{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:20:36Z","timestamp":1791390036618,"version":"4.3.3"},"reference-count":61,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Medical University of Silesia"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: There is scientific evidence showing that body- and\/or body weight-related blaming, guilting, and shaming continue to be both promoted and tolerated in many societal contexts, including schools and healthcare settings. A deeply ingrained belief still prevails among many individuals that inducing these negative emotions can serve as a motivator for children and adolescents to engage in obesity treatment. Therefore, the aim of this systematic review is to examine these emotions (blame, guilt, shame) in relation to body weight and their impact on psychological functioning within the pediatric population affected by overweight and obesity. Methods: Articles were searched up using PubMed and Web of Science in June 2023 and March 2025. The search was conducted without limiting the years of publication. The inclusion criteria included the following: (1) pediatric samples, (2) full text available, and (3) original research articles. Articles were excluded if they were editorials, letters, replies from authors, review articles, and articles without a full text. Results: The initial search returned 199 results. A total of 16 articles were included in the study. Analysis of the collected records revealed associations between body- or weight-related blame, guilt, and shame and various aspects of psychological functioning in the pediatric population such as (a) interpersonal context (e.g., social stigma, bullying, teasing history, social connectedness, weight-related language used by parents in conversations with children and adolescents; (b) intrapsychic context\u2014relationship with eating and food (e.g., binge eating, dietary restraint, emotional eating, and the risk of developing eating disorders); (c) intrapsychic context\u2014self-perception (e.g., self-esteem, feelings of worthlessness, self-compassion, self-efficacy, perceived control); (d) intrapsychic context\u2014emotional functioning (e.g., emotional distress, anxiety, depression, emotion regulation strategies); and (e) intrapsychic context\u2014additional psychological factors (e.g., mindfulness, quality of life, willingness to seek help, and motivation for both help-seeking and sustaining successful lifestyle changes). Conclusions: Understanding the dynamics of body- and\/or weight-related blame, guilt, and shame among children and adolescents with overweight and obesity is essential for developing effective support systems that enhance their well-being and psychological resilience in both the prevention and treatment of obesity. Further research is needed to explore the relationships between body- and weight-related blame, guilt, and shame and psychological functioning in pediatric populations with overweight and obesity, including the dynamics of child\u2013parent\u2013healthcare provider interactions, the context of parenting skills and attitudes that support the child during obesity treatment, the long-term consequences of body- and weight-related blame, guilt, and shame, the relationship between healthcare providers\u2019 tendencies to engage in body- and weight-related shaming or blaming and their communication skills and mental well-being (e.g., levels of professional burnout, emotion regulation skills, and personality traits), as well as the influence of social media on body- and weight-related shame, guilt, and blame.<\/jats:p>","DOI":"10.3390\/nu17111763","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T09:58:09Z","timestamp":1747994289000},"page":"1763","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Analysis of Blame, Guilt, and Shame Related to Body and Body Weight and Their Relationship with the Context of Psychological Functioning Among the Pediatric Population with Overweight and Obesity: A Systematic Review"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1707-0000","authenticated-orcid":false,"given":"Kamila","family":"Czepczor-Bernat","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Pediatric Obesity and Metabolic Bone Diseases, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela","family":"Mikulska","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Obesity and Metabolic Bone Diseases, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142","family":"Matusik","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Obesity and Metabolic Bone Diseases, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1007\/s40211-019-0302-9","article-title":"Obesity and anxiety symptoms: A systematic review and meta-analysis","volume":"33","author":"Amiri","year":"2019","journal-title":"Neuropsychiatrie"},{"key":"ref_2","first-page":"2341","article-title":"An in-depth review of body shaming phenomenon among adolescents: Trigger factors, psychological impact and prevention efforts","volume":"30","author":"Deviantony","year":"2024","journal-title":"S. Afr. J. Psychiatr."