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This study utilized mobile ecological momentary assessment (EMA) to examine the dynamic relationships among experiential avoidance (EA), mood, and cardiopulmonary rehabilitation (CVPR) attendance.Participants (Greater EA and negative mood significantly predicted worse next-week CVPR attendance rates. Within the same EMA prompt individuals with higher EA also reported greater negative affect and perceived stress, while individuals with lower EA reported greater positive mood. In addition, lagged analyses showed that EA was negatively related to next-day positive mood scores.EA appears to be an important targetable mechanism negatively related to CVPR program attendance and mood in CVPR patients. The present study builds upon previous research supporting EA as a dynamic and fluid emotion-regulation process, suggesting EA's impact on mood and behavior may be best understood through repeated real-time measurement methodology. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

PURPOSE To examine (1) whether a wife's BMI interacts with either her husband's weight stigma or (2) her perceived weight criticisms from her husband predict husbands' and wives' psychological and relational outcomes. METHODS The study sample consisted of 209 currently married men and women in a heterosexual relationship. Participants were drawn from an online survey platform (Qualtrics, Inc. Provo, UT) designed to approximate the US population on age, race, and region of the country. Online measures assessed husbands' weight stigma, wives' perceived weight criticisms from husband, and husbands' and wives': (1) relationship satisfaction, (2) sexual intimacy, (3) self-esteem, (4) depressive symptoms, and (5) perceptions of a desirable or ideal mate. RESULTS Wives' BMI interacted with husbands' weight stigma to predict (1) mate value for husbands and wives and (2) marital satisfaction for husbands. The same pattern was noted with interaction of wives' BMI and perceptions of husbands' weight related criticisms. The interaction reflected that higher wife BMI and higher husband weight stigma or wife perceived weight-related criticism predicted lower marital satisfaction, greater depression, and lower perceptions of a desirable or an ideal mate. Lower BMI was not associated with outcomes regardless of the husbands' weight stigma or wives' perceived weight-related criticisms. CONCLUSION To understand the impact of weight stigma and weight related criticisms on perceptions of a desirable or ideal mate and marital outcomes, it is important to examine the interaction with partner's BMI. LEVEL OF EVIDENCE III: Evidence obtained from cohort or case-control analytic studies.

The primary aim of this investigation was to examine the efficacy, feasibility, and acceptability of adding SC skills training to a standard behavioral weight loss program (BWLP + SC), with the secondary aim of replicating prior research utilizing video conferencing technology to deliver a small group, weekly BWLP. The sample originally consisted of 54 individuals. The BWLP utilized Webex video conferencing software to deliver a 12-week interactive BWLP. Participants were randomized to a standard BWLP or a standard BWLP augmented with self-compassion skills training (BWLP + SC). Over the course of treatment, participants lost on average 7.2 lbs or 3.3% of their body weight. Other gains included a significant reduction in total calories, increased physical activity, and a reduction in maladaptive eating patterns. Among all participants, significant associations were observed between higher baseline SC, lower maladaptive eating, and higher intuitive eating. Among participants in the self-compassion group, a significant increase in self-compassion was observed, but treatment outcomes were not improved among these participants relative to the BWLP participants. The promising results from the current investigation suggest that the utilization of video conferencing software and the addition of SC skills training to the treatment of obesity has merit. Continued investigation of both SC skills training and virtual technology platforms in the delivery of weight loss research is recommended.

While some media perpetuate weight stigma and an ideal of thinness, certain advertising campaigns, such as Aerie Real and Dove Real Beauty, have attempted to promote body acceptance. The current study evaluated the influence of exposure to these campaigns on weight bias, internalized weight bias (IWB), self-esteem, body image, and affect relative to exposure to a campaign perpetuating the thin ideal and a documentary on weight stigma. 475 female participants were randomized to one of five conditions: Aerie, Dove, Victoria's Secret, an HBO documentary, or control (i.e., neutral video clip). Participants completed measures of weight bias, IWB, self-esteem, body image, and affect one week prior to and immediately after watching the assigned video clip. Results showed positive effects of the Aerie and Dove campaigns on women. While global measures of weight bias and IWB were unchanged, women who viewed the Dove and Aerie campaigns reported significantly improved self-esteem and positive affect. Further, women found the campaigns to have positive, uplifting, and empowering messages. Aerie's and Dove's acceptance-promoting advertising campaigns positively influenced self-esteem and mood, and they are potential tools for weight bias reduction. Advertisements and media have the potential to impact weight-based attitudes in society.

