Obesity and body image.

Modern western culture emphasizes thinness, denigrates excess weight, and stigmatizes obese individuals, making it likely that obese people internalize these messages and feel badly about the physical presence that brands them. There is clear evidence that obesity is linked with poor body image, but not all obese persons suffer from this problem or are equally vulnerable. Risk factors identified thus far are degree of overweight, being female, and binge eating, with some evidence of risk increasing with early age of onset of obesity, race, and several additional factors. Treatments do exist for improving body image in overweight individuals. Key questions are how to identify those in need of body image intervention, how such programs can be integrated with weight loss treatments, and ultimately, how body image distress can be prevented.

[1]  A. Stunkard The Pain of Obesity , 1976 .

[2]  Richard G. Netemeyer,et al.  Psychosocial variables associated with binge eating in obese males and females. , 2001, The International journal of eating disorders.

[3]  C. Fairburn,et al.  Using the eating disorder examination to identify the specific psychopathology of binge eating disorder. , 2000, The International journal of eating disorders.

[4]  J. K. Collins,et al.  Variability in body shape perception in anorexic, bulimic, obese, and control subjects , 1987 .

[5]  T. Wadden,et al.  Body image in obese women before, during, and after weight loss treatment. , 1997, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[6]  T. Wadden,et al.  Psychological aspects of severe obesity. , 1992, The American journal of clinical nutrition.

[7]  L Bacon,et al.  Evaluating a ‘non-diet’ wellness intervention for improvement of metabolic fitness, psychological well-being and eating and activity behaviors , 2002, International Journal of Obesity.

[8]  C. Grilo,et al.  Teasing history, onset of obesity, current eating disorder psychopathology, body dissatisfaction, and psychological functioning in binge eating disorder. , 2000, Obesity research.

[9]  A. Myers,et al.  Obesity stigmatization and coping: Relation to mental health symptoms, body image, and self-esteem , 1999, International Journal of Obesity.

[10]  T. F. Cash,et al.  Being fat versus thinking fat: Relationships with body image, eating behaviors, and well-being , 1990, Cognitive Therapy and Research.

[11]  W. Agras,et al.  Weight and shape overconcern and emotional eating in binge eating disorder. , 1996, The International journal of eating disorders.

[12]  J. K. Collins,et al.  Body percept change in obese females after weight reduction therapy. , 1983, Journal of clinical psychology.

[13]  H. Doll,et al.  Risk factors for binge eating disorder: a community-based, case-control study. , 1998, Archives of general psychiatry.

[14]  Christian S. Crandall,et al.  Ideology and lay theories of stigma: The justification of stigmatization. , 2000 .

[15]  J. Rosen,et al.  A comparison of weight control and weight control plus body image therapy for obese men and women. , 2001, Journal of consulting and clinical psychology.

[16]  H. Moldofsky,et al.  Body Image Disturbances in Anorexia Nervosa and Obesity , 1976, Psychosomatic medicine.

[17]  C Bell,et al.  Body image of anorexic, obese, and normal females. , 1986, Journal of clinical psychology.

[18]  K. Brownell,et al.  Psychological correlates of obesity: moving to the next research generation. , 1995, Psychological bulletin.

[19]  T. Wadden,et al.  Binge eating disorder: A multisite field trial of the diagnostic criteria , 1992 .

[20]  J. Wardle,et al.  Age of onset and body dissatisfaction in obesity. , 2002, Addictive behaviors.

[21]  Kenneth A. Lachlan,et al.  Portrayals of overweight and obese individuals on commercial television. , 2003, American journal of public health.

[22]  J Rodin,et al.  Medical, metabolic, and psychological effects of weight cycling. , 1994, Archives of internal medicine.

[23]  B. Teachman,et al.  Implicit anti-fat bias among health professionals: is anyone immune? , 2001, International Journal of Obesity.

[24]  J. Rosen,et al.  Cognitive Behavior Therapy for Negative Body Image in Obese Women , 1995 .

[25]  D. Wilfley,et al.  The influence of sexual orientation on body dissatisfaction in adult men and women. , 1996, The International journal of eating disorders.

[26]  K. Brownell,et al.  Bias, discrimination, and obesity. , 2001, Obesity research.

