Obesity stigmatization and coping: Relation to mental health symptoms, body image, and self-esteem
Obesity stigmatization and coping: Relation to mental health symptoms, body image, and self-esteem
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DOI：
10.1038/sj.ijo.0800765
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发表时间：
1999-03-01
影响因子：
4.9
通讯作者：
Rosen, JC
中科院分区：
文献类型：
--
作者：
Myers, A;Rosen, JC
目的：编制肥胖者所面临的污名化情况及污名化应对方法的清单，并研究肥胖患者群体的污名化和应对与心理困扰的关系。设计：研究1：通过要求肥胖人群列出他们所遇到的污名化情况以及他们的应对方式，产生了项目。研究2：对肥胖患者进行调查，了解他们遇到每种形式的污名化的频率，并采用每种形式的应对方式。获得当前心理调整的横断面数据。研究对象：研究1:63例肥胖患者（体重指数，BMI > 40 kg/m(2)）；33名肥胖的非患者，7名与肥胖患者打交道的专业人士和32名来自印刷媒体的肥胖女性作者。研究2:112例胃旁路患者（BMI 33.9-80.9 kg/m(2)）和34例轻度肥胖患者（BMI 27.1-57.2 kg/m(2)）。测量：研究1：污名情境的收集和应对反应。研究2：被污名化经历和应对反应的频率、心理症状、身体形象和自尊测量。结果：研究1共有2份客观问卷，共50份情境，99份回答。研究2发现，被污名化是一种常见的经历，肥胖受试者经常会做出一些努力来应对污名化。更频繁地遭受污名化与更大的心理困扰、更多的应对尝试和更严重的肥胖有关。某些应对策略与更大的痛苦有关。
OBJECTIVE: To create inventories of stigmatizing situations faced by obese people and ways of coping with stigmatization, and to examine how stigma and coping are related to psychological distress in an obese patient population.DESIGN: Study 1: Items were generated by asking obese people to list stigmatizing situations they had encountered and their ways of coping. Study 2: Obese patients were surveyed about the frequency with which they encountered each form of stigmatization and employed each form of coping. Cross-sectional data on current psychological adjustment were obtained.SUBJECTS: Study 1: 63 obese patients (body mass index, BMI > 40 kg/m(2)); 33 obese non-patients, seven professionals who work with obese patients and 32 obese female authors from the print media. Study 2: 112 gastric bypass patients (BMI 33.9-80.9 kg/m(2)) and 34 less obese patients (BMI 27.1-57.2 kg/m(2)).MEASUREMENT: Study 1: Collection of stigmatizing situations and coping responses. Study 2: Frequency of stigmatizing experiences and coping responses, psychological symptoms, body image, and self esteem measures.RESULTS: Study 1 resulted in two objective questionnaires, consisting of 50 situations and 99 responses. Study 2 found that stigmatization is a common experience, and that obese subjects frequently engage in some effort to cope with stigma. More frequent exposure to stigmatization was associated with greater psychological distress, more attempts to cope, and more severe obesity. Certain coping strategies are associated with greater distress.