Abstract：
An extensive literature has documented the deleterious effects of weight bias internalization (WBI) on biopsychosocial health outcomes. Still, this research is largely confined to the Western context. Furthermore, few studies have explored associations between WBI and biopsychosocial health outcomes, including in non-Western adolescent populations.
The present study explored the longitudinal relationships between WBI and body dissatisfaction, disordered eating, psychosocial impairment related to eating disorder features, and psychological and physical well-being in a sample (N = 1549; aged 11-18 years at baseline) of Chinese adolescents. Relationships between study variables were examined between two waves of data measurement (Time 1, baseline, and Time 2, 6-month). Cross-lagged and multivariate models were used to explore prospective relationships between WBI and biopsychosocial correlates.
Bidirectional relationships were observed between WBI and biopsychosocial correlates in Chinese adolescents. Adjusting for covariates and other predictor variables, higher body dissatisfaction, disordered eating, psychosocial impairment, and psychological distress at Time 1 predicted higher WBI at Time 2. Furthermore, higher WBI at Time 1 predicted higher body dissatisfaction, disordered eating, psychosocial impairment, and psychological distress at Time 2.
Weight bias internalization and psychosocial correlates were interrelated across time in Chinese adolescents. Improving WBI might be promising in the prevention of eating and body image disturbances and diminished psychosocial well-being. Similarly, reducing eating and body image disturbances and improving psychosocial well-being might be useful prevention targets in reducing WBI in Chinese adolescents.
The present study represents an initial effort to explore bidirectional relationships between WBI and biopsychosocial health outcomes in Chinese adolescents. Findings suggest bidirectional relationships between WBI and psychosocial variables, highlighting the potential utility of incorporating WBI interventions into eating pathology and poor psychosocial well-being prevention designs for Chinese adolescents.
The present study explored the longitudinal relationships between WBI and body dissatisfaction, disordered eating, psychosocial impairment related to eating disorder features, and psychological and physical well-being in a sample (N = 1549; aged 11-18 years at baseline) of Chinese adolescents. Relationships between study variables were examined between two waves of data measurement (Time 1, baseline, and Time 2, 6-month). Cross-lagged and multivariate models were used to explore prospective relationships between WBI and biopsychosocial correlates.
Bidirectional relationships were observed between WBI and biopsychosocial correlates in Chinese adolescents. Adjusting for covariates and other predictor variables, higher body dissatisfaction, disordered eating, psychosocial impairment, and psychological distress at Time 1 predicted higher WBI at Time 2. Furthermore, higher WBI at Time 1 predicted higher body dissatisfaction, disordered eating, psychosocial impairment, and psychological distress at Time 2.
Weight bias internalization and psychosocial correlates were interrelated across time in Chinese adolescents. Improving WBI might be promising in the prevention of eating and body image disturbances and diminished psychosocial well-being. Similarly, reducing eating and body image disturbances and improving psychosocial well-being might be useful prevention targets in reducing WBI in Chinese adolescents.
The present study represents an initial effort to explore bidirectional relationships between WBI and biopsychosocial health outcomes in Chinese adolescents. Findings suggest bidirectional relationships between WBI and psychosocial variables, highlighting the potential utility of incorporating WBI interventions into eating pathology and poor psychosocial well-being prevention designs for Chinese adolescents.
摘要：
目的：大量文献记录了体重偏倚内化（WBI）对生物心理社会健康结果的有害影响。尽管如此，这项研究主要局限于西方背景。此外，很少有研究探讨WBI和生物心理社会健康结果之间的关联，包括非西方青少年人群。
方法：本研究探讨了WBI与身体不满之间的纵向关系，饮食紊乱,与进食障碍特征相关的心理社会损害，以及中国青少年样本（N=1549；基线年龄为11-18岁）的心理和身体健康。在两波数据测量之间检查了研究变量之间的关系(时间1，基线，和时间2，6个月）。交叉滞后和多变量模型用于探索WBI和生物心理社会相关性之间的前瞻性关系。
结果：在中国青少年中观察到WBI和生物心理社会相关因素之间的双向关系。调整协变量和其他预测变量，更高的身体不满，饮食紊乱,心理社会损害，时间1的心理困扰预测时间2的WBI较高。此外，在时间1更高的WBI预测更高的身体不满，饮食紊乱,心理社会损害，和时间2的心理困扰。
结论：在中国青少年中，体重偏倚内化和心理社会相关因素在不同时间内是相互关联的。改善WBI在预防饮食和身体形象障碍以及心理社会幸福感下降方面可能是有希望的。同样，减少饮食和身体形象障碍以及改善社会心理健康可能是减少中国青少年WBI的有用预防目标。
UNASSIGNED：本研究是探索中国青少年WBI与生物心理社会健康结果之间双向关系的初步努力。研究结果表明，WBI和心理社会变量之间存在双向关系，强调将WBI干预措施纳入中国青少年饮食病理学和不良社会心理健康预防设计的潜在效用。
方法：本研究探讨了WBI与身体不满之间的纵向关系，饮食紊乱,与进食障碍特征相关的心理社会损害，以及中国青少年样本（N=1549；基线年龄为11-18岁）的心理和身体健康。在两波数据测量之间检查了研究变量之间的关系(时间1，基线，和时间2，6个月）。交叉滞后和多变量模型用于探索WBI和生物心理社会相关性之间的前瞻性关系。
结果：在中国青少年中观察到WBI和生物心理社会相关因素之间的双向关系。调整协变量和其他预测变量，更高的身体不满，饮食紊乱,心理社会损害，时间1的心理困扰预测时间2的WBI较高。此外，在时间1更高的WBI预测更高的身体不满，饮食紊乱,心理社会损害，和时间2的心理困扰。
结论：在中国青少年中，体重偏倚内化和心理社会相关因素在不同时间内是相互关联的。改善WBI在预防饮食和身体形象障碍以及心理社会幸福感下降方面可能是有希望的。同样，减少饮食和身体形象障碍以及改善社会心理健康可能是减少中国青少年WBI的有用预防目标。
UNASSIGNED：本研究是探索中国青少年WBI与生物心理社会健康结果之间双向关系的初步努力。研究结果表明，WBI和心理社会变量之间存在双向关系，强调将WBI干预措施纳入中国青少年饮食病理学和不良社会心理健康预防设计的潜在效用。
