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污名与饮食及体重失调

Stigma and eating and weight disorders.

作者信息

Puhl Rebecca, Suh Young

机构信息

Rudd Center for Food Policy and Obesity, University of Connecticut, 1 Constitution Plaza, Suite 600, Hartford, CT, 06103, USA,

出版信息

Curr Psychiatry Rep. 2015 Mar;17(3):552. doi: 10.1007/s11920-015-0552-6.

Abstract

Although research has consistently documented the prevalence and negative health implications of weight stigma, little is known about the stigma associated with eating disorders. Given that weight stigma is a risk factor associated with disordered eating, it is important to address stigma across the spectrum of eating and weight disorders. The aim of this review is to systematically review studies in the past 3 years evaluating stigma in the context of obesity and eating disorders (including binge eating disorder, bulimia nervosa, and anorexia nervosa). Physical and psychological health consequences of stigma for individuals with obesity and eating disorders are discussed. Recent studies on weight stigma substantiate the unique influence of stigma on psychological maladjustment, eating pathology, and physiological stress. Furthermore, research documents negative stereotypes and social rejection of individuals with eating disorder subtypes, while attributions to personal responsibility promote blame and further stigmatization of these individuals. Future research should examine the association of stigma related to eating disorders and physical and emotional health correlates, as well as its role in health-care utilization and treatment outcomes. Additional longitudinal studies assessing how weight stigma influences emotional health and eating disorders can help identify adaptive coping strategies and improve clinical care of individuals with obesity and eating disorders.

摘要

尽管研究一直记录了体重污名的普遍性及其对健康的负面影响,但对于与饮食失调相关的污名却知之甚少。鉴于体重污名是与饮食紊乱相关的一个风险因素,解决饮食和体重失调各方面的污名问题很重要。本综述的目的是系统回顾过去3年中评估肥胖和饮食失调(包括暴饮暴食症、神经性贪食症和神经性厌食症)背景下污名的研究。讨论了污名对肥胖和饮食失调个体身心健康的影响。最近关于体重污名的研究证实了污名对心理失调、饮食病理和生理压力的独特影响。此外,研究记录了对饮食失调亚型个体的负面刻板印象和社会排斥,而将责任归咎于个人则会导致对这些个体的指责和进一步污名化。未来的研究应考察与饮食失调相关的污名与身心健康相关因素之间的关联,以及其在医疗保健利用和治疗结果中的作用。评估体重污名如何影响情绪健康和饮食失调的更多纵向研究,有助于确定适应性应对策略,并改善肥胖和饮食失调个体的临床护理。

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