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The interaction between BMI, weight criticism, weight bias, and psychological and relational outcomes within marriage

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Abstract

Purpose

To examine (1) whether a wife’s BMI interacts with either her husband’s weight stigma or (2) her perceived weight criticisms from her husband predict husbands’ and wives’ psychological and relational outcomes.

Methods

The study sample consisted of 209 currently married men and women in a heterosexual relationship. Participants were drawn from an online survey platform (Qualtrics, Inc. Provo, UT) designed to approximate the US population on age, race, and region of the country. Online measures assessed husbands’ weight stigma, wives’ perceived weight criticisms from husband, and husbands’ and wives’: (1) relationship satisfaction, (2) sexual intimacy, (3) self-esteem, (4) depressive symptoms, and (5) perceptions of a desirable or ideal mate.

Results

Wives’ BMI interacted with husbands’ weight stigma to predict (1) mate value for husbands and wives and (2) marital satisfaction for husbands. The same pattern was noted with interaction of wives’ BMI and perceptions of husbands’ weight related criticisms. The interaction reflected that higher wife BMI and higher husband weight stigma or wife perceived weight-related criticism predicted lower marital satisfaction, greater depression, and lower perceptions of a desirable or an ideal mate. Lower BMI was not associated with outcomes regardless of the husbands’ weight stigma or wives’ perceived weight-related criticisms.

Conclusion

To understand the impact of weight stigma and weight related criticisms on perceptions of a desirable or ideal mate and marital outcomes, it is important to examine the interaction with partner’s BMI.

Level of evidence

III: Evidence obtained from cohort or case–control analytic studies.

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Funding

The authors did not receive support from any organization for the submitted work.

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Correspondence to Robert A. Carels.

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The authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethical approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of East Carolina University (UMCIRB 18-000554).

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Informed consent was obtained from all individual participants included in the study.

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Carels, R.A., Miller, J.C., Hlavka, R. et al. The interaction between BMI, weight criticism, weight bias, and psychological and relational outcomes within marriage. Eat Weight Disord 27, 1887–1893 (2022). https://doi.org/10.1007/s40519-021-01324-z

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  • DOI: https://doi.org/10.1007/s40519-021-01324-z

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