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e12935","DOI":"10.1111\/obr.12935","article-title":"The association between weight stigma and mental health: A meta-analysis","volume":"21","author":"Emmer","year":"2020","journal-title":"Obes. Rev."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Kokka, I., Mourikis, I., and Bacopoulou, F. (2023). Psychiatric disorders and obesity in childhood and adolescence\u2014A systematic review of cross-sectional studies. Children, 10.","DOI":"10.3390\/children10020285"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.1016\/j.clnu.2019.10.016","article-title":"Weight-related stigma and psychological distress: A systematic review and meta-analysis","volume":"39","author":"Alimoradi","year":"2020","journal-title":"Clin. Nutr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"4184","DOI":"10.1111\/jan.15012","article-title":"Experiences of weight stigma in adolescents with severe obesity and their families","volume":"77","author":"Roberts","year":"2021","journal-title":"J. Adv. Nurs."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/cob.12147","article-title":"Weight bias reduction in health professionals: A systematic review","volume":"6","author":"Alberga","year":"2016","journal-title":"Clin. Obes."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1038\/oby.2008.636","article-title":"The stigma of obesity: A review and update","volume":"17","author":"Puhl","year":"2009","journal-title":"Obesity"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"999","DOI":"10.3109\/09638288.2010.520800","article-title":"Adolescents\u2019 perceptions of obesity treatment\u2014An interview study","volume":"33","author":"Morinder","year":"2011","journal-title":"Disabil. Rehabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1479581","DOI":"10.1080\/17482631.2018.1479581","article-title":"Adolescents\u2019 perspectives on everyday life with obesity: A qualitative study","volume":"13","author":"Kvilhaugsvik","year":"2018","journal-title":"Int. J. Qual. Stud. Health Well-Being"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1007\/s11695-007-9082-6","article-title":"Associations of weight-based teasing history and current eating disorder features and psychological functioning in bariatric surgery patients","volume":"17","author":"Rosenberger","year":"2007","journal-title":"Obes. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Cerolini, S., Vacca, M., Zegretti, A., Zagaria, A., and Lombardo, C. (2024). Body shaming and internalized weight bias as potential precursors of eating disorders in adolescents. Front. Psychol., 15.","DOI":"10.3389\/fpsyg.2024.1356647"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1093\/jpepsy\/jsad068","article-title":"Referral to adolescent weight management interventions: Qualitative perspectives from providers","volume":"48","author":"Darling","year":"2023","journal-title":"J. Pediatr. Psychol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1002\/erv.1066","article-title":"Emotion and eating in binge eating disorder and obesity","volume":"19","author":"Zeeck","year":"2011","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1007\/s13679-020-00408-8","article-title":"Weight stigma in youth: Prevalence, consequences, and considerations for clinical practice","volume":"9","author":"Puhl","year":"2020","journal-title":"Curr. Obes. Rep."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"3440","DOI":"10.1080\/09638288.2023.2251878","article-title":"Exploring the complexities of weight management care for children with spina bifida: A qualitative study with children and parents","volume":"46","author":"Giles","year":"2024","journal-title":"Disabil. Rehabil."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"101677","DOI":"10.1016\/j.jth.2023.101677","article-title":"Weight centrism in research on children\u2019s active transport to school","volume":"32","author":"Kent","year":"2023","journal-title":"J. Transp. Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1080\/14427591.2006.9726514","article-title":"Physical activity and the occupations of children: Perspectives of parents and children","volume":"13","author":"Ziviani","year":"2006","journal-title":"J. Occup. Sci."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1080\/00221325.2020.1796573","article-title":"Healthy body, healthy mind: A mindset intervention for obese youth","volume":"181","author":"Orvidas","year":"2020","journal-title":"J. Genet. Psychol."},{"key":"ref_20","first-page":"75","article-title":"Anti-fat stereotypes and prejudices among primary school children and teachers in Spain","volume":"35","year":"2019","journal-title":"An. Psicol."},{"key":"ref_21","unstructured":"Robinson, K. (2021). Anti-Fat Attitudes in Healthcare. [Ph.D. Thesis, University of East London]."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1002\/hast.114","article-title":"Obesity: Chasing an elusive epidemic","volume":"43","author":"Callahan","year":"2013","journal-title":"Hastings Cent. Rep."