School of Psychology, University of Surrey, Guildford, GU2 7XH, Surrey, UK.
Curr Obes Rep. 2023 Jun;12(2):183-190. doi: 10.1007/s13679-023-00504-5. Epub 2023 Jun 7.
Whilst research indicates the positive impact of social support across a number of health domains, including weight management, not all social support is beneficial.
This paper reviews the evidence for both positive and negative social support in the context of behavioural interventions and surgery for obesity. It then presents a new model of negative social support focusing on sabotage ('active and intentional undermining of another person's weight goals'), feeding behaviour ('explicit over feeding of someone when they are not hungry or wishing not to eat'), and collusion ('passive and benign negative social support to avoid conflict') which can be conceptualised within the context of relationships as systems and the mechanisms of homeostasis. There is increasing evidence for the negative impact of social support. This new model could form the basis of further research and the development of interventions for family, friends, and partners to maximise weight loss outcomes.
综述目的：虽然研究表明社会支持在多个健康领域（包括体重管理）具有积极影响，但并非所有社会支持都是有益的。
最新发现：本文回顾了肥胖行为干预和手术背景下积极和消极社会支持的证据。然后提出了一个新的消极社会支持模型，重点关注破坏（“主动且有意破坏他人的体重目标”）、喂养行为（“当他人不饿或不想进食时，明确过量喂食”）和共谋（“为避免冲突而被动且良性的消极社会支持”），这些可以在关系系统和体内平衡机制的背景下进行概念化。越来越多的证据表明社会支持具有负面影响。这个新模型可以为进一步的研究和开发家庭、朋友和伴侣的干预措施提供基础，以最大限度地提高减肥效果。