[27]  T. Wadden,et al.  Assessment of body image dissatisfaction in obese women: specificity, severity, and clinical significance. , 1998, Journal of Consulting and Clinical Psychology.

[28]  D. Smith,et al.  Body image among men and women in a biracial cohort: the CARDIA Study. , 1999, The International journal of eating disorders.

[29]  A. Astrup,et al.  Obesity : Preventing and managing the global epidemic , 2000 .

[30]  K. Brownell,et al.  Teasing, body image, and self-esteem in a clinical sample of obese women. , 1994, Addictive behaviors.

[31]  Giovanni Giulio Valtolina,et al.  Body-Size Estimation by Obese Subjects , 1998, Perceptual and motor skills.

[32]  C. Fairburn,et al.  Assessment of eating disorders: interview or self-report questionnaire? , 1994, The International journal of eating disorders.

[33]  Steven J. Kass,et al.  A Factor Analytic Study of the Boredom Proneness Scale , 1990 .

[34]  K. Brownell,et al.  Demonstrations of implicit anti-fat bias: The impact of providing causal information and evoking empathy , 2003 .

[35]  T. Wadden,et al.  Correlates of body image dissatisfaction among overweight women seeking weight loss. , 2002, Journal of consulting and clinical psychology.

[36]  T. F. Cash Body-Image Attitudes among Obese Enrollees in a Commercial Weight-Loss Program , 1993, Perceptual and motor skills.

[37]  F Johnson,et al.  Weight and dieting: examining levels of weight concern in British adults , 2002, International Journal of Obesity.

[38]  P. Slade,et al.  The relationship between body-image and body-fat in adult women , 1988, Psychological Medicine.

[39]  K. Brownell,et al.  Differential relation of psychological functioning with the history and experience of weight cycling. , 1998, Journal of consulting and clinical psychology.

[40]  Thomas F. Cash,et al.  Current and vestigial effects of overweight among women: Fear of fat, attitudinal body image, and eating behaviors , 1990 .

[41]  K. Brownell,et al.  Relationship of weight, body dissatisfaction, and self-esteem in African American and white female dieters. , 1997, The International journal of eating disorders.

[42]  E. V. Furth,et al.  Binge eating disorder: a review , 2002, International Journal of Obesity.

[43]  S. Kreitler,et al.  Body-image disturbance in obesity. , 1990 .

[44]  T. Espinoza,et al.  Mirror feedback and judgments of body size. , 1989, Journal of psychosomatic research.

[45]  T. Wadden,et al.  Psychological effects of weight cycling in obese persons: a review and research agenda. , 1997, Obesity research.

[46]  K. Matthews,et al.  Discrimination and unfair treatment: relationship to cardiovascular reactivity among African American and European American women. , 2001, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[47]  C. Crandall,et al.  An Attribution-Value Model of Prejudice: Anti-Fat Attitudes in Six Nations , 2001 .

[48]  R. Spitzer,et al.  Association of binge eating disorder and psychiatric comorbidity in obese subjects. , 1993, The American journal of psychiatry.

[49]  C. Crandall,et al.  Anti-fat prejudice: beliefs, values, and American culture. , 1998, Obesity research.

[50]  J. Williams,et al.  Psychological health in a non-clinical sample of obese women , 1998, International Journal of Obesity.

[51]  M. Taylor,et al.  The development and validation of the body shape questionnaire , 1987 .

[52]  P. Mikulka,et al.  Attitudinal body-image assessment: factor analysis of the Body-Self Relations Questionnaire. , 1990, Journal of personality assessment.

[53]  N. Scopinaro,et al.  Body image and body weight in obese patients. , 1998, The International journal of eating disorders.

[54]  K. Brownell,et al.  Stress and Body Shape: Stress-Induced Cortisol Secretion Is Consistently Greater Among Women With Central Fat , 2000, Psychosomatic medicine.

[55]  K. Brownell,et al.  Stress may add bite to appetite in women: a laboratory study of stress-induced cortisol and eating behavior , 2001, Psychoneuroendocrinology.

[56]  D. Sarwer,et al.  Obesity and body image disturbance , 2002 .

[57]  K. Brownell,et al.  Weight bias among health professionals specializing in obesity. , 2003, Obesity research.