体重歧视与意识形态信念：与肥胖成年人心理功能的关系

Weight stigmatization and ideological beliefs: relation to psychological functioning in obese adults.

作者信息

Friedman Kelli E, Reichmann Simona K, Costanzo Philip R, Zelli Arnaldo, Ashmore Jamile A, Musante Gerard J

机构信息

Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 3116 North Duke Street, Suite 209, Durham, NC 27704, USA.

出版信息

Obes Res. 2005 May;13(5):907-16. doi: 10.1038/oby.2005.105.

DOI:10.1038/oby.2005.105

PMID:15919845

Abstract

OBJECTIVE

This study evaluated the relation among weight-based stigmatization, ideological beliefs about weight, and psychological functioning in an obese, treatment-seeking sample.

RESEARCH METHODS AND PROCEDURE

Ninety-three obese, treatment-seeking adults (24 men and 69 women) completed a battery of self-report questionnaires measuring psychological adjustment, attitudes about weight, belief in the controllability of weight, and the frequency of weight-based stigmatization.

RESULTS

Weight-based stigmatization was a common experience for participants. Frequency of stigmatizing experiences was positively associated with depression, general psychiatric symptoms, and body image disturbance, and negatively associated with self-esteem. Further, participants' own negative attitudes about weight problems were associated with their psychological distress and moderated the relation between the experience of stigmatization and body image.

DISCUSSION

Weight-based stigmatization is a common experience for obese individuals seeking weight loss treatment and appears to contribute to poor mental health adjustment. The negative effects of these experiences are particularly damaging for those who hold strong antifat beliefs.

摘要