People with obesity are often the target of disparaging humour. The typical derision of obesity found in everyday life also extends into the realm of the media. Many assumptions have been made about the effects this type of humour may have on the public’s attitudes toward people with obesity, but little empirical research exists. In the present research, two studies sought to uncover whether jokes and humorous media depictions of people with obesity affect individuals’ attitudes. In Study 1, participants (N = 271) either read a list of derogatory jokes about obesity, read a list of derogatory comments about obesity, or read a list of jokes that were unrelated to obesity. All participants were then asked to report their 1) attitudes toward people with obesity in several domains, 2) level of belief in stereotypes about obesity and 3) judgement of the social acceptability of jokes about obesity. Participants’ scores on these dependent measures did not differ across groups suggesting obesity jokes do not have an immediate impact on attitudes. In Study 2, participants (N = 146) were shown video clips from film and television programmes that featured derogatory humour targeting obese characters. Again, participants’ scores on dependent measures did not differ across groups. The results of these studies suggest that brief exposure to derogatory weight-related humour may not affect individuals’ attitudes toward people with obesity as might be assumed. Longer exposure to disparaging humour may be required to shift individuals’ attitudes about people with obesity

The current study examined experienced weight stigma (EWS), internalized weight bias (IWB), and maladaptive eating patterns (ME) among sexual minority (SM) and heterosexual individuals.The sample consisted of cisgender heterosexual and SM men and women. Participants were drawn from introductory psychology classes and a variety of supplemental recruitment methods (Facebook, Instagram, MTURK, etc.).SM individuals reported higher levels of EWS, IWB, and maladaptive eating patterns than heterosexual individuals. Heterosexual men reported the lowest levels of EWS, IWB, and ME compared to all other groups. Additionally, there was a significant association between greater EWS and IWB and greater ME. Gender identity and sexual orientation impacted the strength of the relationship between IWB and ME and, to a lesser extent, EWS and ME.This investigation contributes to knowledge of the impact of gender identity and sexual orientation on EWS and IWB, and demonstrates that IWB and EWS are significant concerns for the SM community, especially in relation to ME.Level IV, cross-sectional study.

Purpose: The current study aims to examine weight stigma and sociocultural attitudes toward appearance among lesbian, gay, and bisexual (LGB) individuals and heterosexual men and women. Methods: The sample consisted of heterosexual and LGB men and women. Participants were drawn from introductory psychology classes and a variety of supplemental recruitment methods (Facebook, Instagram, Reddit, MTURK, etc.). Results: Individuals identifying as male and individuals identifying as heterosexual had significantly greater weight bias than individuals identifying as female and individuals identifying as LGB. Additional gender identity and sexual orientation mean group differences among sociocultural attitudes were observed. While there were modest associations between weight bias and overall sociocultural attitudes, gender identity and sexual orientation had little impact on the strength of these associations. Conclusion: This investigation contributes to knowledge of the impact of gender identity and sexual orientation on weight stigma and sociocultural attitudes toward appearance.Level of EvidenceIII: Evidence obtained from cohort or case–control analytic studies.

This study examined the influence of a behavioural weight loss programme (BWLP) and social physique anxiety (SPA) on weight-loss success and subjective well-being in obese, sedentary women (N = 32 ...

Objectives The aims of the current study were twofold: 1) examine the effectiveness of an acceptance-based behavioral approach as a supplement to a stepped-care obesity treatment, and 2) examine factors that contribute to poor weight loss outcomes and the need for more intensive treatment. Methods Fifty-three participants recruited from a large southeastern university completed a four-month weight loss program (Mage = 48.0, SDage = 13.2, MBaseline BMI = 35.5, SDBaseline BMI = 5.3, 69.8% female, 56.6% white, 39.6% black, 69.8% college degree or higher). A two-step treatment approach was implemented over four months. Step 1 included the Diabetes Prevention Program manual adapted for self-administration and the exercise and caloric monitoring portion of DPP was augmented by technology. In Step 2, participants who did not meet an established weight loss goal of 2.5% of body weight were randomized to continue with self-help (MISS-SH) or to participate in a weekly acceptance-based weight loss group (MISS-ABT). Results Participants who met a 2.5% weight loss at week 8 and continued with SH (MISS-SH) lost a clinically significant amount of weight, averaging a weight loss of 5.3% (SD = 3.3) over the total 16 weeks of the intervention. Stepped participants randomized to MISS-ABT lost 1.3% of their body weight, and stepped participants randomized to continue with self-help (MISS-SH) achieved a 0.4% weight loss. There was evidence that the MISS-ABT group helped participants who attended the groups more regularly to lose weight. Participants who lost less weight and/or were eligible for stepped-care reported significantly higher levels of depression, internalized weight bias, binge eating, cognitive fusion with food cravings, and obstruction to valued living. Conclusions In this investigation, approximately half of the participants were able to lose a clinically significant amount of weight utilizing a minimally intensive intervention with little additional support. MISS-ABT participants were adherent to treatment and lost significantly more weight than participants eligible for stepped care but randomized to continue with SH. A number of psychological factors discriminated between those who were successful and unsuccessful at losing weight. The current preliminary research offers support to continue investigating ABT's potential beneficial effects in promoting weight loss outcomes.

