Rebecca Puhl

Professor

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Website: www.uconnruddcenter.org

Educational Background:
Ph.D., Clinical Psychology, Yale University, 2004
M.S., Psychology, Yale University, 2001
B.A.H., Psychology, Queen’s University, 1999

Research Interests:

My research broadly addresses weight-based bullying, bias, and discrimination experienced by children and adults. My work has documented the prevalence and origins of weight bias and discrimination, assessed the pervasiveness and impact of weight stigma in the media, examined the effects of weight bias on emotional and physical health, investigated the nature and consequences of weight-bullying in youth, tested intervention strategies to reduce weight bias, and studied potential policy and legal remedies to reduce weight discrimination and bullying. My current studies are examining parent-adolescent communication about body weight, the nature of weight stigma within family relationships, and the prevalence of type 2 diabetes stigma in healthcare.

View more about Dr. Puhl’s work at the Rudd Center for Food Policy & Health.

Selected Recent Publications:

Puhl, R.M., Lessard, L.M., Foster, G.D., Cardel, M.I. (2022). A comprehensive examination fo the nature, frequency, and context of parental weight communication: Perspectives of parents and adolescents. Nutrients,14,1562.                                                          https://doi.org/10.3390/nu14081562

Braun, T.D., Puhl, R.M., Quinn, D.M., Gorin, A., Tishler, D., Papasavas P. (2022). Weight stigma and post traumatic stress disorder symptoms in individals seeking bariatric surgery. Surgery for Obesity and Related Diseases. https://doi.org/10.1016/j.soard.2022.05.011

Hooper, L., Puhl, R., Eisenberg, M.E., Reicks, M., Neumark-Sztainer, D. (2022). How is weight teasing cross-sectionally and longitudinally associated with health behaviors and weight status among ethnically/racially and socioeconomically diverse young people? International Journal of Behavioral Nutrition and Physical Activity.

Lawrence, S.E., Puhl, R.M., Schwartz, M.B., Watson, R.J, Foster, G.D. (2022). “The most hurtful thing I’ve ever experienced”: A qualitative examination of the nature of experiences of weight stigma by family members. Social Science & Medicine – Qualitative Research in Health. https://doi.org/10.1016/j.ssmqr.2022.100073

Puhl, R.M. (2022). Weight stigma, policy initiatives, and harnessing social media to elevate activism. Body Image, 40, 131-137.

Lessard, L.M., Puhl, R.M. (2022). Weight-based cybervictimization: Implications for adolescent health. Pediatric Obesity, e12888. doi:10.1111/ijpo.12888

Lessard, L.M., Watson, R.J., Schacter H.L., Wheldon C.W., Puhl, R.M. (2022). Weight enumeration in state anti-bullying laws: Associations with rates and risks of   weight-based bullying among sexual and gender minority adolescents. Journal of Public Health Policy, 43, 27-39.

Puhl, R.M., Himmelstein, M.S., Speight, J. (2022). Weight stigma and diabetes stigma: Implications for weight-related health behaviors in adults with type 2   diabetes. Clinical Diabetes, 40, 51–61.

Verhaak, A., Ferrand, J., Puhl, R.M., Tisher D.S., Papasavas, P.K., Umashanker, D. (2022). Experienced weight stigma, internalized weight bias, and clinical attrition in a medical weight loss patient sample. International Journal of Obesity. https://doi.org/10.1038/s41366-022-01087-2

Lessard, L. M., &Puhl, R. M. (2021). Adolescent academic worries amid COVID-19   and perspectives on pandemic-related changes in teacher and peer relations. School Psychology, 36(5), 285-292.

Lessard, L.M., & Puhl, R.M. (2021). Adolescents’ exposure to and experiences of weight stigma during the COVID-19 pandemic. Journal of Pediatric Psychology, 46, 950-959.

Puhl, R.M., *Lessard, L., Pearl, R.L., Grupski, A., & Foster, G.D. (2021). Policies to address weight discrimination and bullying: Perspectives of adults engaged in weight management from six nations. Obesity, 29,1787–1798.

