Rodgers Rachel Florence, Paxton Susan J, McLean Siân A, Massey Robin, Mond Jonathan M, Hay Phillipa J, Rodgers Bryan
*Department of Counseling and Applied Educational Psychology, Northeastern University, Boston, MA; †Laboratoire de Stress Traumatique, Université Paul Sabatier, Toulouse, France; ‡School of Psychological Science, La Trobe University, Melbourne, Victoria; §Research School of Psychology, Australian National University, Canberra, Australian Capital Territory; ∥Centre for Health Research, School of Medicine, University of Western Sydney, Sydney; ¶School of Medicine, James Cook University, Townsville; and #Australian Demographic & Social Research Institute, The Australian National University, Canberra, Australian Capital Territory, Australia.
J Nerv Ment Dis. 2015 Apr;203(4):259-63. doi: 10.1097/NMD.0000000000000275.
Widely held stigmatizing attitudes and beliefs toward bulimic eating disorders may lead to self-blame and reduced treatment seeking. Knowledge and familiarity with mental disorders may help decrease associated stigma. However, these relationships are not well understood in bulimia nervosa (BN). A community sample of 1828 adults aged 18 to 70 years completed a survey assessing stigmatizing attitudes and beliefs toward BN, knowledge and familiarity with the disorder, as well as levels of eating disorder symptoms. Knowledge of BN was negatively associated with three dimensions of stigmatization, personal responsibility (ρ = -0.28), unreliability (ρ = -0.19), and advantages of BN (ρ = -0.23). Familiarity revealed no association with stigmatization. Both men and women with high levels of eating disorder symptoms perceived BN as less serious than the participants with low levels of symptoms. Increasing community knowledge about bulimia may help mitigate stigmatization and perceived barriers to treatment.
对暴食症饮食失调广泛持有的污名化态度和观念可能会导致自责并减少寻求治疗的行为。对精神障碍的了解和熟悉程度可能有助于减少相关污名。然而，在神经性贪食症（BN）中，这些关系尚未得到充分理解。一个由1828名年龄在18至70岁之间的成年人组成的社区样本完成了一项调查，该调查评估了对BN的污名化态度和观念、对该疾病的了解和熟悉程度以及饮食失调症状的水平。对BN的了解与污名化的三个维度呈负相关，即个人责任（ρ = -0.28）、不可靠性（ρ = -0.19）和BN的优势（ρ = -0.23）。熟悉程度与污名化没有关联。饮食失调症状水平高的男性和女性都认为BN不如症状水平低的参与者所认为的那么严重。增加社区对贪食症的了解可能有助于减轻污名化以及人们所认为的治疗障碍。
