Weight Self-Stigma and Disordered Eating Behaviors in Iranian Women: The Mediating Roles of Self-Efficacy and Guilt

Objective: This study aimed to investigate the concurrent relationships between weight self-stigma and disordered eating behaviors, mediated by weight- and body-related shame and guilt, fear of negative appearance evaluation, and eating self-efficacy, among women with overweight and obesity. Materia...

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Main Authors: Nazli Tavakoli, Mehdi Manouchehri, Mohammadreza Seyrafi, Gholamreza Sarami Foroushani, Abdolreza Norouzy
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Sciences 2025-02-01
Series:Iranian Journal of Diabetes and Obesity
Subjects:
Online Access:http://ijdo.ssu.ac.ir/article-1-932-en.pdf
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author Nazli Tavakoli
Mehdi Manouchehri
Mohammadreza Seyrafi
Gholamreza Sarami Foroushani
Abdolreza Norouzy
author_facet Nazli Tavakoli
Mehdi Manouchehri
Mohammadreza Seyrafi
Gholamreza Sarami Foroushani
Abdolreza Norouzy
author_sort Nazli Tavakoli
collection DOAJ
description Objective: This study aimed to investigate the concurrent relationships between weight self-stigma and disordered eating behaviors, mediated by weight- and body-related shame and guilt, fear of negative appearance evaluation, and eating self-efficacy, among women with overweight and obesity. Materials and Methods: This study was a cross-sectional study. The sample consisted of 228 Iranian women, aged 18-70 years, with overweight and obesity (BMI≥ 25), who were purposively selected. Participants responded to online demographic questions and research measurement tools (Dutch Eating Behavior Questionnaire, Weight Self-Stigma Questionnaire, Weight- and Body-Related Shame and Guilt Scale, Weight Efficacy Lifestyle-Short Form, Fear of Negative Appearance Evaluation Scale). Statistical methods of descriptive statistics, Pearson correlation matrix, structural equation modeling and bootstrapping mediation analysis were used to analyze the data, through SPSS 23 and AMOS 23. Results: The results showed that weight self-stigma had significant paths to all research variables in a structural model (P< 0.05). Furthermore, mediation analysis showed that eating self-efficacy mediated the relationships between weight self-stigma and emotional (P< 0.001), external (P< 0.001), and restrained eating behaviors (P< 0.002). Additionally, weight and body-related guilt mediated the relationship between weight self-stigma and restrained eating behavior (P< 0.001). Totally, the research model explained 14.9% of the variance of emotional and external eating behaviors, and 36.2% of the variance of restrained eating behavior. Conclusion: The findings highlight the importance of considering weight self-stigma in obesity research. Additionally, improving eating self-efficacy and addressing guilt through psychological interventions are crucial for managing eating behaviors in this population.
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record_format Article
series Iranian Journal of Diabetes and Obesity
spelling doaj-art-84269fc43868435ca4e885d9eaa6c51f2025-08-20T01:57:25ZengShahid Sadoughi University of Medical SciencesIranian Journal of Diabetes and Obesity2008-67922345-22502025-02-011712839Weight Self-Stigma and Disordered Eating Behaviors in Iranian Women: The Mediating Roles of Self-Efficacy and GuiltNazli Tavakoli0Mehdi Manouchehri1Mohammadreza Seyrafi2Gholamreza Sarami Foroushani3Abdolreza Norouzy4 PhD. Student in Health Psychology, Department of Clinical and Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran. Assistant Professor, Department of Psychology, Faculty of Welfare and Health Social Sciences, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran. Assistant Professor, Department of Clinical and Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran. Assistant Professor, Department of Educational Psychology, Faculty of Psychology and Educational Sciences, Kharazmi University, Tehran, Iran. Associate Professor, Medical Department, Iran University of Medical Sciences and Health Services, Tehran, Iran. Objective: This study aimed to investigate the concurrent relationships between weight self-stigma and disordered eating behaviors, mediated by weight- and body-related shame and guilt, fear of negative appearance evaluation, and eating self-efficacy, among women with overweight and obesity. Materials and Methods: This study was a cross-sectional study. The sample consisted of 228 Iranian women, aged 18-70 years, with overweight and obesity (BMI≥ 25), who were purposively selected. Participants responded to online demographic questions and research measurement tools (Dutch Eating Behavior Questionnaire, Weight Self-Stigma Questionnaire, Weight- and Body-Related Shame and Guilt Scale, Weight Efficacy Lifestyle-Short Form, Fear of Negative Appearance Evaluation Scale). Statistical methods of descriptive statistics, Pearson correlation matrix, structural equation modeling and bootstrapping mediation analysis were used to analyze the data, through SPSS 23 and AMOS 23. Results: The results showed that weight self-stigma had significant paths to all research variables in a structural model (P< 0.05). Furthermore, mediation analysis showed that eating self-efficacy mediated the relationships between weight self-stigma and emotional (P< 0.001), external (P< 0.001), and restrained eating behaviors (P< 0.002). Additionally, weight and body-related guilt mediated the relationship between weight self-stigma and restrained eating behavior (P< 0.001). Totally, the research model explained 14.9% of the variance of emotional and external eating behaviors, and 36.2% of the variance of restrained eating behavior. Conclusion: The findings highlight the importance of considering weight self-stigma in obesity research. Additionally, improving eating self-efficacy and addressing guilt through psychological interventions are crucial for managing eating behaviors in this population.http://ijdo.ssu.ac.ir/article-1-932-en.pdfeating disordersemotionsobesityself efficacy
spellingShingle Nazli Tavakoli
Mehdi Manouchehri
Mohammadreza Seyrafi
Gholamreza Sarami Foroushani
Abdolreza Norouzy
Weight Self-Stigma and Disordered Eating Behaviors in Iranian Women: The Mediating Roles of Self-Efficacy and Guilt
Iranian Journal of Diabetes and Obesity
eating disorders
emotions
obesity
self efficacy
title Weight Self-Stigma and Disordered Eating Behaviors in Iranian Women: The Mediating Roles of Self-Efficacy and Guilt
title_full Weight Self-Stigma and Disordered Eating Behaviors in Iranian Women: The Mediating Roles of Self-Efficacy and Guilt
title_fullStr Weight Self-Stigma and Disordered Eating Behaviors in Iranian Women: The Mediating Roles of Self-Efficacy and Guilt
title_full_unstemmed Weight Self-Stigma and Disordered Eating Behaviors in Iranian Women: The Mediating Roles of Self-Efficacy and Guilt
title_short Weight Self-Stigma and Disordered Eating Behaviors in Iranian Women: The Mediating Roles of Self-Efficacy and Guilt
title_sort weight self stigma and disordered eating behaviors in iranian women the mediating roles of self efficacy and guilt
topic eating disorders
emotions
obesity
self efficacy
url http://ijdo.ssu.ac.ir/article-1-932-en.pdf
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