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肥胖污名化:“食物成瘾”标签是否加剧了问题?

Obesity Stigma: Is the 'Food Addiction' Label Feeding the Problem?

机构信息

Department of Psychological Sciences, University of Liverpool, Liverpool L69 7ZX, UK.

School of Psychology, University of Birmingham, Birmingham B15 2TT, UK.

出版信息

Nutrients. 2019 Sep 4;11(9):2100. doi: 10.3390/nu11092100.

Abstract

Obesity is often attributed to an addiction to high-calorie foods. However, the effect of "food addiction" explanations on weight-related stigma remains unclear. In two online studies, participants ( = 439, = 523, respectively, recruited from separate samples) read a vignette about a target female who was described as 'very overweight'. Participants were randomly allocated to one of three conditions which differed in the information provided in the vignette: (1) in the "medical condition", the target had been diagnosed with food addiction by her doctor; (2) in the "self-diagnosed condition", the target believed herself to be a food addict; (3) in the control condition, there was no reference to food addiction. Participants then completed questionnaires measuring target-specific stigma (i.e., stigma towards the female described in the vignette), general stigma towards obesity (both studies), addiction-like eating behavior and causal beliefs about addiction (Study 2 only). In Study 1, participants in the medical and self-diagnosed food addiction conditions demonstrated greater target-specific stigma relative to the control condition. In Study 2, participants in the medical condition had greater target-specific stigma than the control condition but only those with low levels of addiction-like eating behavior. There was no effect of condition on general weight-based stigma in either study. These findings suggest that the food addiction label may increase stigmatizing attitudes towards a person with obesity, particularly within individuals with low levels of addiction-like eating behavior.

摘要

肥胖通常归因于对高热量食物的上瘾。然而,“食物成瘾”解释对与体重相关的耻辱感的影响尚不清楚。在两项在线研究中,参与者(分别从两个独立样本中招募,= 439,= 523)阅读了一个关于目标女性的小插曲,该女性被描述为“非常超重”。参与者被随机分配到三种条件中的一种,这三种条件在小插曲中提供的信息不同:(1)在“医学条件”下,目标女性被她的医生诊断为食物成瘾;(2)在“自我诊断条件”下,目标女性认为自己是食物成瘾者;(3)在对照条件下,没有提到食物成瘾。然后,参与者完成了测量特定目标耻辱感(即对小插曲中描述的女性的耻辱感)、一般肥胖耻辱感(两项研究)、类似成瘾的进食行为和对成瘾的因果信念的问卷(仅研究 2)。在研究 1 中,与对照条件相比,医学和自我诊断的食物成瘾条件下的参与者表现出更大的特定目标耻辱感。在研究 2 中,与对照条件相比,医学条件下的参与者表现出更大的特定目标耻辱感,但仅在那些具有低水平类似成瘾的进食行为的参与者中。在两项研究中,条件对一般基于体重的耻辱感都没有影响。这些发现表明,食物成瘾标签可能会增加对肥胖者的污名化态度,特别是在具有低水平类似成瘾的进食行为的个体中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22a3/6770691/065b62b18699/nutrients-11-02100-g001.jpg

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