Sabrina Baldofski1, Almut Rudolph1, Wolfgang Tigges2, Beate Herbig3, Christian Jurowich4, Stefan Kaiser5, Arne Dietrich1, Anja Hilbert1. 1. Medical Psychology and Medical Sociology, Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany. 2. Department of General Surgery, Asklepios Clinic, Hamburg, Germany. 3. Schön Klinik Hamburg Eilbek Bariatric Clinic, Hamburg, Germany. 4. Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital, University of Würzburg, Würzburg, Germany. 5. Department of Visceral, Pediatric and Vascular Surgery, Hospital Konstanz, Konstanz, Germany.
Abstract
OBJECTIVE: Weight bias internalization (WBI) is associated with eating disorder psychopathology and non-normative eating behaviors among individuals with overweight and obesity, but has rarely been investigated in prebariatric patients. Based on findings demonstrating a relationship between emotion dysregulation and eating behavior, this study sought to investigate the association between WBI and eating disorder psychopathology as well as non-normative eating behaviors (i.e., food addiction, emotional eating, and eating in the absence of hunger), mediated by emotion dysregulation. METHOD: Within a consecutive multicenter study, 240 prebariatric patients were assessed using self-report questionnaires. The mediating role of emotion dysregulation was examined using structural equation modeling. RESULTS: The analyses yielded no mediational effect of emotion dysregulation on the association between WBI and eating disorder psychopathology. However, emotion dysregulation fully mediated the associations between WBI and emotional eating as well as eating in the absence of hunger. Further, emotion dysregulation partially mediated the relationship between WBI and food addiction symptoms. DISCUSSION: Prebariatric patients with high levels of WBI are at risk for non-normative eating behaviors, especially if they experience emotion regulation difficulties. These findings highlight the importance of interventions targeting WBI and improving emotion regulation skills for the normalization of eating behavior in prebariatric patients.
OBJECTIVE: Weight bias internalization (WBI) is associated with eating disorder psychopathology and non-normative eating behaviors among individuals with overweight and obesity, but has rarely been investigated in prebariatric patients. Based on findings demonstrating a relationship between emotion dysregulation and eating behavior, this study sought to investigate the association between WBI and eating disorder psychopathology as well as non-normative eating behaviors (i.e., food addiction, emotional eating, and eating in the absence of hunger), mediated by emotion dysregulation. METHOD: Within a consecutive multicenter study, 240 prebariatric patients were assessed using self-report questionnaires. The mediating role of emotion dysregulation was examined using structural equation modeling. RESULTS: The analyses yielded no mediational effect of emotion dysregulation on the association between WBI and eating disorder psychopathology. However, emotion dysregulation fully mediated the associations between WBI and emotional eating as well as eating in the absence of hunger. Further, emotion dysregulation partially mediated the relationship between WBI and food addiction symptoms. DISCUSSION: Prebariatric patients with high levels of WBI are at risk for non-normative eating behaviors, especially if they experience emotion regulation difficulties. These findings highlight the importance of interventions targeting WBI and improving emotion regulation skills for the normalization of eating behavior in prebariatric patients.
Authors: Jessica L Lawson; Leslie M Schuh; David B Creel; Rebecca M Blackinton; Stefanie A Giambrone; Carlos M Grilo; Valentina Ivezaj Journal: Obes Surg Date: 2021-04-17 Impact factor: 4.129
Authors: Tosca D Braun; Amy A Gorin; Rebecca M Puhl; Andrea Stone; Diane M Quinn; Jennifer Ferrand; Ana M Abrantes; Jessica Unick; Darren Tishler; Pavlos Papasavas Journal: Obes Surg Date: 2021-04-27 Impact factor: 3.479
Authors: Tosca D Braun; Diane M Quinn; Andrea Stone; Amy A Gorin; Jennifer Ferrand; Rebecca M Puhl; Jessica Sierra; Darren Tishler; Pavlos Papasavas Journal: Obesity (Silver Spring) Date: 2020-08-18 Impact factor: 5.002