Mindfulness Capability Mediates the Association Between Weight-Based Stigma and Negative Emotion Symptoms
A cross-sectional study was conducted to examine how mindfulness capability influences the relationship between weight-based stigma (i.e., weight stigma concerns and perceived weight discrimination) and negative emotion symptoms by using a sample of 293 with overweight and obesity (52.9% female; mean age of 22.5 years; standard deviation of 0.68). The questionnaires comprised a survey on weight-based stigma, the Short Inventory of Mindfulness Capability, and the Depression Anxiety Stress Scale, and the variables of interest were measured before data analysis. The analytical results support the hypotheses that mindfulness capability is negatively related to weight-based stigma and negative emotion symptoms, but it is positively related to negative emotion symptoms. Moreover, the results of the hierarchical regression analysis suggest additional effects of mindfulness capability on negative emotional symptoms when controlling for gender, age, body mass index (BMI), and weight-based stigma (B = − 0.31, p < .001, R2 = 0.32). Finally, the results of the mediation effect analysis verify the significant indirect effects of weight-based stigma on negative emotion through mindfulness capability (effect = 0.0160, 95% confidence interval [0.0059, 0.0302] in model 1; effect = 0.0272, 95% confidence interval [0.0106, 0.0497] in model 2). Our findings can contribute to the theoretical literature about the salutary effects of mindfulness on attenuating the negative impacts of weight-based stigma. The research on mindfulness-based interventions targeted at weight-based stigma is expected, and future directions to improve the current study are discussed.
KeywordsWeight-based stigma Mindfulness capability Overweight Obesity Negative emotion symptoms
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: National Social Science Foundation—Youth Project “Research on the Construction of National Index of Sense of Gain” (17CSH073) and Wuhan University Humanities and Social Sciences Academic Development Program for Young Scholars “Sociology of Happiness and Positive Education” (WHU2016019).
- Brown-Iannuzzi, J. L., Adair, K. C., Payne, B. K., Richman, L. S., & Fredrickson, B. L. (2014). Discrimination hurts, but mindfulness may help: trait mindfulness moderates the relationship between perceived discrimination and depressive symptoms. Personality and Individual Differences, 56, 201–205. https://doi.org/10.1016/j.paid.2013.09.015.CrossRefGoogle Scholar
- Duan, W., & Li, J. (2016). Distinguishing dispositional and cultivated forms of mindfulness: item-level factor analysis of five-facet mindfulness questionnaire and construction of short inventory of mindfulness capability. Frontiers in Psychology, 7, 1348. https://doi.org/10.3389/fpsyg.2016.01348.CrossRefPubMedPubMedCentralGoogle Scholar
- Duan, W., & Wang, Z. (2018). Dispositional mindfulness promotes public health of the obesity population by reducing perceived discrimination and weight stigma concerns. Journal of Public Health. https://doi.org/10.1007/s10389-018-0938-0.
- Folkman, S. (1984). Stress: appraisal and coping. Encyclopedia of behavioral medicine (pp. 1913–1915). New York: Springer.Google Scholar
- Gonzalez, A., Locicero, B., Mahaffey, B., Fleming, C., Harris, J., & Vujanovic, A. A. (2016). Internalized HIV stigma and mindfulness: associations with PTSD symptom severity in trauma-exposed adults with HIV/AIDS. Behavior Modification, 40(1–2), 144–163. https://doi.org/10.1177/0145445515615354.CrossRefPubMedGoogle Scholar
- Hanley, A. W., & Garland, E. L. (2017). Clarity of mind: structural equation modeling of associations between dispositional mindfulness, self-concept clarity and psychological well-being. Personality and Individual Differences, 106, 334–339. https://doi.org/10.1016/j.paid.2016.10.028.CrossRefPubMedGoogle Scholar
- Hunger, J. M., Major, B., Blodorn, A., & Miller, C. T. (2015). Weighed down by stigma: how weight-based social identity threat contributes to weight gain and poor health. Social and Personality Psychology Compass, 9(6), 255–268. https://doi.org/10.1111/spc3.12172.CrossRefPubMedPubMedCentralGoogle Scholar
- Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U.CrossRefPubMedPubMedCentralGoogle Scholar
- Palmeira, L., Cunha, M., & Pinto-Gouveia, J. (2017a). Processes of change in quality of life, weight self-stigma, body mass index and emotional eating after an acceptance-, mindfulness- and compassion-based group intervention (Kg-Free) for women with overweight and obesity. Journal of Health Psychology. https://doi.org/10.1177/1359105316686668.
- Palmeira, L., Pinto-Gouveia, J., & Cunha, M. (2017b). Exploring the efficacy of an acceptance, mindfulness & compassionate-based group intervention for women struggling with their weight (kg-free): a randomized controlled trial. Appetite, 112, 107–116. https://doi.org/10.1016/j.appet.2017.01.027.CrossRefPubMedGoogle Scholar