Wakefield, E., Puhl, R., Litt, M.D., Zempsky, W.T. (2021). “If it ever really hurts, I try not to let them know”: The use of concealment as a coping strategy among adolescents with chronic pain. Frontiers in Psychology, 12,666275. https://doi.org/10.3389/fpsyg.2021.666275

Puhl, R.M., Lessard, L.M., Pearl, R.L., Himmelstein, M.S., Foster, G.D. (2021). International comparisons of weight stigma: Addressing a void in the field. International Journal of Obesityhttps://doi.org/10.1038/s41366-021-00860-z

Puhl, R.M., Lessard, L.M., Himmelstein, M.S., Foster, G.D. (2021). The roles of experienced and internalized weight stigma in healthcare experiences: Perspectives of adults engaged in weight management across six countries. PLOS ONE 16(6): e0251566 https://doi.org/10.1371/journal.pone.0251566

Lessard, L.M., Puhl, R.M., Himmelstein, M.S., Pearl, R.L., Foster, G.D. (2021). Eating and Exercise-Related Correlates of Weight Stigma: A Multinational Investigation. Obesity. DOI: 10.1002/oby.23168

Braun, T.D., Gorin, A.A., Puhl, R.M., Stone, A., Quinn, D.M., Ferrand, J., Abrantes, A.M., Unick, J., Tishler, D., Papasavas, P. (2021). Shame and self-compassion as risk   and protective mechanisms of the internalized weight bias and emotional eating link in individuals seeking bariatric surgery. Obesity Surgery. doi: 10.1007/s11695-021-05392-z

Hooper, L., Puhl, R.M., Eisenberg, M.E., Crow, S., Neumark-Sztainer, D. (2021). Weight teasing experienced during adolescence and young adulthood: cross-sectional and longitudinal associations with disordered eating behaviors in an ethnically/racially and socioeconomically diverse sample. International Journal of Eating Disorders. doi: 10.1002/eat.23534

Reinka, M.A., Quinn, D.M., Puhl, R.M. (2021). Examining the relationship between weight controllability beliefs and eating behaviors: The role of internalized weight stigma and BMI. Appetite. 105257 https://doi.org/10.1016/j.appet.2021.105257

Pearl, R.L., Puhl, R.M., Lessard, L.M., Himmelstein, M.S., Foster, G.D. (2021). Prevalence and correlates of weight bias internalization in weight management: A multinational study. Social Science & Medicine – Population Health, 13, 100755.

Watson, R.J., Fish, J.N., Poteat, V.P., Wheldon, C.W., Cunningham, C.A., Puhl, R.M., Eaton, L.A. (2021). Teacher support, victimization, and alcohol use among sexual and gender minority youth: Considering ethnoracial identity. Prevention Science.  https://doi.org/10.1007/s11121-021-01216-9

Lessard, L.M., Lawrence, S.L., Puhl, R.M. (2021). Weight-based victimization and school performance in adolescence: Can teachers help reduce academic risks? School Psychology, 36, 69-74. 

Phelan, S.M., Puhl, R.M., Burgess, D.J., Natt, N., Mundi, M., Miller, N.E., Saha, S., et al. (2021). The Role of Weight Bias and Perceived Norms in Medical Students’ Patient-Centered Communication with Higher Weight Standardized Patients. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2021.01.003  

Lessard, L.M., Puhl, R.M., Larson, N., Simone, M., Eisenberg, M.E., Neumark- Sztainer, D. (2020). Parental contributors to the prevalence and long-term health risks of family weight teasing in adolescence. Journal of Adolescent Health.  https://doi.org/10.1016/j.jadohealth.2020.09.034

Puhl, R.M., Lessard, L.M. (2020). Weight stigma in youth: Prevalence, consequences, and considerations for clinical practice. Current Obesity Reports. doi: 10.1007/s13679-020-00408-8.

Quinn, D.M., Puhl, R.M., Reinka, M.A. (2020). Trying again (and again): Weight cycling and depressive symptoms in U.S. adults. PLoS ONE, https://doi.org/10.1371/journal.pone.0239004

Olson, K.L., Lillis, J., Panza, E., Wing, R.R., Quinn, D., Puhl R. (2020). Body shape concerns across racial and ethnic groups among adults in the United States: More similarities than differences. Body Image, 35, 108-113.

Puhl, R.M., Himmelstein, M.S., Hateley-Browne, J.L., Speight, J. (2020). Weight stigma and diabetes stigma in U.S. adults with type 2 diabetes: Associations with diabetes self-care behaviors and perceptions of health care. Diabetes Research and Clinical Practice, 168, 108387.

Puhl, R.M., Lessard, L.M., Larson, N., Eisenberg, M.E., Neumark-Sztainer, D. (2020). Weight stigma as a predictor of distress and maladaptive eating behaviors during COVID-19: Longitudinal findings from the EAT study. Annals of Behavioral Medicine, 54(10), 738-746.

