Evidence map›Paper›PMID 39485638›Full record

ArticleResearch on child and adolescent psychopathology2025

Weight Stigma in the Development, Maintenance, and Treatment of Eating Disorders: A Case Series Informing Implications for Research and Practice.

Rachel Kramer, Catherine R Drury, Sarah Forsberg, Lindsey D Bruett, Erin E Reilly, Sasha Gorrell, Simar Singh, Lisa Hail, Kimberly Yu, Rachel M Radin and 4 more

Abstract readCase Reports
In one paragraph

Article in Research on child and adolescent psychopathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Development and Validation of the Body Neutrality Questionnaire.The International journal of eating disorders · 2026
    Article
  2. Article
  3. Article
  4. Dietetic-Led Cognitive Behavioral Therapy for ARFID: A Novel Approach to Avoidant/Restrictive Food Intake Disorder With Case Studies.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
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

14 authors.

Rachel KramerDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA. Rachel.kramer@ucsf.edu.ORCID 0000-0001-5698-0712
Catherine R DruryDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0002-3177-0433
Sarah ForsbergDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0009-0001-5664-5591
Lindsey D BruettDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0002-1259-1181
Erin E ReillyDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0001-9269-0747
Sasha GorrellDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0002-8861-8547
Simar SinghDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0002-3170-2924
Lisa HailDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0002-4950-8898
Kimberly YuDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0002-7758-998X
Rachel M RadinDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0003-3776-9481
Jessica KeyserDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.
Daniel Le GrangeDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0001-7293-9496
Erin C AccursoDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0002-5521-6381
Kathryn M HurykDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, Nancy Friend Pritzker Building, 675 18th St., San Francisco, CA, 94143, USA.ORCID 0000-0002-0013-2287

Funding

CLINICAL SERVICES RESEARCH TRAINING PROGRAMT32MH018261 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kaja Zabrina LeWinn, Rachel L. Loewy · 1985 to 2026
$7.0M
UCSD Leading the Advancement of Underrepresented Neuroscientists for Change (LAUNCH) Faculty Development ProgramR25NS117367 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Victoria B Risbrough, Joann Trejo · 2020 to 2026
$1.6M
Using Computational Modeling to Test Reinforcement Learning as a Predictor of Response in Family-Based Treatment for Adolescent Anorexia NervosaK23MH131871 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Erin E. Reilly · 2022 to 2026
$982k
Development of an integrative intervention to decrease overeating drive and improve weight loss maintenanceeK23AT011048 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RADIN, RACHEL MILLER · 2020 to 2024
$860k
Neural Correlates of Reinforcement Learning Specific to Hyperactivityin Adolescent Anorexia NervosaK23MH126201 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GORRELL, SASHA CATHERINE · 2021 to 2025
$848k
Adapting and Implementing Family-Based Treatment for Youth with Anorexia Nervosa in Publicly-Funded SettingsK23MH120347 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ACCURSO, ERIN CECILIA · 2019 to 2023
$846k
Characterizing Acute Exercise Response in Restrictive Eating DisordersR21MH131787 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI GORRELL, SASHA CATHERINE, SCHAUMBERG, KATHERINE · 2023 to 2023
$450k
Brain and Behavior Research Foundation NARSAD Young Investigator AwardNCCIH NIH HHS K23 AT011048NCCIH NIH HHS K23AT011048NIMH NIH HHS K23 MH120347NIMH NIH HHS K23MH120347NIMH NIH HHS K23 MH126201NIMH NIH HHS K23MH126210NIMH NIH HHS K23 MH131871NIMH NIH HHS K23MH131871NIMH NIH HHS R21 MH131787NIMH NIH HHS R21MH131787NIMH NIH HHS T32 MH018261NIMH NIH HHS T32MH018261NINDS NIH HHS R25 NS117367
6 · The paper itself

Abstract

Weight-centric health practices are based on the principle that excess weight predicts chronic disease, informing a growing sociopolitical movement to address an "obesity epidemic." This hyper-focus on preventing obesity may contribute to weight stigma (i.e., the devaluation and discrimination of individuals based on body size) and other iatrogenic outcomes for youth, including the development and maintenance of eating disorders (EDs). Current evidence-based treatments for EDs include language and practices that may reinforce fears of fatness, body shame, and unhealthy dietary restriction without guidance on addressing weight stigma. Here, we present case examples from three adolescent patients across ED presentations and body sizes to (1) elucidate the role of weight stigma in ED development, (2) highlight the ubiquity and harms of weight stigma within ED treatments, and (3) outline thoughtful protocol adaptations to avoid further harm and facilitate recovery. We conclude with a call for immediate action to advance research characterizing the harms of weight-centric approaches in existing ED interventions to reduce the risk of iatrogenic effects on youth with EDs and advance weight-inclusive approaches to ED treatment.

Indexed as

Body ImageBody WeightFeeding and Eating DisordersSocial StigmaAdolescentFemaleHumansMaleAdolescenceEating disordersTreatmentWeight stigma

Identifiers

PMID39485638
PMCPMC12043962

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.