Evidence map›Paper›PMID 31971410›Full record

Trial reportJournal of consulting and clinical psychology2020

Effects of a cognitive-behavioral intervention targeting weight stigma: A randomized controlled trial.

Rebecca L Pearl, Thomas A Wadden, Caroline Bach, Kathryn Gruber, Sharon Leonard, Olivia A Walsh, Jena S Tronieri, Robert I Berkowitz

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  9. Weight Bias Internalisation and Health-Related Quality of Life in Adolescents: What Role Do Family Meals Play?European eating disorders review : the journal of the Eating Disorders Association · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rebecca L PearlCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0002-1996-0082
Thomas A WaddenCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania.
Caroline BachCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0001-7446-9432
Kathryn GruberCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania.
Sharon LeonardCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania.
Olivia A WalshCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania.
Jena S TronieriCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0003-3587-4130
Robert I BerkowitzCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania.ORCID 0000-0002-5877-8195

Funding

Improving Weight Loss in Early Non-responders to Behavioral TreatmentK23DK116935 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI TRONIERI, JENNIFER SHAW · 2019 to 2023
$938k
Reducing Weight Stigma to Improve Long-Term Weight LossK23HL140176 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PEARL, REBECCA L · 2018 to 2022
$835k
National Institutes of Health; National Heart, Lung, and Blood InstituteNational Institutes of Health; National Institute of Diabetes and Digestive and Kidney DiseaseNHLBI NIH HHS K23 HL140176NIDDK NIH HHS K23 DK116935WW (formerly Weight Watchers)
6 · The paper itself

Abstract

objectiveTo test the effects of a cognitive-behavioral intervention for weight bias internalization (WBI; i.e., self-stigma) combined with behavioral weight loss (BWL).

methodAdults with obesity and elevated WBI were randomly assigned to BWL alone or combined with the Weight Bias Internalization and Stigma Program (BWL + BIAS). Participants attended weekly group meetings for 12 weeks, followed by 2 biweekly and 2 monthly meetings (26 weeks total). Changes at Week 12 on the Weight Bias Internalization Scale (WBIS) and Weight Self-Stigma Questionnaire (WSSQ) were the principal outcomes, with changes at Week 26 assessed as secondary outcomes. Other outcomes included changes in mood, body image, eating behaviors, self-monitoring, and weight.

resultsSeventy-two participants were randomized (84.7% female, 66.7% Black, mean age = 47.1 ± 11.5 years) Linear mixed models showed no significant differences between the BWL + BIAS and BWL groups in WBIS changes at Week 12 (-1.3 ± 0.2 vs. -1.0 ± 0.2) or week 26 (-1.5 ± 0.2 vs. -1.3 ± 0.2). BWL + BIAS participants had greater reductions in WSSQ total scores at Week 12 (p = .03), with greater changes on the self-devaluation subscale at Weeks 12 and 26 (p ≤ .03). BWL + BIAS participants reported significantly greater benefits on measures of eating and self-monitoring. Percent weight loss at Week 26 did not differ significantly between groups (BWL + BIAS = -4.5 ± 1.0%, BWL = -5.9 ± 1.0%, p = .28).

conclusionA psychological intervention for WBI produced short-term reductions in some aspects of weight self-stigma in persons with obesity. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Indexed as

Cognitive Behavioral TherapySelf ConceptSocial StigmaAdultFemaleHumansMaleMiddle AgedObesityTreatment Outcome

Identifiers

PMID31971410
PMCPMC7148168

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.