Department of Clinical and Health Psychology, University of Florida, P.O. Box 100165, Gainesville, FL 32610-0165, USA; Center for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, 3535 Market Street, 3rd Floor, Philadelphia, PA 19104, USA.
Center for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, 3535 Market Street, 3rd Floor, Philadelphia, PA 19104, USA.
Body Image. 2023 Mar;44:93-102. doi: 10.1016/j.bodyim.2022.12.002. Epub 2022 Dec 20.
Internalized weight stigma has gained increasing attention in empirical studies, though questions remain about the adequacy of existing measures. The current study utilized a mixed methods approach, including a novel semi-structured interview, to revisit the conceptualization of internalized weight stigma and explore in more depth the stereotypes and impacts of weight reported by individuals with high scores on the widely-used Weight Bias Internalization Scale. All participants were interviewed as part of the screening procedures for two clinical trials (Study 1 n = 84, mean age=47.8 years, 83.3% women, 67.9% Black, mean BMI=39.2 kg/m; Study 2 n = 129, mean age=50.0 years, 88.4% women, 65.1% white, mean BMI=37.8 kg/m). The most common weight stereotypes identified were being lazy, lacking willpower or self-control, and having poor eating habits. Up to 66% of participants reported that they did not endorse negative weight stereotypes or apply them to themselves. The most highly identified impacts of weight were on self-image (>70%) and emotions (68-83%), followed by social (37-62%) and health concerns (20-25%). Approximately 60% of participants indicated that weight affected their self-directed thoughts and feelings "very much" to "extremely." Findings have implications for understanding and assessing internalized weight stigma in research and in clinical settings where interventions are needed.
内化的体重歧视在实证研究中受到越来越多的关注，但现有测量工具的充分性仍存在疑问。本研究采用混合方法，包括一项新的半结构化访谈，重新审视内化的体重歧视概念，并更深入地探讨了广泛使用的体重偏见内化量表高分个体报告的刻板印象和体重影响。所有参与者都接受了两项临床试验筛选程序的访谈（研究 1 n=84，平均年龄 47.8 岁，83.3%为女性，67.9%为黑人，平均 BMI=39.2kg/m；研究 2 n=129，平均年龄 50.0 岁，88.4%为女性，65.1%为白人，平均 BMI=37.8kg/m）。确定的最常见体重刻板印象是懒惰、缺乏意志力或自我控制以及不良饮食习惯。多达 66%的参与者表示他们不认可负面体重刻板印象或不将其应用于自己。体重对自我形象（>70%）和情绪（68-83%）的影响最大，其次是社交（37-62%）和健康（20-25%）。大约 60%的参与者表示体重“非常”到“极其”影响他们的自我指向的想法和感受。研究结果对理解和评估研究和临床环境中的内化体重歧视以及需要干预的环境中的内化体重歧视具有重要意义。