There is limited evidence on the impact of weight loss via caloric restriction and aerobic exercise on Life’s Simple 7 (LS7), a health assessment tool used by the American Heart Association to promote and track cardiovascular health (CVH) via modifiable risk factors and health behaviors. Individuals with obesity have a greater prevalence of traditional and non-traditional cardiometabolic risk factors than lean individuals. Objective: Examine the effect of a weight loss intervention on LS7 and assess predictors of change in adults with obesity. Methods: Twenty-six adults (44.9 ± 9.7 years; weight: 93.9 ± 11.1 kg; body mass index: 34.1 ± 3.4 kg/m 2 ) participated in a 10-week medical weight loss program (OPTIFAST) and supervised exercise training program (50-75% VO 2 max) to achieve clinically significant weight loss (≥7% body weight). Poor, intermediate, and ideal CVH categories were defined as scores 0 to 4, 5 to 9, and 10 to 14, respectively. Baseline and post-weight loss LS7 scores were calculated via participant demographics, smoking status, anthropometry, physical activity level, diet intake, and blood lab reports. Paired samples t-test and Pearson’s correlations were used. Results: Mean weight loss was significant (-9.2 ± 3.6 kg, p < 0.001). Mean LS7 score significantly increased from baseline to weight loss (7.3 ± 1.5 vs. 9.6 ± 1.2, respectively, p < 0.001) and 57.7% of participants (15 of 26) improved to ideal CVH following weight loss. A significant inverse association was observed between change in LS7 and systolic blood pressure ( r = -0.41, p < 0.05), total cholesterol ( r = -0.45, p < 0.05), and glucose ( r = -0.41, p < 0.05). There were no further significant relationships with LS7 (i.e. change in weight, body mass index, physical activity, diastolic blood pressure). Discussion: A combined caloric restriction and aerobic exercise training intervention improved a multitude of cardiovascular disease risk factors. Previous epidemiological studies indicate meeting the ideal LS7 metrics is associated with 78% and 49% reduced risk of cardiovascular disease morbidity and mortality, respectively. Thus, the long-term modification of health behaviors and cardiometabolic risk factors to achieve ideal cardiovascular health may reduce risks of cardiovascular morbidity and mortality in individuals with obesity.

Clinically significant weight loss is associated with health benefits for overweight and obese adults. Participation in adequate amounts of physical activity is critical for weight maintenance. However, the recommended amount of physical activity needed to promote weight maintenance is based primarily on retrospective studies that quantified physical activity levels through questionnaires which tend to overestimate physical activity levels. In addition, the present literature has provided little data on the impact of these physical activity levels on cardiovascular and diabetes risk factors, which may have equal or more clinical importance than weight changes. The Prescribed Exercise to Reduce Recidivism After Weight Loss-Pilot (PREVAIL-P) study will evaluate the effect of aerobic exercise training amount on weight maintenance following clinically significant weight loss in overweight and obese adults (BMI 25–40 kg/m2) age 30–65 years. Participants (N = 39) will complete a 10-week OPTIFAST® weight loss program with supervised aerobic exercise training. Individuals who achieve ≥7% weight loss from baseline will be subsequently randomized to levels of aerobic training consistent with physical activity recommendations (PA-REC) or weight maintenance recommendations (WM-REC) for 18 additional weeks. The primary outcome of the PREVAIL-P study will be change in weight from the completion of OPTIFAST® program to the end of the study. Notable secondary measures include changes in clinically relevant cardiometabolic risk factors between study groups (e.g. blood lipids concentrations, oral glucose tolerance, arterial stiffness). This pilot study will be used to estimate the effect sizes needed for a randomized controlled trial on this topic.

To examine (1) whether a wife's BMI interacts with either her husband's weight stigma or (2) her perceived weight criticisms from her husband predict husbands' and wives' psychological and relational outcomes.The study sample consisted of 209 currently married men and women in a heterosexual relationship. Participants were drawn from an online survey platform (Qualtrics, Inc. Provo, UT) designed to approximate the US population on age, race, and region of the country. Online measures assessed husbands' weight stigma, wives' perceived weight criticisms from husband, and husbands' and wives': (1) relationship satisfaction, (2) sexual intimacy, (3) self-esteem, (4) depressive symptoms, and (5) perceptions of a desirable or ideal mate.Wives' BMI interacted with husbands' weight stigma to predict (1) mate value for husbands and wives and (2) marital satisfaction for husbands. The same pattern was noted with interaction of wives' BMI and perceptions of husbands' weight related criticisms. The interaction reflected that higher wife BMI and higher husband weight stigma or wife perceived weight-related criticism predicted lower marital satisfaction, greater depression, and lower perceptions of a desirable or an ideal mate. Lower BMI was not associated with outcomes regardless of the husbands' weight stigma or wives' perceived weight-related criticisms.To understand the impact of weight stigma and weight related criticisms on perceptions of a desirable or ideal mate and marital outcomes, it is important to examine the interaction with partner's BMI.III: Evidence obtained from cohort or case-control analytic studies.

