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Nutrients
Volume 15
Issue 13
10.3390/nu15132932
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Brief Report

Weight Bias Internalization and Eating Disorder Psychopathology in Treatment-Seeking Patients with Obesity

by
Simona Calugi
,
Barbara Segattini
,
Gianmatteo Cattaneo
,
Mirko Chimini
,
Anna Dalle Grave
,
Laura Dametti
,
Manuela Molgora
and
Riccardo Dalle Grave
*
Department of Eating and Weight Disorders, Villa Garda Hospital, Via Monte Baldo 89, 37016 Garda, VR, Italy
*
Author to whom correspondence should be addressed.
Nutrients 2023, 15(13), 2932; https://doi.org/10.3390/nu15132932
Submission received: 2 June 2023 / Revised: 23 June 2023 / Accepted: 26 June 2023 / Published: 28 June 2023
(This article belongs to the Special Issue Effects of Calorie Restriction on Body Image and Weight Management)
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Abstract

This study aimed to investigate the relationship between weight bias internalization and eating disorder psychopathology in treatment-seeking patients with severe obesity using a network approach. Two thousand one hundred and thirteen patients with obesity were consecutively admitted to a specialist clinical unit for obesity and 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 roles 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 dissatisfaction; empty stomach obesity; weight bias; body image; body dissatisfaction; exposure avoidance; shape dissatisfaction; empty stomach

Share and Cite

MDPI and ACS Style

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. https://doi.org/10.3390/nu15132932

AMA Style

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(13):2932. https://doi.org/10.3390/nu15132932

Chicago/Turabian Style

Calugi, Simona, Barbara Segattini, Gianmatteo Cattaneo, Mirko Chimini, Anna Dalle Grave, Laura Dametti, Manuela Molgora, and Riccardo Dalle Grave. 2023. "Weight Bias Internalization and Eating Disorder Psychopathology in Treatment-Seeking Patients with Obesity" Nutrients 15, no. 13: 2932. https://doi.org/10.3390/nu15132932

APA Style

Calugi, S., Segattini, B., Cattaneo, G., Chimini, M., Dalle Grave, A., Dametti, L., Molgora, M., & Dalle Grave, R. (2023). Weight Bias Internalization and Eating Disorder Psychopathology in Treatment-Seeking Patients with Obesity. Nutrients, 15(13), 2932. https://doi.org/10.3390/nu15132932

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