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18-03-2021 | ORIGINAL PAPER

Self-Compassion, Internalized Weight Stigma, Psychological Well-Being, and Eating Behaviors in Women

Auteurs: Erin M. Fekete, Rose E. Herndier, Alison C. Sander

Gepubliceerd in: Mindfulness | Uitgave 5/2021

Abstract

Objectives

Research suggests that directing compassion inward (i.e., self-compassion) is related to better psychological and physical well-being. Little research attention has focused on the links between self-compassion and internalized weight stigma. Internalized weight stigma, or devaluing oneself because of one’s body weight, is pervasive across women regardless of their weight and is particularly detrimental to psychological and physical well-being.

Methods

This study examined the indirect effects of self-compassion on maladaptive eating behaviors through lower levels of internalized weight stigma and increased psychological well-being in a sample of 266 women. Women completed an online questionnaire assessing self-compassion, internalized weight stigma, anxiety and depressive symptoms, and emotional and restrained eating.

Results

Self-compassion was associated with lower levels of internalized weight stigma, which in turn was associated with fewer depressive symptoms and less anxiety. Contrary to expectations, self-compassion was not associated with eating behaviors through the sequence of internalized weight stigma and psychological well-being. However, self-compassion was associated with less emotional and restrained eating through lower internalized weight stigma.

Conclusions

The link between self-compassion and fewer maladaptive eating behaviors was explained by internalized weight stigma alone, as opposed to a sequence of internalized weight stigma and psychological well-being.

vorige artikel Compassion Mediates Poor Sleep Quality and Mental Health Outcomes

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Adams, C. E., & Leary, M. R. (2007). Promoting self–compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology, 26(10), 1120–1144. https://doi.org/10.1521/jscp.2007.26.10.1120.CrossRef

Adriaanse, M. A., de Ridder, D. T., & Evers, C. (2011). Emotional eating: eating when emotional or emotional about eating? Psychology and Health, 26(1), 23–39. https://doi.org/10.1080/08870440903207627.CrossRefPubMed

Allen, N. B., & Knight, W. E. J. (2005). Mindfulness, compassion for self, and compassion for others: implications for understanding the psychopathology and treatment of depression. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy. (pp. 239–262). Routledge.

Andersen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: evaluation of a short form of the CES-D. American Journal of Preventive Medicine, 10(2), 77–84. https://doi.org/10.1016/S0749-3797(18)30622-6.CrossRef

Ashmore, J. A., Friedman, K. E., Reichmann, S. K., & Musante, G. J. (2008). Weight-based stigmatization, psychological distress, & binge eating behavior among obese treatment-seeking adults. Eating Behaviors, 9(2), 203–209. https://doi.org/10.1016/j.eatbeh.2007.09.006.CrossRefPubMed

Björgvinsson, T., Kertz, S. J., Bigda-Peyton, J. S., McCoy, K. L., & Aderka, I. M. (2013). Psychometric properties of the CES-D-10 in a psychiatric sample. Assessment, 20, 429–436. https://doi.org/10.1177/1073191113481998.CrossRefPubMed

Boswell, R. G., & White, M. A. (2015). Gender differences in weight bias internalisation and eating pathology in overweight individuals. Advances in Eating Disorders, 3(3), 259–268. https://doi.org/10.1080/21662630.2015.1047881.CrossRefPubMed

Bozsik, F., Whisenhunt, B. L., Hudson, D. L., Bennett, B., & Lundgren, J. D. (2018). Thin is in? Think again: the rising importance of muscularity in the thin ideal female body. Sex Roles, 79(9-10), 609–615. https://doi.org/10.1007/s11199-017-0886-0.CrossRef

Cetin, D., Lessig, B. A., & Nasr, E. (2016). Comprehensive evaluation for obesity: beyond body mass index. The Journal of the American Osteopathic Association, 116, 376–382. https://doi.org/10.7556/jaoa.2016.078.CrossRefPubMed

Cools, J., Schotte, D. E., & McNally, R. J. (1992). Emotional arousal and overeating in restrained eaters. Journal of Abnormal Psychology, 101, 348–351. https://doi.org/10.1037/0021-843X.101.2.348.CrossRefPubMed

Devonport, T. J., Nicholls, W., & Fullerton, C. (2019). A systematic review of the association between emotions and eating behaviour in normal and overweight adult populations. Journal of Health Psychology, 24(1), 3–24. https://doi.org/10.1177/1359105317697813.CrossRefPubMed

Drapeau, V., Provencher, V., Lemieux, S., Després, J. P., Bouchard, C., & Tremblay, A. (2003). Do 6-y changes in eating behaviors predict changes in body weight? Results from the Québec Family Study. International Journal of Obesity and Related Metabolic Disorders, 27, 808–814. https://doi.org/10.1038/sj.ijo.0802303.CrossRefPubMed