Himmelstein, M.S., Puhl, R.M. (2020). At multiple fronts: Diabetes stigma and weight stigma in adults with Type 2 Diabetes. Diabetic Medicine. doi: 10.1111/dme.14387

Puhl, R.M., Telke, S., Larson, N., Eisenberg, M., Neumark-Sztainer, D. (2020). Experiences of weight stigma and links with self-compassion among a population-based sample of young adults from diverse ethnic/racial and socio-economic backgrounds. Journal of Psychosomatic Research, 134, 110134.

Himmelstein, M.S., Puhl, R.M., Pearl, R.L., Pinto, A.M., Foster, G.D. (2020). Coping with Weight Stigma among Adults in a Commercial Weight Management Sample.   International Journal of Behavioral Medicine, 27, 576-590.

Pearl. R.L., Puhl, R.M., Himmelstein, M.S., Pinto, A.M., Foster, G.D. (2020). Weight stigma and weight-related health: Associations of self-report measures among adults in weight management. Annals of Behavioral Medicine, 54, 904-914.

Lessard, L.M., Puhl, R.M., Watson, R.J. (2020). Gay-straight alliances: A mechanism of health risk reduction among LGBTQ adolescents. American Journal of Preventive Medicine, 59, 196-203. (IF=4.44

Lessard, L.M., Watson, R.J., Puhl, R.M. (2020). Bias-based bullying and school adjustment among sexual and gender minority adolescents: The role of gay-straight alliances. Journal of Youth and Adolescence, 49, 1094-1109.

Puhl, R.M. (2020). What words should we use to talk about weight? A systematic review of quantitative and qualitative studies examining preferences for weight-related terminology. Obesity Reviews, 21, e13008. DOI: 10.1111/obr.13008

Puhl, R.M., Himmelstein, M.S., & Pearl, R.L. (2020). Weight stigma as a psychosocial contributor to obesity. American Psychologist, 75, 274-289.

Rubino, F., Puhl, R.M., Cummings, D.E., et al. (2020). Joint international consensus statement for ending stigma of obesity. Nature Medicine, 26, 485-497.

Pudney, E.V., Himmelstein, M.S., Puhl, R.M., Foster, G.D. (2020). Distressed or not distressed? A mixed methods examination of reactions to weight stigma and implications for emotional wellbeing and internalized weight bias. Social Science & Medicine, 249, 112854.

O’Brien, K.S., Puhl, R.M., Latner, J.D., Lynott, D., Reid, J.D., Vakhitova, Z., Hunter, J.A., Scarf, D., Jeans, R., Bouguettaya, A., Carter, A. (2020). The effect of a food addiction explanation model for weight control and obesity on weight stigma. Nutrients, 12, 294; doi:10.3390/nu12020294

Watson, R.J., Fish, J.N., McKay, T., Allen, S., Eaton, L., & Puhl, R.M. (2020). Substance use among a national sample of sexual and gender minority adolescents: Intersections of sex assigned at birth and gender identity.  LGBTQ Health, 7, 37-46.

Eisenberg, M., Puhl, R.M., Watson, R.J. (2020). Family weight teasing, LGBTQ attitudes, and well-being among LGBTQ adolescents. Family & Community Health, 43, 17-25.

Panza, G.A., Puhl, R.M., Taylor, B.A., Zaleski, A.L., Livingston, J., Pescatello, L.S. (2019). Links between discrimination and cardiovascular health among socially stigmatized groups: A systematic review. PlosONE, 14(6), e0217623.

 Puhl, R.M., Himmelstein, M.S., Pearl, R.L., Wojtanowski, A.C., & Foster, G.D. (2019). Weight stigma among sexual minority adults: Findings from a matched sample of adults engaged in weight management. Obesity, 27(11), 1906-1915.

 Pearl, R.L., Himmelstein, M.S., Puhl, R.M., Wadden, T.A., Wojtanowski, A.C., & Foster, G.D. (2019). Weight bias internalization in a commercial weight management sample: Prevalence and correlates.  Obesity Science & Practice. Advanced online publication. doi 10.1002/osp4.354.

Himmelstein, M.S., Puhl, R.M., Quinn, D. (2019). Overlooked and Understudied: Health Consequences of Weight Stigma in Men. Obesity. https://doi.org/10.1002/oby.22599 

Puhl, R.M., Himmelstein, M.S., Watson, R.J. (2019). Weight-based victimization among sexual and gender minority adolescents: Findings from a diverse national sample. Pediatric Obesity, 14(7): e12514. doi.10/1111/ijpo.12514

Pearl, R.L., Himmelstein, M.S., Puhl, R.M.,Wadden, T.A., Wojtanowski, A.C., & Foster, G.D. (2019). Weight bias internalization in a commercial weight management sample: Prevalence and correlates.  Obesity Science & Practice. doi.10.1002/osp4.354.

