title: Weight bias internalization, depression, and self-reported health among overweight binge eating disorder patients.
abstract: OBJECTIVE
  This study aimed to examine the relationship between internalization of weight bias, which has been linked to specific negative mental health outcomes, and overall mental and physical health among overweight patients with binge eating disorder (BED). The role of depressive symptoms as a potential mediator in this relationship was also tested.
  
  
  METHODS
  In a cross-sectional study, 255 individuals who were overweight and seeking treatment for BED completed the Weight Bias Internalization Scale (WBIS), Short-Form 36 Health Survey (SF-36), and Beck Depression Inventory-II (BDI). Regression analyses were conducted to evaluate the relationship between the WBIS and the SF-36, and bootstrapping mediation analyses were conducted to test whether BDI scores mediated this relationship.
  
  
  RESULTS
  Higher weight bias internalization was associated with poorer self-reported health on all scales of the SF-36, and BDI scores mediated the relationship. Additional analyses revealed that WBIS scores also mediated the relationship between BDI scores and three SF-36 scales.
  
  
  CONCLUSIONS
  Weight bias internalization is associated with poorer overall mental and physical health, and depressive symptoms may play a role in accounting for this relationship in treatment-seeking overweight patients with BED.
authors.affiliation: Yale University Department of Psychology, New Haven, Connecticut, 06520, USA.
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Pearl
authors.forename: Marney A
authors.initials: MA
authors.lastname: White
authors.forename: Carlos M
authors.initials: CM
authors.lastname: Grilo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D056912:Binge-Eating Disorder / Q000523:psychology* / Q000628:therapy; D001835:Body Weight; D003430:Cross-Sectional Studies; D003674:Defense Mechanisms; D003863:Depression / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D050177:Overweight / Q000523:psychology* / Q000628:therapy; D010555:Personality Inventory; D011287:Prejudice; D011569:Psychiatric Status Rating Scales; D057566:Self Report; D055815:Young Adult
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