Durso, L. E., & Latner, J. D. (2008). Understanding self-directed stigma: development of the weight bias internalization scale. Obesity, 16(S2), S80–S86. https://doi.org/10.1038/oby.2008.448.CrossRefPubMed

Durso, L. E., Latner, J. D., & Hayashi, K. (2012). Perceived discrimination is associated with binge eating in a community sample of non-overweight, overweight, and obese adults. Obesity Facts, 5(6), 869–880. https://doi.org/10.1159/000345931.CrossRefPubMed

Faravelli, C., Scarpato, M. A., Castellini, G., & Sauro, C. L. (2013). Gender differences in depression and anxiety: the role of age. Psychiatry Research, 210(3), 1301–1303. https://doi.org/10.1016/j.psychres.2013.09.027.CrossRefPubMed

Ferguson, C. J. (2013). In the eye of the beholder: thin-ideal media affects some, but not most, viewers in a meta-analytic review of body dissatisfaction in women and men. Psychology of Popular Media Culture, 2(1), 20. https://doi.org/10.1037/a0030766.CrossRef

Geliebter, A., & Aversa, A. (2003). Emotional eating in overweight, normal weight, and underweight individuals. Eating Behaviors, 3(4), 341–347. https://doi.org/10.1016/S1471-0153(02)00100-9.CrossRefPubMed

Grabe, S., Ward, L. M., & Hyde, J. S. (2008). The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies. Psychological Bulletin, 134(3), 460. https://doi.org/10.1037/0033-2909.134.3.460.CrossRefPubMed

Grös, D. F., Antony, M. M., Simms, L. J., & McCabe, R. E. (2007). Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): comparison to the State-Trait Anxiety Inventory (STAI). Psychological Assessment, 19(4), 369. https://doi.org/10.1037/1040-3590.19.4.369.CrossRefPubMed

Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Publications.

Herman, C. P., & Mack, D. (1975). Restrained and unrestrained eating. Journal of Personality, 43(4), 647–660. https://doi.org/10.1111/j.1467-6494.1975.tb00727.x.CrossRefPubMed

Herman, C. P., & Polivy, J. (1984). A boundary model for the regulation of eating. In A. J. Stunkard & E. Stellar (Eds.), Eating and its disorders (pp. 141–156). New York: Raven Press.

Hilbert, A., Baldofski, S., Zenger, M., Löwe, B., Kersting, A., & Braehler, E. (2014). Weight bias internalization scale: psychometric properties and population norms. PLoS One, 9(1), e86303. https://doi.org/10.1371/journal.pone.0086303.CrossRefPubMedPubMedCentral

Himmelstein, M. S., Puhl, R. M., & Quinn, D. M. (2017). Intersectionality: an understudied framework for addressing weight stigma. American Journal of Preventive Medicine, 53(4), 421–431. https://doi.org/10.1016/j.amepre.2017.04.003.CrossRefPubMed

Holmes, M., Fuller-Tyszkiewicz, M., Skouteris, H., & Broadbent, J. (2014). Improving prediction of binge episodes by modelling chronicity of dietary restriction. European Eating Disorders Review, 22(6), 405–411. https://doi.org/10.1002/erv.2315.CrossRefPubMed

Irving, L. M., & Neumark-Sztainer, D. (2002). Integrating the prevention of eating disorders and obesity: feasible or futile? Preventive Medicine, 34(3), 299–309. https://doi.org/10.1006/pmed.2001.0997.CrossRefPubMed

Keys, A., Fidanza, F., Karvonen, M. J., Kimura, N., & Taylor, H. L. (2014). Indices of relative weight and obesity. International Journal of Epidemiology, 43(3), 655–665. https://doi.org/10.1016/0021-9681(72)90027-6.CrossRefPubMed

Koball, A. M., Meers, M. R., Storfer-Isser, A., Domoff, S. E., & Musher-Eizenman, D. R. (2012). Eating when bored: revision of the emotional eating scale with a focus on boredom. Health Psychology, 31(4), 521. https://doi.org/10.1037/a0025893.CrossRefPubMed

Konttinen, H., Haukkala, A., Sarlio-Lähteenkorva, S., Silventoinen, K., & Jousilahti, P. (2009). Eating styles, self-control and obesity indicators. The moderating role of obesity status and dieting history on restrained eating. Appetite, 53(1), 131–134. https://doi.org/10.1016/j.appet.2009.05.001.CrossRefPubMed

