暴食障碍肥胖患者内化的体重偏见：与饮食障碍和心理功能的关系。
Internalized weight bias in obese patients with binge eating disorder: associations with eating disturbances and psychological functioning.
机构信息
Department of Psychology, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
出版信息
Int J Eat Disord. 2012 Apr;45(3):423-7. doi: 10.1002/eat.20933. Epub 2011 Jun 29.
Abstract
OBJECTIVE
Widespread bias against obese individuals may lead to the internalization of weight bias in obese persons. This study examined correlates of internalized weight bias (IWB) in obese patients with binge eating disorder (BED).
METHOD
One hundred treatment-seeking obese patients with BED were administered with the eating disorders examination interview and questionnaires assessing IWB, fat phobia, depression, and self-esteem.
RESULTS
The mean IWB score in this group of patients with BED was significantly greater than the mean IWB score observed previously in a community sample of overweight adults. IWB was positively associated with eating disorder psychopathology, fat phobia, and depression, and negatively associated with self-esteem. IWB made significant independent contributions to the variance in eating disorder psychopathology even after accounting for fat phobia, depression, and self-esteem.
DISCUSSION
Treatment-seeking obese patients with BED demonstrate high levels of IWB. IWB may contribute to the variance in eating disorder psychopathology in BED patients, beyond the contributions of fat phobia, depression, and self-esteem.
摘要
目的
普遍存在的肥胖偏见可能导致肥胖者内化这种偏见。本研究旨在探讨暴食障碍肥胖患者内化体重偏见（IWB）的相关因素。
方法
100 名接受治疗的暴食障碍肥胖患者接受了饮食障碍检查访谈和问卷调查，评估了 IWB、肥胖恐惧、抑郁和自尊。
结果
该组暴食障碍肥胖患者的 IWB 平均得分明显高于超重成年人社区样本中观察到的 IWB 平均得分。IWB 与饮食障碍心理病理学、肥胖恐惧和抑郁呈正相关，与自尊呈负相关。即使考虑到肥胖恐惧、抑郁和自尊，IWB 对饮食障碍心理病理学的变异仍有显著的独立贡献。
讨论
患有暴食障碍的肥胖患者表现出高度的 IWB。IWB 可能会导致暴食障碍患者饮食障碍心理病理学的变化，而不仅仅是肥胖恐惧、抑郁和自尊的影响。
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