Layered stigma? Co-occurring depression and obesity in the public eye
Layered stigma? Co-occurring depression and obesity in the public eye
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DOI：
10.1016/j.jpsychores.2018.01.003
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发表时间：
2018-03-01
影响因子：
4.7
通讯作者：
Riedel-Heller, Steffi G.
中科院分区：
文献类型：
--
作者：
Luck-Sikorski, Claudia;Schomerus, Georg;Riedel-Heller, Steffi G.
目的：肥胖症和抑郁症是普通大众的常见疾病，并显示出高水平的共病率。这两种情况都受到歧视，即，与消极态度和歧视有关。以前的研究表明，贬值的条件可以重叠或联合收割机，产生一个分层的耻辱，这是与更多的负面健康结果比任何一个单一的贬值条件单独。因此，本研究着手调查的双重耻辱的肥胖和depress.Methods：一个基于电话的代表性研究的德国人口进行。描述肥胖，抑郁症或两种情况下的妇女的小插曲，然后是一组项目的语义差异的基础上以前的耻辱抑郁症（抑郁症耻辱DS）和肥胖症（脂肪恐惧症量表FPS）的研究。抑郁症和肥胖症的个人经验assessed.Results：所有的比较是显着的单变量方差分析，表现出消极的态度测量的FPS和DS是最明显的双重耻辱条件。多变量分析，控制年龄，性别，教育和个人经历的耻辱条件（例如，患有肥胖症或抑郁症），表明肥胖和抑郁症的双重耻辱与FPS上更消极的态度有关（B = 0.163，p < 0.001）和DS（B = 0.154，p = 0.002）。结论：在治疗患有肥胖症的抑郁症患者时，在心理健康环境中可能需要考虑肥胖和抑郁症的分层耻辱的程度，但在治疗患有抑郁症的肥胖患者时，在肥胖症护理中也是如此。
Objectives: Obesity and depression are common conditions in the general public and show a high level of co-morbidity. Both conditions are stigmatized, i.e., associated with negative attitudes and discrimination. Previous research shows that devalued conditions can overlap or combine to produce a layered stigma which is associated with more negative health outcomes than either single devalued condition alone. This study therefore set out to investigate the double stigma of obesity and depression.Methods: A telephone-based representative study of the German population was conducted. Vignettes describing women with obesity, depression or both conditions were presented, followed by a set of items on semantic differentials based on previous stigma research of depression (depression stigma DS) and obesity (Fat Phobia Scale FPS). Personal experience with depression and obesity was assessed.Results: All comparisons were significant in univariate ANOVA, showing negative attitudes measured by the FPS and the DS to be most pronounced in the double stigma condition. Multivariate analysis, controlling for age, gender, education and personal experience with the stigma condition (e.g. having obesity or depression), show that the double stigma obesity and depression is associated to more negative attitudes on the FPS (b = 0.163, p < 0.001) and the DS (b = 0.154, p = 0.002) compared to the single-stigma condition.Conclusions: The magnitude of the layered stigma of obesity and depression may need to be considered in mental health settings when treating the depressed patient with obesity, but likewise in obesity care when treating the obese patient with depression.