As a stigmatizing condition, obesity may lead to the internalization of devalued labels and threats to self-concept. Modified labeling theory suggests that the effects of stigma may outlive direct manifestations of the discredited characteristic itself. This article considers whether obesity’s effects on self-concept linger when obese youth enter the normal body mass range. Using longitudinal data from the National Growth and Health Study on 2,206 black and white girls, we estimated a parallel-process growth mixture model of body mass linked to growth models of body image discrepancy and self-esteem. We found that discrepancy was higher and self-esteem lower in formerly obese girls compared to girls always in the normal range and comparable to chronically obese girls. Neither body image discrepancy nor self-esteem rebounded in white girls despite reduction in body mass, suggesting that the effects of stigma linger. Self-esteem, but not discrepancy, did rebound in black girls.
Al-MamunAbdullahCrambSusannaMcDermottBrettO’CallaghanMichaelNajmanJake M.WilliamsGail M.2007. “Adolescents’ Perceived Weight Associated with Depression in Young Adulthood: A Longitudinal Study.” Obesity15:3097–3105.
2.
AnglinDeidre M.LinkBruce G.PhelanJo C.2006. “Racial Differences in Stigmatizing Attitudes toward People with Mental Illness.” Psychiatric Services57:857–62.
3.
AverettSusanKorenmanSanders. 1999. “Black-White Differences in Social and Economic Consequences of Obesity.” International Journal of Obesity23:166–73.
4.
BentlerPeter M.1990. “Comparative Fit Indices in Structural Models.” Psychometrika107:238–46.
5.
BessenoffGayle R.SnowDaniel. 2006. “Absorbing Society’s Influence: Body Image Self-Discrepancy and Internalized Shame.” Sex Roles54:727–31.
6.
BrowneMichael W.CudeckRobert. 1993. “Alternative Ways of Assessing Model Fit.” Pp. 136–62 in Testing Structural Equation Models, edited by BollenK. A.LongJ. S.Newbury Park, CA: Sage.
7.
BurkePeter J.2006. “Identity Change.” Social Psychology Quarterly69:81–96.
8.
CohnLawrence D.AdlerNancy E.IrwinCharles E.Jr.MillsteinSusan G.KegelesSusan M.StoneGeorge. 1987. “Body-Image Preferences in Male and Female Adolescents.” Journal of Abnormal Psychology96:276–79.
9.
CravenRhondaMarshHerbert W.2008. “The Centrality of the Self-Concept Construct for Psychological Wellbeing and Unlocking Human Potential: Implications for Child and Educational Psychologists.” Educational and Child Psychology25:104–18.
10.
EbaughHelen Rose Fuchs. 1988. Becoming an Ex. Chicago, IL: University of Chicago Press.
11.
FieldAlison E.FrankoDebra L.Striegel-MooreRuth H.SchreiberGeorge B.CrawfordPatricia B.DanielsStephen R.2004. “Race Differences in Accuracy of Self-Reported Childhood Body Size among White and Black Women.” Obesity Research12:1136–44.
12.
GardnerRick M.2002. “Body Image Assessment of Children.” Pp. 127-135 in Body Image: A Handbook of Theory, Research, and Clinical Practice, edited by CashT.F.PruzinskyT.New York, NY: Guilford Press.
13.
GoffmanErving. 1963. Stigma: Notes on the Management of Spoiled Identity. New York: Simon & Schuster.
14.
HarterSusan. 1982. “The Perceived Competence Scale for Children.” Child Development53:87–97.
15.
HeblMichelleHeathertonTodd F.1998. “The Stigma of Obesity in Women: The Difference Is Black and White.” Personality and Social Psychology Bulletin24:417–26.
16.
HeskethKylieWakeMelissaWatersElizabeth. 2004. “Body Mass Index and Parent-Reported Self-Esteem in Elementary School Children: Evidence for a Causal Relationship.” International Journal of Obesity28:1233–37.
17.
HowardJenna. 2008. “Negotiating an Exit: Existential, Interactional, and Cultural Obstacles to Disorder Disidentification.” Social Psychology Quarterly71:177–92.
18.
JungTonyWickramaK. A. S.2008. “An Introduction to Latent Class Growth Analysis and Growth Mixture Modeling.” Social and Personality Psychology Compass2:302–17.
19.
Lavizzo-MoureyRisa. 2007. “Childhood Obesity: What It Means for Physicians.” Journal of the American Medical Association298:920–22.
20.
LinkBruce G.1987. “Understanding Labeling Effects in the Area of Mental Disorders: An Assessment of the Effects of Expectations of Rejection.” American Sociological Review52:96–112.
21.
LinkBruce G.CullenFrancis T.StrueningElmer L.ShroutPatrick E.1989. “A Modified Labeling Theory Approach to Mental Disorders: An Empirical Assessment.” American Sociological Review54:400–23.
22.
LinkBruce G.PhelanJo C.2001. “Conceptualizing Stigma.” Annual Reviews of Sociology27:363–85.
23.
LothKatie A.MondJonathanWallMelanieNeumark-SztainerDianne. 2011. “Weight Status and Emotional Well-Being: Longitudinal Findings from Project EAT.” Journal of Pediatric Psychology36:216–35.
