Abstract
Aim
Perceived discrimination and weight stigma concerns are believed to induce negative emotional symptoms. In this article, we tested the mediation effect of perceived discrimination and weight stigma concerns on the association between dispositional mindfulness and negative emotional symptoms.
Subjects and methods
A total of 254 recruited obesity participants who provided their height and weight and completed the Five-Facet Mindfulness Questionnaire and Depression Anxiety Stress Scale were investigated along with their stigma-related variables (perceived discrimination and weight stigma concerns).
Results
The results indicated a negative association between dispositional mindfulness and perceived discrimination and between weight stigma concerns and negative emotional symptoms. Perceived discrimination, weight stigma concerns, and negative emotional symptoms were also positively correlated. The mediation analysis showed that perceived discrimination mediated the relationship between dispositional mindfulness and negative emotional symptoms rather than weight stigma concerns, which mediated the relationship between perceived discrimination and negative emotional symptoms.
Conclusion
Mindfulness may benefit negative emotional symptoms of obese individuals by reducing the effect of perceived discrimination, which further reduces weight stigma concerns. The results shed light on mindfulness-based weight stigma reduction interventions.
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References
Baer RA (2003) Mindfulness training as a clinical intervention: a conceptual and empirical review. Clin Psychol-Sci Pr 10:125–143. https://doi.org/10.1093/clipsy/bpg015
Baer RA, Fischer S, Huss DB (2005) Mindfulness-based cognitive therapy applied to binge eating: a case study. Cogn Behav Pract 12:351–358. https://doi.org/10.1016/s1077-7229(05)80057-4
Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L (2006) Using self-report assessment methods to explore facets of mindfulness. Assessment 13:27–45. https://doi.org/10.1177/1073191105283504
Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S, Walsh E, Duggan D, Williams JMG (2008) Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15:329–342. https://doi.org/10.1177/1073191107313003
Barnes S, Brown KW, Krusemark E, Campbell WK, Rogge RD (2007) The role of mindfulness in romantic relationship satisfaction and responses to relationship stress. J Marital Fam Ther 33:482–500. https://doi.org/10.1111/j.1752-0606.2007.00033.x
Bishop SR (2002) What do we really know about mindfulness-based stress reduction? Psychosom Med 64:71–83. https://doi.org/10.1097/00006842-200201000-00010
Bishop SR, Lau M, Shapiro S, Carlson L, Anderson ND, Carmody J, Segal ZV, Abbey S, Speca M, Velting D, Devins G (2004) Mindfulness: a proposed operational definition. Clin Psychol-Sci Pr 11:230–241. https://doi.org/10.1093/clipsy/bph077
Brown KW, Ryan RA, Creswell JD (2007) Mindfulness: theoretical foundations and evidence for its salutary effects. Psychol Inq 18:211–237. https://doi.org/10.1080/10478400701598298
Brown KW, Ryan RM (2003) The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 84:822–848. https://doi.org/10.1037/0022-3514.84.4.822
Carr D, Friedman MA (2005) Is obesity stigmatizing? Body weight, perceived discrimination, and psychological well-being in the United States. J Health Soc Behav 46:244–259. https://doi.org/10.1177/002214650504600303
Chacko SA, Yeh GY, Davis RB, Wee CC (2016) A mindfulness-based intervention to control weight after bariatric surgery: preliminary results from a randomized controlled pilot trial. Complement Ther Med 28:13–21. https://doi.org/10.1016/j.ctim.2016.07.001
Coffey KA, Hartman M (2008) Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complement Health Pract Rev 13:79–91. https://doi.org/10.1177/1533210108316307
Coffey KA, Hartman M, Fredrickson BL (2010) Deconstructing mindfulness and constructing mental health: understanding mindfulness and its mechanisms of action. Mindfulness 1:235–253. https://doi.org/10.1007/s12671-010-0033-2
Duan W, Ho SMY, Yu B, Tang X, Zhang Y, Li T, Yuen T (2012) Factor structure of the Chinese virtues questionnaire. Res Social Work Prac 22:680–688. https://doi.org/10.1177/1049731512450074
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. Front Psychol 7:1348. https://doi.org/10.3389/fpsyg.2016.01348
Hagger MS, Luszczynska A, de Wit J, Benyamini Y, Burkert S, Chamberland P-E, Chater A, Dombrowski SU, van Dongen A, French DP, Gauchet A, Hankonen N, Karekla M, Kinney AY, Kwasnicka D, Lo SH, Lopez-Roig S, Meslot C, Marques MM, Neter E, Plass AM, Potthoff S, Rennie L, Scholz U, Stadler G, Stolte E, ten Hoor G, Verhoeven A, Wagner M, Oettingen G, Sheeran P, Gollwitzer PM (2016) Implementation intention and planning interventions in health psychology: recommendations from the synergy expert group for research and practice. Psychol Health 31:814–839. https://doi.org/10.1080/08870446.2016.1146719
Hanley AW, Garland EL (2017) Clarity of mind: structural equation modeling of associations between dispositional mindfulness, self-concept clarity and psychological well-being. Pers Indiv Differ 106:334–339. https://doi.org/10.1016/j.paid.2016.10.028
Hatzenbuehler ML, Keyes KA, Hasin DS (2009) Associations between perceived weight discrimination and the prevalence of psychiatric disorders in the general population. Obesity 17:2033–2039. https://doi.org/10.1038/oby.2009.131
