Coping with obesity stigma affects depressed mood in African-American and white candidates for bariatric surgery.
Coping with obesity stigma affects depressed mood in African-American and white candidates for bariatric surgery.
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DOI：
10.1038/oby.2012.12
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发表时间：
2012-05
期刊：
影响因子：
--
通讯作者：
Chen EY
中科院分区：
文献类型：
--
作者：
Fettich KC;Chen EY
重度肥胖、减肥手术候选者的抑郁情绪受到肥胖耻辱感的影响，但应对这种耻辱感的策略尚不清楚。本研究假设应对策略与抑郁情绪的关系显著高于人口统计学因素和体重相关污名的频率，并且具体的应对策略在种族群体之间存在差异。严重肥胖，寻求减肥手术的成年人（N = 234； 91名非洲裔美国人）完成了贝克抑郁量表（BDI）和污名化情况量表（SSI）。对非裔美国人和白人分别进行了两次层次线性回归。对于两个种族群体，年龄、性别、体重指数、超重年数、年收入和教育水平并不能解释BDI得分差异的重要部分。污名情境和应对策略的频率分别显著解释了白人的16.4%和33.2%的方差，非洲裔美国人的25.9%和25%的方差（P < 0.001）。白人的抑郁情绪越大，年龄越大、受教育程度越低、积极的自我陈述越少、自爱越少、哭泣越多；而非裔美国人的抑郁情绪只与忽视情境相关（P < 0.05）。研究发现，无论种族如何，严重肥胖、寻求减肥手术的患者的抑郁情绪与污名化经历的频率和相关的应对策略有关。这表明，减少与体重有关的耻辱的有害影响的努力需要集中在减少耻辱的频率和教授有效的应对策略上。这些努力还需要考虑客户的种族背景。
Depressed mood in severely obese, bariatric surgery–seeking candidates is influenced by obesity stigma, yet the strategies for coping with this stigma are less well understood. This study hypothesized that coping strategies are significantly associated with depressed mood above and beyond demographic factors and frequency of weight-related stigma, with specific coping strategies differing between racial groups. Severely obese, bariatric surgery–seeking adults (N = 234; 91 African Americans) completed the Beck Depression Inventory (BDI) and Stigmatizing Situations Inventory (SSI). Two hierarchical linear regressions were conducted separately for African Americans and whites. For both racial groups, age, sex, BMI, years overweight, annual income, and education level did not account for a significant portion of the variance in BDI scores. The frequency of stigmatizing situations and coping strategies significantly explained 16.4% and 33.2%, respectively, of the variance for whites, and 25.9% and 25%, respectively, for African Americans (P < 0.001). Greater depressed mood in whites was associated with older age, lower education, fewer positive self-statements, and less self-love and more crying; while in African Americans greater depressed mood was associated only with ignoring the situation (P < 0.05). The study found that regardless of race, depressed mood in severely obese, bariatric surgery–seeking clients is related to the frequency of stigmatizing experiences and associated coping strategies. This suggests that efforts to reduce the deleterious effects of weight-related stigma need to focus both on reducing the frequency of stigmatization and on teaching effective coping strategies. These efforts also need to take into account the client’s racial background.
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影响因子：
6.9
作者：
Sarwer, David B.;Fabricatore, Anthony N.;Wadden, Thomas A.
通讯作者：
Wadden, Thomas A.
影响因子：
4.9
作者：
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通讯作者：
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影响因子：
6.9
作者：
Andreyeva, Tatiana;Puhl, Rebecca M.;Brownell, Kelly D.
通讯作者：
Brownell, Kelly D.
影响因子：
2.9
作者：
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通讯作者：
Hjelmesaeth, Joran
影响因子：
7.6
作者：
CROCKER, J;CORNWELL, B;MAJOR, B
通讯作者：
MAJOR, B