chain-mediated roles of fear of negative appearance evaluation and social appearance anxiety.Frontiers in psychology · 2025Article
- Internalized weight stigma and psychological distress mediate the association of perceived weight stigma with food addiction among young adults: A cross-sectional study.Journal of eating disorders · 2024Article
- Article
- The moderating effect of self-efficacy between social constraints, social isolation, family environment, and depressive symptoms among breast cancer patients in China: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Correlates of disordered eating and insulin restriction behavior and its association with psychological health in Taiwanese youths with diabetes mellitus.Journal of eating disorders · 2023Article
- The role of self-esteem as moderator of the relationship between experienced stigma and anxiety and depression among tuberculosis patients.Scientific reports · 2023Article
- Sequentially mediated effects of weight-related self-stigma and psychological distress in the association between perceived weight stigma and food addiction among Taiwanese university students: A cross-sectional study.Journal of eating disorders · 2022Article
- Prevalence and Correlates of Weight Stigma among Postpartum Women in China.International journal of environmental research and public health · 2022Article
- Association Between Self-Perceived Stigma and Quality of Life Among Urban Chinese Older Adults: The Moderating Role of Attitude Toward Own Aging and Traditionality.Frontiers in public health · 2022Article
- The Yale Food Addiction Scale 2.0 and the modified Yale Food Addiction Scale 2.0 in Taiwan: Factor structure and concurrent validity.Frontiers in psychiatry · 2022Article
- Frequency and Correlates of Weight-Based Discrimination among Adolescents in China.International journal of behavioral medicine · 2021Article
- Attitudes Towards Appearance and Body-Related Stigma Among Young Women With Obesity and Psoriasis.Frontiers in psychiatry · 2021Article
- The Mediating Role of Internalized Stigma and Shame on the Relationship between COVID-19 Related Discrimination and Mental Health Outcomes among Back-to-School Students in Wuhan.International journal of environmental research and public health · 2020Article
- Stigma, Health and Well-Being.International journal of environmental research and public health · 2020Article
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Authors and funding
6 authors.
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Abstract
The objective of this research was to examine the pathway from public stigma, to perceived stigma, to depression in adolescents via internalized stigma. Adolescents in grade 7 through 9 from a junior high school in Changhua County in Taiwan completed self-administered surveys from March to July in 2018. Adolescents were asked questions regarding depressive symptoms, obesity-related perceived stigma, and internalized stigma. Structural equation modeling was used to fit the pathway model. The pathway was first analyzed with the full sample and then stratified by actual and perceived weight status. Our final analytic sample consisted of 464 adolescents. The pathway model suggested an acceptable model fit. Perceived weight stigma (PWS) was significantly associated with internalized stigma regardless of actual or self-perceived weight status. Internalized stigma was significantly associated with anxiety for both actual (β = 0.186) and self-perceived nonoverweight (non-OW) participants (β = 0.170) but not for overweight (OW) participants (neither actual nor self-perceived). For OW adolescents, perceived weight stigma was associated with anxiety. However, the internalization process did not exist. It may be that the influence of perceived weight stigma is larger than internalized stigma on anxiety. It may also be that the level of internalization was not yet high enough to result in anxiety.
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