Davidsen Emma, Pico Majken Lillholm, Sandøe Peter, Lund Thomas Bøker
Health Promotion Research, Steno Diabetes Center Copenhagen, Herlev, Denmark.
Department of Food and Resource Economics, University of Copenhagen, Copenhagen, Denmark.
Front Psychol. 2023 Jan 17;13:1049568. doi: 10.3389/fpsyg.2022.1049568. eCollection 2022.
The aim of this study was to explore how two of the main dimensions of internalized weight stigma (IWS), namely weight-related self-devaluation and distress, play out in the lives of people with excess weight (EW), and to study whether there are further dimensions of IWS.
Ten informants with EW were included in this study. The sample size was determined prior to data collection based on available resources at the time of data collection. All informants both participated in in-depth interviews and responded to the questionnaire WBIS-2F consisting of the two subscales: weight-related self-devaluation and distress. The interview accounts were thematically coded and compared with the informants' scoring on WBIS-2F.
Seven themes were identified from the in-depth interviews: (1) devaluation of competencies, (2) self-blame, (3) bodily devaluation, (4) ambivalence, (5) anticipated stigma, (6) coping strategies, and (7) mental well-being. Overall, the informants scored low on the WBIS-2F subscale weight-related self-devaluation and high on the subscale weight-related distress. The qualitative findings echo the informants' scoring on WBIS-2F. However, novel aspects of IWS not covered by WBIS-2F were also identified. In particular, bodily devaluation presented itself as an integral part of IWS.
The two current dimensions of WBIS-2F were retrieved, but important additional aspects of IWS were also identified. Future research is needed to evaluate and test both qualitatively and quantitatively whether the additional aspects of IWS identified in this exploratory examination are separate constructs of IWS.
本研究旨在探讨内化体重污名（IWS）的两个主要维度，即与体重相关的自我贬低和痛苦，在超重人群的生活中是如何表现的，并研究IWS是否存在其他维度。
本研究纳入了10名超重受访者。样本量在数据收集之前根据数据收集时的可用资源确定。所有受访者都参与了深入访谈，并回答了由两个子量表组成的问卷WBIS - 2F：与体重相关的自我贬低和痛苦。访谈记录进行了主题编码，并与受访者在WBIS - 2F上的得分进行了比较。
从深入访谈中确定了七个主题：（1）能力贬低，（2）自责，（3）身体贬低，（4）矛盾情绪，（5）预期污名，（6）应对策略，以及（7）心理健康。总体而言，受访者在WBIS - 2F的与体重相关的自我贬低子量表上得分较低，而在与体重相关的痛苦子量表上得分较高。定性研究结果与受访者在WBIS - 2F上的得分相呼应。然而，也发现了WBIS - 2F未涵盖的IWS的新方面。特别是，身体贬低是IWS的一个组成部分。
找回了WBIS - 2F目前的两个维度，但也确定了IWS的重要其他方面。未来需要进行研究，从定性和定量两方面评估和测试在这项探索性研究中确定的IWS的其他方面是否是IWS的独立结构。
