Associations between causal attributions for obesity and long-term weight loss.
Associations between causal attributions for obesity and long-term weight loss.
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肥胖与长期体重减轻的因果关系之间的关联。
DOI：
10.1080/08964289.2018.1556202
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Tronieri,JenaShaw
中科院分区：
文献类型：
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作者：
Pearl,RebeccaL;Wadden,ThomasA;Chao,ArianaM;Alamuddin,Naji;Berkowitz,RobertI;Walsh,Olivia;Allison,KellyC;Tronieri,JenaShaw
肥胖症是一种由多种行为、生物和环境因素引起的复杂疾病。然而，肥胖通常被归因于过于简单化和污名化的因果因素，如懒惰，缺乏意志力，以及未能对自己的健康承担个人责任。对肥胖人群中导致肥胖的因果因素的理解可能会影响他们的体重管理努力。目前的研究探讨了肥胖和长期减肥的因果归因之间的联系，以及检查归因与减肥的潜在变化。对178名寻求行为/药物减肥治疗的患者进行了16项肥胖因果归因量表（1-7级）。在基线、低热量饮食14周后以及随后的随机试验的第24周和第52周（即，总共66周）。Logistic和线性回归研究了基线因果归因评分对减肥的影响。较高的个人责任归因基线评分预测第52周体重减轻≥10%的几率降低38%（p= 0.02）。因果归因等级没有随着时间的推移而变化，也没有与体重变化持续相关。因此，将肥胖归因于个人责任的失败可能会损害寻求≥10%体重减轻的个人的长期体重管理努力。需要有针对性的技术来减少患者对肥胖原因的污名化信念。
Obesity is a complex disease caused by a wide array of behavioral, biological, and environmental factors. However, obesity is often attributed to oversimplified and stigmatizing causal factors such as laziness, lack of willpower, and failure to take personal responsibility for one’s health. Understanding of the causal factors that contribute to obesityamong people with obesitymay affect their weight management efforts. The current study explored associations between causal attributions for obesity and long-term weight loss, as well as examined potential changes in attributions with weight reduction. The 16-item Causal Attributions for Obesity scale (rated 1-7) was administered to 178 patients seeking behavioral/pharmacological weight-loss treatment. Causal attributions and weight were assessed at baseline, after 14 weeks of a low-calorie diet, and again at weeks 24 and 52 of a subsequent randomized trial (i.e., 66 weeks total). Logistic and linear regression examined effects of baseline causal attribution ratings on weight loss. Higher baseline ratings of personal responsibility attributions predicted 38% reduced odds of achieving ≥10% weight loss at week 52 (p= 0.02). Causal attribution ratings did not change over time or correlate continuously with weight change. Thus, attributing obesity to a failure of personal responsibility may impair long-term weight management efforts for individuals seeking ≥10% weight loss. Targeted techniques are needed to reduce patients’ stigmatizing beliefs about the causes of obesity.