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Causal attributions of obese men and women in genetic testing: Implications of genetic/biological attributions1
Abstract
The present study sought to investigate genetic/biological attributions of obesity, their associations with a predisposition to obesity and their crossectional and longitudinal implications for weight regulation in obese individuals presenting for genetic testing and counselling. A total of 421 obese men and women underwent psychological and anthropometric assessment and a mutation screen of the melanocortin-4 receptor gene. At study entry, women revealed more genetic/biological attributions than men on the Revised Illness Perception Questionnaire adapted to obesity (86.2% versus 59.7%). Genetic/biological attributions of obesity were associated in both sexes with a family history of obesity, assessed through Stunkard's Figure Rating Scale. In both sexes, genetic/biological attributions were unrelated to weight regulation beliefs and behaviour (i.e. self-efficacy, controllability beliefs, restrained eating and physical activity), assessed through standardised questionnaires or interview at baseline and at six-month follow-up. In addition, causal attributions and weight regulation beliefs and behaviour were not predictive of body mass index at six-month follow-up. Overall, the results indicate that causal attributions of obesity to genetic/biological factors in obese individuals presenting for genetic screening and counselling are crossectionally and longitudinally unrelated to weight regulation and longer-term weight outcome. Those who attribute their obesity to genetic/biolo…
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Evidence from several countries shows that when individuals attribute the causes of obesity primarily to internal, controllable factors or personal choices, they exhibit higher weight bias, whereas acknowledging the complex causes of obesity, including genetics, biology, and environmental factors, is associated with lower levels of weight bias and less blame.
“Evidence from several countries68–71 shows that when individuals attribute the causes of obesity primarily to internal, controllable factors or personal choices, they exhibit higher weight bias, whereas acknowledging the complex causes of obesity (including elements such as genetics, biology, and environmental factors) is associated with lower levels of weight bias and less blame.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [69]
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Joint international consensus statement for ending stigma of obesity
Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., et al. (2020) · Nature Medicine · doi:10.1038/s41591-020-0803-x · Cited by 1,152
“Evidence from several countries [68] [69] [70] [71] shows that when individuals attribute the causes of obesity primarily to internal, controllable factors or personal choices, they exhibit higher weight bias, whereas acknowledging the complex causes of obesity (including elements such as genetics, biology, and enviro…”
Background
Metadata
- Authors
- Hilbert, A., Dierk, J.-M., Conradt, M., Schlumberger, P., Hinney, A., Hebebrand, J., & Rief, W.
- Affiliations
- Philipps University of Marburg (DE)
- University of Duisburg-Essen (DE)
- Corresponding author
- Hilbert, Anja
- Venue
- Psychology & Health
- Publisher
- Informa UK Limited
- Published
- 2009-09
- Volume
- 24
- Issue
- 7
- Pages
- 749-761
- ISSN
- 0887-0446 (ISSN-L)
- 1476-8321
- OpenAlex
- W1991496360
- Cited by
- 27
- References
- 3
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 3 · 2016: 1 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 3
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology and Health (publishedVersion)
- PubMed (publishedVersion)
- 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
- obesity, causal attribution, genetic attributions, illness perception, genetic testing, genetic counseling, body weight regulation, self-efficacy, dietary restraint, physical activity, family history of obesity, body mass index, sex differences
- MeSH terms
- Adult, Female, Genetic Testing, Humans, Male, Middle Aged, Obesity, Surveys and Questionnaires, Causality, Risk Assessment, Receptor, Melanocortin, Type 4
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