Cited by 49Eating Disorders and BehaviorsObesity and Health PracticesNutrition, Health and Food Behavior

A prospective study on the link between weight-related self-stigma and binge eating: Role of food addiction and psychological distress

Ahorsu, Daniel K., Lin, Chung‐Ying, Imani, Vida, Griffiths, Mark D., Su, Jian‐An, Latner, Janet D., Marshall, Rachel D., Pakpour, Amir H.·2020·International Journal of Eating Disorders

Abstract

OBJECTIVES: This prospective study investigated the link between weight-related self-stigma and binge eating by (a) examining the temporal association between weight-related self-stigma and binge eating; (b) investigating the mediating role of food addiction in the association between weight-related self-stigma and binge eating; and (c) examining the mediating role of psychological distress in the association between weight-related self-stigma and binge eating. METHOD: Participants comprised 1,497 adolescents (mean = 15.1 years; SD = 6.0). Body mass index and weight bias were assessed at baseline; psychological distress (i.e., depression, anxiety, and stress) assessed and food addiction at 3 months; and binge eating at 6 months. The mediation model was analyzed using Model 4 in the PROCESS macro for SPSS with 10,000 bootstrapping resamples. RESULTS: There was no significant direct association between weight-related self-stigma and binge eating. However, food addiction and psychological distress significantly mediated the association between weight-related self-stigma and binge eating. DISCUSSION: These findings highlight the indirect association between weight-related self-stigma and binge eating via food addiction and psychological distress. Consequently, intervention programs targeting food addiction and psychological distress among adolescents may have significant positive effects on outcomes for weight-related self-stigma and binge eating. The findings will be beneficial to researchers and healthcare professionals working with adolescents during this critical developmental period.

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Authors
Ahorsu, D. K., Lin, C., Imani, V., Griffiths, M. D., Su, J., Latner, J. D., Marshall, R. D., & Pakpour, A. H.
Affiliations
  • Hong Kong Polytechnic University (HK)
  • Tabriz University of Medical Sciences (IR)
  • Nottingham Trent University (GB)
  • Chang Gung University of Science and Technology (TW)
  • University of Hawaiʻi at Mānoa (US)
  • Qazvin University of Medical Sciences (IR)
Corresponding author
Pakpour, Amir H.
Venue
International Journal of Eating Disorders
Publisher
Wiley
Published
2020-01-06
Volume
53
Issue
3
Pages
442-450
ISSN
  • 0276-3478 (ISSN-L)
  • 1098-108X
OpenAlex
W3000363307
Cited by
49
References
60
Citations by year
2026: 2 · 2025: 10 · 2024: 10 · 2023: 5 · 2022: 8 · 2021: 9 · 2020: 5
FWCI
2.70
Type
journal article
Language
en
Open access
closed
Locations
  • International Journal of Eating Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • qums (Qazvin University of Medical Sciences) (acceptedVersion)
  • Nottingham Trent University's Institutional Repository (Nottingham Trent Repository) (acceptedVersion)
  • PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
binge eating, food addiction, psychological distress, adolescents, weight bias, mediation, depression, anxiety, stress, body mass index
MeSH terms
Food Addiction, Psychological Distress, Adolescent, Feeding Behavior, Female, Humans, Male, Prospective Studies, Surveys and Questionnaires, Binge-Eating Disorder, Social Stigma

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