Experience with multiple devaluation is associated with elevated emotional eating, perceived weight, and body mass index: An exploration of mediating factors and the role of irrational beliefs in general population and university samples.

IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES
Laurence J Nolan, Amy Eshleman
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引用次数: 0

Abstract

Weight stigma, the social devaluation of people based on a perception of high body weight, is associated with a number of adverse health consequences including avoidance of medical care, suicide risk, disordered eating, decreased exercise, and weight gain. Experiences of stigma in a variety of domains in addition to weight may intersect to exacerbate these outcomes. Participants in two samples (one of 327 women and men from the general population and one of 128 female university students) reported experiences of devaluation on three body size and eight non-body size-related characteristics (referred to as multiple devaluation experience or MDE) and completed assessments of emotional eating (EE), feeling fat, weight self-stigma, impulsivity, and irrational beliefs. Participants were also asked to rate their body weight. MDE was correlated with elevated weight self-devaluation and anticipation of weight stigma, negative EE (NEE), feeling fat, and impulsivity in both men and women. None of these measures moderated the relationship between MDE and EE. The positive relationship between MDE and NEE was mediated by anticipated weight stigma only in women in the general population sample at higher levels of irrational beliefs. The positive relationship between MDE and body mass index (BMI) was mediated by NEE in women in the general population. The positive relationship between MDE and perceived body weight was mediated by feeling fat in women in both samples. These results suggest that women's experiences of stigma may increase anticipation of ongoing stigma, prompting NEE and resulting in elevated BMI. The results also suggest that feelings of fatness could lead to an elevation of women's perceived body weight, which in prospective studies is linked to later elevation of actual weight.

多重贬值经历与情绪化进食、感知体重和体重指数升高有关:普通人群和大学样本中的中介因素及非理性信念的作用探究。
体重烙印是社会对体重过高的人的贬低,它与一系列不良健康后果有关,包括逃避医疗护理、自杀风险、饮食紊乱、运动减少和体重增加。除体重外,各种领域的成见可能会交织在一起,加剧这些后果。两个样本的参与者(一个是来自普通人群的 327 名女性和男性,另一个是 128 名女大学生)报告了在三个体型特征和八个与体型无关的特征上的贬损经历(称为多重贬损经历或 MDE),并完成了对情绪化进食(EE)、感觉肥胖、体重自我污名化、冲动性和非理性信念的评估。参与者还被要求对自己的体重进行评分。在男性和女性中,MDE 都与体重自我评价的升高、体重耻辱感的预期、负面 EE (NEE)、感觉肥胖和冲动有关。这些测量指标都没有调节 MDE 和 EE 之间的关系。只有在非理性信念水平较高的普通人群样本中,预期体重蔑视才会调节 MDE 和 NEE 之间的正相关关系。在普通人群中,MDE 与体重指数(BMI)之间的正相关关系由 NEE 起中介作用。在这两个样本中,MDE 与感知体重之间的正相关关系都是由感觉自己胖而中介的。这些结果表明,女性的成见经历可能会增加对持续成见的预期,从而引发 NEE 并导致 BMI 升高。研究结果还表明,肥胖感可能会导致女性感知体重的增加,而在前瞻性研究中,这种感知体重的增加与后来实际体重的增加有关。
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来源期刊
Appetite
Appetite 医学-行为科学
CiteScore
9.10
自引率
11.10%
发文量
566
审稿时长
13.4 weeks
期刊介绍: Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.
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