ArticleEating and weight disorders : EWD2025
Exploring pathways between internalized weight bias, eating disorder psychopathology, and weight loss expectations in treatment-seeking adults with binge eating and obesity.
Article in Eating and weight disorders : EWD, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Weight stigma in Latin America and the Caribbean: regional evidence and a call to action by ABESO.Lancet regional health. Americas · 2026Review
- Obesity-Related Beliefs, Concerns, and Stigmatizing Perceptions Among Adults Living With Obesity.Obesity science & practice · 2026Article
- The hidden pathways to internalized weight bias: from insecure attachment to depressive self-schemas.Frontiers in psychiatry · 2025Article
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10 authors.
Funding
Abstract
purposeIndividuals with obesity and binge eating face weight stigma, which can lead to internalized weight bias (IWB), reinforce eating disorder (ED) pathology, and promote unrealistic weight loss expectations (WLE). Greater understanding of pathways between IWB, ED pathology, and WLE could inform interventions to promote healthy WLE and reduce IWB. This study explored pathways through which IWB directly and indirectly relates to eating pathology and WLE in treatment-seeking adults with obesity and recurrent binge eating.
methodsParticipants (N = 199, Mage = 40.3, SD = 14.3) completed the Eating Disorder Examination interview (EDE) and questionnaire (EDE-Q), Modified Weight Bias Internalization Scale, and Positive and Negative Affect Scale. WLE were calculated based on participants' expected weight loss divided by current weight. We hypothesized that greater IWB would be associated with greater eating pathology and higher WLE. Pearson correlations were examined to identify possible pathways, followed by exploring direct and indirect associations for pathways with significant correlations.
resultsIWB was positively correlated with Eating and Shape Concerns, as well as negative affect (p < 0.05), but not with WLE. Negative affect was positively correlated with WLE. In the pathway model, IWB was directly, negatively associated with WLE (b = - 0.02, p < 0.05). Negative affect was a significant indirect pathway between IWB and WLE (b = 0.01).
conclusionsOur results align with previous literature showing that IWB reinforces eating pathology. Interventions targeting negative affect might promote more reasonable WLE. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.
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