Objective: The OPTIFAST diet has known effects for weight loss, but little data exists on the effects of the diet on arterial stiffness. Methods: Overweight and obese (BMI: 34.5 + 4.0) adults (N=17) participated in a 10-week OPTIFAST™ weight loss program and supervised aerobic exercise training (50%-75% VO 2 max). The diet consisted of OPTIFAST meal replacement products with a goal of reducing total caloric intake to 800 kcals/day and attending a weekly weight management class. Aerobic exercise was performed 3 times per week and the exercise volume was progressed from 300 to 700 MET mins. per week at an intensity of 50%-75% VO2 max. The goal of study participants was to achieve a 7% weight loss. Carotid-to-femoral pulse wave velocity, blood pressure (aortic and brachial), vascular age, augmentation index and blood samples were measured in the morning after an overnight fast at baseline and follow-up. A paired t-test was performed to evaluate the change in outcomes variables. Results: The mean percent weight loss in the sample was 9.0% (-8.5 kg), with 83.3% of participants achieving 7% weight loss (94.1% achieving ≥5%). The adherence to the exercise program was 94.9% and attendance in the weight loss classes was 81.8%. There was a reduction in pulse wave velocity (-0.44 m/s, p=0.030), aortic systolic blood pressure (-10.5 mmHg, p0.05). Discussion: A hypo-caloric dietary program in combination with aerobic exercise training improves arterial stiffness, aortic blood pressure, and brachial blood pressure in overweight and obese adults An important limitation of the present study is that we cannot separate the health benefits of the diet from the exercise.

The study examines married men's weight stigma, internalized weight bias (IWB) and other weight-related concerns/criticisms directed toward their wife, their perceptions of their wife as an ideal mate, and husbands' and wives' psychological distress and relationship satisfaction. The sample consisted of 209 married men and women in a heterosexual relationship. Participants were drawn from an online survey platform (Qualtrics, Provo, UT) that approximated the US population on age, race, and region of the country. Measures assessed husbands': (1) IWB, (2) weight stigma, (3) weight-related concerns/criticisms directed toward his wife, (4) relationship satisfaction, (5) sexual intimacy, (6) self-esteem, (7) depressive symptoms, and (8) perceived mate value. Husbands' weight stigma, IWB, weight-related concerns/criticisms, and perceived mate value were significantly associated with husbands' and wives' depressive symptoms, self-esteem, relationship satisfaction, and sexual intimacy. Structural equation modeling analyses revealed that husbands' weight stigma and IWB were indirectly linked to husbands' and wives' relationship satisfaction and sexual intimacy through weight-related concerns/criticisms and, to a lesser extent, perceived mate value. This investigation suggests that husbands' weight stigma, IWB, and other weight-related concerns/criticisms, suggestions, and mate perceptions are strongly associated with both husbands' and wives' psychological and relationship outcomes.

The current investigation extends ecological momentary assessment (EMA) and daily diary weight stigma research in internalised weight bias (IWB). This investigation used daily diaries to examine the relationship between IWB, mood, coping, body appreciation, exercise behaviours and eating behaviours.The study sample consisted of individuals who were overweight or obese (85% female) with MParticipants reported on IWB, mood, coping, body appreciation, exercise behaviours and eating behaviours.Both within- and between-subjects IWB were significantly related to positive affect, negative affect, several coping responses, body appreciation, eating behaviours and the urge to avoid exercise. Exploratory analyses indicated that positive and negative affect mediated many of the associations between IWB and coping responses, body appreciation, and eating and exercise behaviours.This investigation provides evidence that IWB experiences have daily impacts on psychological well-being, body appreciation, coping, eating and exercise behaviours. Also, this study raises awareness about IWB and its potential impact on psychological well-being and health behaviours.

PURPOSE This article describes the concept of disturbed body image in bariatric surgery patients. METHOD Walker and Avant's (2011) method of concept analysis is used in this study. FINDINGS After bariatric surgery, the patient's body may change more rapidly than their allocentric ("inside, lived") view of themselves, leading to physical and psychosocial sequelae. CONCLUSION If not prepared physically and psychologically for body image challenges after bariatric surgery, patients may experience disturbed body image in the postoperative phase. IMPLICATIONS FOR NURSING PRACTICE Understanding the concept of disturbed body image in postoperative bariatric surgery patients may allow health providers to provide preoperative teaching and preparation, as well as postoperative interventions to create congruence between the patient's internal and external selves.

This investigation explored experiences of weight stigma using momentary, real-time diary assessments among adults seeking weight loss treatment. In total, 51 participants completed diary assessments of weight stigmatizing events and reported how they felt and coped with each incident. Experiencing stigma was significantly associated with fewer positive and greater negative emotions. There was a significant inverse relationship between using positive self-talk and feeling numb and a positive relationship between using isolation/avoidance coping and feeling depressed, ashamed, and less happy. The significant negative momentary impacts of weight stigma likely contribute to the long-term negative consequences of experiencing weight stigma.

