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体重歧视是导致肥胖的一种社会心理因素。

Weight stigma as a psychosocial contributor to obesity.

机构信息

Department of Human Development and Family Sciences, University of Connecticut.

Department of Psychological Sciences, Kent State University.

出版信息

Am Psychol. 2020 Feb-Mar;75(2):274-289. doi: 10.1037/amp0000538.

Abstract

Weight stigma is a key aspect of the lived experience of individuals with obesity, and adversely affects health. This article provides an overview of recent evidence examining links between experiences of weight stigma and weight-related behaviors and health (e.g., maladaptive eating, physical activity, stress, obesity, weight loss), including health consequences for individuals with heightened vulnerability to weight stigma (e.g., youth and people seeking bariatric surgery) and implications for clinicians working with individuals who have obesity. This literature points to weight stigma as a psychosocial contributor to obesogenic behaviors, yet the role of weight stigma in weight loss among treatment-seeking individuals has received little attention. Research priorities are identified, including the need for future studies to (a) determine the potentially predictive value of specific characteristics of weight-stigmatizing experiences for weight loss (such as the time period, interpersonal sources, and coping responses for stigma experiences), (b) identify mechanisms through which weight stigma may undermine or facilitate weight-related treatment outcomes, and (c) test strategies that can be implemented in weight management programs to reduce the negative impact of weight stigma on health behaviors. Broadly, more attention should be directed to weight stigma in the obesity field as a relevant psychosocial factor in obesity-focused prevention and treatment. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

摘要

体重歧视是肥胖个体生活经历的一个重要方面,对健康有不利影响。本文综述了近期的一些证据,这些证据检验了体重歧视经历与体重相关行为和健康(如不良饮食习惯、身体活动、压力、肥胖、减肥)之间的联系,包括对体重歧视高度敏感个体(如青年人和寻求减肥手术的人)的健康后果,以及对与肥胖患者合作的临床医生的影响。这一文献表明,体重歧视是促成肥胖相关行为的一种社会心理因素,但体重歧视在寻求治疗的个体减肥中的作用却很少受到关注。确定了研究重点,包括未来研究需要(a)确定体重歧视经历的特定特征对减肥的潜在预测价值(例如,耻辱经历的时间、人际来源和应对方式),(b)确定体重歧视可能破坏或促进与体重相关的治疗结果的机制,以及(c)检验可在体重管理计划中实施的策略,以减轻体重歧视对健康行为的负面影响。总的来说,肥胖领域应该更加关注体重歧视,将其作为肥胖预防和治疗中一个相关的社会心理因素。

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