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朋友还是敌人?一项探索肥胖人群与食物消费关系的定性研究。

Friend or foe? A qualitative study exploring the relationship of people with obesity and food consumption.

机构信息

Psychological Sciences Research Institute, 83415Université Catholique de Louvain, Belgium.

Fund for Scientific Research (FRS-FNRS), Belgium.

出版信息

Nutr Health. 2021 Sep;27(3):357-364. doi: 10.1177/02601060211001488. Epub 2021 Mar 22.

DOI:10.1177/02601060211001488
PMID:33745382
Abstract

BACKGROUND

Obesity is a major health problem worldwide, and one of its causes is unhealthy eating. A healthy diet should ensure that energy intake (calories) is in balance with energy expenditure, but in this paper a subjective experience of healthy eating will be discussed. Research has revealed many determinants of food consumption, but a more holistic view of food consumption is often overlooked.

AIM

The aim was to go beyond identifying determinants of eating by exploring the experience of (healthy) food for people with obesity.

METHODS

Semi-structured interviews were conducted with eight patients with obesity.

RESULTS

Interpretative phenomenological analysis identified four superordinate themes: ambivalence in the emotional relationship with food, an obesogenic environment where it is less acceptable to society to be obese, an experience of unfairness in the relationship to eating in comparison with other people, and the parental role as an existential motivation to eat healthier.

CONCLUSION

The relationship of people with obesity and food is highly complex and personal, and is influenced by the uncontrollability of the social and physical environment. These personal experiences of people with obesity should be taken into account in the psychological treatment of obesity. The current research adds to the mostly motivational determinants discovered with social cognition models, by showing the subjective experience of (healthy) food consumption for people with obesity.

摘要

背景

肥胖是全球范围内的一个主要健康问题,其原因之一是不健康的饮食。健康的饮食应该确保能量摄入(卡路里)与能量消耗平衡,但本文将讨论健康饮食的主观体验。研究揭示了许多决定食物消费的因素,但人们往往忽略了对食物消费的更全面的看法。

目的

目的是超越确定饮食决定因素的范畴,探索肥胖患者对(健康)食物的体验。

方法

对 8 名肥胖患者进行了半结构化访谈。

结果

解释性现象学分析确定了四个超主题:对食物的情感关系的矛盾心理,肥胖在社会中不太被接受的肥胖环境,与其他人相比,对饮食关系的不公平感,以及父母角色作为更健康饮食的生存动机。

结论

肥胖患者与食物的关系非常复杂和个人化,受到社会和物理环境的不可控性的影响。在肥胖的心理治疗中,应该考虑到肥胖患者的这些个人体验。本研究通过展示肥胖患者对(健康)食物消费的主观体验,补充了社会认知模型中发现的主要动机决定因素。

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