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Weight bias internalization in treatment-seeking overweight adults: Psychometric validation and associations with self-esteem, body image, and mood symptoms
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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“Studies examining the effects of gender (n = 4) did not find significant differences in correlations between WBI and body image (40,46,54,69), despite higher levels of WBI in women versus men.”
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Metadata
- 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.
- Venue
- Eating Behaviors
- Publisher
- Elsevier BV
- Published
- 2016-04
- Volume
- 21
- Pages
- 104-108
- ISSN
- 1471-0153 (ISSN-L)
- 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
- 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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