{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:22:43Z","timestamp":1792758163320,"version":"4.5.0"},"reference-count":44,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T00:00:00Z","timestamp":1664150400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study empirically investigated how conceptualizing obesity as a disease (i.e., pathologizing obesity) affects beliefs about weight, and weight stigma and discrimination among health professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      An experiment that manipulated the pathologization of obesity was completed by a multi\u2010nation sample of health professionals from Australia, UK, and USA (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a0365).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were randomly assigned to one of two conditions where they were asked to conceptualize obesity as a disease or not a disease; then presented with a hypothetical medical profile of a patient with obesity who was seeking care for migraines. We measured biogenetic causal beliefs about obesity, endorsement of weight as a heuristic for health, negative obesity stereotypes, and treatment decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants in the disease (vs. non\u2010disease) condition endorsed biogenetic causal beliefs more strongly and made more migraine\u2010related treatment recommendations. No effect of the manipulation was found for the remaining outcomes. Biogenetic causal beliefs about obesity were associated with\n                      <jats:italic>less<\/jats:italic>\n                      weight stigma. Endorsing weight as a heuristic for health was associated with\n                      <jats:italic>greater<\/jats:italic>\n                      weight stigma and differential treatment recommendations focused more on the patient's weight and less on their migraines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pathologizing obesity may reinforce biogenetic explanations for obesity. Evidence demonstrates complex associations between weight\u2010related beliefs and weight stigma and discrimination. Biogenetic causal beliefs were associated with less weight stigma, while endorsing weight as a heuristic for health was associated with greater weight stigma and differential treatment. Further research is needed to inform policies that can promote health without perpetuating weight\u2010based rejection in health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.12625","type":"journal-article","created":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T01:33:40Z","timestamp":1664242420000},"page":"291-305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["How conceptualizing obesity as a disease affects beliefs about weight, and associated weight stigma and clinical decision\u2010making in health care"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3910-2648","authenticated-orcid":false,"given":"Joanne A.","family":"Rathbone","sequence":"first","affiliation":[{"name":"Research School of Psychology The Australian National University  Canberra ACT Australia"},{"name":"School of Medicine, Dentistry, &amp; Nursing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5296-3480","authenticated-orcid":false,"given":"Tegan","family":"Cruwys","sequence":"additional","affiliation":[{"name":"Research School of Psychology The Australian National University  Canberra ACT Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7588-5355","authenticated-orcid":false,"given":"Jolanda","family":"Jetten","sequence":"additional","affiliation":[{"name":"School of Psychology The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2704-5087","authenticated-orcid":false,"given":"Kasia","family":"Banas","sequence":"additional","affiliation":[{"name":"School of Medicine, Dentistry, &amp; Nursing University of Glasgow  Glasgow UK"},{"name":"Usher Institute The University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2679-2969","authenticated-orcid":false,"given":"Lillian","family":"Smyth","sequence":"additional","affiliation":[{"name":"Medical School The Australian National University  Canberra ACT Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6928-0640","authenticated-orcid":false,"given":"Kristen","family":"Murray","sequence":"additional","affiliation":[{"name":"Research School of Psychology The Australian National University  Canberra ACT Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,26]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2008.231"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0803105"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000087"},{"key":"e_1_2_11_5_1","unstructured":"Australian Capital Territory Government Department of Health. 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