Hayes A (2013) Introduction to mediation, moderation, and conditional process analysis. A regression-based approach. Guilford, New York. https://doi.org/10.1111/jedm.12050
Hunger JM, Major B (2015) Weight stigma mediates the association between bmi and self-reported health. Health Psychol 34:172. https://doi.org/10.1037/hea0000106
Hunger JM, Major B, Blodorn A, Miller CT (2015) Weighed down by stigma: how weight-based social identity threat contributes to weight gain and poor health. Soc Psychol Personal Compass 9:255–268. https://doi.org/10.1111/spc3.12172
Kabat-Zinn J, Hanh TN (2009) Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. Delacorte, New York
Katterman SN, Kleinman BM, Hood MM, Nackers LM, Corsica JA (2014) Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: a systematic review. Eat Behav 15:197–204. https://doi.org/10.1016/j.eatbeh.2014.01.005
Kristeller JL, Hallett CB (1999) An exploratory study of a meditation-based intervention for binge eating disorder. J Health Psychol 4:357–363. https://doi.org/10.1177/135910539900400305
Lillis J, Hayes SC, Bunting K, Masuda A (2009) Teaching acceptance and mindfulness to improve the lives of the obese: a preliminary test of a theoretical model. Ann Behav Med 37:58–69. https://doi.org/10.1007/s12160-009-9083-x
Major B, Hunger JM, Bunyan DP, Miller CT (2014) The ironic effects of weight stigma. J Exp Soc Psychol 51:74–80. https://doi.org/10.1016/j.jesp.2013.11.009
Major B, O’Brien LT (2005) The social psychology of stigma. Annu Rev Psychol 56:393–421. https://doi.org/10.1146/annurev.psych.56.091103.070137
O’Reilly GA, Cook L, Spruijt-Metz D, Black DS (2014) Mindfulness-based interventions for obesity-related eating behaviours: a literature review. Obes Rev 15:453–461. https://doi.org/10.1111/obr.12156
Olson KL, Emery CF (2015) Mindfulness and weight loss: a systematic review. Psychosom Med 77:59–67. https://doi.org/10.1097/psy.0000000000000127
Pascoe EA, Richman LS (2009) Perceived discrimination and health: a meta-analytic review. Psychol Bull 135:531–554. https://doi.org/10.1037/a0016059
Puhl RM, Brownell KD (2001) Bias, discrimination, and obesity. Obes Res 9:788–805. https://doi.org/10.1038/oby.2001.108
Puhl RM, Heuer CA (2009) The stigma of obesity: a review and update. Obesity 17:941–964. https://doi.org/10.1038/oby.2008.636
Rogers JM, Ferrari M, Mosely K, Lang CP, Brennan L (2017) Mindfulness-based interventions for adults who are overweight or obese: a meta-analysis of physical and psychological health outcomes. Obes Rev 18:51–67. https://doi.org/10.1111/obr.12461
Schmitt MT, Branscombe NR, Postmes T, Garcia A (2014) The consequences of perceived discrimination for psychological well-being: a meta-analytic review. Psychol Bull 140:921–948. https://doi.org/10.1037/a0035754
Shapiro SL, Carlson LE, Astin JA, Freedman B (2006) Mechanisms of mindfulness. J Clin Psychol 62:373–386. https://doi.org/10.1002/jclp.20237
Sperber AD (2004) Translation and validation of study instruments for cross-cultural research. Gastroenterology 126:S124–S128. https://doi.org/10.1053/j.gastro.2003.10.016
Sutin, AR, Terracciano, A (2013) Perceived weight discrimination and obesity. PLoS ONE 8:e70048. https://doi.org/10.1371/journal.pone.0070048
Tang X, Duan W, Wang Z, Liu T (2016) Psychometric evaluation of the simplified chinese version of flourishing scale. Res Social Work Prac 26:591–599. https://doi.org/10.1177/1049731514557832
Teasdale JD (1999) Metacognition, mindfulness and the modification of mood disorders. Clin Psychol Psychother 6:146–155. https://doi.org/10.1002/(sici)1099-0879(199905)6:2<146::aid-cpp195>3.0.co;2-e
Teasdale JD, Moore RG, Hayhurst H, Pope M, Williams S, Segal ZV (2002) Metacognitive awareness and prevention of relapse in depression: empirical evidence. J Consult Clin Psych 70:275–287. https://doi.org/10.1037//0022-006x.70.2.275
Teasdale JD, Segal Z, Williams JMG (1995) How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help. Behav Res Ther 33:25–39. https://doi.org/10.1016/0005-7967(94)e0011-7
Wang K, Shi HS, Geng FL, Zou LQ, Tan SP, Wang Y, Neumann DL, Shum DHK, Chan RCK (2016) Cross-cultural validation of the depression anxiety stress scale-21 in China. Psychol Assessment 28:E88–E100. https://doi.org/10.1037/pas0000207
WHO Expert Consultation (2004) Appropriate body-mass index for asian populations and its implications for policy and intervention strategies. Lancet 363:157–163. https://doi.org/10.1016/S0140-6736(03)15268-3
Williams DR, Yu Y, Jackson JS, Anderson NB (1997) Racial differences in physical and mental health socio-economic status, stress and discrimination. J Health Psychol 2:335–351. https://doi.org/10.1177/135910539700200305
Williams MJ, Dalgleish T, Karl A, Kuyken W (2014) Examining the factor structures of the five facet mindfulness questionnaire and the self-compassion scale. Psychol Assessment 26:407–418. https://doi.org/10.1037/a0035566
Acknowledgements
The author(s) 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).
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Ethical approval for the study was granted by Department of Sociology, Wuhan University, and the approved protocol was followed.
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Duan, W., Wang, Z. Dispositional mindfulness promotes public health of the obesity population by reducing perceived discrimination and weight stigma concerns. J Public Health (Berl.) 27, 195–202 (2019). https://doi.org/10.1007/s10389-018-0938-0
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DOI: https://doi.org/10.1007/s10389-018-0938-0