重大决策：症状严重程度和体重如何影响对神经性贪食症的认知。
Weighty decisions: How symptom severity and weight impact perceptions of bulimia nervosa.
机构信息
Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
Department of Psychology, Yale University, New Haven, Connecticut.
出版信息
Int J Eat Disord. 2019 Sep;52(9):1035-1041. doi: 10.1002/eat.23125. Epub 2019 Jun 25.
OBJECTIVE
The current study examined whether variations in patient weight and eating-disorder behavior frequency influenced the recognition of bulimia nervosa (BN) and the perception that it is a serious mental health concern.
METHOD
Participants (N = 320) were randomly assigned to one of six conditions in which they read a vignette describing a young woman with BN. Each vignette was identical except for the variables of interest: weight status (underweight, healthy-weight, and overweight), and symptom frequency (daily or weekly binge-eating episodes and purging).
RESULTS
Participants were more likely to have negative attitudes toward and blame the patient with overweight. Participants were less likely to believe that the patient with overweight was experiencing mental illness and that her problems were too serious to handle on her own. There were no significant differences by symptom frequency.
DISCUSSION
Findings suggest the presence of weight stigma and that overweight might impede the recognition of eating disorders.
目的
本研究旨在探讨患者体重和饮食障碍行为频率的变化是否会影响对神经性贪食症（BN）的识别以及对其严重性的认知。
方法
参与者（N=320）被随机分配到六种条件中的一种，阅读描述一名患有 BN 的年轻女性的案例。每个案例除了感兴趣的变量（体重状况：体重过轻、健康体重和超重）和症状频率（每日或每周暴食和催吐）外，均相同。
结果
参与者对超重患者的态度更消极，更倾向于责备他们。参与者不太相信超重患者患有精神疾病，也不认为她的问题严重到无法自行处理。症状频率没有显著差异。
讨论
研究结果表明存在体重歧视，并且超重可能会阻碍对饮食障碍的识别。
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