The stigma of obesity impacts individuals across numerous life domains, and people with obesity are offered little legal protection against discrimination based on their body type. While a number of experiments have shown that stigmatizing attitudes toward obesity are somewhat malleable, fewer studi

Objective The relative stigmatization of various eating disorders (ED) remains understudied, and there is no research examining stigma toward avoidant-restrictive food intake disorder (ARFID) or adult picky eating. The present study examined the relative stigmatization of various EDs and the subthreshold eating behaviors that are risk factors for their development, and the relation of gender differences to stigma. Method A sample of 1147 college students was recruited and completed the study online. Participants were randomized and presented with a vignette representing a clinical ED [anorexia nervosa (AN), binge-eating disorder (BED), ARFID] or a subthreshold eating presentation (restrained eating, emotional eating, picky eating). Participants completed measures of stigma and perceived psychopathology. A 6 (target eating behavior) × 2 (target gender) × 2 (participant gender) MANOVA and subsequent ANOVAs were employed. Results Measures of stigma revealed significant main effects for eating presentation and participant gender. There were also significant interactions between eating presentation and participant gender. Men reported more stigmatizing views toward BED and AN compared to women. Overall, restraint was stigmatized less than the other targets, and AN received the greatest amount of stigma. Participants rated BED and AN as more pathological than all other targets, emotional eating and ARFID as more pathological than picky eating and restrained eating, and restrained eating as less pathological than all other targets. Conclusions Future research should explore how the severity of eating behavior influences perceptions and at what level behaviors such as restriction are recognized as disordered.

When bariatric surgery is performed, a successful outcome is usually described as % total weight lost (EWL) or a change in BMI. These definitions fail to address the importance of post-operative psychosocial adjustment. Previous research has alluded to a ‘mind–body lag’ where the patient’s experienced body feels larger than their physically smaller post-operative body, perhaps as a result of amygdalae conditioning. The purpose of this study is to further investigate this psychological issue and assess its relationship to health locus of control, alexithymia, health quality of life and weight regain in bariatric surgery patients. Forty female bariatric surgery patients between 18 and 30 months post-op completed demographic data, survey instruments and anthropometric testing. Their evolving self-view, health locus of control, tendency toward alexithymic thought, and health quality of life were measured to identify significant relationships. Hermans’ Dialogical Self Theory was used to understand the conflicted self-view of the participants. The majority of participants retained an obese view of self despite weight loss. Those who retained an ‘I-obese’ viewpoint were significantly more likely to see external situations and powerful others as controlling their weight, have difficulty identifying their feelings and score significantly lower in vitality, social functioning and mental health. Despite losing weight, the majority of participants retained an obese view of self that was significantly associated with a lessened health quality of life. Use of the Evolving Self-View (ESV) exploratory tool may allow early identification of post-operative patients with a prolonged ‘I-obese’ self-view and provide an opportunity for intervention. Level III, cross-sectional case-control study.

Aims and objectives To explore the experience of postoperative bariatric surgery patients as they adjust to diminished weight and differentiate that adjustment from the more general concept of body image. Background Bariatric surgery is an effective way to reduce weight and comorbidities associated with obesity. Complete success requires that patients must adjust psychologically as they lose weight. If this does not occur, bariatric patients may experience a "mind-body lag," in which the patient's internal body image lags behind the external changes. Hermans' Dialogical Self Theory of "I-positions" is a foundation with which to understand this problem. Design Descriptive correlational study of postoperative bariatric patients explored the concept of "I-obese" and "I-ex-obese" in an effort to quantify previous qualitative findings and develop a survey questionnaire. Methods Bariatric patients (N = 55) between 18-30 months postoperative completed one-hour interviews. Cluster analysis and chi-squared analysis compared mean scores and explored the prevalence of "I-positions" and body image concerns in the participants. Results Cluster analysis of the survey data identified participants as falling into either "I-obese," "I-ex-obese" or "mixed I-obese" categories. There were significantly higher body image concerns in the "I-obese" participants than those identified as "I-ex-obese." The majority of female participants reported high body image concerns. There was no significant association with weight loss percentage. Conclusion This research establishes a connection in this study sample of women who experience body image concerns and prolonged "I-obese" identification 18-30 months after their bariatric surgery. Relevance to clinical practice To date, the primary measure of bariatric surgery success has focused almost exclusively on the amount of weight loss. Implementing psychological as well as physiological care, however, may be the key to full recovery and long-term success. Practitioners can use this new information to plan effective pre- and postoperative psychological preparation and support.

Despite current recommendations and guidelines on the treatment of overweight and obesity, little is known about what patterns of energy intake or expenditure are ideal for weight loss. The present study examined patterns in energy intake and expenditure and explored whether those differences were associated with weight loss.Self-monitoring data on energy intake and expenditure, along with minutes spent in exercise, were obtained from 90 overweight or obese adults (mean BMI = 38.0) enrolled in two behavioral weight loss programs. Energy intake and minutes of daily exercise were self-reported and energy expenditure was obtained from the Caltrac accelerometers that were provided to participants.On weekends (Friday through Sunday), participants consumed more calories from breakfast (271 vs. 241 kcals/day; p .01), dinner (605 vs. 547 kcals/day; p .001), and alcohol (59 vs. 27 kcals/day; p .01), as well as total daily calories (1669 vs. 1520 kcals/day; p .001) and expended fewer total calories (2515 vs. 2614 kcals/day; p .01) than on weekdays. Higher caloric intake on weekdays was associated with less overall weight loss (r = -.29, p .01) and was marginally associated on weekends (r = -.19, p = .051).This investigation found evidence that while eating patterns clearly contribute to daily energy intake on weekdays and weekends, they may not necessarily contribute to weight change. At the end of the day, what may be most important is regular self-monitoring and total caloric intake on both the weekdays and weekends.

