Department of Psychology, Concordia University, Montreal, Quebec, Canada.
Department of Psychology, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
Int J Eat Disord. 2021 May;54(5):755-763. doi: 10.1002/eat.23473. Epub 2021 Jan 22.
Vignette research on binge-eating disorder (BED) stigma is limited and lacking methodological rigor. Existing studies lack control vignettes and typically present characters with overweight or obesity, introducing the confound of weight stigma. This study examined BED stigma while addressing these limitations.
Participants (N = 421) were assigned to read one of six vignettes describing a woman with either BED or no BED as well as either no mention of weight, a recommended weight, or an obese weight. Four questionnaires examined personality stereotypes, emotional reactions to the character, desire for social distance from the character, and blame attributions.
The character with BED was ascribed more negative personality characteristics and faced less positive emotional reactions than the character without BED, regardless of weight status. However, BED stigma did not emerge for social distance or blame attributions. Regarding weight stigma, evidence was limited and moderated by the presence of BED, suggesting no additive effect between BED stigma and weight stigma. In fact, blame attributions toward the character with obesity were reduced by the presence of BED.
The results reveal that BED is a highly stigmatized eating disorder and suggest that weight stigma may be driven by assumptions about a person's eating behavior rather than their body size per se. Future studies must consider the relationship between BED stigma and weight stigma when assessing either form of stigma. The results also indicate new information to be integrated into anti-weight stigma campaigns as well as policy and public health initiatives.
关于暴食症（BED）污名的个案研究有限，且缺乏方法学严谨性。现有研究缺乏对照个案，并且通常呈现超重或肥胖的特征，引入了体重污名的混杂因素。本研究在解决这些局限性的同时，考察了 BED 污名。
参与者（N=421）被分配阅读六个个案中的一个，描述了一位患有 BED 或无 BED 的女性，以及未提及体重、推荐体重或肥胖体重的情况。四个问卷考察了人格刻板印象、对个案的情绪反应、对个案的社会距离的渴望以及指责归因。
无论体重状况如何，患有 BED 的个案被归因于更多的负面人格特征，并面临较少的积极情绪反应，而没有 BED 的个案则没有。然而，对于社会距离或指责归因，没有出现 BED 污名。关于体重污名，证据有限且受到 BED 的调节，表明 BED 污名和体重污名之间没有附加效应。事实上，肥胖个案的指责归因因 BED 的存在而减少。
结果揭示了 BED 是一种高度污名化的饮食障碍，并表明体重污名可能是由对一个人饮食习惯的假设而不是其身体大小本身驱动的。未来的研究在评估任何形式的污名时，都必须考虑 BED 污名和体重污名之间的关系。结果还表明，在反体重污名运动以及政策和公共卫生倡议中，需要纳入新的信息。
