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Weight self-stigma and weight loss during behavioural weight loss intervention
J Lillis1, J G Thomas1, K Olson1
1Department of Psychiatry and Human Behavior Alpert Medical School of Brown University/The Miriam Hospital Weight Control and Diabetes Research Center Providence RI USA.
Obesity Science & Practice
|March 9, 2019
Summary
Reducing self-devaluation, a component of weight self-stigma, is linked to greater weight loss. This suggests interventions targeting self-stigma reduction could enhance weight loss outcomes.
Area of Science:
- Obesity Research
- Psychological Interventions
- Behavioral Medicine
Background:
- Weight self-stigma negatively impacts individuals but its role in weight loss interventions is understudied.
- Understanding self-stigma's influence is crucial for developing effective weight management strategies.
Purpose of the Study:
- To investigate the association between weight self-stigma and weight loss outcomes.
- To explore how different facets of weight self-stigma relate to weight management.
Main Methods:
- A longitudinal study analyzed data from adults with overweight/obesity in a 24-month weight loss trial.
- The Weight Self-Stigma Questionnaire assessed self-devaluation and fear of enacted stigma over time.
- Mixed models and mediation analyses examined the relationship between self-stigma changes and weight loss.
Main Results:
- Initial self-stigma levels did not predict weight loss.
- Reductions in self-devaluation were significantly associated with greater weight loss (p=0.01).
- Increased use of weight control strategies mediated the link between reduced self-devaluation and weight loss.
Conclusions:
- Targeting self-devaluation may be a viable strategy to improve weight loss.
- Interventions aimed at reducing weight self-stigma show promise for enhancing weight management.
- Further research could explore incorporating anti-stigma components into weight loss programs.
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