A prospective study on the link between weight-related self-stigma and binge eating: Role of food addiction and psychological distress

Daniel Kwasi AHORSU, Chung-Ying LIN, Vida IMANI, Mark D. GRIFFITHS, Jian-An SU, Janet D. LATNER, Rachel D. MARSHALL, Amir H. PAKPOUR

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32 Citations (Scopus)

Abstract

Objectives: This prospective study investigated the link between weight-related self-stigma and binge eating by (a) examining the temporal association between weight-related self-stigma and binge eating; (b) investigating the mediating role of food addiction in the association between weight-related self-stigma and binge eating; and (c) examining the mediating role of psychological distress in the association between weight-related self-stigma and binge eating. 

Method: Participants comprised 1,497 adolescents (mean = 15.1 years; SD = 6.0). Body mass index and weight bias were assessed at baseline; psychological distress (i.e., depression, anxiety, and stress) assessed and food addiction at 3 months; and binge eating at 6 months. The mediation model was analyzed using Model 4 in the PROCESS macro for SPSS with 10,000 bootstrapping resamples. 

Results: There was no significant direct association between weight-related self-stigma and binge eating. However, food addiction and psychological distress significantly mediated the association between weight-related self-stigma and binge eating. 

Discussion: These findings highlight the indirect association between weight-related self-stigma and binge eating via food addiction and psychological distress. Consequently, intervention programs targeting food addiction and psychological distress among adolescents may have significant positive effects on outcomes for weight-related self-stigma and binge eating. The findings will be beneficial to researchers and healthcare professionals working with adolescents during this critical developmental period. Copyright © 2020 Wiley Periodicals, Inc.

Original languageEnglish
Pages (from-to)442-450
JournalInternational Journal of Eating Disorders
Volume53
Issue number3
Early online dateJan 2020
DOIs
Publication statusPublished - Mar 2020

Citation

Ahorsu, D. K., Lin, C.-Y., Imani, V., Griffiths, M. D., Su, J.-A., Latner, J. D., . . . Pakpour, A. H. (2020). A prospective study on the link between weight-related self-stigma and binge eating: Role of food addiction and psychological distress. International Journal of Eating Disorders, 53(3), 442-450. doi: 10.1002/eat.23219

Keywords

  • Adolescents
  • Binge eating
  • Food addiction
  • Psychological distress
  • Weight-related self-stigma

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