Funding agencies: This study was funded by a grant from the National Institutes of Health (3R01 DK49587). Dr. Grilo was also supported, in part, by 2K24 DK070052.
Weight bias internalization, depression, and self-Reported health among overweight binge eating disorder patients
Article first published online: 16 OCT 2013
© 2013 The Obesity Society
How to Cite
Pearl, R. L., White, M. A. and Grilo, C. M. (2013), Weight bias internalization, depression, and self-Reported health among overweight binge eating disorder patients. Obesity. doi: 10.1002/oby.20617
Disclosure: The authors have no competing interests.
- Article first published online: 16 OCT 2013
- Accepted manuscript online: 13 SEP 2013 03:56AM EST
- Manuscript Accepted: 4 SEP 2013
- Manuscript Received: 20 JUN 2013
This study aimed to examine the relationship between internalization of weight bias, which has been linked to specific negative mental health outcomes, and overall mental and physical health among overweight patients with binge eating disorder (BED). The role of depressive symptoms as a potential mediator in this relationship was also tested.
Design and Methods
In a cross-sectional study, 255 individuals who were overweight and seeking treatment for BED completed the Weight Bias Internalization Scale (WBIS), Short-Form 36 Health Survey (SF-36), and Beck Depression Inventory-II (BDI). Regression analyses were conducted to evaluate the relationship between the WBIS and the SF-36, and bootstrapping mediation analyses were conducted to test whether BDI scores mediated this relationship.
Higher weight bias internalization was associated with poorer self-reported health on all scales of the SF-36, and BDI scores mediated the relationship. Additional analyses revealed that WBIS scores also mediated the relationship between BDI scores and three SF-36 scales.
Weight bias internalization is associated with poorer overall mental and physical health, and depressive symptoms may play a role in accounting for this relationship in treatment-seeking overweight patients with BED.