Kressel Melanie, Flamer Rachel, McGinn Lata K, Sala Margaret
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA.
Eat Disord. 2024 Jul 20:1-20. doi: 10.1080/10640266.2024.2380185.
We investigated weight stereotypes in the recognition and referral of eating disorders (EDs) by assessing if recognition, health care referral, perceived acceptability, perceived distress, and perceived prevalence of an ED differ depending on the weight of the subject in the vignette.
Community participants ( 180, age = 19-74) read three different vignettes describing three females with different EDs [anorexia nervosa/atypical anorexia nervosa (AN/AAN), bulimia nervosa (BN), binge eating disorder (BED)] and were randomized to three different experimental conditions concerning an individual with a different weight (overweight, normal, and underweight).
Across EDs, participants were more likely to recognize a problem, refer for treatment, and rate a higher perceived level of distress in the vignettes of overweight individuals than in the vignettes of normal weight individuals. For BED, a larger proportion of participants in the overweight condition classified the issue described in the vignette as a form of eating pathology compared to the normal weight condition.
These results highlight several weight stereotypes that exist in the recognition and health care referral of EDs. Future ED education and awareness programs should emphasize that EDs can occur in any individual, regardless of their weight.
我们通过评估饮食失调（ED）的识别、医疗保健转诊、感知可接受性、感知痛苦以及根据病例中受试者的体重判断ED的感知患病率是否存在差异，来调查饮食失调识别和转诊中的体重刻板印象。
社区参与者（180名，年龄 = 19 - 74岁）阅读了三篇不同的病例，描述了三名患有不同饮食失调症的女性[神经性厌食症/非典型神经性厌食症（AN/AAN）、神经性贪食症（BN）、暴饮暴食症（BED）]，并被随机分配到三种不同的实验条件，即个体体重不同（超重、正常体重和体重过轻）的情况。
在所有饮食失调症中，与正常体重个体的病例相比，参与者更有可能在超重个体的病例中识别出问题、建议治疗，并认为痛苦程度更高。对于暴饮暴食症，与正常体重情况相比，超重情况下更大比例的参与者将病例中描述的问题归类为一种饮食病理学形式。
这些结果凸显了饮食失调识别和医疗保健转诊中存在的几种体重刻板印象。未来的饮食失调教育和提高认识项目应强调，饮食失调可发生在任何个体身上，无论其体重如何。
