Evidence map›Paper›PMID 36414956›Full record

ArticleJournal of eating disorders2022

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.

Po-Ching Huang, Chiu-Hsiang Lee, Mark D Griffiths, Kerry S O'Brien, Yi-Ching Lin, Wan Ying Gan, Wai Chuen Poon, Ching-Hsia Hung, Kuo-Hsin Lee, Chung-Ying Lin

Open access · goldAbstract read
In one paragraph

Article in Journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. A meta-analysis assessing reliability of the Yale Food Addiction Scale: Implications for compulsive eating and obesity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
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  4. Food Addiction Is Strongly Associated With Psychopathology and Reduced Psychological Well-Being Among Adults Irrespective of BMI.European eating disorders review : the journal of the Eating Disorders Association · 2026
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  14. Sleep hygiene behaviours mediate the association between health/e-health literacy and mental wellbeing.Health expectations : an international journal of public participation in health care and health policy · 2023
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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

10 authors at 9 institutions in 4 countries.

Po-Ching Huang *Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, No. 1, University Rd., East Dist., Tainan, 701401, Taiwan.
Chiu-Hsiang Lee *Department of Nursing, Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Rd., South Dist., Taichung, 402306, Taiwan.
Mark D GriffithsInternational Gaming Research Unit, Psychology Department, Nottingham Trent University, 50 Shakespeare Street, Nottingham, NG1 4FQ, UK.
Kerry S O'BrienSchool of Social Sciences, Faculty of Arts, Monash University, 20 Chancellors Walk, Clayton, VIC, 3800, Australia.
Yi-Ching LinDepartment of Early Childhood and Family Education, National Taipei University of Education, No. 134, Sec. 2, Heping E. Rd., Da'an Dist., Taipei, 106320, Taiwan. ylin11@mail.ntue.edu.tw.
Wan Ying GanDepartment of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia.
Wai Chuen PoonSunway University Business School, Sunway University, Selangor Darul Ehsan, No. 5, Jalan Universiti, 47500, Bandar Sunway, Malaysia.
Ching-Hsia HungInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung University, No. 1, University Rd., East Dist., Tainan, 701401, Taiwan.
Kuo-Hsin LeeDepartment of Emergency Medicine, E-Da Hospital, I-Shou University, No.1, Yida Rd, Yanchao District, Kaohsiung City, 824, Taiwan. peter1055@gmail.com.
Chung-Ying LinInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung University, No. 1, University Rd., East Dist., Tainan, 701401, Taiwan. cylin36933@gmail.com.
National Cheng Kung University · TWChung Shan Medical University Hospital · TWE-Da Hospital · TWMonash University · AUNational Cheng Kung University Hospital · TWNational Taipei University of Education · TWNottingham Trent University · GBSunway University · MYUniversiti Putra Malaysia · MY

Funding

Ministry of Science and Technology, Taiwan MOST 110-2410-H-006-115; MOST 111-2410-H-006-110
6 · The paper itself

Abstract

backgroundWeight-related stigma has negative physiological and psychological impacts on individuals' quality of life. Stigmatized individuals may experience higher psychological distress and therefore increase the potential risk to develop obesity and/or food addiction. The present study examined the associations and mediated effect between perceived weight stigma, weight-related self-stigma, and psychological distress in explaining food addiction among Taiwanese university students.

methodsAll participants (n = 968) completed an online survey which included the Perceived Weight Stigma Questionnaire, Weight Self-Stigma Questionnaire, Depression, Anxiety, Stress Scale-21, and Yale Food Addiction Scale Version 2.

resultsAfter controlling for demographic variables, significant associations were found in the paths from (1) perceived weight stigma to weight-related self-stigma ([Formula: see text] = 0.23), psychological distress ([Formula: see text] = 0.35), and food addiction ([Formula: see text] = 0.23); (2) weight-related self-stigma to psychological distress ([Formula: see text] = 0.52) and food addiction ([Formula: see text] = 0.59); and (3) psychological distress to food addiction ([Formula: see text] = 0.59) (all p-values < 0.001). The mediation model showed the sequential mediated effect of weight-related self-stigma and psychological distress in the association between perceived weight stigma and food addiction.

conclusionsThe results provide novel insights that weight-related self-stigma and psychological distress sequentially mediated the relationship between perceived weight stigma and food addiction among Taiwanese university students. The findings of the present study could be implemented into interventions that aim to reduce food addiction derived from weight-related stigma. Future studies should consider group analysis to consider confounding factors or other populations to provide more evidence regarding the mechanism of weight-related stigma.

Indexed as

Food addictionMediation modelPsychological distressWeight biasWeight stigma

Identifiers

PMID36414956
PMCPMC9682751
OpenAlexW4309643810

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.