Konttinen, H., Männistö, S., Sarlio-Lähteenkorva, S., Silventoinen, K., & Haukkala, A. (2010). Emotional eating, depressive symptoms and self-reported food consumption. A population-based study. Appetite, 54(3), 473–479. https://doi.org/10.1016/j.appet.2010.01.014.CrossRefPubMed

Krieger, T., Altenstein, D., Baettig, I., Doerig, N., & Holtforth, M. G. (2013). Self-compassion in depression: associations with depressive symptoms, rumination, and avoidance in depressed outpatients. Behavior Therapy, 44(3), 501–513. https://doi.org/10.1016/j.beth.2013.04.004.CrossRefPubMed

Latner, J. D., Barile, J. P., Durso, L. E., & O’Brien, K. S. (2014). Weight and health-related quality of life: the moderating role of weight discrimination and internalized weight bias. Eating Behaviors, 15(4), 586–590. https://doi.org/10.1016/j.eatbeh.2014.08.014.CrossRefPubMed

Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of Personality and Social Psychology, 92(5), 887. https://doi.org/10.1037/0022-3514.92.5.887.CrossRefPubMed

MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552. https://doi.org/10.1016/j.cpr.2012.06.003.CrossRefPubMed

Macht, M. (2008). How emotions affect eating: a five-way model. Appetite, 50(1), 1–11. https://doi.org/10.1016/j.appet.2007.07.002.CrossRefPubMed

Major, B. (2012). Self, social identity, and stigma: through Kay Deaux’s lens. In S. Wiley, G. Philogene, & T. A. Revenson (Eds.), Social categories in everyday experience (pp. 11 – 30). American Psychological Association.

Neff, K. D. (2003a). Self–compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101. https://doi.org/10.1080/15298860309032.CrossRef

Neff, K. D. (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027.CrossRef

O’Brien, K. S., Latner, J. D., Puhl, R. M., Vartanian, L. R., Giles, C., Griva, K., & Carter, A. (2016). The relationship between weight stigma and eating behavior is explained by weight bias internalization and psychological distress. Appetite, 102, 70–76. https://doi.org/10.1016/j.appet.2016.02.032.CrossRefPubMed

O’Connor, D. B., Jones, F., Conner, M., McMillan, B., & Ferguson, E. (2008). Effects of daily hassles and eating style on eating behavior. Health Psychology, 27, 20–31. https://doi.org/10.1037/0278-6133.27.1.S20.CrossRef

Pearl, R. L., & Puhl, R. M. (2014). Measuring internalized weight attitudes across body weight categories: validation of the modified Weight Bias Internalization Scale. Body Image, 11(1), 89–92. https://doi.org/10.1016/j.bodyim.2013.09.005.CrossRefPubMed

Pearl, R. L., & Puhl, R. M. (2016). The distinct effects of internalizing weight bias: an experimental study. Body Image, 17, 38–42. https://doi.org/10.1016/j.bodyim.2016.02.002.CrossRefPubMed

Pearl, R. L., & Puhl, R. M. (2018). Weight bias internalization and health: a systematic review. Obesity Reviews, 19(8), 1141–1163. https://doi.org/10.1111/obr.12701.CrossRefPubMedPubMedCentral

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879. https://doi.org/10.1037/0021-9010.88.5.879.CrossRef

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717–731. https://doi.org/10.3758/BF03206553.CrossRef

Puhl, R. M., & Heuer, C. A. (2009). The stigma of obesity: a review and update. Obesity, 17(5), 941–964. https://doi.org/10.1038/oby.2008.636.CrossRefPubMed

Puhl, R. M., Moss-Racusin, C. A., & Schwartz, M. B. (2007). Internalization of weight bias: implications for binge eating and emotional well-being. Obesity, 15(1), 19–23. https://doi.org/10.1038/oby.2007.521.CrossRefPubMed

Puhl, R. M., Andreyeva, T., & Brownell, K. D. (2008). Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in America. International Journal of Obesity, 32(6), 992–1000. https://doi.org/10.1038/ijo.2008.22.CrossRefPubMed

Puhl, R. M., Himmelstein, M. S., & Quinn, D. M. (2018). Internalizing weight stigma: prevalence and sociodemographic considerations in US adults. Obesity, 26(1), 167–175. https://doi.org/10.1002/oby.22029.CrossRefPubMed

Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48(6), 757–761. https://doi.org/10.1016/j.paid.2010.01.023.CrossRef

Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the Self-Compassion Scale. Clinical Psychology & Psychotherapy, 18, 250-255. https://doi.org/10.1002/cpp.702

Ratcliffe, D., & Ellison, N. (2015). Obesity and internalized weight stigma: a formulation model for an emerging psychological problem. Behavioural and Cognitive Psychotherapy, 43(2), 239–252. https://doi.org/10.1017/S1352465813000763.CrossRefPubMed

