Disinhibition and Subjective Hunger as Mediators Between Weight Bias Internalization and Binge Eating Among Pre-Surgical
- PDF / 667,832 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 24 Downloads / 198 Views
ORIGINAL CONTRIBUTIONS
Disinhibition and Subjective Hunger as Mediators Between Weight Bias Internalization and Binge Eating Among Pre-Surgical Bariatric Patients Zachary A. Soulliard 1
&
Cassie Brode 2 & Lawrence E. Tabone 3 & Nova Szoka 3 & Salim Abunnaja 3 & Stephanie Cox 2
Received: 24 June 2020 / Revised: 29 September 2020 / Accepted: 5 October 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose Weight bias internalization, or the process of applying negative weight-related attitudes and beliefs to oneself, is an important construct in regard to patients pursuing bariatric surgery. Weight bias internalization (or internalized weight bias) has been previously associated with depressive symptoms and binge eating among pre-surgical bariatric patients. However, a gap in the literature exists pertaining to how certain eating behaviors may mediate the relationship between weight bias internalization and binge eating. The present study assessed the role of eating behaviors (i.e., cognitive restraint, disinhibition, and hunger) as mediators between weight bias internalization and binge eating symptoms when controlling for depression. Materials and Methods A total of 708 adults (Mage = 42.91; White = 95.3%; women = 79.4%) seeking bariatric surgery at a tertiary academic medical center in the Appalachia region of the USA were included in this retrospective study. Patients completed validated measures of weight bias internalization, eating behaviors, and depression as part of a routine, psychological evaluation in order to determine surgical clearance. Results Disinhibition and hunger were significant mediators in the relationship between weight bias internalization and binge eating beyond the role of depressive symptoms alone. Conclusion Disinhibited eating, or the tendency to experience a loss of control and eating in response to negative emotions, as well as subjective feelings of hunger are important dimensions of eating, particularly as related to weight bias internalization and binge eating. Weight bias internalization is an important factor to consider among pre-surgical bariatric patients and warrants additional treatment considerations. Keywords Weight biasinternalization . Binge eating . Disinhibitedeating . Three-Factor Eating Questionnaire . Bariatricsurgery . Preoperative care
Introduction Weight bias is defined as negative attitudes, beliefs, and discriminatory behaviors based on an individual’s weight [1, 2] * Zachary A. Soulliard [email protected] 1
Department of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, New Haven, CT 06520, USA
2
Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, 930 Chestnut Ridge Road, Morgantown, WV 26505, USA
3
Department of Surgery, One Medical Center Drive, West Virginia University School of Medicine, P.O. Box 9238, Morgantown, WV 26506, USA
that disproportionately affects individuals with obesity [3]. In the USA, perceived weight discrimina
Data Loading...
