Ecological Momentary Assessment of Weight Stigma and Eating Behavior in Everyday Life

IF 3.6 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Annals of Behavioral Medicine Pub Date : 2024-04-09 DOI:10.1093/abm/kaae012

Jeffrey M Hunger, Amanda K Montoya, Kristienne Edrosolan, Juanyi Tan, Anne S Hubbard, A Janet Tomiyama

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引用次数: 0

Abstract

Background Weight stigma is widespread, but the existing literature on its harmful consequences remains largely limited to lab-based experiments and large-scale longitudinal designs. Purpose The purpose of this study was to understand how weight stigma unfolds in everyday life, and whether it predicts increased eating behavior. Methods In this event-contingent ecological momentary assessment study, 91 participants reported every time they experienced weight stigma and documented whether they ate, how much they ate, and what they ate. These reports were compared against a timepoint when they did not experience stigma. Results Participants reported a wide variety of stigmatizing events from a variety of sources, with the most common ones being the self, strangers, the media, and family. Multilevel models showed that participants were no more likely to eat post-stigma (vs. the comparison point), but if they did eat, they ate more servings of food (on average consuming 1.45 more servings, or 45% more). Moderation analyses indicated that this effect was amplified for men versus women. Conclusion Experiencing weight stigma appears to beget behavioral changes, potentially driving future weight gain, placing individuals at ever more risk for further stigmatization.

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对日常生活中的体重羞辱和饮食行为进行生态学瞬间评估

研究背景体重蔑视现象十分普遍，但有关其有害后果的现有文献仍主要局限于实验室实验和大规模纵向设计。目的本研究旨在了解体重烙印在日常生活中是如何产生的，以及它是否会预测饮食行为的增加。方法在这项以事件为条件的生态瞬间评估研究中，91 名参与者报告了他们每次遭遇体重鄙视的情况，并记录了他们是否进食、进食多少以及进食的内容。这些报告与他们未遭遇鄙视时的时间点进行了比较。结果参与者报告了各种来源的鄙视事件，其中最常见的是自己、陌生人、媒体和家人。多层次模型显示，成见发生后（与比较点相比），参与者进食的可能性并没有增加，但如果他们进食，则会吃更多的食物（平均多吃 1.45 份，即增加 45%）。调节分析表明，男性与女性相比，这种影响更大。结论体重烙印似乎会导致行为改变，有可能导致未来体重增加，使个人面临更大的进一步烙印风险。

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来源期刊

Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

7.00

自引率

5.30%

发文量

期刊介绍： Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .