Smith Sophie S, Ten Hoor Gill A, Lakhote Niharika, Massar Karlijn
Department of Work & Social Psychology, Faculty of Psychology & Neuroscience, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Healthcare (Basel). 2024 May 7;12(10):955. doi: 10.3390/healthcare12100955.
Weight bias internalization (WBI), the process of internalizing negative attitudes and stereotypes towards overweight individuals, significantly impacts self-worth and health behaviors, such as exercise avoidance. In the current study, we focused on the mediating role of fitness-related self-conscious emotions, particularly shame and guilt. A cross-sectional study involving 150 self-described overweight Dutch women (age M = 49.63 ± 10.72) was conducted online. Participants completed measures assessing weight bias internalization, exercise avoidance, and body/fitness-related self-conscious emotions. Data were analyzed using linear regression and mediation analysis, controlling for age, BMI, and exercise frequency. The results show that weight bias internalization, guilt-free shame, and shame-free guilt uniquely predict exercise avoidance. Guilt-free shame partially mediated the relationship between weight bias internalization and exercise avoidance, indicating that increased internalized weight bias led to higher levels of guilt-free shame, which in turn contributed to exercise avoidance. Shame-free guilt did not act as a unique mediator. These findings underscore the importance of addressing weight bias internalization and fitness-related self-conscious emotions, particularly guilt-free shame, in interventions targeting exercise avoidance among overweight individuals. Strategies promoting self-compassion and reducing shame may prove beneficial in improving exercise behaviors and overall well-being.
体重偏见内化(WBI),即将对超重个体的负面态度和刻板印象内化的过程,会显著影响自我价值和健康行为,比如避免运动。在当前的研究中,我们聚焦于与健身相关的自我意识情绪的中介作用,尤其是羞耻感和内疚感。一项在线横断面研究对150名自称超重的荷兰女性(年龄M = 49.63 ± 10.72)展开。参与者完成了评估体重偏见内化、避免运动以及与身体/健身相关的自我意识情绪的测量。数据采用线性回归和中介分析进行分析,并控制了年龄、体重指数和运动频率。结果表明,体重偏见内化、无内疚感的羞耻以及无羞耻感的内疚独特地预测了运动回避。无内疚感的羞耻部分中介了体重偏见内化与运动回避之间的关系,这表明内化的体重偏见增加会导致更高水平的无内疚感的羞耻,进而促成运动回避。无羞耻感的内疚并未起到独特的中介作用。这些发现强调了在针对超重个体运动回避的干预措施中,解决体重偏见内化和与健身相关的自我意识情绪,尤其是无内疚感的羞耻的重要性。促进自我同情和减少羞耻感的策略可能对改善运动行为和整体幸福感有益。