Cited by 33Eating Disorders and BehaviorsObesity and Health PracticesMental Health Treatment and Access

How might eating disorders stigmatization worsen eating disorders symptom severity? Evaluation of a stigma internalization model

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Griffiths, Scott, Mitchison, Deborah, Murray, Stuart B., Mond, Jonathan M., Bastian, Brock B·2018·International Journal of Eating Disorders

Abstract

Objective: Eating disorders stigmatization is common and is associated with greater eating disorders symptom severity. This study sought to elucidate stigma internalization as a potential mechanism underlying this association. Two central aspects of stigma internalization were focused on: alienation and social withdrawal. Method: A cross‐national sample of individuals with self‐reported eating disorders ( N = 260) completed measures of eating disorders stigmatization, symptom severity, alienation, and social withdrawal. Results: The model evidenced excellent fit. Eating disorders stigmatization directly predicted both alienation and social withdrawal, which, in turn, directly predicted symptom severity. Indirect effect analyses indicated that greater eating disorders stigmatization ultimately predicted greater symptom severity via alienation and social withdrawal. Moreover, social withdrawal mediated the association of alienation with symptom severity. Fitting a direct pathway from eating disorder stigmatization to symptom severity did not improve model fit. Discussion: Our model provides a potentially useful account of the mechanisms by which eating disorders stigmatization might worsen eating disorder symptom severity. Specifically, the stigma internalization processes of alienation and social withdrawal may be important factors linking stigmatization with symptom severity. The findings have implications for clinicians attempting to help individuals with eating disorders to monitor and modify their responses to eating disorders stigmatization.

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Crossref · 10.1002/eat.22932

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Authors
Griffiths, S., Mitchison, D., Murray, S. B., Mond, J. M., & Bastian, B. B.
Affiliations
  • The University of Melbourne (AU)
  • Western Sydney University (AU)
  • University of California, San Francisco (US)
  • University of Tasmania (AU)
Corresponding author
Griffiths, Scott
Venue
International Journal of Eating Disorders
Publisher
Wiley
Published
2018-07-28
Volume
51
Issue
8
Pages
1010-1014
ISSN
  • 0276-3478 (ISSN-L)
  • 1098-108X
OpenAlex
W2884958304
Cited by
33
References
19
Citations by year
2026: 3 · 2025: 3 · 2024: 1 · 2023: 5 · 2022: 3 · 2021: 12 · 2020: 4 · 2019: 1 · 2018: 1
FWCI
5.29
Type
journal article
Language
en
Open access
Locations
  • International Journal of Eating Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • eCite Digital Repository (University of Tasmania) (submittedVersion)
  • UTAS Research Repository (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • Minerva Access (University of Melbourne) (submittedVersion)
Funders
National Health and Medical Research Council (1121538)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
eating disorders, stigmatization, self-stigma, symptom severity, alienation, social withdrawal
MeSH terms
Feeding and Eating Disorders, Defense Mechanisms, Emotions, Female, Humans, Male, Self Concept, Stereotyping, Social Stigma, Self Report

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