Supplemental Material for Factors Linking Perceived Discrimination and Weight Bias Internalization to Body Appreciation and Eating Pathology: A Moderated Mediation Analysis of Self-Compassion and Psychological Distress

2021 ◽  
Keyword(s):  
Psychological Distress ◽  
Mediation Analysis ◽  
Perceived Discrimination ◽  
Moderated Mediation ◽  
Weight Bias ◽  
Eating Pathology ◽  
Body Appreciation ◽  
Self Compassion ◽  
Weight Bias Internalization

Impostor Feelings and Psychological Distress Among Asian Americans: Interpersonal Shame and Self-Compassion

2020 ◽  
Vol 48 (3) ◽  
pp. 432-458
Author(s):  
Meifen Wei ◽  
Shuyi Liu ◽  
Stacy Y. Ko ◽  
Cixin Wang ◽  
Yi Du
Keyword(s):  
Psychological Distress ◽  
Asian American ◽  
Positive Association ◽  
Moderated Mediation ◽  
Public University ◽  
Common Humanity ◽  
Asian American Students ◽  
Self Compassion ◽  
American Students ◽  
Impostor Feelings

We examined how the association between impostor feelings and psychological distress was mediated by interpersonal shame and moderated by self-compassion in a sample of 433 Asian American students at an East Coast public university. First, we found that the positive association between impostor feelings and psychological distress was partially mediated by interpersonal shame (i.e., shame related to others viewing them negatively or dishonoring their family due to their deficits). Second, self-compassion significantly moderated the positive association between impostor feelings and interpersonal shame. Specifically, this positive association was stronger for those with lower self-compassion than for those with higher self-compassion. Third, the index of moderated mediation further supported that self-compassion moderated the mediation through an indirect effect of impostor feelings on psychological distress through interpersonal shame. We found additional results which supported the moderation and moderated mediation hypotheses for the three specific components of self-compassion (i.e., common humanity, self-judgment, and over-identification).

The relationship between weight stigma and eating behavior is explained by weight bias internalization and psychological distress

Appetite ◽  
2016 ◽  
Vol 102 ◽  
pp. 70-76 ◽  
Author(s):  
Kerry S. O'Brien ◽  
Janet D. Latner ◽  
Rebecca M. Puhl ◽  
Lenny R. Vartanian ◽  
Claudia Giles ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Eating Behavior ◽  
Weight Bias ◽  
Weight Stigma ◽  
Weight Bias Internalization ◽  
The Relationship

Reducing Body Image–Related Distress in Women With Breast Cancer Using a Structured Online Writing Exercise: Results From the My Changed Body Randomized Controlled Trial

2018 ◽  
Vol 36 (19) ◽  
pp. 1930-1940 ◽  
Author(s):  
Kerry A. Sherman ◽  
Astrid Przezdziecki ◽  
Jessica Alcorso ◽  
Christopher Jon Kilby ◽  
Elisabeth Elder ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Randomized Controlled Trial ◽  
Psychological Distress ◽  
Expressive Writing ◽  
Controlled Trial ◽  
Mediating Effect ◽  
Body Appreciation ◽  
Randomized Controlled ◽  
Self Compassion

Purpose Breast cancer treatment adverse effects result in one in three survivors experiencing body image–related distress (BID) that negatively impacts on a woman’s ability to recover after cancer and into survivorship. My Changed Body (MyCB) is a Web-based psychological intervention to alleviate BID and improve body appreciation in survivors of breast cancer (BCSs) through a single-session, self-compassion focused writing activity. This randomized controlled trial evaluated the impact of MyCB on BID and body appreciation in BCSs. The moderating effect of lymphedema status (affected or unaffected) and appearance investment (self-importance placed on personal appearance) and the mediating effect of self-compassion were evaluated. Patients and Methods Women (disease-free stage I to III BCSs who had experienced at least one negative event related to bodily changes after breast cancer) were randomly assigned to MyCB (n = 149) or an expressive writing control arm (n = 155). Primary outcomes were reduction in BID and improvement in body appreciation 1 week after intervention. Secondary outcomes included psychological distress (depression and anxiety) and self-compassion. Follow-up assessments occurred 1 week, 1 month, and 3 months after writing. Results Compliance with the MyCB intervention was 88%, and attrition was 9.2%. Intent-to-treat linear mixed models indicated that participants who received MyCB reported significantly less BID ( P = .035) and greater body appreciation ( P = .004) and self-compassion ( P < .001) than expressive writing participants. Intervention effects on BID were moderated by lymphedema status ( P = .007) and appearance investment ( P = .042). Self-compassion mediated effects on both primary outcomes. Therapeutic effects were maintained at 1 month (BID and body appreciation) and 3 months (body appreciation) after intervention. Significant reductions in psychological distress (1-month depression, P = .001; 1-week and 1-month anxiety, P = .007) were evident for MyCB participants with lymphedema. Conclusion This study supports the efficacy of MyCB for reducing BID and enhancing body appreciation among BCSs.

Designing Ruby: a brief digital randomized controlled trial for internalized weight bias (Preprint)

2021 ◽  
Author(s):  
Christina Maria Hopkins ◽  
Hailey N. Miller ◽  
Taylor L. Brooks ◽  
Lihua Mo-Hunter ◽  
Dori M. Steinberg ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Data Collection ◽  
Controlled Trial ◽  
Weight Bias ◽  
Health Concern ◽  
Randomized Controlled ◽  
Self Compassion ◽  
Weight Bias Internalization ◽  
Body Concerns ◽  
Internalized Weight Bias

UNSTRUCTURED Weight bias internalization – also known as weight self-stigma - is a serious health concern for individuals at higher body weights. Weight bias internalization is associated with more avoidance of healthcare and health-promoting activities, more disordered eating, more social isolation, and weight gain. Elevated weight bias internalization has been associated with low self-compassion, yet few investigations have explored self-compassion as a potential mechanism in reduction of internalized weight bias. Ruby is a two-arm randomized controlled trial designed to test the efficacy of a 4-week digital self-compassion intervention to reduce internalized weight bias, compared to wait list control. Adults with elevated internalized weight bias and a body mass index over 30 kg/m2 (n=80) will be recruited. Ruby is a standalone digital trial and will be delivered entirely via smartphone using web-based data collection and text messages. Intervention content will include psychoeducation and daily mindfulness practices with a focus on self-compassion and body concerns. We will use intent-to-treat analyses to examine changes in weight bias internalization over time by treatment arm using one-way analysis of covariance (ANCOVA) models and linear mixed models. The present protocol was designed in May 2020 and approved in December 2020. Data collection is currently underway. Ruby will be the first digital standalone self-compassion based intervention designed to reduce internalized weight bias. Due to its standalone digital delivery, Ruby may be a highly-scalable treatment for internalized weight bias that can be delivered on its own or combined with other treatments. We expect Ruby to be accessible to many, as participants can access the digital intervention at times of the day most convenient in their schedule and are not burdened by in-person time commitments, which can be a barrier for participants with competing demands on their time and resources. If efficacious, Ruby will be poised to expand a burgeoning body of literature related to psychological intervention in this area of need.

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