Richmond, T. K., Thurston, I., Sonneville, K., Milliren, C. E., Walls, C. E., & Austin, S. B. (2015). Racial/ethnic differences in accuracy of body mass index reporting in a diverse cohort of young adults. International Journal of Obesity, 39(3), 546–548. https://doi.org/10.1038/ijo.2014.147.CrossRefPubMed

Robinson, E., Sutin, A., & Daly, M. (2016). Perceived weight discrimination mediates the prospective relation between obesity and depressive symptoms in U.S. and U.K adults. Health Psychology, 36(2), 112–121. https://doi.org/10.1037/hea0000426.CrossRefPubMedPubMedCentral

Rotenberg, K. J., Bharathi, C., Davies, H., & Finch, T. (2017). Obesity and the social withdrawal syndrome. Eating Behaviors, 26, 167–170. https://doi.org/10.1016/j.eatbeh.2017.03.006.CrossRefPubMed

Schvey, N. A., Puhl, R. M., & Brownell, K. D. (2011). The impact of weight stigma on caloric consumption. Obesity, 19, 1957–1962. https://doi.org/10.1038/oby.2011.204.CrossRefPubMed

Sirois, F. M., Kitner, R., & Hirsch, J. K. (2015). Self-compassion, affect, and health-promoting behaviors. Health Psychology, 34(6), 661. https://doi.org/10.1037/hea0000158.CrossRefPubMed

Taylor, S. E. (2006). Tend and befriend: biobehavioral bases of affiliation under stress. Current Directions in Psychological Science, 15(6), 273–277. https://doi.org/10.1111/j.1467-8721.2006.00451.x.CrossRef

Tomiyama, A. J. (2014). Weight stigma is stressful. A review of evidence for the Cyclic Obesity/Weight-Based Stigma model. Appetite, 82, 8–15. https://doi.org/10.1016/j.appet.2014.06.108.CrossRefPubMed

Van Dam, N. T., Gros, D. F., Earleywine, M., & Antony, M. M. (2013). Establishing a trait anxiety threshold that signals likelihood of anxiety disorders. Anxiety, Stress & Coping, 26(1), 70–86. https://doi.org/10.1080/10615806.2011.631525.CrossRef

van Strien, T., & Ouwens, M. A. (2007). Effects of distress, alexithymia and impulsivity on eating. Eating Behaviors, 8, 251–257. https://doi.org/10.1016/j.eatbeh.2006.06.004.CrossRefPubMed

van Strien, T., Frijters, J. E., Bergers, G., & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 5(2), 295–315. https://doi.org/10.1016/0306-4603(95)00018-8.CrossRef

van Strien, T., Herman, C. P., Anschutz, D. J., Engels, R. C., & de Weerth, C. (2012). Moderation of distress-induced eating by emotional eating scores. Appetite, 58(1), 277–284. https://doi.org/10.1016/j.appet.2011.10.005.CrossRefPubMed

Wasylkiw, L., MacKinnon, A. L., & MacLellan, A. M. (2012). Exploring the link between self-compassion and body image in university women. Body Image, 9(2), 236–245. https://doi.org/10.1016/j.bodyim.2012.01.007.CrossRefPubMed

Westenhoefer, J., Engel, D., Holst, C., Lorenz, J., Peacock, M., Stubbs, J., Whybrow, S., & Raats, M. (2013). Cognitive and weight-related correlates of flexible and rigid restrained eating behaviour. Eating Behaviors, 14(1), 69–72. https://doi.org/10.1016/j.eatbeh.2012.10.015.CrossRefPubMed

Wong, C. C. Y., Knee, C. R., Neighbors, C., & Zvolensky, M. J. (2019). Hacking stigma by loving yourself: a mediated-moderation model of self-compassion and stigma. Mindfulness, 10(3), 415–433. https://doi.org/10.1007/s12671-018-0984-2.CrossRef

Yarnell, L. M., Stafford, R. E., Neff, K. D., Reilly, E. D., Knox, M. C., & Mullarkey, M. (2015). Meta-analysis of gender differences in self-compassion. Self and Identity, 14(5), 499–520. https://doi.org/10.1080/15298868.2015.1029966.CrossRef

Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self-compassion and well-being: a meta-analysis. Applied Psychology: Health and Well-Being, 7(3), 340–364. https://doi.org/10.1111/aphw.12051.CrossRef

Titel: Self-Compassion, Internalized Weight Stigma, Psychological Well-Being, and Eating Behaviors in Women
Auteurs: Erin M. Fekete
Rose E. Herndier
Alison C. Sander
Publicatiedatum: 18-03-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 5/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-021-01597-6

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