Internalized weight stigma and the progression of food addiction over time
Internalized weight stigma and the progression of food addiction over time
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DOI：
10.1016/j.bodyim.2020.05.002
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发表时间：
2020-09-01
期刊：
影响因子：
5.2
通讯作者：
Higgs, Suzanne
中科院分区：
文献类型：
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作者：
Meadows, Angela;Higgs, Suzanne
食物成瘾与饮食病理学水平升高、身体形象问题和内化的体重耻辱感有关。内化的体重耻辱感在成瘾性饮食进展中的作用尚未探讨。这项纵向研究探讨了与体重相关的自我贬低和害怕被他人污名化在预测成瘾性饮食行为随时间变化方面的相对贡献。305年轻人（M-年龄= 18.7岁，SD = 1.1，范围18-28，MBMI = 21.9 kg/m2，SD =3.7 kg/m2，范围13.7-38.9 kg/m2）在两个时间点完成了“食物成瘾”、体重相关自我贬低和害怕他人羞辱的在线测量（随访M = 280天，SD = 30，范围155-474）。在基线时，7.9%的人表现出临床相关的成瘾性饮食行为，40.3%的人自我归类为“对食物成瘾”，51.8%的人两者都没有。使用交叉滞后模型，害怕被污名化，而不是自我贬低，是随着时间的推移不断恶化的“食物成瘾”状态的预测因素。对体重耻辱的恐惧，而不是与体重相关的自我贬低本身，可能是有问题的饮食行为的重要预测因素。由于体重污名在西方人群中普遍存在，这些发现对非临床样本中问题饮食行为的发展具有潜在意义。(c)2020爱思唯尔有限公司保留所有权利。
Food addiction is associated with elevated levels of eating pathology, body image concerns, and internalized weight stigma. The role of internalized weight stigma in the progression of addictive-like eating has not been explored. This longitudinal study explored the relative contributions of weight-related selfdevaluation and fear of being stigmatized by others in predicting changes in addictive-like eating behavior over time. 305 young adults (M-age = 18.7 years, SD = 1.1, range 18-28, MBMI = 21.9 kg/m(2), SD =3.7 kg/m(2), range 13.7-38.9 kg/m(2)) completed online measures of "food addiction," weight-related self-devaluation, and fear of stigma from others at two time points (follow-up M = 280 days, SD = 30, range 155-474). At baseline, 7.9 % exhibited clinically relevant addictive-like eating behavior, 40.3 % self-classified as being "addicted to food", and 51.8 % neither. Using cross-lagged modelling, fear of being stigmatized, but not self-devaluation, was a predictor of worsening "food addiction" status over time. Fear of weight stigma, rather than weight-related self-devaluation per se, may be an important predictor of problematic eating behavior. As weight stigma is prevalent in Western populations, these findings have potential implications for the development of problem eating behaviors in non-clinical samples. (c) 2020 Elsevier Ltd. All rights reserved.