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Psychological Pathway from Obesity-Related Stigma to Anxiety via Internalized Stigma and Self-Esteem among Adolescents in Taiwan

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 2...

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Autores principales: Lin, Chung-Ying, Tsai, Meng-Che, Liu, Chih-Hsiang, Lin, Yi-Ching, Hsieh, Yi-Ping, Strong, Carol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6887789/
https://www.ncbi.nlm.nih.gov/pubmed/31718003
http://dx.doi.org/10.3390/ijerph16224410
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author Lin, Chung-Ying
Tsai, Meng-Che
Liu, Chih-Hsiang
Lin, Yi-Ching
Hsieh, Yi-Ping
Strong, Carol
author_facet Lin, Chung-Ying
Tsai, Meng-Che
Liu, Chih-Hsiang
Lin, Yi-Ching
Hsieh, Yi-Ping
Strong, Carol
author_sort Lin, Chung-Ying
collection PubMed
description 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.
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spelling pubmed-68877892019-12-09 Psychological Pathway from Obesity-Related Stigma to Anxiety 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 Int J Environ Res Public Health Article 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. MDPI 2019-11-11 2019-11 /pmc/articles/PMC6887789/ /pubmed/31718003 http://dx.doi.org/10.3390/ijerph16224410 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lin, Chung-Ying
Tsai, Meng-Che
Liu, Chih-Hsiang
Lin, Yi-Ching
Hsieh, Yi-Ping
Strong, Carol
Psychological Pathway from Obesity-Related Stigma to Anxiety via Internalized Stigma and Self-Esteem among Adolescents in Taiwan
title Psychological Pathway from Obesity-Related Stigma to Anxiety via Internalized Stigma and Self-Esteem among Adolescents in Taiwan
title_full Psychological Pathway from Obesity-Related Stigma to Anxiety via Internalized Stigma and Self-Esteem among Adolescents in Taiwan
title_fullStr Psychological Pathway from Obesity-Related Stigma to Anxiety via Internalized Stigma and Self-Esteem among Adolescents in Taiwan
title_full_unstemmed Psychological Pathway from Obesity-Related Stigma to Anxiety via Internalized Stigma and Self-Esteem among Adolescents in Taiwan
title_short Psychological Pathway from Obesity-Related Stigma to Anxiety via Internalized Stigma and Self-Esteem among Adolescents in Taiwan
title_sort psychological pathway from obesity-related stigma to anxiety via internalized stigma and self-esteem among adolescents in taiwan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6887789/
https://www.ncbi.nlm.nih.gov/pubmed/31718003
http://dx.doi.org/10.3390/ijerph16224410
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