Preprint Brief Report Version 1 Preserved in Portico This version is not peer-reviewed

Weight-Bias Internalization and Eating-Disorder Psycho-Pathology in Treatment-Seeking Patients With Obesity

Simona Calugi
ORCID logo ,
Barbara Segattini
,
Gianmatteo Cattaneo
,
Mirko Chimini
,
Anna Dalle Grave
,
Laura Dametti
,
Manuela Molgora
,
Riccardo Dalle Grave
* ORCID logo
Version 1 : Received: 19 June 2023 / Approved: 20 June 2023 / Online: 21 June 2023 (03:10:22 CEST)

A peer-reviewed article of this Preprint also exists.

Calugi, S.; Segattini, B.; Cattaneo, G.; Chimini, M.; Dalle Grave, A.; Dametti, L.; Molgora, M.; Dalle Grave, R. Weight Bias Internalization and Eating Disorder Psychopathology in Treatment-Seeking Patients with Obesity. Nutrients 2023, 15, 2932. Calugi, S.; Segattini, B.; Cattaneo, G.; Chimini, M.; Dalle Grave, A.; Dametti, L.; Molgora, M.; Dalle Grave, R. Weight Bias Internalization and Eating Disorder Psychopathology in Treatment-Seeking Patients with Obesity. Nutrients 2023, 15, 2932.

Abstract

This study aimed to investigate the relationship between weight-bias internalization and eat-ing-disorder psychopathology in treatment-seeking patients with severe obesity using a network approach. Two thousand, one hundred and thirteen patients with obesity consecutively admitted to a specialist clinical unit for obesity were recruited from January 2016 to February 2023. Body mass index was measured, and each patient completed the Weight Bias Internalization Scale (WBSI) and the Eating Disorder Examination Interview (EDE). Network analysis showed that the most central and highly interconnected nodes in the network were related to the EDE items exposure avoidance, dissatisfaction with shape, and wanting an empty stomach. Bridge nodes were found, but the bootstrap difference test on expected bridge influence indicated non-significant centrality differences. Nevertheless, the eating-disorder psychopathology and weight-bias internalization network structure in patients seeking treatment for obesity indicate the prominent role of body dissatisfaction and control of eating and weight in these psychological constructs. This finding, if replicated, could pave the way for a new understanding of the psychological mechanisms operating in patients with obesity.

Keywords

obesity; weight bias; body image; body dissatisfaction; exposure avoidance; shape dissatisfac-tion; empty stomach

Subject

Medicine and Pharmacology, Dietetics and Nutrition

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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