Himmelstein, M.S., Puhl, R.M.,Watson, R.J. (2019). Weight-Based Victimization, Eating Behaviors, and Weight-Related Health in Sexual and Gender Minority Adolescents. Appetite, 141:10432. doi:10.1016/j.appet.2019

Pearl, R.L., Himmelstein, M.S., Puhl, R.M., Wadden, T.A., Wojtanowski, A.C., & Foster, G.D.  (2019). Weight Bias Internalization in a Commercial Weight Management Sample: Prevalence and Correlates. Obesity Science & Practice.

Pudney, E.V., Himmelstein, M.S., Puhl, R.M. (2019). The role of weight stigma in parental weight talk. Pediatric Obesity, e12534. doi: 10.1111/ijpo.12534

Puhl, R.M., Himmelstein, M.S., Watson, R.J. (2019). Weight stigma in sexual and gender minority adolescents: Implications for mental health and substance use. Health Psychology. http://dx.doi.org/10.1037/hea0000758

Eisenberg, M., Puhl, R.M., Areba, E., & Neumark-Sztainer, D.M. (2019). Family weight teasing, ethnicity and acculturation: Associations with well-being among Latinx, Hmong, and Somali Adolescents. Journal of Psychosomatic Research, 122, 88-93.

Watson, R.J., Wheldon, C.W., Puhl, R.M. (2019). Evidence of diverse identities in a large national sample of sexual and gender minority youth. Journal of Research on Adolescence. doi.org/10.1111/jora.12488

Himmelstein, M.S., Puhl, R.M. (2019). Weight-based victimization from friends and family: Implications for how adolescents cope with weight stigma. Pediatric Obesity, 14(1), doi:10.1111/ijpo.12453

 

Selected Recent Invited Presentations:

(2022). Invited Drennan Memorial Lecture and Grand Rounds Speaker: Weight Stigma: Harmful Health Consequences and Implications for Clinical Practice. Northwestern University, Feinberg School of Medicine, Chicago, IL.

(2022). Invited Grand Rounds Speaker:Weight Bias and its Impact on the Health of Children and Adolescents with Obesity. Nationwide Children’s Hospital. Columbus, OH.

(2021). Invited plenary talk: The nature and health consequences of weight stigma. Swiss Association for the Study of Obesity National Conference. Berne, Switzerland.

(2021). Invited seminar: The damaging impact of weight stigma on health: Implications for obesity prevention and treatment. University of Cambridge, Institute of Metabolic Science. Cambridge, UK.

(2021). Invited plenary talk: Weight stigma and bias: What can we do to improve care? 10th Annual Let’s Go National Obesity Conference. Portland, ME.

(2021). Invited seminar: Health consequences of weight stigma: Implications for clinical practice and patient care. British Dietetic Association. UK.

(2021): Invited Keynote Address: The need for multinational and collective action to address weight stigma. Canadian Obesity Summit, Annual Meeting.

(2021) Invited speaker: Obesity stigma, mental health, and dietary behaviors. European Congress on Obesity, Annual Meeting.

(2021) Invited plenary speaker: Weight Stigma in Youth: Nature, Consequences, and Implications for Clinical Practice. Society of Pediatric Psychology Annual National Conference.

(2020) Invited speaker: The Damaging Impact of Weight Stigma: Psychosocial Stress and Harmful Health Consequences. University of Oxford, School of Anthropology, Oxford, UK.

(2020) Featured speaker: The Harmful Impact of Disease Stigma: Lessons from Obesity Research. The diaTribe Foundation, d20 National Forum.

(2020) Invited presenter: Health Consequences of Weight Stigma: Implications for Obesity Prevention and Treatment. United Kingdom Association for the Study of Obesity, Bristol, UK.

(2020)  Keynote speaker: Weight stigma in American society: Public health consequences and structural solutions. Framingham State University, Framingham, MA.

(2019) Invited plenary speaker: Weight Bias: Recent Guidelines and How You Can Make a Difference. American Academy of Pediatrics National Annual Conference. New Orleans, LA.

(2019). Invited expert panelist: Roundtable on Advancing Effective Obesity Communications.  Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine. Washington, DC.

(2019) Keynote Speaker: Increasing the Focus of Weight Stigma as Harmful to Health. U.S. Office of Health & Human Services, Washington, DC.

(2019) Opening Speaker and Expert Panelist: Stigma and Discrimination: Definitions, Prevalence, and Consequences. World Congress on Interventional Therapies for Type 2 Diabetes, New York, NY.

