Rudd Center for Food Policy and Obesity, Yale University, New Haven, CT 06520, USA.
Compr Psychiatry. 2011 Nov-Dec;52(6):737-43. doi: 10.1016/j.comppsych.2010.11.006. Epub 2010 Dec 28.
The aims of this study were to compare weight-based attitudes in obese Latino adults with and without binge eating disorder (BED) and to examine whether these attitudes are related to indices of eating disorder psychopathology and psychological functioning.
Participants were a consecutive series of 79 monolingual Spanish-speaking-only obese Latinos (65 female, 14 male) participating in a randomized placebo-controlled trial performed at a Hispanic community mental health center. Participants were categorized as meeting the criteria for BED (n = 40) or obese non-binge-eating controls (n = 39) based on diagnostic and semistructured interviews administered by fully bilingual research clinicians trained specifically for this study.
Analyses revealed that negative attitudes toward obesity did not differ significantly between the BED and non-binge-eating groups nor were they correlated with the intensity of eating disorder psychopathology (eg, levels of weight and shape concerns). Overall, the levels of negative attitudes toward obesity in this Latino/Latina group are similar to those reported previously for samples of English-speaking primarily white obese persons.
These findings suggest that it may be obesity per se-rather than eating disorder psychopathology or body image-that heightens vulnerability to negative weight-based attitudes.
本研究旨在比较伴有和不伴有暴食障碍（BED）的肥胖拉丁裔成年人的体重相关态度，并探讨这些态度是否与饮食障碍心理病理学和心理功能的指标相关。
本研究纳入了在西班牙裔社区心理健康中心进行的一项随机安慰剂对照试验中的 79 名单一西班牙语母语的肥胖拉丁裔成年人（65 名女性，14 名男性）。根据经过专门培训的双语研究临床医生进行的诊断和半结构式访谈，将参与者分为符合 BED 标准的组（n=40）和无暴食行为的肥胖对照组（n=39）。
分析显示，BED 组和非暴食组之间对肥胖的消极态度没有显著差异，也与饮食障碍心理病理学的严重程度（例如体重和体型担忧的程度）无关。总的来说，这个拉丁裔/拉丁美洲群体对肥胖的消极态度水平与以前报告的以英语为主要语言的白人肥胖人群的样本相似。
这些发现表明，可能是肥胖本身——而不是饮食障碍心理病理学或身体意象——增加了对体重相关消极态度的易感性。
