ArticleJournal of eating disorders2024
Internalized weight stigma and psychological distress mediate the association of perceived weight stigma with food addiction among young adults: A cross-sectional study.
Article in Journal of eating disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Weight discrimination and the negative cultural value of fat: the relationship to well-being across individuals with higher weights of different nations.International journal of obesity (2005) · 2026Article
- Psychosocial determinants of food cravings in women with overweight and obesity: self-stigmatisation, weight bias and self-esteem.BMC psychology · 2026Article
- Examining the association between food addiction, stress, and social competence.BMC psychology · 2026Article
- Weight stigma and engagement in physical health behaviours among young adults in India.Health psychology and behavioral medicine · 2026Article
- 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 · 2026Article
- Weight self-stigma, weight bias internalization, and eating attitudes in relation to body appreciation.Frontiers in psychology · 2026Article
- Association between food addiction and body image dissatisfaction in bariatric surgery candidates: a cross-sectional study.Journal of eating disorders · 2025Article
- Perceived weight stigma and disordered eating behaviors among postpartum women: The mediating role of weight bias internalization and postpartum depression.International journal of nursing studies advances · 2025Article
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8 authors.
Funding
Abstract
backgroundPerceived weight stigma (PWS) and internalized weight stigma (IWS) are both associated with psychological distress and food addiction (FA). Using the previously proposed 'cyclic obesity/weight-based stigma' (COBWEBS) model, the present study extended the framework to investigate the mediating effects of IWS and psychological distress in the association between PWS and FA among young adults. Given that individuals who are overweight/have obesity have different vulnerabilities, this population was separately analyzed alongside the total study population.
methodsAn online survey comprising the Perceived Weight Stigma Scale, Weight Bias Internalization Scale (WBIS), Depression, Anxiety and Stress Scale-21 (DASS-21), and modified Yale Food Addiction Scale Version 2 was completed by 601 participants (59.6% females; mean age 29.3 years [SD = 6.07]). A total of 219 participants were categorized as being overweight/having obesity.
resultsA direct correlation was found between PWS and FA (standardized coefficient [β] = 0.28, p < 0.001) among both populations, and was mediated by IWS and psychological distress (β [95% CI] = 0.03 [0.01, 0.05] for WBIS score and 0.10 [0.06, 0.14] for DASS-21 score) among the total participants, but only mediated by psychological distress among participants who were overweight/had obesity (β [95% CI] = 0.14 [0.06, 0.24]).
conclusionsThe results demonstrated novel perspectives by showing the direct association between PWS and FA and the mediating roles of IWS and psychological distress. Treatment strategies such as psychological acceptance and psychoeducation could be used to reduce weight stigma, which could have positive downstream benefits of ameliorating FA. Future research may seek to study strategies for reducing weight stigma and psychological distress, to investigate their efficacy in improving disordered eating.
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