(2019) Invited Symposium: Adverse Health Consequences of Weight Stigma Among Youth. Pediatric Academic Societies National Meeting, Baltimore, MD.

(2018) Award Lecture: Using a Social-Ecological Approach for Addressing Weight Stigma. The Obesity Society Annual Meeting, Mid-Career Scientific Achievement Award Lecture, Nashville, TN.

(2018) Keynote Speaker: An Ecological Framework for Tackling Weight Stigma. Institute for Collaboration on Health, Intervention, and Policy Annual Meeting, Storrs, CT.

(2018) Keynote Speaker: Weight Bias and Appearance-based Prejudice Policy and Research. Appearance Matters International Conference, Bath, UK.

 

Selected recent examples of national media coverage:

USA Today (July 27^th, 2022)

Extra weight increases health risk in the long run. Fat shaming hurts now.

BBC (April 12^th, 2022)

The unspoken weight discrimination problem at work

The New York Times(February 27^th, 2022

Brazil, land of the thong, embraces its heavier self

CNN (June 7^th, 2021)

The pandemic changed the way we ate and shopped – and not always for the better

CNN (June 1^st, 2021)

Fat-shaming by doctors, family members, classmates is a global health problem, studies show

The Conversation (June 1^st, 2021)

Weight stigma is a burden around the world – and has negative consequences everywhere

USA Today (October 14^th, 2020)

The kids aren’t all right: COVID-19-fueled stress eating, inequities, lack of fitness expected to boost obesity, experts say.

US News and World Report (September 10^th, 2020)

Who’s Most Likely to Binge Eat Amid Pandemic?

CBS Original Documentary (August 20^th, 2020)

Speaking Frankly / Fat Shaming

The Huffington Post (February 12, 2020)

Being Overweight Benefits Some Men in the Workplace, But Not Women

US News and World Report (February 3, 2020)

The Great Body Acceptance Debate

HealthDay (October 8, 2019)

Pressuring Kids to Diet Can Backfire, Damaging Long-Term Health

The Washington Post (June 21st, 2019)

Weight Discrimination is Rampant. Yet in Most Places it’s Still Legal.

The Huffington Post (March 25^th, 2019)

10 Everyday Ways To Foster A Healthy Body Image In Your Child

NPR: Where We Live (February 11th, 2019)

Interview on Weight Stigma in Sexual Minority Youth

The Washington Post (August 23, 2018)

Food deserts don’t cause obesity. But that doesn’t mean they don’t matter.

Reuters (August 10, 2018)

Girls with obesity have increased risk of depression

The New York Times (August 21, 2017)

Fat Bias Starts Early and Takes a Serious Toll

U.S. News & World Report (August 17, 2017)

6 Strategies for Helping a Teen Who’s Being Bullied about His or Her Weight

U.S. News & World Report (May 25, 2017)

Teasing Teens about Weight May Do Lasting Harm

BBC news (December 1, 2016)

Fat people earn less and have a harder time finding work

The New York Times (October 1, 2016)

The Shame of Fat Shaming

CNN (September 29, 2016)

Weight Bias is a Bigger Problem than You May Think, Experts Say

The New York Times (September 29, 2016)

400-Pound Hacker? Trump Comments Fuel Dialogue on Fat-Shaming

The New York Times (September 25, 2016)

What Obese Patients Should Say to Doctors

The New York Times (June 16, 2016)

Parents Should Avoid Comments on a Child’s Weight

 

Selected Professional Activities/Awards:

• Named to World’s Highly Cited Research List (2021)
• Obesity Canada’s Distinguished Lecturer Award (2021)
• HDFS Faculty Research Award (2020)
• UConn CLAS Excellence in Research Award in Public Scholarship (2019)
• Distinguished Faculty Research Award, Rainbow Center, UConn (2019)
• The Obesity Society Scientific Achievement Award for Excellence in an Established Research Career (2018)
• Associate Editor, Stigma & Health (APA) (2015 – present)
• Editorial Board, Obesity: Science and Practice (Wiley) (2015-present)
• Recipient of Excellence in Policy Research Award, Eating Disorders Coalition,Washington DC (2013)
• Recipient of Bias Buster Award, Obesity Action Coalition (2012)
• Elected Advocacy Councilor, The Obesity Society Council (2009-2012)
• Chair, Weight Bias Task Force, The Obesity Society, (2005-2013)
• Board of Directors, Obesity Action Coalition (2010-2014)
• Fellow, The Obesity Society (2010- present)
• Associate Editor, Stigma & Health (2015-present)
• Recipient of William Kessen Teaching Award, Yale University, Dept. of Psychology (2002)