Cited by 106Obesity and Health PracticesEating Disorders and BehaviorsObesity, Physical Activity, Diet

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Weight bias internalization in treatment-seeking overweight adults: Psychometric validation and associations with self-esteem, body image, and mood symptoms

Durso, Laura E., Latner, Janet D., Ciao, Anna C.·2016·Eating Behaviors

DOI 10.1016/j.eatbeh.2016.01.011

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Abstract

Internalized weight bias has been previously associated with impairments in eating behaviors, body image, and psychological functioning. The present study explored the psychological correlates and psychometric properties of the Weight Bias Internalization Scale (WBIS) among overweight adults enrolled in a behavioral weight loss program. Questionnaires assessing internalized weight bias, anti-fat attitudes, self-esteem, body image concern, and mood symptoms were administered to 90 obese or overweight men and women between the ages of 21 and 73. Reliability statistics suggested revisions to the WBIS. The resulting 9-item scale was shown to be positively associated with body image concern, depressive symptoms, and stress, and negatively associated with self-esteem. Multiple linear regression models demonstrated that WBIS scores were significant and independent predictors of body image concern, self-esteem, and depressive symptoms. These results support the use of the revised 9-item WBIS in treatment-seeking samples as a reliable and valid measure of internalized weight bias.

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Authors: Durso, L. E., Latner, J. D., & Ciao, A. C.
Affiliations: Center for American Progress (US)
University of Hawaiʻi at Mānoa (US)
Western Washington University (US)
Corresponding author: Latner, Janet D.
ORCID: Latner, Janet D.
Ciao, Anna C.
Venue: Eating Behaviors
Publisher: Elsevier BV
Published: 2016-04
Volume: 21
Pages: 104-108
ISSN: 1471-0153 (ISSN-L)
DOI: 10.1016/j.eatbeh.2016.01.011
OpenAlex: W2250290696
Cited by: 106
References: 30
Citations by year: 2026: 6 · 2025: 10 · 2024: 11 · 2023: 10 · 2022: 13 · 2021: 10 · 2020: 18 · 2019: 7 · 2018: 10 · 2017: 10 · 2016: 1
FWCI: 21.58
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Eating Behaviors (publishedVersion)
PubMed (publishedVersion)
Funders: Hawaii Medical Services Association Foundation
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: weight bias internalization, scale validation, self-esteem, body image concern, depressive symptoms, stress, anti-fat attitudes, overweight adults, obesity, behavioral weight loss program, treatment-seeking patients
MeSH terms: Adult, Affect, Aged, Body Image, Depression, Female, Humans, Male, Middle Aged, Obesity, Psychometrics, Surveys and Questionnaires, Self Concept, Reproducibility of Results, Treatment Outcome, Overweight, Young Adult, Weight Reduction Programs

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Weight bias internalization in treatment-seeking overweight adults: Psychometric validation and associations with self-esteem, body image, and mood symptoms

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