24.
LovejoyMeg. 2001. “Disturbances in the Social Body: Differences in Body Image and Eating Problems among African American and White Women.” Gender & Society15:239–61.
25.
MarshHerbertCravenRhondaMartinHerbert. 2006. “What Is the Nature of Self-Esteem? Unidimensional and Multidimensional Perspectives.” Pp. 16–24 in Self-esteem: Issues and Answers, edited by KernisM.New York: Psychology Press.
26.
MarshHerbertHauKit-TaiSungRitaYuChung-Wah. 2007. “Childhood Obesity, Gender, Actual-Ideal Body Image Discrepancies, and Physical Self-Concept in Hong Kong Children: Cultural Differences in the Value of Moderation. Developmental Psychology43:647–62.
27.
MertenMichael J.WickramaK. A. S.WilliamsAmanda L.2008. “Adolescent Obesity and Young Adult Psychosocial Outcomes: Gender and Racial Differences.” Journal of Youth and Adolescence37:1111–22.
28.
MustilloSarahWorthmanCarolErkanliAlaattinKeelerGordonAngoldAdrianCostelloE. Jane. 2003. “Obesity and Psychiatric Disorder: Developmental Trajectories.” Pediatrics111:851–59.
29.
MuthénBengt O.2004. “Latent Variable Analysis: Growth Mixture Modeling and Related Techniques for Longitudinal Data.” Pp. 345–68 in Handbook of Quantitative Methodology for the Social Sciences, edited by KaplanD.Newbury Park, CA: Sage.
30.
MuthénLindaMuthénBengt O.2002. “How to Use a Monte Carol Study to Decide on Sample Size and Determine Power.” Structural Equation Modeling: A Multidisciplinary Journal4:599–620.
31.
National Heart, Lung, and Blood Institute Growth and Health Study Research Group. 1992. “Obesity and Cardiovascular Disease Risk Factors in Black and White Girls: The NHLBI Growth and Health Study.” American Journal of Public Health82:1613–20.
32.
O’DeaJennifer A.2006. “Self-Concept, Self-Esteem and Body Weight in Adolescent Females: A Three Year Longitudinal Study.” Journal of Health Psychology11:599–611.
33.
OgdenCynthia L.CarrollMargaret D.CurtinLester R.LambMolly M.FlegalKatherine M.2010. “Prevalence of High Body Mass Index in US Children and Adolescents, 2007–2008.” Journal of the American Medical Association303:242–49.
34.
PhelanJo C.LinkBruce G.DovidioJohn F.2008. “Stigma and Predjudice: One Animal or Two?” Social Science & Medicine67:358–67.
35.
PuhlRebeccaBrownellKelly D.2001. “Obesity, Bias and Discrimination.” Obesity Research9:788–805.
36.
PuhlRebeccaBrownellKelly D.2003. “Psychosocial Origins of Obesity Stigma: Toward Changing a Powerful and Pervasive Bias.” Obesity Reviews4:213–27.
37.
PuhlRebeccaLatnerJanet D.2007. “Stigma, Obesity, and the Health of the Nation’s Children.” Psychological Bulletin133:557–80.
38.
RicciardelliLina A.McCabeMarita P.2001. “Children’s Body Image Concerns and Eating Disturbance: A Review of the Literature.” Clinical Psychology Review21:325–44.
39.
RosenblumGianine D.LewisMichael. 1999. “The Relations among Body Image, Physical Attractiveness, and Body Mass in Adolescence.” Child Development70:50–64.
40.
StraussRichard S.2000. “Childhood Obesity and Self-Esteem.” Pediatrics105:e15–e20.
41.
StunkardAlbert J.SørensenThorkild I. A.SchulsingerFini. 1983. “Use of Danish Adoption Register for the Study of Obesity and Thinness.” Pp. 115–20 in Genetics of Neurological and Psychiatric Disorder, edited by KetyS.RowlandL.SidmanR.MatthysseS.New York, NY: Raven Press.
42.
VinerRusell M.ColeTim J.2006. “Who Changes Body Mass between Adolesence and Adulthood? Factors Predicting Change in BMI between 16 Years and 30 Years in the 1970 British Birth Cohort.” International Journal of Obesity330:1354–57.
43.
WardleJaneBrodersenNaomi HenningColeTim J.JarvisMartin J.BonifaceDavid R.2006. “Development of Adiposity in Adolescence: Five Year Longitudinal Study of an Ethnically and Socioeconomically Diverse Sample of Young People in Britain.” BMJ. doi:10.1136/bmj.38807.594792.AE10.1136/bmj.38807.594792.AE
44.
WigfieldAllanEcclesJacquelineS.2002. “The Development of Competence Beliefs, Expectancies for Success, and Acheivement Values from Childhood to Adolescence.” Pp. 91–120 in Development of Achievement Motivation, edited by WigfieldA.EcclesJ. S.San Diego, CA: Academic Press.
45.
WrightEric R.GronfeinWilliam P.OwensTimothy J.2000. “Deinstitutionalization, Social Rejection, and the Self-Esteem of Former Mental Patients.” Journal of Health and Social Behavior41:68–90.
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