Academic Journal

Weight Bias, Shame, and Self-Compassion: Risk/Protective Mechanisms of Depression and Anxiety in Prebariatic Surgery Patients

التفاصيل البيبلوغرافية
العنوان: Weight Bias, Shame, and Self-Compassion: Risk/Protective Mechanisms of Depression and Anxiety in Prebariatic Surgery Patients
المؤلفون: Braun, T.D., Quinn, D.M., Stone, A., Gorin, A. A., Ferrand, J., Puhl, R.M., Sierra, J., Tishler, D., Papasavas, P.
المصدر: Obesity (Silver Spring)
سنة النشر: 2020
مصطلحات موضوعية: Article, psy, socio
الوصف: OBJECTIVE: Psychopathology in bariatric surgery patients may contribute to adverse post-operative sequelae, including weight regain, substance use, and self-harm. This cross-sectional study aimed to advance the understanding of the risk and protective paths through which weight bias associates with depressive and anxiety symptoms in bariatric surgery candidates (BSC). METHODS: BSC recruited from a surgical clinic (N = 213, 82.2% women, 43 ±12 years, mean BMI: 49±9 kg/m(2)) completed measures of experienced weight bias (EWB), internalized weight bias (IWB), body and internalized shame, and self-compassion; anxiety and depression screeners accessed from medical charts. Multiple regression and PROCESS bootstrapping estimates tested our hypothesized mediation model: EWB→IWB→body shame→shame→self-compassion→symptoms. RESULTS: After accounting for EWB and IWB, internalized shame accounted for greater variance in both endpoints than body shame. EWB was associated with greater anxiety through risk paths implicating IWB, body shame, and/or internalized shame. Protective paths associated EWB with fewer depressive and anxiety symptoms among those with higher self-compassion. CONCLUSIONS: Our findings suggest a potentially important role for weight bias and shame in psychological health among BSC, and implicate self-compassion, a trainable affect regulation strategy, as a protective factor that may confer some resiliency. Future research using longitudinal and causal designs is warranted.
نوع الوثيقة: text
اللغة: English
Relation: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8650800/
الاتاحة: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8650800/
Rights: undefined
رقم الانضمام: edsbas.9C08B3F4
قاعدة البيانات: BASE