Weight Bias among Professionals Treating Eating Disorders: Attitudes about Treatment and Perceived Patient Outcomes
Weight Bias among Professionals Treating Eating Disorders: Attitudes about Treatment and Perceived Patient Outcomes
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DOI：
10.1002/eat.22186
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发表时间：
2014-01-01
影响因子：
5.5
通讯作者：
Luedicke, Joerg
中科院分区：
文献类型：
--
作者：
Puhl, Rebecca M.;Latner, Janet D.;Luedicke, Joerg
本研究旨在评估专业人士谁专门在治疗饮食失调的体重偏见，并确定在何种程度上他们的体重偏见与治疗肥胖patients.MethodParticipants的态度是329名专业人士治疗饮食失调，通过专业组织，专门在饮食失调招募。参与者完成了匿名的，在线自我报告问卷，评估他们明确的体重偏见，肥胖的原因，对治疗肥胖患者的态度，治疗依从性和成功的肥胖患者的看法，以及其他practitioners.ResultsNegative体重偏见的看法存在于一些专业人士治疗饮食失调。尽管专业人士对（289; 88%）和准备（276; 84%）为肥胖患者提供治疗，（184; 56%）观察到他们领域的其他专业人士对肥胖患者做出负面评论，42%（138）认为治疗饮食失调的从业者经常对肥胖患者有负面的刻板印象，35%（115人）表示，从业人员感到不舒服照顾肥胖患者，29%（95人）报告说，他们的同事对肥胖患者的负面态度。与专业人士相比，更强的体重偏见的专业人士更容易将肥胖归因于行为原因，表达了更多的负面态度和挫折感治疗肥胖患者，并认为这些patients.DiscussionSimilar其他健康学科的治疗效果较差，专业人士治疗饮食失调是不能免疫的体重偏见。这对肥胖个体的临床治疗和减少饮食失调领域的体重偏差具有重要意义。(c)2013 Wiley Periodicals，Inc. (Int J Eat Disord 2014; 47：65 - 75）
ObjectiveThis study aimed to assess weight bias among professionals who specialize in treating eating disorders and identify to what extent their weight biases are associated with attitudes about treating obese patients.MethodParticipants were 329 professionals treating eating disorders, recruited through professional organizations that specialize in eating disorders. Participants completed anonymous, online self-report questionnaires, assessing their explicit weight bias, perceived causes of obesity, attitudes toward treating obese patients, perceptions of treatment compliance and success of obese patients, and perceptions of weight bias among other practitioners.ResultsNegative weight stereotypes were present among some professionals treating eating disorders. Although professionals felt confident (289; 88%) and prepared (276; 84%) to provide treatment to obese patients, the majority (184; 56%) had observed other professionals in their field making negative comments about obese patients, 42% (138) believed that practitioners who treat eating disorders often have negative stereotypes about obese patients, 35% (115) indicated that practitioners feel uncomfortable caring for obese patients, and 29% (95) reported that their colleagues have negative attitudes toward obese patients. Compared to professionals with less weight bias, professionals with stronger weight bias were more likely to attribute obesity to behavioral causes, expressed more negative attitudes and frustrations about treating obese patients, and perceived poorer treatment outcomes for these patients.DiscussionSimilar to other health disciplines, professionals treating eating disorders are not immune to weight bias. This has important implications for provision of clinical treatment with obese individuals and efforts to reduce weight bias in the eating disorders field. (c) 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:65-75)