The pain of weight-related stigma among women with overweight or obesity.

KayLoni L Olson, Jacob D Landers, Tyler T Thaxton, Charles F Emery
Author Information
  1. KayLoni L Olson: The Ohio State University, Columbus Ohio.
  2. Jacob D Landers: The Ohio State University, Columbus Ohio.
  3. Tyler T Thaxton: The Ohio State University, Columbus Ohio.
  4. Charles F Emery: The Ohio State University, Columbus Ohio.

Abstract

Pain is prevalent among individuals with overweight or obesity but few studies have examined the mechanism linking pain with excess body weight. Because there is evidence that social and physical pain may be processed through similar physiological mechanisms, weight-stigma may potentiate the experience of physical pain through shared neuroanatomical pathways. This study evaluated the relationship between perceived weight stigma and self-reported bodily pain in a sample of overweight and obese adult women. Sixty-one women with a body mass index (BMI) between 25-35 completed self-report questionnaires assessing perceived stigma, internalized weight stigma, and self-reported pain. Height and weight were measured and participants completed a demographic and health history questionnaire. Hierarchical regression analyses were utilized to predict self-reported pain from perceived stigma, adjusting for demographic variables associated with self-reported pain as well as pain-related conditions. Perceived stigma was associated with pain F(6, 54)=6.10, p<.001) as was internalized stigma. Perceived stigma mediated the relationship between BMI and bodily pain among individuals with a BMI in the overweight range but not among individuals with a BMI in the obese range. Weight-related stigma among women with overweight or obesity appears to be associated with greater experience of physical pain. These results underscore the need to evaluate multiple mechanisms that might explain the relationship between bodily pain and body weight and to determine how the relationship may vary across different subgroups of individuals.

Keywords

References

  1. JAMA. 2014 Feb 26;311(8):806-14 [PMID: 24570244]
  2. WMJ. ;115(5):238-44 [PMID: 29095585]
  3. Pain. 2017 Feb;158(2):273-277 [PMID: 28092647]
  4. J Health Soc Behav. 2000 Mar;41(1):50-67 [PMID: 10750322]
  5. PLoS One. 2014 Jan 29;9(1):e86303 [PMID: 24489713]
  6. Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52 [PMID: 22588748]
  7. Trends Cogn Sci. 2004 Jul;8(7):294-300 [PMID: 15242688]
  8. J Pain Res. 2015 Jul 14;8:399-408 [PMID: 26203274]
  9. Med Care. 1992 Jun;30(6):473-83 [PMID: 1593914]
  10. Obesity (Silver Spring). 2015 Sep;23(9):1778-84 [PMID: 26237112]
  11. J Pain. 2014 Oct;15(10):979-84 [PMID: 25267013]
  12. J Pain. 2012 Aug;13(8):715-24 [PMID: 22607834]
  13. J Pain. 2007 May;8(5):430-6 [PMID: 17337251]
  14. J Rehabil Res Dev. 2007;44(2):245-62 [PMID: 17551876]
  15. Obesity (Silver Spring). 2014 May;22(5):E142-8 [PMID: 24039219]
  16. Eur Eat Disord Rev. 2016 May;24(3):247-50 [PMID: 26841114]
  17. Eat Weight Disord. 2018 Jun;23(3):357-362 [PMID: 27787772]
  18. Obesity (Silver Spring). 2008 Nov;16 Suppl 2:S80-6 [PMID: 18978768]
  19. Science. 2003 Oct 10;302(5643):290-2 [PMID: 14551436]

Grants

  1. UL1 TR001070/NCATS NIH HHS

Word Cloud

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