Psychological pathway from obesity-related stigma to depression via internalized stigma and self-esteem among adolescents in taiwan

Chung Ying Lin, Meng Che Tsai, Chih Hsiang Liu, Yi Ching Lin, Yi Ping Hsieh, Carol Strong

Research output: Contribution to journalArticle

Abstract

The objective of this research was to examine the pathway from public stigma, to perceived stigma, to depression in adolescents via internalized stigma. Adolescents in grade 7 through 9 from a junior high school in Changhua County in Taiwan completed self-administered surveys from March to July in 2018. Adolescents were asked questions regarding depressive symptoms, obesity-related perceived stigma, and internalized stigma. Structural equation modeling was used to fit the pathway model. The pathway was first analyzed with the full sample and then stratified by actual and perceived weight status. Our final analytic sample consisted of 464 adolescents. The pathway model suggested an acceptable model fit. Perceived weight stigma (PWS) was significantly associated with internalized stigma regardless of actual or self-perceived weight status. Internalized stigma was significantly associated with anxiety for both actual (β = 0.186) and self-perceived nonoverweight (non-OW) participants (β = 0.170) but not for overweight (OW) participants (neither actual nor self-perceived). For OW adolescents, perceived weight stigma was associated with anxiety. However, the internalization process did not exist. It may be that the influence of perceived weight stigma is larger than internalized stigma on anxiety. It may also be that the level of internalization was not yet high enough to result in anxiety.

Original languageEnglish
Article number4410
JournalInternational journal of environmental research and public health
Volume16
Issue number22
DOIs
Publication statusPublished - 2019 Nov 2

Fingerprint

Taiwan
Self Concept
Obesity
Depression
Psychology
Weights and Measures
Anxiety
Research

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

@article{f826943a4db94737908977d6e8525b92,
title = "Psychological pathway from obesity-related stigma to depression via internalized stigma and self-esteem among adolescents in taiwan",
abstract = "The objective of this research was to examine the pathway from public stigma, to perceived stigma, to depression in adolescents via internalized stigma. Adolescents in grade 7 through 9 from a junior high school in Changhua County in Taiwan completed self-administered surveys from March to July in 2018. Adolescents were asked questions regarding depressive symptoms, obesity-related perceived stigma, and internalized stigma. Structural equation modeling was used to fit the pathway model. The pathway was first analyzed with the full sample and then stratified by actual and perceived weight status. Our final analytic sample consisted of 464 adolescents. The pathway model suggested an acceptable model fit. Perceived weight stigma (PWS) was significantly associated with internalized stigma regardless of actual or self-perceived weight status. Internalized stigma was significantly associated with anxiety for both actual (β = 0.186) and self-perceived nonoverweight (non-OW) participants (β = 0.170) but not for overweight (OW) participants (neither actual nor self-perceived). For OW adolescents, perceived weight stigma was associated with anxiety. However, the internalization process did not exist. It may be that the influence of perceived weight stigma is larger than internalized stigma on anxiety. It may also be that the level of internalization was not yet high enough to result in anxiety.",
author = "Lin, {Chung Ying} and Tsai, {Meng Che} and Liu, {Chih Hsiang} and Lin, {Yi Ching} and Hsieh, {Yi Ping} and Carol Strong",
year = "2019",
month = "11",
day = "2",
doi = "10.3390/ijerph16224410",
language = "English",
volume = "16",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "22",

}

Psychological pathway from obesity-related stigma to depression via internalized stigma and self-esteem among adolescents in taiwan. / Lin, Chung Ying; Tsai, Meng Che; Liu, Chih Hsiang; Lin, Yi Ching; Hsieh, Yi Ping; Strong, Carol.

In: International journal of environmental research and public health, Vol. 16, No. 22, 4410, 02.11.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Psychological pathway from obesity-related stigma to depression via internalized stigma and self-esteem among adolescents in taiwan

AU - Lin, Chung Ying

AU - Tsai, Meng Che

AU - Liu, Chih Hsiang

AU - Lin, Yi Ching

AU - Hsieh, Yi Ping

AU - Strong, Carol

PY - 2019/11/2

Y1 - 2019/11/2

N2 - The objective of this research was to examine the pathway from public stigma, to perceived stigma, to depression in adolescents via internalized stigma. Adolescents in grade 7 through 9 from a junior high school in Changhua County in Taiwan completed self-administered surveys from March to July in 2018. Adolescents were asked questions regarding depressive symptoms, obesity-related perceived stigma, and internalized stigma. Structural equation modeling was used to fit the pathway model. The pathway was first analyzed with the full sample and then stratified by actual and perceived weight status. Our final analytic sample consisted of 464 adolescents. The pathway model suggested an acceptable model fit. Perceived weight stigma (PWS) was significantly associated with internalized stigma regardless of actual or self-perceived weight status. Internalized stigma was significantly associated with anxiety for both actual (β = 0.186) and self-perceived nonoverweight (non-OW) participants (β = 0.170) but not for overweight (OW) participants (neither actual nor self-perceived). For OW adolescents, perceived weight stigma was associated with anxiety. However, the internalization process did not exist. It may be that the influence of perceived weight stigma is larger than internalized stigma on anxiety. It may also be that the level of internalization was not yet high enough to result in anxiety.

AB - The objective of this research was to examine the pathway from public stigma, to perceived stigma, to depression in adolescents via internalized stigma. Adolescents in grade 7 through 9 from a junior high school in Changhua County in Taiwan completed self-administered surveys from March to July in 2018. Adolescents were asked questions regarding depressive symptoms, obesity-related perceived stigma, and internalized stigma. Structural equation modeling was used to fit the pathway model. The pathway was first analyzed with the full sample and then stratified by actual and perceived weight status. Our final analytic sample consisted of 464 adolescents. The pathway model suggested an acceptable model fit. Perceived weight stigma (PWS) was significantly associated with internalized stigma regardless of actual or self-perceived weight status. Internalized stigma was significantly associated with anxiety for both actual (β = 0.186) and self-perceived nonoverweight (non-OW) participants (β = 0.170) but not for overweight (OW) participants (neither actual nor self-perceived). For OW adolescents, perceived weight stigma was associated with anxiety. However, the internalization process did not exist. It may be that the influence of perceived weight stigma is larger than internalized stigma on anxiety. It may also be that the level of internalization was not yet high enough to result in anxiety.

UR - http://www.scopus.com/inward/record.url?scp=85074959912&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85074959912&partnerID=8YFLogxK

U2 - 10.3390/ijerph16224410

DO - 10.3390/ijerph16224410

M3 - Article

C2 - 31718003

AN - SCOPUS:85074959912

VL - 16

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1661-7827

IS - 22

M1 - 4410

ER -