Cardiovascular emotional dampening is the term used to describe the inverse relationship between resting blood pressure and emotional responsivity which extends from normotensive to hypertensive ranges. Little is known about its underlying physiological mechanisms, but it is thought to involve some disruption in emotion processing. One area that has yet to be explored in the literature is the relationship between emotional dampening and frontal asymmetry, a psychophysiological indicator for motivational direction and emotional valence bias. The present study explored that relationship using data from a sample of 48 healthy college students. Measures of baseline resting blood pressure and frontal cortical activity were recorded, after which participants completed a series of emotion-related tasks. Results revealed a significant relationship between resting systolic blood pressure and left frontal activity. Likewise, left frontal activity was associated with neutral appraisal of emotionally valenced stimuli within the tasks. The findings from the present study yield support for a link between emotional dampening and left frontal activity. Implications are discussed.

The goal of the current study was to examine the impact of a weight loss intervention on implicit bias toward weight, as well as the relationship among implicit bias, weight loss behaviors, and weight loss outcomes. Additionally, of interest was the relationship among these variables when implicit weight bias was measured with a novel assessment that portrays individuals who are thin and obese engaged in both stereotypical and nonstereotypical health-related behaviors.Implicit weight bias (stereotype consistent and stereotype inconsistent), binge eating, self-monitoring, and body weight were assessed among weight loss participants at baseline and post-treatment (N=44) participating in two weight loss programs.Stereotype consistent bias significantly decreased from baseline to post-treatment. Greater baseline stereotype consistent bias was associated with lower binge eating and greater self-monitoring. Greater post-treatment stereotype consistent bias was associated with greater percent weight loss. Stereotype inconsistent bias did not change from baseline to post-treatment and was generally unrelated to outcomes.Weight loss treatment may reduce implicit bias toward overweight individuals among weight loss participants. Higher post-treatment stereotype consistent bias was associated with a higher percent weight loss, possibly suggesting that losing weight may serve to maintain implicit weight bias. Alternatively, great implicit weight bias may identify individuals motivated to make changes necessary for weight loss.

Summary Problem The current study investigated the influence of a plaintiff's weight and the location of an accident on a simulated jury's perceptions of plaintiff's personal responsibility for an accident. Methods Participants were 185 lean and overweight male and female adults (mean self-reported body mass index: 24.87 ± 5.45) who read one of three vignettes describing an accident that occurred while leaving one of three different establishments (fast food burger restaurant; fitness gym; department store) while viewing one of two silhouettes of the alleged plaintiff (a lean female; an obese female). Results Participants were significantly more likely to report the plaintiff's weight entered into their perceptions of personal responsibility when they viewed the overweight plaintiff compared to the thin plaintiff. As respondent's self-reported weight bias increased, participants were more likely to hold the plaintiff responsible and more likely to blame plaintiff characteristics for the accident. Conclusion The weight of a plaintiff may affect juror perceptions of personal responsibility particularly if the juror possesses self-reported weight bias.

One of the few stigmatized conditions still considered “fair game” for public joking and ridicule is obesity. The standard for TV and film comedies is to show overweight characters in a stereotypical and disparaging manner. The body of research on disparaging humor has not yet sought to determine viewers’ attitudes toward weight-related humor. Of primary interest in the present study was whether reactions to humor vary systematically with viewers’ preexisting attitudes toward obesity. Participants (N 501) viewed 7 video clips from popular film and TV programs featuring weight-related humor. Participants then rated each clip on a number of dimensions (e.g., funniness, offensiveness). Additionally they completed measures of attitudes and beliefs toward obesity including dislike for obese persons, belief in the controllability of body weight, and a belief in stereotypes about obese persons. As predicted, participants’ dislike for obese persons and their belief in disparaging stereotypes about obesity are associated with higher levels of weight-related humor appreciation. Additionally, a stronger belief in disparaging stereotypes about obesity and a belief in the controllability of obesity are negatively related to individuals’ level of distaste for weight-related humor. These findings support the empirical basis of disparagement humor theory and the disposition theory of humor appreciation. They can also inform research on the stigma of obesity and representations of stigmatized groups in the media.

Despite the increasing number of prescriptions written to adolescents and young adults for opioid analgesics, the rise in non-medical use of such drugs among university students, and the potential role of craving in the misuse of opioids, there have been no published studies assessing craving for prescription opioids in this population. Therefore, the current study was designed to assess the impact of prescription opioid-related cue exposure on craving in university students. Students ( n = 277) recruited from a large university in the Midwestern United States were randomly assigned to two conditions to test the impact of cue exposure to either prescription opioid-related stimuli or control stimuli. Relative to the control condition, prescription opioid-related cue exposure significantly increased overall craving, desire and intention to use prescription opioids, relief from negative states by using prescription opioids, and perceived control over prescription opioid use. In addition, when assessing correlates of post-cue exposure craving, negative mood and procurement of prescription opioids from non-medical sources were the only measured variables that were significantly associated with overall craving and/or any of the craving measure's subscales. Craving may be important aspect of prescription opioid use among university students. Future research assessing craving as a function of non-medical user subtype is warranted.

