» Articles » PMID: 37280423

Sabotage, Collusion, and Being a Feeder: Towards a New Model of Negative Social Support and Its Impact on Weight Management

Overview
Journal Curr Obes Rep
Specialty Endocrinology
Date 2023 Jun 6
PMID 37280423
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose Of Review: Whilst research indicates the positive impact of social support across a number of health domains, including weight management, not all social support is beneficial.

Recent Findings: This paper reviews the evidence for both positive and negative social support in the context of behavioural interventions and surgery for obesity. It then presents a new model of negative social support focusing on sabotage ('active and intentional undermining of another person's weight goals'), feeding behaviour ('explicit over feeding of someone when they are not hungry or wishing not to eat'), and collusion ('passive and benign negative social support to avoid conflict') which can be conceptualised within the context of relationships as systems and the mechanisms of homeostasis. There is increasing evidence for the negative impact of social support. This new model could form the basis of further research and the development of interventions for family, friends, and partners to maximise weight loss outcomes.

Citing Articles

The mediating role of social support in behavioral changes and weight loss outcomes among overweight Appalachian adults.

Zhang X, Shoben A, Felix A, Focht B, Baltic R, Paskett E J Behav Med. 2025; .

PMID: 39924605 DOI: 10.1007/s10865-025-00555-0.


The Role of Household Social Support and Undermining in Dietary Change.

Ehmann M, Hagerman C, Milliron B, Butryn M Int J Behav Med. 2024; .

PMID: 39436592 DOI: 10.1007/s12529-024-10327-w.


Couples-based health behavior change interventions: A relationship science perspective on the unique opportunities and challenges to improve dyadic health.

Gouin J, Dymarski M Compr Psychoneuroendocrinol. 2024; 19:100250.

PMID: 39155951 PMC: 11326928. DOI: 10.1016/j.cpnec.2024.100250.


Understanding the selection of support partners in a behavioral weight loss program.

Crane N, Miller N, Arigo D, Butryn M Psychol Health. 2024; 1-18.

PMID: 39028224 PMC: 11742069. DOI: 10.1080/08870446.2024.2381238.

References
1.
Mauro M, Taylor V, Wharton S, Sharma A . Barriers to obesity treatment. Eur J Intern Med. 2008; 19(3):173-80. DOI: 10.1016/j.ejim.2007.09.011. View

2.
Leventhal H, Weinman J, Leventhal E, Phillips L . Health Psychology: the Search for Pathways between Behavior and Health. Annu Rev Psychol. 2007; 59:477-505. DOI: 10.1146/annurev.psych.59.103006.093643. View

3.
Andrews G . Intimate saboteurs. Obes Surg. 1998; 7(5):445-8. DOI: 10.1381/096089297765555449. View

4.
Athanasiadis D, Martin A, Kapsampelis P, Monfared S, Stefanidis D . Factors associated with weight regain post-bariatric surgery: a systematic review. Surg Endosc. 2021; 35(8):4069-4084. DOI: 10.1007/s00464-021-08329-w. View

5.
Woodard G, Encarnacion B, Peraza J, Hernandez-Boussard T, Morton J . Halo effect for bariatric surgery: collateral weight loss in patients' family members. Arch Surg. 2011; 146(10):1185-90. DOI: 10.1001/archsurg.2011.244. View