The Weight Bias Internalization Scale for Youth: Validation of a Specific Tool for Assessing Internalized Weight Bias Among Treatment-Seeking German Adolescents With Overweight

J Pediatr Psychol. 2018 Jan 1;43(1):40-51. doi: 10.1093/jpepsy/jsx079.

Abstract

Objective: The study aimed to assess the psychometric properties of a partly adapted, German version of the Weight Bias Internalization Scale (WBIS-Y) in a sample of treatment-seeking adolescents with overweight.

Methods: A survey (N = 191), including measures of weight bias internalization (WBI), self-esteem, self-efficacy, health-related quality of life, and body-related locus of control, was followed by semistructured interviews (N = 10). Cronbach's α, correlation, and factor analyses were performed. Interview data were subjected to inductive content analysis.

Results: The WBIS-Y displayed good reliability and construct validity. WBI correlated negatively with self-esteem, self-efficacy, and health-related quality of life, and positively with body mass index and external body-related locus of control. Interviewees found the scale to be comprehensive, linguistically accessible, and acceptable despite its sensitive nature.

Conclusions: The WBIS-Y is recommended for use both in research with adolescents and as a guide for mitigating the negative consequences of weight stigmatization in the treatment of pediatric obesity.

Keywords: adolescents; pediatric obesity; psychometric properties; weight bias internalization.

Publication types

  • Validation Study

MeSH terms

  • Adolescent
  • Body Image / psychology*
  • Body Mass Index
  • Cross-Sectional Studies
  • Female
  • Germany
  • Humans
  • Internal-External Control
  • Male
  • Pediatric Obesity / psychology*
  • Pediatric Obesity / therapy
  • Psychological Tests*
  • Psychometrics
  • Quality of Life / psychology
  • Reproducibility of Results
  • Self Concept
  • Self Efficacy