Ashmore Jamile A, Friedman Kelli E, Reichmann Simona K, Musante Gerard J
The Cooper Aerobics Center, Dallas, TX 75230, United States.
Eat Behav. 2008 Apr;9(2):203-9. doi: 10.1016/j.eatbeh.2007.09.006. Epub 2007 Sep 20.
To evaluate the associations between weight-based stigmatization, psychological distress, and binge eating behavior in a treatment-seeking obese sample.
Ninety-three obese adults completed three questionnaires: 1) Stigmatizing Situations Inventory, 2) Brief Symptoms Inventory, and 3) Binge Eating Questionnaire. Correlational analyses were used to evaluate the association between stigmatizing experiences, psychological distress and binge eating behavior.
Stigmatizing experiences predicted both binge eating behavior (R(2)=.20, p<.001) and overall psychological distress (R(2)=.18, p<.001). A substantial amount of the variance in binge eating predicted by weight-based stigmatization was due to the effect of psychological distress. Specifically, of the 20% of the variance in binge eating accounted for by stigmatizing experiences, between 7% and 34% (p<.01) was due to the effects of various indicators of psychological distress.
These data suggest that weight-based stigmatization predicts binge eating behavior and that psychological distress associated with stigmatizing experiences may be an important mediating factor.
评估在寻求治疗的肥胖样本中，基于体重的污名化、心理困扰与暴饮暴食行为之间的关联。
93名肥胖成年人完成了三份问卷：1）污名化情境量表，2）简明症状量表，3）暴饮暴食问卷。采用相关分析来评估污名化经历、心理困扰与暴饮暴食行为之间的关联。
污名化经历可预测暴饮暴食行为（R(2)=.20，p<.001）和总体心理困扰（R(2)=.18，p<.001）。基于体重的污名化所预测的暴饮暴食行为的大量变异，是由于心理困扰的影响。具体而言，在污名化经历所解释的暴饮暴食行为变异的20%中，7%至34%（p<.01）是由于各种心理困扰指标的影响。
这些数据表明，基于体重的污名化可预测暴饮暴食行为，且与污名化经历相关的心理困扰可能是一个重要的中介因素。
