Weight Stigma as a Psychosocial Contributor to Obesity
Weight Stigma as a Psychosocial Contributor to Obesity
复制标题
体重耻辱是肥胖的心理社会因素
DOI：
10.1037/amp0000538
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发表时间：
2020-02-01
影响因子：
16.4
通讯作者：
Pearl, Rebecca L.
中科院分区：
文献类型：
--
作者：
Puhl, Rebecca M.;Himmelstein, Mary S.;Pearl, Rebecca L.
体重耻辱是肥胖个体生活经历的一个关键方面，并对健康产生不利影响。本文概述了最近的证据，研究体重耻辱感与体重相关行为和健康之间的联系（例如，不适应的饮食、身体活动、压力、肥胖、体重减轻），包括对体重耻辱感高度脆弱的个体的健康后果（例如，年轻人和寻求减肥手术的人）以及对治疗肥胖症患者的临床医生的影响。这篇文献指出，体重耻辱感是导致肥胖行为的一个社会心理因素，但体重耻辱感在寻求治疗的个体减肥中的作用却很少受到关注。确定了研究优先事项，包括未来研究的必要性，以（a）确定体重污名化经历的具体特征对减肥的潜在预测价值（如时间段、人际来源和污名经历的应对反应），（B）确定体重污名可能破坏或促进体重相关治疗结果的机制，以及（c）可以在体重管理计划中实施的测试策略，以减少体重耻辱对健康行为的负面影响。广泛地说，应该更多地关注肥胖领域的体重耻辱感，将其作为肥胖预防和治疗的相关心理社会因素。
Weight stigma is a key aspect of the lived experience of individuals with obesity, and adversely affects health. This article provides an overview of recent evidence examining links between experiences of weight stigma and weight-related behaviors and health (e.g., maladaptive eating, physical activity, stress, obesity, weight loss), including health consequences for individuals with heightened vulnerability to weight stigma (e.g., youth and people seeking bariatric surgery) and implications for clinicians working with individuals who have obesity. This literature points to weight stigma as a psychosocial contributor to obesogenic behaviors, yet the role of weight stigma in weight loss among treatment-seeking individuals has received little attention. Research priorities are identified, including the need for future studies to (a) determine the potentially predictive value of specific characteristics of weight-stigmatizing experiences for weight loss (such as the time period, interpersonal sources, and coping responses for stigma experiences), (b) identify mechanisms through which weight stigma may undermine or facilitate weight-related treatment outcomes, and (c) test strategies that can be implemented in weight management programs to reduce the negative impact of weight stigma on health behaviors. Broadly, more attention should be directed to weight stigma in the obesity field as a relevant psychosocial factor in obesity-focused prevention and treatment.