Clinical correlates of the weight bias internalization scale in a sample of obese adolescents seeking bariatric surgery.

Clinical correlates of the weight bias internalization scale in a sample of obese adolescents seeking bariatric surgery.
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DOI:
10.1038/oby.2011.123
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发表时间:
2012-03
期刊:
Obesity (Silver Spring, Md.)
影响因子:
--
通讯作者:
Dovidio JF
Dovidio JF
中科院分区:
其他
文献类型:
--
作者:
Roberto CA;Sysko R;Bush J;Pearl R;Puhl RM;Schvey NA;Dovidio JF

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本研究的目的是评估心理测量学特性和临床相关的体重偏差内化量表(WBIS)的样本肥胖青少年寻求减肥手术。65名青少年在一个大型的城市医疗中心参加了减肥手术计划,完成了精神评估,自我报告问卷,包括WBIS和其他精神病理学和身体评估的措施。WBIS具有较高的内部一致性(Cronbach α = .92)。与以前的成人研究一样,复制了一个潜在的因素结构,保留了原来11个项目中的10个。该量表与抑郁(r = 0.519)、焦虑(r = 0.465)、社会和行为问题(r = 0.364)、生活质量(r =-0.480)、饮食(r = 0.579)、体型(r = 0.815)和体重问题(r = 0.545)有显著的偏相关性,控制体重指数。然而,WBIS评分不能预测当前或过去的精神病诊断或治疗或过去的自杀意念。总体而言,WBIS在肥胖寻求治疗的青少年样本中具有良好的心理测量特性,并与精神病理学水平显着相关。这些研究结果表明,WBIS可能是一个有用的工具,为医疗保健提供者评估内在的体重偏差寻求治疗的肥胖青年。在这一临床人群中的内化体重偏差的评估有可能确定青少年谁可能受益于应对体重耻辱的信息,这反过来又可以增加减肥的努力。
The aim of this study was to evaluate psychometric properties and clinical correlates of the Weight Bias Internalization Scale (WBIS) in a sample of obese adolescents seeking bariatric surgery. Sixty five adolescents enrolled in a bariatric surgery program at a large, urban medical center completed psychiatric evaluations, self-report questionnaires including the WBIS and other measures of psychopathology and physical assessments. The WBIS had high internal consistency (Cronbach’s α = .92). As in previous research with adults, the one underlying factor structure was replicated and 10 of the original 11 items were retained. The scale had significant partial correlations with depression (r = .519), anxiety (r = .465), social and behavioral problems (r = .364), quality of life (r = −.480), and eating (r = .579), shape (r = .815), and weight concerns (r = .545), controlling for body mass index. However, WBIS scores did not predict current or past psychiatric diagnosis or treatment or past suicidal ideation. Overall, the WBIS had excellent psychometric properties in a sample of obese treatment-seeking adolescents and correlated significantly with levels of psychopathology. These findings suggest that the WBIS could be a useful tool for healthcare providers to assess internalized weight bias among treatment-seeking obese youth. Assessment of internalized weight bias among this clinical population has the potential to identify adolescents who may benefit from information on coping with weight stigma which in turn can augment weight loss efforts.
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