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e20173034","DOI":"10.1542\/peds.2017-3034","article-title":"Stigma experienced by children and adolescents with obesity","volume":"140","author":"Pont","year":"2017","journal-title":"Pediatrics"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1111\/obr.12266","article-title":"Impact of weight bias and stigma on quality of care and outcomes for patients with obesity","volume":"16","author":"Phelan","year":"2015","journal-title":"Obes. Rev."},{"key":"ref_25","unstructured":"World Health Organization (2025, April 16). Obesity and Overweight. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"ref_26","first-page":"1096","article-title":"The awareness of the impact of body shaming among youth","volume":"12","author":"Mustafa","year":"2022","journal-title":"Int. J. Acad. Res. Bus. Soc. Sci."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1007\/s42380-021-00109-3","article-title":"Body shaming: An exploratory study on its definition and classification","volume":"5","author":"Kraag","year":"2023","journal-title":"Int. J. Bullying Prev."},{"key":"ref_28","first-page":"16","article-title":"The influence of body shaming toward FISIP Airlangga University students behaviour pattern","volume":"11","author":"Sugiati","year":"2019","journal-title":"Indones. J. Soc. Sci."},{"key":"ref_29","first-page":"60","article-title":"Exploring the impact of body shaming and emotional reactivity on the self-esteem of young adults","volume":"2","author":"Syeda","year":"2023","journal-title":"CARC Res. Soc. Sci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1037\/0021-843X.114.1.119","article-title":"Dietary restraint, body dissatisfaction, and psychological distress: A prospective analysis","volume":"114","author":"Johnson","year":"2005","journal-title":"J. Abnorm. Psychol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.cobeha.2015.12.001","article-title":"The outward spiral: A vicious cycle model of obesity and cognitive dysfunction","volume":"9","author":"Hargrave","year":"2016","journal-title":"Curr. Opin. Behav. Sci."},{"key":"ref_32","first-page":"932","article-title":"Cultural perceptions of healthy weight in rural Appalachian youth","volume":"8","author":"Williams","year":"2008","journal-title":"Rural Remote Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1038\/ijo.2017.55","article-title":"Adolescent preferences and reactions to language about body weight","volume":"41","author":"Puhl","year":"2017","journal-title":"Int. J. Obes."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.ypmed.2017.04.023","article-title":"Experiences of weight teasing in adolescence and weight-related outcomes in adulthood: A 15-year longitudinal study","volume":"100","author":"Puhl","year":"2017","journal-title":"Prev. Med. Rep."},{"key":"ref_35","unstructured":"Leary, M.R., and Tangney, J.P. (2003). The development of self-representations during childhood and adolescence. Handbook of Self and Identity, Guilford. [2nd ed.]."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e20172151","DOI":"10.1542\/peds.2017-2151","article-title":"Age limit of pediatrics","volume":"140","author":"Hardin","year":"2017","journal-title":"Pediatrics"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.bodyim.2016.11.004","article-title":"Is body shame a significant mediator of the relationship between mindfulness skills and the quality of life of treatment-seeking children and adolescents with overweight and obesity?","volume":"20","author":"Moreira","year":"2016","journal-title":"Body Image"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.eatbeh.2015.12.010","article-title":"Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: A mediation model","volume":"21","author":"Iannaccone","year":"2016","journal-title":"Eat. Behav."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Brewis, A.A., and Bruening, M. (2018). Weight shame, social connection, and depressive symptoms in late adolescence. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15050891"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1089\/chi.2018.0047","article-title":"A word to the wise: Adolescent reactions to parental communication about weight","volume":"14","author":"Puhl","year":"2018","journal-title":"Child Obes."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e389","DOI":"10.1542\/peds.2005-0170","article-title":"Obesity, shame, and depression in school-aged children: A population-based study","volume":"116","author":"Nilsson","year":"2005","journal-title":"Pediatrics"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1089\/chi.2017.0123","article-title":"Cognitive emotion regulation strategies in Chinese adolescents with overweight and obesity","volume":"14","author":"Tan","year":"2018","journal-title":"Child Obes."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Gouveia, M.J., Canavarro, M.C., and Moreira, H. (2018). Is mindful parenting associated with adolescents\u2019 emotional eating? The mediating role of adolescents\u2019 self-compassion and body shame. Front. Psychol., 9.","DOI":"10.3389\/fpsyg.2018.02004"},{"key":"ref_44","unstructured":"Erikson, E.H. (1964). Childhood and Society, W. W. Norton & Co."