ArticleObesity surgery2021
Shame and Self-compassion as Risk and Protective Mechanisms of the Internalized Weight Bias and Emotional Eating Link in Individuals Seeking Bariatric Surgery.
Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Do Individuals With Overweight and Obesity Have Reduced Affective and Cognitive Empathy? A Systematic Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Investigating the effect of psycho-educational intervention on preoperative anxiety in bariatric surgery candidates: a randomized controlled trial.BMC psychology · 2026Trial
- Brief Self-Compassion Intervention for Women of Higher Weight and Internalized Weight Bias: A Randomized Pilot Study.International journal of behavioral medicine · 2025Trial
- Emotional Eating and Obesity: An Update and New Insights.Current obesity reports · 2025Review
- Weight Stigma in the Metabolic Bariatric Surgery Context: Current State of the Literature, Conceptual Model, and Looking Forward.Current obesity reports · 2025Review
- Measuring internalized health-related stigma across health conditions: development and validation of the I-HEARTS Scale.BMC medicine · 2024Article
- Piloting "From the Inside Out" - a toolkit addressing tuberculosis-related self-stigma.BMC global and public health · 2024Article
- Depressive Symptoms among Bariatric Surgery Candidates: Associations with Stigmatization and Weight and Shape Concern.Nutrients · 2024Article
- The Application of Cohen's Stress-Buffering Model for Weight Bias Internalization in Prebariatric Patients.Obesity facts · 2024Article
- Internalized weight stigma in women with class III obesity: A randomized controlled trial of a virtual lifestyle modification intervention followed by a mindful self-compassion intervention.Obesity science & practice · 2022Article
- Internalised Weight Stigma Mediates Relationships Between Perceived Weight Stigma and Psychosocial Correlates in Individuals Seeking Bariatric Surgery: a Cross-sectional Study.Obesity surgery · 2022Article
- Weight stigma and posttraumatic stress disorder symptoms in individuals seeking bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2022Article
- Associations between Internalized Weight Stigma and Visceral Adipose Tissue Status are Observed in Women but not Men.Stigma and health · 2022Article
- Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery.Frontiers in endocrinology · 2022Review
- The role of weight stigma in weight regain in bariatric surgery.Frontiers in endocrinology · 2022Review
- Designing Ruby: Protocol for a 2-Arm, Brief, Digital Randomized Controlled Trial for Internalized Weight Bias.JMIR research protocols · 2021Article
- Translation of the Chinese version of the modified Yale Food Addiction Scale 2.0 and its validation among college students.Journal of eating disorders · 2021Article
- Adverse Childhood Experiences Associated with Greater Internalization of Weight Stigma in Women with Excess Weight.Obesities · 2021Article
- Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion.Health psychology and behavioral medicine · 2021Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundEmotional eating in bariatric surgery patients is inconsistently linked with poor post-operative weight loss and eating behaviors, and much research to date is atheoretical. To examine theory-informed correlates of pre-operative emotional eating, the present cross-sectional analysis examined paths through which experienced weight bias and internalized weight bias (IWB) may associate with emotional eating among individuals seeking bariatric surgery.
methodsWe examined associations of experienced weight bias, IWB, shame, self-compassion, and emotional eating in patients from a surgical weight loss clinic (N = 229, 82.1% female, M. BMI: 48 ± 9). Participants completed a survey of validated self-report measures that were linked to BMI from the patient medical record. Multiple regression models tested associations between study constructs while PROCESS bootstrapping estimates tested the following hypothesized mediation model: IWB ➔ internalized shame ➔ self-compassion ➔ emotional eating. Primary analyses controlled for adverse childhood experiences (ACE), a common confound in weight bias research. Secondary analyses controlled for depressive/anxiety symptoms from the patient medical record (n = 196).
resultsAfter covariates and ACE, each construct accounted for significant unique variance in emotional eating. However, experienced weight bias was no longer significant and internalized shame marginal, after controlling for depressive/anxiety symptoms. In a mediation model, IWB was linked to greater emotional eating through heightened internalized shame and low self-compassion, including after controlling for depressive/anxiety symptoms.
conclusionsPre-bariatric surgery, IWB may signal risk of emotional eating, with potential implications for post-operative trajectories. Self-compassion may be a useful treatment target to reduce IWB, internalized shame, and related emotional eating in bariatric surgery patients. Further longitudinal research is needed.
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