Department of Psychology, Miami University, Oxford, OH, United States of America.
Department of Psychology, Miami University, Oxford, OH, United States of America.
Eat Behav. 2020 Apr;37:101383. doi: 10.1016/j.eatbeh.2020.101383. Epub 2020 Mar 28.
Weight discrimination is a well-established risk factor for disordered eating cognitions and behaviors. However, little is known about what may account for this association. Recent research suggests that anticipated weight stigma may explain the relationship between weight discrimination and non-eating disorder related health outcomes; the present study seeks to replicate this premise and extend it to the disordered eating realm. In a non-clinical sample of adults in the United States (N = 297) we test the hypothesis that weight discrimination has an indirect association with eating disorder symptomatology through anticipated stigma. At a single timepoint, participants recruited from the online data collection platform SocialSci completed self-report, online surveys of weight discrimination in day-to-day life, anticipated weight stigma, eating disorder symptoms, and demographic information. As hypothesized, weight discrimination was indirectly associated with greater disordered eating symptoms via its association with anticipated weight stigma. This pattern of results held when controlling for gender, body mass index, and self-perceived weight status. These findings suggest that anticipated stigma is relevant in the association between weight discrimination and greater disordered eating. This premise deserves additional attention using methodological approaches that can facilitate stronger causal claims. We discuss the potential for this line of research to inform clinical interventions.
体重歧视是饮食失调认知和行为的一个既定风险因素。然而,对于这一关联的原因知之甚少。最近的研究表明,预期的体重歧视可能解释了体重歧视与非饮食障碍相关健康结果之间的关系;本研究旨在复制这一前提,并将其扩展到饮食失调领域。在一项来自美国的非临床成年人样本中(N=297),我们验证了体重歧视通过预期的耻辱感与饮食失调症状存在间接关联的假设。在一个时间点上,参与者从在线数据收集平台 SocialSci 招募,完成了日常生活中体重歧视、预期体重耻辱感、饮食失调症状和人口统计学信息的自我报告、在线调查。正如假设的那样,体重歧视与预期的体重耻辱感相关,从而与更大的饮食失调症状间接相关。当控制性别、体重指数和自我感知的体重状况时,这一结果模式仍然成立。这些发现表明,预期的耻辱感在体重歧视与更大的饮食失调之间的关联中是相关的。这一前提值得使用能够促进更强因果主张的方法来进一步关注。我们讨论了这一研究方向为临床干预提供信息的潜力。