Self-stigma of seeking treatment and being male predict an increased likelihood of having an undiagnosed eating disorder

Self-stigma of seeking treatment and being male predict an increased likelihood of having an undiagnosed eating disorder
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DOI:
10.1002/eat.22413
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发表时间:
2015-09-01
影响因子:
5.5
通讯作者:
Touyz, Stephen
Touyz, Stephen
中科院分区:
医学2区
文献类型:
--
作者:
Griffiths, Scott;Mond, Jonathan M.;Touyz, Stephen

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目的探讨寻求心理帮助的自我耻辱感和男性是否与患未确诊饮食失调的可能性增加有关。方法选取360例确诊进食障碍患者和125例未确诊进食障碍患者为研究对象。使用逻辑回归来确定影响未确诊饮食失调可能性的变量,包括性别、寻求心理帮助的自我耻辱感和患有精神疾病的感知耻辱感,控制了广泛的协变量。结果男性在寻求心理帮助时表现出更大的自我耻辱感与未被诊断的可能性增加独立相关。此外,寻求心理帮助的自我耻辱感与未确诊可能性的增加之间的关联在男性中明显强于女性。与寻求帮助相关的耻辱感可能是治疗饮食失调的一个显著障碍,尤其是在男性患者中。(c) 2015 Wiley期刊,Inc .(国际医学杂志,2015;48:775-778)
ObjectiveTo examine whether self-stigma of seeking psychological help and being male would be associated with an increased likelihood of having an undiagnosed eating disorder.MethodA multi-national sample of 360 individuals with diagnosed eating disorders and 125 individuals with undiagnosed eating disorders were recruited. Logistic regression was used to identify variables affecting the likelihood of having an undiagnosed eating disorder, including sex, self-stigma of seeking psychological help, and perceived stigma of having a mental illness, controlling for a broad range of covariates.ResultsBeing male and reporting greater self-stigma of seeking psychological help was independently associated with an increased likelihood of being undiagnosed. Further, the association between self-stigma of seeking psychological help and increased likelihood of being undiagnosed was significantly stronger for males than for females.DiscussionPerceived stigma associated with help-seeking may be a salient barrier to treatment for eating disordersparticularly among male sufferers. (c) 2015 Wiley Periodicals, Inc (Int J Eat Disord 2015; 48:775-778)