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身体不满意的年轻成年人的每日体重耻辱经历、饮食失调和直觉性饮食行为。

Daily weight stigma experiences, and disordered and intuitive eating behaviors among young adults with body dissatisfaction.

作者信息

Romano Kelly A, Heron Kristin E

机构信息

Virginia Consortium Program in Clinical Psychology, Norfolk, Virginia, USA.

Old Dominion University, Norfolk, Virginia, USA.

出版信息

Int J Eat Disord. 2023 Mar;56(3):538-550. doi: 10.1002/eat.23859. Epub 2022 Nov 21.

Abstract

OBJECTIVE

The present study aimed to extend naturalistic weight stigma research by examining the following aims among young adults with body dissatisfaction and varied body mass indices (BMIs): (1) characterize the frequency of individuals' daily weight stigma experiences, and contextual variations, over a 14-day period; (2) examine whether BMI moderated daily associations between weight stigma experiences relative to eating disorder symptoms and intuitive eating behaviors.

METHOD

Women (n = 174) and men (n = 24) completed a 14-day daily diary protocol. Concurrent and time-lagged multilevel models examined associations between daily weight stigma, and eating disorder and intuitive eating behaviors among women only due to the small subsample of men.

RESULTS

Over the 14-day assessment, 43.94% (n = 87) of participants experienced weight stigma. Weight stigma rates varied based on how, where, and by whom weight stigma was expressed, and via BMI. Further, among women, multiple concurrent within-person associations were identified between women's daily weight stigma experiences and daily eating disorder symptoms (skipping meals, binge eating, and body dissatisfaction). Time-lagged associations also showed that women's weight stigma experiences on a given day were associated with a greater likelihood that they would limit the amount of food they consumed the next day. These associations did not differ via women's BMIs.

DISCUSSION

Collectively, these findings provide important information on how weight stigma experiences unfold in daily life among individuals with body dissatisfaction and varied BMIs, and the proximal and more enduring impact of women's daily weight stigma experiences on their use of multiple adverse eating behaviors that can promote poor health.

PUBLIC SIGNIFICANCE

The present findings provide important information on how, where, and by whom weight stigma experiences unfold in daily life among young adults with body dissatisfaction and varied body weights, as well as the proximal and more enduring impact of women's daily weight stigma experiences on their use of a variety of adverse eating behaviors that can promote poor health.

摘要

目的

本研究旨在通过对身体不满意且体重指数(BMI)各异的年轻人进行以下研究,拓展自然状态下体重污名化的研究:(1)描述个体在14天内日常体重污名化经历的频率及情境差异;(2)检验BMI是否调节了体重污名化经历与饮食失调症状及直觉性饮食行为之间的日常关联。

方法

女性(n = 174)和男性(n = 24)完成了一项为期14天的每日日记记录。由于男性子样本较小,仅对女性进行了同时性和时间滞后的多层次模型分析,以检验每日体重污名化与饮食失调及直觉性饮食行为之间的关联。

结果

在为期14天的评估中,43.94%(n = 87)的参与者经历了体重污名化。体重污名化的发生率因表达体重污名化的方式、地点、人物以及BMI的不同而有所差异。此外,在女性中,研究发现女性的日常体重污名化经历与日常饮食失调症状(不吃饭、暴饮暴食和身体不满意)之间存在多种同时性的个体内关联。时间滞后关联还表明,女性在某一天的体重污名化经历与她们次日限制食物摄入量的可能性增加有关。这些关联在不同BMI的女性中并无差异。

讨论

总体而言,这些发现提供了重要信息,揭示了身体不满意且BMI各异的个体在日常生活中体重污名化经历的呈现方式,以及女性日常体重污名化经历对其采用多种有害饮食行为(可能导致健康不佳)的近期和更持久影响。

公共意义

本研究结果提供了重要信息,说明在身体不满意且体重各异的年轻人中,体重污名化经历在日常生活中的呈现方式、地点和人物,以及女性日常体重污名化经历对其采用多种有害饮食行为(可能导致健康不佳)的近期和更持久影响。

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