The present study examined food addiction symptomology and its relationship to eating pathology and psychological distress among adults seeking weight loss treatment. A primary interest was an examination of the relationship between food addiction symptoms and short-term weight loss. Adults beginning a behavioral weight loss program (N=57) were given the Yale Food Addiction Scale (YFAS) as well as measures of psychological distress, disordered eating, weight bias, and weight-focused attitudes. Weight loss was measured after 7 weeks. Severity of food addiction was related to increased depression, emotional eating, binge eating, anti-fat attitudes, internalized weight bias, body shame, and low eating self-efficacy, but not body satisfaction. Increased food addiction symptomology was also related to less weight lost at 7 weeks. Findings suggest that individuals attempting to lose weight while combating symptoms of food addiction may be especially prone to eating-related pathologies, internalized weight bias, and body shame. Importantly, findings provide evidence that food addiction may undermine efforts to lose weight. The pathology associated with addiction (e.g., tolerance, withdrawal) could make the adoption of more healthful eating habits especially difficult.

Objective: The Multi-Threat Framework accounts for potentially different forms of stereotype threat that differ in target (i.e., the individual or the group) and source (i.e., the self or others). This investigation examined how these different forms of perceived stereotype threat were related to concepts, such as group identity, stereotype endorsement, stigma consciousness, etc., among overweight and obese individuals. Method: 216 adults completed an online survey. Participants' mean age was 23.6 (SD 10.1; range 18-64) years and mean BMI was 31.6 (SD 7.5) kg/m2. Results: Participants reported a history of feeling threatened by stereotypes related to weight. When reflecting on past experiences of perceived stereotype threat, participants reported greater levels of self/own stereotype threat compared to group stereotype threat. Level of stereotype threat was related to a number of personal characteristics (i.e., sex, BMI) and individual factors (i.e., group identity, stigma consciousness, fear of fat). Conclusion: Individuals who are overweight report a history of being threatened by negative stereotypes. The findings support the Multi-Threat Framework for stereotype threat based on body weight. Overweight individuals' susceptibility to stereotype threat may vary systematically depending on several factors. Future research should examine weight-related stereotypes' impact on cognitive and behavioral outcomes.

Objectives The aims of the current study were twofold: 1) examine the effectiveness of an innovative three-step, stepped-care behavioral weight loss treatment, and 2) examine factors that contribute to poor weight loss outcomes and the need for more intensive treatment. Methods The total sample for the study consisted of 53 individuals (87% female) with MBMI = 35.6, SDBMI = 6.4. A three-step, stepped-care treatment approach was implemented over six months. Step 1 included the Diabetes Prevention Program manual adapted for self-administration augmented with monitoring technology shown to facilitate weight loss and participant accountability and engagement. Participants who were unsuccessful at achieving established weight loss goals received stepped-up treatments in 2-month increments beginning at month 2. The stepped progression included the addition of meal replacement at Step 2 and individual counseling concurrent with meal replacement at Step 3. Results Un-stepped and once stepped participants lost a clinically significant amount of weight (i.e., > 5%), while twice stepped participants lost an insignificant amount of weight. Twice stepped participants were significantly lower in health literacy and self-monitoring frequency. Conclusions In this investigation, approximately 60% of the participants were able to lose a clinically significant amount of weight utilizing a minimally intensive intervention with little additional support. Regular self-monitoring and high health literacy proved to be significant correlates of success.

This investigation examined the effectiveness of a self-help (SH), stepped-care (SC) weight loss program. Based on a failure to achieve pre-assigned weight loss goals, participants were eligible to be stepped-up from a SH program to two levels of treatment intensity (weight loss group [WLG]; individual counseling [IC]) beyond SH. The primary outcome was change in body weight. Fifty-three overweight/obese adults (BMI≥27 kg/m2; mean BMI of 37.3, SD=6.6, 89% Caucasian, and 77% female) participated in an 18-week weight loss intervention. During several phases of the investigation, those stepped-up to more intensive treatment lost comparable weight to those who were not stepped-up. Nevertheless, by the end of treatment, individuals who remained in SH (M = 8.6%) lost a significantly greater percentage of weight than individuals who received SH+IC (M = 4.7%; p

Current measures of internalized weight bias assess factors such as responsibility for weight status, mistreatment because of weight, etc. A potential complementary approach for assessing internalized weight bias is to examine the correspondence between individuals’ ratings of obese people, normal weight people, and themselves on personality traits. This investigation examined the relationships among different measures of internalized weight bias, as well as the association between those measures and psychosocial maladjustment. Prior to the beginning of a weight loss intervention, 62 overweight/obese adults completed measures of explicit and internalized weight bias as well as body image, binge eating, and depression. Discrepancies between participants’ ratings of obese people in general and ratings of themselves on both positive and negative traits predicted unique variance in measures of maladjustment above a traditional assessment of internalized weight bias. This novel approach to measuring internalized weight bias provides information above and beyond traditional measures of internalized weight bias and begins to provide insights into social comparison processes involved in weight bias.

