Hymowitz Genna, Karvay Yvette, Salwen-Deremer Jessica, Molina Lucero, Gonzalez Adam, Toro-Huamanchumo Carlos J
Department of Psychiatry and Behavioral Health, Stony Brook University, United States of America.
Department of Psychology, Fordham University, United States of America.
Eat Behav. 2025 Jan;56:101939. doi: 10.1016/j.eatbeh.2024.101939. Epub 2024 Nov 28.
Studies conducted in the US indicate that exposure to trauma, and stigma related to weight are environmental factors associated with the development of disordered eating. Few studies have explored psychosocial and contextual factors surrounding disordered eating in Latin American populations. This study examined everyday discrimination, verbal weight-related abuse, adverse childhood experiences, and disordered eating across individuals seeking versus not seeking weight loss treatment in Peru.
Participants (N = 420) were recruited via social media and a weight management clinic in Peru. Participants completed disordered eating, everyday discrimination, verbal weight-related abuse, and adverse childhood experiences measures.
The weight loss treatment seeking group showed greater disordered eating behaviors (dietary restraint) and cognitions (body dissatisfaction, overvaluation of shape/weight) compared to the non-weight loss treatment seeking group. Increased experiences of everyday discrimination, adverse childhood experiences, and verbal weight-related abuse were associated with greater levels of disordered eating behaviors and cognitions in both samples. Weight loss treatment seeking status was not a moderator of the relationships among disordered eating behaviors and cognitions, and everyday discrimination.
Results suggest discrimination, adverse childhood experiences, and verbal weight-related abuse are associated with eating pathology, and more disordered eating and behaviors are seen in individuals seeking or engaged in weight loss treatment. Findings highlight the importance of evaluating eating pathology for individuals reporting, or at high risk for discrimination, childhood trauma or weight-related abuse.
在美国进行的研究表明，遭受创伤以及与体重相关的污名化是与饮食失调发展相关的环境因素。很少有研究探讨拉丁美洲人群中饮食失调周围的心理社会和背景因素。本研究调查了秘鲁寻求与未寻求减肥治疗的个体中的日常歧视、与体重相关的言语虐待、童年不良经历和饮食失调情况。
通过社交媒体和秘鲁的一家体重管理诊所招募参与者（N = 420）。参与者完成了饮食失调、日常歧视、与体重相关的言语虐待和童年不良经历测量。
与未寻求减肥治疗的组相比，寻求减肥治疗的组表现出更严重的饮食失调行为（饮食限制）和认知（身体不满、对体型/体重的过度重视）。在两个样本中，日常歧视、童年不良经历和与体重相关的言语虐待经历的增加都与更高水平的饮食失调行为和认知相关。寻求减肥治疗的状态并不是饮食失调行为和认知与日常歧视之间关系的调节因素。
结果表明，歧视、童年不良经历和与体重相关的言语虐待与饮食病理学有关，并且在寻求或参与减肥治疗的个体中可以看到更多的饮食失调和行为。研究结果强调了对报告或有歧视、童年创伤或与体重相关虐待高风险的个体评估饮食病理学的重要性。
