Weight self-stigma and its association with quality of life and psychological distress among overweight and obese women
- 504 Downloads
There are limiting studies evaluating the weight self-stigma and its association with eating disorders and health concerns. However, no study is available evaluating weight self-stigma and its determinants among reproductive age women in Iran. The aim of this study was to evaluate weight self-stigma and its association with quality of life and psychological distress among overweight and obese Iranian women.
Materials and methods
The current cross-sectional study was performed among 170 women aged 17–45 years referring to health centers of Tabriz-Iran. Anthropometric assessments were performed. Weight self-stigma was assessed by weight self-stigma questionnaire (WSSQ). Evaluation of quality of life and psychological distress was performed using SF-12 and general health questionnaires (GHQ-12), respectively. Analysis of data was performed by multivariate hierarchical regression analysis using SPSS 18 software.
In this study, the multivariate hierarchical regression analysis revealed that being married and having low total weight self-stigma and fear of enacted stigma (FES) scores were associated with better physical component summary scores (p < 0.05). Whereas, younger ages and lower total weight self-stigma scores were associated with better mental component summary scores. In addition, lower weight self-stigma total scores and lower self-devaluation scores were predictors of lower psychological distress.
Our results indicated the negative impacts of weight self-stigma on quality of life and psychological distress among overweight and obese women. Since weight stigma might be a potent barrier of obese individuals to engage in health promoting behaviors, therefore, the results of the current study further warrants the need for developing interventional strategies to reduce the adverse impacts of weight stigma on quality of life via including the reduction of weight self-stigma as a key therapeutic goal in obesity treatment programs.
KeywordsObesity Weight stigma SF-12 GHQ-12
This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.
Compliance with ethical standards
Conflict of interest
All authors declare that there is no conflict of interest.
The work has been performed according to ethical standards of the national ethics committee.
Written informed consent was obtained from all of the participants before participation in the study.
- 7.Durso LE, Latner JD, White MA, Masheb RM, Blomquist KK, Morgan PT, Grilo CM (2012) Internalized weight bias in obese patients with binge eating disorder: associations with eating disturbances and psychological functioning. Int J Eat Disord 45(3):423–427. doi: 10.1002/eat.20933 CrossRefPubMedGoogle Scholar
- 16.Gandek B, Ware JE, Aaronson NK, Apolone G, Bjorner JB, Brazier JE, Kaasa S, Lepleg A, Prieto L, Sullivan M (1998) Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. J Clin Epidemiol 51:1171–1178. doi: 10.1016/S0895-4356(98)00109-7 CrossRefPubMedGoogle Scholar
- 26.Brody CM, Trotman FK (2001) Psychotherapy and counseling with older women: cross-cultural, family, and end of life issues. Springer, New YorkGoogle Scholar
- 28.Schunk M, Reitmeir P, Schipf S, Völzke H, Meisinger C, Thorand B, Kluttig A, Greiser KH, Berger K, Müller G, Ellert U, Neuhauser H, Tamayo T, Rathmann W, Holle R (2012) Health-related quality of life in subjects with and without Type 2 diabetes: pooled analysis of five population-based surveys in Germany. Diabet Med 29(5):646–653. doi: 10.1111/j.1464-5491.2011.03465.x CrossRefPubMedGoogle Scholar