Rudd Center for Food Policy and Obesity, Yale University, 309 Edwards Street, New Haven, CT 06520-8369, USA.
Eat Weight Disord. 2010 Sep;15(3):e173-9. doi: 10.3275/6797. Epub 2010 Jan 27.
No research has compared expressions of weight bias across different subgroups of obese individuals. This study compared attitudes toward and beliefs about obesity in women with and without binge eating disorder (BED) and examined whether these attitudes are related to psychological factors. Fifty obese women with BED were compared with an age- and body mass index (BMI)-matched group of 50 obese women without BED on a battery of established measures of anti-fat attitudes and beliefs about weight controllability and psychological factors (self-esteem, depression, and eating disorder features). The ageand BMI-matched groups did not differ with respect to beliefs about obesity or attitudes toward obese persons, or in self-esteem or depression. Correlational analyses conducted separately within each group revealed that women with BED who reported more favorable attitudes towards obese persons had higher self-esteem and lower levels of depression, whereas there were no significant associations between these variables among women without BED. In addition, weight controllability beliefs and eating disorder features were unrelated to self-esteem and depression in both groups. These findings suggest that stigmatizing attitudes endorsed by obese persons are neither tempered nor worsened by psychological distress or eating pathology. Given that stigmatizing attitudes did not differ between obese women with and without BED, it may be that obesity itself, rather than psychological features or disordered eating, increases vulnerability to negative weight-based attitudes. Potential implications for stigma reduction efforts and clinical practice are discussed.
尚无研究比较过不同肥胖亚组人群对体重偏见的表现。本研究比较了患有和未患有暴食障碍（BED）的肥胖女性对肥胖的态度和信念，并探讨了这些态度是否与心理因素有关。对 50 名患有 BED 的肥胖女性和 50 名年龄和体重指数（BMI）相匹配的肥胖女性进行了一系列既定的反脂肪态度和对体重可控性信念以及心理因素（自尊、抑郁和饮食障碍特征）的测试。年龄和 BMI 相匹配的两组在肥胖的信念和对肥胖者的态度方面没有差异，在自尊或抑郁方面也没有差异。在每个组内分别进行的相关分析表明，报告对肥胖者更有利态度的 BED 女性具有更高的自尊和更低的抑郁水平，而在没有 BED 的女性中，这些变量之间没有显著关联。此外，两组中体重可控性信念和饮食障碍特征与自尊和抑郁均无关。这些发现表明，肥胖者的污名化态度既不会因心理困扰或饮食障碍而缓和，也不会恶化。鉴于患有和未患有 BED 的肥胖女性之间的污名化态度没有差异，可能是肥胖本身而不是心理特征或饮食障碍，增加了对负面基于体重的态度的易感性。讨论了减少污名化努力和临床实践的潜在影响。