Weight bias is evident among normal weight and obese individuals. This weight bias may be associated with comparisons to others, which may enhance feelings of self-worth. However, the ego-enhancing versus ego-diminishing influence of these evaluations may be moderated by the individual's weight status, and the strength of these effects may be moderated by gender. Eight-five participants completed the Implicit Associations Test, questionnaires assessing explicit weight bias, body image, and self-esteem, and height and weight assessments. Implicit weight bias was prevalent among all individuals, p

According to Cognitive Interference Theory, evaluation anxiety leads to increased negative off-task self-dialogue which then results in diminished cognitive performance. Given that negative off-task self-dialogue is primarily verbal, the phonological loop and central executive components of the working memory system should be most affected by evaluation anxiety. Eighty-eight participants were randomly assigned to receive evaluation anxiety inducing instructions or supportive instructions prior to administration of three tests (Digit Span, Visual Memory Span, and StroopColour-Word) that measured the phonological loop, visuospatial sketchpad, and central executive components of working memory. Measures of evaluation anxiety and negative off-task self-dialogue were obtained during and after testing. Results showed that participants receiving anxiety inducing instructions reported significantly more evaluation anxiety and off-task self-dialogue. They also had significantly lower performance on the Digit Span Test and the StroopColour-Word Test. Negative off-task self-dialogue also mediated the relationship between evaluation anxiety and performance on the Digit Span Test. Copyright © 2011 John Wiley & Sons, Ltd.

This investigation compared a traditional behavioral weight loss program with a weight loss intervention emphasizing environmental modification and habit formation and disruption. Fifty-four overweight and obese adults (BMI ≥ 27 kg/m2) were randomly assigned to either a 14-week LEARN or TYL intervention. Forty-two participants completed the six-month follow-up assessment. Treatment outcomes between LEARN and TYL participants were equivalent. During the six-month no-treatment follow-up period, participants evidenced a 3.3 lb (SD = 9.2) weight gain. The TYL intervention appears to represent an attractive option for individuals seeking an alternative to the traditional behavioral approach to weight loss.

Objective Weight bias among weight loss treatment-seeking adults has been understudied. This investigation examined the 1) levels of implicit, explicit, and internalized weight bias among overweight/obese treatment-seeking adults, 2) association between weight bias and psychosocial maladjustment (binge eating, body image, depression), and 3) association between participation in weight loss treatment and changes in weight bias. Methods Fifty-four overweight and obese individuals (BMI ≥ 27) recruited for a weight loss intervention completed measures of depression, body image, binge eating, and implicit, explicit, and internalized weight bias. Results Participants evidenced significant implicit, explicit, and internalized weight bias. Greater weight bias was associated with greater depression, poorer body image, and increased binge eating. Despite significant reductions in negative internalized and explicit weight bias following treatment, weight bias remained strong. Conclusions Weight bias among treatment-seeking adults is associated with greater psychological maladjustment and may interfere with their ability to achieve optimal health and well-being.

Weight stigma is pervasive and is associated with psychosocial distress. Little research has examined the association between weight stigma and weight loss treatment outcomes. The current investigation examined overt weight stigma, depression, binge eating, and weight loss treatment outcomes in a sample of 55 overweight and obese adults. Overt weight stigma was significantly associated with greater depression and binge eating and poorer weight loss treatment outcomes in a 14-week behavioral weight loss program, suggesting that overt weight stigma may be detrimental to overweight and obese individuals’ ability to lose weight and engage in behaviors consistent with weight loss.

While levels of weight bias vary among individuals, it is not clear why one person possesses stronger anti-fat attitudes than another person. This investigation examined whether individual differences commonly associated with greater anti-fat bias are also associated with a greater preference for thinness among people of varying levels of weight. Young adults (62% women; 84% Caucasian) recruited from psychology classes (N = 308) rated four male and female figures with approximate BMIs of 18.5, 25, 30, and 40, on measures of dislike and personality characteristics and completed measures assessing weight controllability, attitudes toward the obese, and perceptual reliance. Greater negative attitudes, weight controllability beliefs, and perceptual reliance were positively associated with greater dislike and negative personality attributes among obese/severely obese figures, but inversely related among low normal weight figures. Individuals who judge others based on physical features or who view obesity as controllable evidence greater weight bias and a stronger preference for thin body types.

The benefits of a 6‐month behavioral weight loss program were investigated by examining mood changes after a graded exercise test (GXT), changes in exercise enjoyment, and the relation of mood and enjoyment to program success. Obese, sedentary, postmenopausal women completed a demographic questionnaire, and physical and psychological measures. Women who completed the program (n = 25) significantly decreased their body weight and body mass index and reported significantly less tension and confusion post‐GXT when measured both at the beginning and end of the program. Although their exercise enjoyment increased, their exercise‐related mood changes appeared to be independent of enjoyment. Finally, women who completed the program initially reported more positive mood changes post‐GXT than did dropouts (n = 7). In conclusion, mood alteration may be a factor leading to successful completion of a behavioral weight loss program by obese women