Evidence map›Paper›PMID 33556915›Full record

ArticleBody image2021

Examining associations among weight stigma, weight bias internalization, body dissatisfaction, and eating disorder symptoms: Does weight status matter?

Kelly A Romano, Kristin E Heron, James M Henson

Abstract read
In one paragraph

Article in Body image, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing 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

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

  1. Pooled it
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  11. Association between self-reported discrimination and body weight dissatisfaction among adolescents in a city in Santa Catarina, Brazil.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026
    Article
  12. Visible yet Invisible: embodied meanings of weight stigma among women with binge eating disorder and higher weight.International journal of qualitative studies on health and well-being · 2025
    Article
  13. Article
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  15. Non-pharmacologicaL InterVEntions for Antipsychotic-Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
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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

3 authors.

Kelly A RomanoThe Virginia Consortium Program in Clinical Psychology, 555 Park Avenue, Norfolk, VA 23504, USA. Electronic address: kroma001@odu.edu.
Kristin E HeronThe Virginia Consortium Program in Clinical Psychology, 555 Park Avenue, Norfolk, VA 23504, USA; Old Dominion University, 250 Mills Godwin Building, Norfolk, VA 23529, USA.
James M HensonThe Virginia Consortium Program in Clinical Psychology, 555 Park Avenue, Norfolk, VA 23504, USA; Old Dominion University, 250 Mills Godwin Building, Norfolk, VA 23529, USA.

Funding

Affect, Mind-Body Factors, and Eating Behaviors: Examining Naturalistic Associations among Female Young Adults with Eating Disorder SymptomsF31MH120982 · NIMH · OLD DOMINION UNIVERSITY · PI ROMANO, KELLY A. · 2020 to 2021
$67k
NIMH NIH HHS F31 MH120982
6 · The paper itself

Abstract

The present study aimed to expand weight stigma theoretical models by accounting for central tenets of prominent eating disorder (ED) theories and increasing the generalizability of existing models for individuals across the weight spectrum. College students (Sample 1: N = 1228; Sample 2: N = 1368) completed online surveys assessing stigma and ED symptoms. In each sample, separately, multi-group path analyses tested whether body mass index (BMI) classification (underweight/average weight, overweight, obese) moderated a model wherein weight stigma experiences were sequentially associated with weight bias internalization, body dissatisfaction, and five ED symptoms: binge eating, purging, restricting, excessive exercise, muscle building behaviors. Results supported the assessed model overall and for individuals in each BMI class, separately. Although patterns of associations differed for individuals with different BMIs, these variations were limited. The present findings suggest that the adverse impact of weight stigma on distinct ED symptoms is not limited to individuals with elevated BMIs and that these associations are generally explained by the same mechanisms. Weight stigma interventions that focus on decreasing weight bias internalization and body dissatisfaction are recommended for individuals across the weight spectrum. Further examination of associations between weight stigma and multiple ED symptoms, beyond disinhibited eating, is supported.

Indexed as

AdolescentAdultBody DissatisfactionBody ImageBody Mass IndexFeeding and Eating DisordersFemaleHumansMaleMid-Atlantic RegionStudentsSurveys and QuestionnairesUniversitiesWeight PrejudiceYoung AdultBody dissatisfactionBody Mass IndexEating disordersWeight bias internalizationWeight stigma

Identifiers

PMID33556915
PMCPMC8187267

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.