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男性也有饮食失调症:对 YouTube 上患有饮食失调症的男性发布的在线叙事的分析。

Men have eating disorders too: an analysis of online narratives posted by men with eating disorders on YouTube.

机构信息

Department of Communication Studies, University of Miami, Coral Gables, Florida, USA.

出版信息

Eat Disord. 2022 Jul-Aug;30(4):437-452. doi: 10.1080/10640266.2021.1930338. Epub 2021 Aug 17.

DOI:10.1080/10640266.2021.1930338
PMID:34402402
Abstract

Eating Disorders (ED) among men are still surrounded by stigma and gender stereotypes, with a common misconception that ED are an exclusively female condition. This study employed a gender-sensitive approach to uncover males' critical needs for effective treatment and recovery. We qualitatively analyzed a sample of twenty-five videos posted on YouTube by men with ED, presenting personal stories of recovery and recovery in-progress. Through thematic analysis of the narratives, we identified three common factors increasing disordered eating behaviors in men: 1) bullying, 2) drive for muscularity, and 3) self-regulation. In addition, we found three major themes related to barriers preventing men from help-seeking: 1) shame and stigma, 2) lack of knowledge and information, and 3) low level of perceived doctor-patient communication. The findings of this study can contribute to the conceptualization of future interventions and recovery programs designed to prevent and treat ED in men.

摘要

男性进食障碍(ED)仍然受到污名和性别刻板印象的困扰,人们普遍认为 ED 是女性特有的疾病。本研究采用性别敏感的方法,揭示了男性对有效治疗和康复的关键需求。我们对 25 名男性 ED 患者在 YouTube 上发布的视频进行了定性分析,展示了他们康复和正在康复的个人故事。通过对这些叙述进行主题分析,我们确定了三个常见的因素会增加男性饮食失调行为:1)欺凌,2)追求肌肉发达,3)自我调节。此外,我们还发现了三个与阻止男性寻求帮助相关的主要主题:1)羞耻和耻辱,2)缺乏知识和信息,3)医患沟通水平低。这项研究的结果可以为未来旨在预防和治疗男性 ED 的干预措施和康复计划的制定提供概念依据。

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