Understanding Self-directed Stigma: Development of the Weight Bias Internalization Scale
Understanding Self-directed Stigma: Development of the Weight Bias Internalization Scale
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DOI：
10.1038/oby.2008.448
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发表时间：
2008-11-01
期刊：
影响因子：
6.9
通讯作者：
Latner, Janet D.
中科院分区：
文献类型：
--
作者：
Durso, Laura E.;Latner, Janet D.
目的：本研究开发了体重偏差内部化量表（WBIS），这是一种评估超重和肥胖者内部体重偏差的 11 项测量方法。 方法和程序：通过在线社区讨论组和通过电子邮件滚雪球抽样来招募互联网样本。 BMI > 25 kg/m(2) 的女性 (n = 164) 和男性 (n = 34) 完成了 WBIS 和抗脂肪态度问卷 (AAQ)，以及自尊、身体形象、情绪障碍、瘦身欲望和暴饮暴食的测量。 结果：结果表明 WBIS 具有较高的内部一致性（Cronbach's alpha = 0.90），并且与抗脂肪态度显着相关，但并非如此。完全重叠的构造（r = 0.31）。该量表显示出与自尊 (r = -0.67)、瘦身倾向 (r = 0.47) 和身体形象关注 (r = 0.75) 强烈的部分相关性，并控制了 BMI。内在体重偏差也与情绪和饮食失调的测量显着相关。使用 WBIS 评分、抗脂肪态度和 BMI 作为身体形象、情绪、自尊和暴食的预测变量进行多元回归分析。研究发现 WBIS 分数可以显着预测每项测量的分数。讨论：WBIS 显示出出色的心理测量特性和结构效度。该研究强调了区分对他人的反肥胖态度和内在体重偏见的重要性，这种偏见可能与精神病理学密切相关。
Objective: The present study developed the Weight Bias Internalization Scale (WBIS), an 11-item measure assessing internalized weight bias among the overweight and obese.Methods and Procedures: An Internet sample was recruited through online community discussion groups and snowball sampling via e-mail. Women (n = 164) and men (n = 34) with a BMI > 25 kg/m(2) completed the WBIS and the Antifat Attitudes Questionnaire (AAQ), as well as measures of self-esteem, body image, mood disturbance, drive for thinness, and binge eating.Results: Results indicate that the WBIS had high internal consistency (Cronbach's alpha = 0.90) and correlated significantly with antifat attitudes but was not a completely overlapping construct (r = 0.31). The scale showed strong partial correlations with self-esteem (r = -0.67), drive for thinness (r = 0.47), and body image concern (r = 0.75), controlling for BMI. Internalized weight bias was also significantly correlated with measures of mood and eating disturbance. Multiple regression analyses were conducted using WBIS scores, antifat attitudes, and BMI as predictor variables of body image, mood, self-esteem, and binge eating. WBIS scores were found to significantly predict scores on each of these measures.Discussion: The WBIS showed excellent psychometric properties and construct validity. The study highlights the importance of distinguishing antifat attitudes toward others from internalized weight bias, a construct that may be closely linked with psychopathology.