Article ID Journal Published Year Pages File Type
902663 Body Image 2016 5 Pages PDF
Abstract

•Effects of weight bias internalization were stronger than those of experiences alone.•Internalization led to more negative affect, less positive affect, and lower self-esteem.•Sex differences emerged for effects of internalization on body dissatisfaction.

Both experiencing and internalizing weight bias are associated with negative mental and physical health outcomes, but internalization may be a more potent predictor of these outcomes. The current study aimed to differentiate between causal effects of experiencing versus internalizing weight bias on emotional responses and psychological well-being. Adults with overweight/obesity (N = 260) completed an online experiment in which they were randomly assigned to focus on either the experience or internalization of weight bias, and completed measures of affect, self-esteem, and body dissatisfaction. Results indicated that the Internalization condition led to more negative affect, less positive affect, and lower self-esteem than the Experience condition. The Internalization condition also led to heightened body dissatisfaction among men, but not women. These findings suggest that weight bias internalization may be a stronger predictor of poor mental and physical health than experiences alone, and carry implications for developing weight bias interventions.

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Health Sciences Medicine and Dentistry Psychiatry and Mental Health
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