},{"key":"ref_45","unstructured":"Bowlby, J. (1969). Attachment and Loss. Vol. 1: Attachment, Basic Books."},{"key":"ref_46","first-page":"487","article-title":"Body shaming, emotional expressivity, and life orientation among young adults","volume":"7","author":"Saxena","year":"2020","journal-title":"J. Emerg. Technol. Innov. Res."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1038\/s41366-020-0604-9","article-title":"Family-based treatment program contributors to child weight loss","volume":"45","author":"Boutelle","year":"2021","journal-title":"Int. J. Obes."},{"key":"ref_48","unstructured":"W\u00f3jcik, M., and Brzezi\u0144ski, M. (2024). Leczenie choroby oty\u0142o\u015bciowej u dzieci\u2014Aspekt psychologiczny. Choroba Oty\u0142o\u015bciowa u Dzieci i M\u0142odzie\u017cy, Medical Tribune Polska."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1947","DOI":"10.1001\/jama.2023.8061","article-title":"Family-based behavioral treatment for childhood obesity implemented in pediatric primary care: A randomized clinical trial","volume":"329","author":"Epstein","year":"2023","journal-title":"JAMA"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"e2022060640","DOI":"10.1542\/peds.2022-060640","article-title":"Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity","volume":"151","author":"Hampl","year":"2023","journal-title":"Pediatrics"},{"key":"ref_51","unstructured":"Bandura, A. (2017). Teoria Spo\u0142ecznego Uczenia si\u0119, Wydawnictwo Naukowe PWN."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1038\/s41366-024-01565-9","article-title":"Providing a common language for obesity: The European Association for the Study of Obesity obesity taxonomy","volume":"49","author":"Schreurs","year":"2025","journal-title":"Int. J. Obes."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"100058","DOI":"10.1016\/j.obpill.2023.100058","article-title":"Weight stigma and bias: A guide for pediatric clinicians","volume":"6","author":"Braddock","year":"2023","journal-title":"Obes. Pillars"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1186\/s40814-023-01385-0","article-title":"Motivational interviewing to promote healthy behaviors for obesity prevention in young adults (MOTIVATE): A pilot randomized controlled trial protocol","volume":"9","author":"Anderson","year":"2023","journal-title":"Pilot Feasibility Stud."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"e244","DOI":"10.1016\/j.pedn.2016.02.004","article-title":"Assessment of weight bias among pediatric nurses and clinical support staff toward obese patients and their caregivers","volume":"31","author":"Garcia","year":"2016","journal-title":"J. Pediatr. Nurs."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1002\/oby.20910","article-title":"Weight bias in 2001 versus 2013: Contradictory attitudes among obesity researchers and health professionals","volume":"23","author":"Tomiyama","year":"2015","journal-title":"Obesity"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"e116","DOI":"10.1017\/S1463423619000227","article-title":"Weight bias and health care utilization: Scoping review","volume":"20","author":"Alberga","year":"2019","journal-title":"Prim. Health Care Res. Dev."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1002\/aur.2017","article-title":"Weighty conversations: Caregivers\u2019, children\u2019s, and clinicians\u2019 perspectives and experiences of discussing weight-related topics in healthcare consultations","volume":"11","author":"Jachyra","year":"2018","journal-title":"Autism Res."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1007\/s40519-017-0382-0","article-title":"Psychometric properties of the Weight Self-Stigma Questionnaire (WSSQ) among a sample of overweight\/obese French-speaking adolescents","volume":"24","author":"Lepage","year":"2019","journal-title":"Eat. Weight Disord."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1177\/1049732314529667","article-title":"Blame, shame, and lack of support: A multilevel study on obesity management","volume":"24","author":"Kirk","year":"2014","journal-title":"Qual. Health Res."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Rees, R., Oliver, K., Woodman, J., and Thomas, J. (2011). The views of young children in the UK about obesity, body size, shape and weight: A systematic review. BMC Public Health, 11.","DOI":"10.1186\/1471-2458-11-188"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/11\/1763\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:39:05Z","timestamp":1760031545000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/11\/1763"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,23]]},"references-count":61,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["nu17111763"],"URL":"https:\/\/doi.org\/10.3390\/nu17111763","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,23]]}}}