{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T04:59:33Z","timestamp":1785387573771,"version":"3.55.0"},"reference-count":63,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Experienced weight stigma and weight bias internalization pose deleterious effects on physical and psychological health. Existing research largely relies on cross\u2010sectional studies and frequently omits non\u2010Western populations. This study examined the temporal pathways between experienced weight stigma, weight bias internalization, thinness\u2010oriented body dissatisfaction, and thinness\u2010oriented disordered eating in Chinese adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Participants included 10th\u2010grade Chinese students (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009985) enrolled in a longitudinal study between 2022 and 2024. Four waves of data were collected across 18\u2009months (baseline\u2009=\u2009T1, 6\u2009months after baseline\u2009=\u2009T2, 12\u2009months after baseline\u2009=\u2009T3, and 18\u2009months after baseline\u2009=\u2009T4). Experienced weight stigma, weight bias internalization (Weight Bias Internalization Scale\u2010Modified), thinness\u2010oriented body dissatisfaction (body dissatisfaction subscale of the Eating Disorders Inventory), and thinness\u2010oriented disordered eating (Eating Disorder Examination Questionnaire\u2010Short) were assessed, and serial mediation analyses were conducted to assess the theorized temporal relationships.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>More experienced weight stigma at T1 (baseline) predicted increased weight bias internalization 6\u2009months later (T2), which predicted greater thinness\u2010oriented disordered eating 12\u2009months later (T4). More experienced weight stigma at T1 predicted increased T2 weight bias internalization, which predicted greater thinness\u2010oriented body dissatisfaction 12\u2009months after baseline (T3), and ultimately, more T4 thinness\u2010oriented disordered eating. T3 thinness\u2010oriented body dissatisfaction did not mediate the relationship between T1 experienced weight stigma and T4 thinness\u2010oriented disordered eating.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings indicate the mediating role weight bias internalization has on the prospective relationship between experienced weight stigma and thinness\u2010oriented disordered eating in Chinese adolescents. Reducing weight bias internalization may be advantageous in reducing thinness\u2010oriented eating disorder concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70181","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T04:06:13Z","timestamp":1785384373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Weight Bias Internalization and Thinness\u2010Oriented Body Dissatisfaction Explain the Link Between Experienced Weight Stigma and Thinness\u2010Oriented Disordered Eating: A Four\u2010Wave Longitudinal Study in Chinese Adolescents"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9809-5225","authenticated-orcid":false,"given":"Wesley R.","family":"Barnhart","sequence":"first","affiliation":[{"name":"Department of Psychology Suffolk University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0316-9752","authenticated-orcid":false,"given":"Julia","family":"Vitagliano","sequence":"additional","affiliation":[{"name":"Arlington Public Schools  Arlington Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9398-6816","authenticated-orcid":false,"given":"Nathalie","family":"Gullo","sequence":"additional","affiliation":[{"name":"Department of Psychology Suffolk University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9776-8559","authenticated-orcid":false,"given":"Kathryn","family":"Pasquariello","sequence":"additional","affiliation":[{"name":"Department of Psychology Suffolk University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3152-699X","authenticated-orcid":false,"given":"Xiaoyin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Auburn University  Auburn Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9727-6956","authenticated-orcid":false,"given":"Yinuo","family":"Xu","sequence":"additional","affiliation":[{"name":"Division of Applied Psychology, School of Humanities and Social Science The Chinese University of Hong Kong  Shenzhen Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5369-6713","authenticated-orcid":false,"given":"Gui","family":"Chen","sequence":"additional","affiliation":[{"name":"College of Educational Science Hengyang Normal University  Hengyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2785-9371","authenticated-orcid":false,"given":"Jinbo","family":"He","sequence":"additional","affiliation":[{"name":"Center of Excellence for One Health and Environmental Sustainability, Academy of Life and Natural Sciences Xi'an Jiaotong\u2010Liverpool University  Suzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010025\u201004319\u20100"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23904"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366\u2010021\u201000982\u20104"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992\u2010018\u20100337\u2010x"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2013.01.006"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.2224\/sbp.9392"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.594949"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.molmed.2024.02.011"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.29329\/jsomer.47"},{"key":"e_1_2_13_11_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.112.1.155"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051\u20105545.2009.tb00218.x"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371205700804"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010024\u201001132\u20107"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2008.448"},{"key":"e_1_2_13_17_1","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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