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将饮食失调行为归因于食物成瘾与暴饮暴食症有何影响?一项比较对体重相关耻辱感和精神疾病耻辱感影响的实验研究。

What Is the Effect of Attributing Disordered Eating Behaviours to Food Addiction Versus Binge Eating Disorder? An Experimental Study Comparing the Impact on Weight-Based and Mental Illness Stigma.

作者信息

Molnar Megan G, Snaychuk Lindsey A, Cassin Stephanie E

机构信息

Department of Psychology, Toronto Metropolitan University, Toronto, ON M5B 2K3, Canada.

出版信息

Nutrients. 2025 Jul 4;17(13):2217. doi: 10.3390/nu17132217.

Abstract

Food addiction (FA) and binge eating disorder share many overlapping features. Many individuals with binge eating disorder experience stigma; however, less is known about the stigma associated with food addiction. The current study examined the weight-based stigma and mental illness stigma associated with attributing disordered eating behaviours to an FA diagnosis or binge eating disorder diagnosis. Undergraduate students ( = 177) were randomly assigned to read one of three vignettes (FA, binge eating disorder, or control), all of which described a character experiencing the overlapping features of FA and binge eating disorder; the vignettes differed only regarding the diagnosis to which the eating behaviours were attributed. Participants then completed questionnaires assessing their attitudes towards mental illness and obesity followed by questionnaires assessing their own eating behaviours. There were no significant between-group differences in mental illness stigma or weight-based stigma. Significant differences in stigma were found based on the perceived gender of the vignette character and participants' own FA and binge eating disorder symptoms. Stigma may not differ based on the diagnosis ascribed to addictive-like eating behaviours. Women may be more stigmatized for addictive-like eating behaviours, and individuals who experience addictive-like eating may be more stigmatizing towards others with these behaviours.

摘要

食物成瘾(FA)和暴饮暴食症有许多重叠的特征。许多患有暴饮暴食症的人会遭受污名化;然而,对于与食物成瘾相关的污名化了解较少。当前的研究考察了将饮食紊乱行为归因于食物成瘾诊断或暴饮暴食症诊断所带来的基于体重的污名化和精神疾病污名化。本科生(n = 177)被随机分配阅读三个小插曲之一(食物成瘾、暴饮暴食症或对照),所有小插曲都描述了一个经历食物成瘾和暴饮暴食症重叠特征的角色;小插曲之间的差异仅在于饮食行为所归因的诊断。参与者随后完成了评估他们对精神疾病和肥胖态度的问卷,接着完成了评估他们自己饮食行为的问卷。在精神疾病污名化或基于体重的污名化方面,组间没有显著差异。基于对小插曲角色性别的认知以及参与者自身的食物成瘾和暴饮暴食症症状,发现了污名化方面的显著差异。对于类似成瘾的饮食行为,污名化可能不会因所归因的诊断而有所不同。女性可能因类似成瘾的饮食行为而受到更多污名化,并且经历类似成瘾饮食行为的个体可能会对有这些行为的其他人更具污名化态度。

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