Binge-Spectrum Eating Disorders and Higher Body Mass Index Are Associated With Greater Negative Attitudes Towards Obesity

IF 3.2 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2026-10-12 Epub Date: 2026-07-07 DOI:10.1002/erv.70149

Ashley Dunford, Wesley R. Barnhart, P. Evelyna Kambanis, Lilian P. Palmer, Stefania Yee, Jordan Hillard, Esther Dechant, Kelsie T. Forbush, Kamryn T. Eddy, Jennifer J. Thomas

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引用次数: 0

Abstract

Objective

Eating disorders (EDs) in individuals with larger bodies are increasingly common and associated with experiences of weight stigma, yet negative attitudes towards obesity (NATO) across EDs and the weight spectrum remain understudied. We examined whether NATO differed across EDs and body mass index (BMI) groups.

Method

Participants were 322 adults (BMI range = 14.5–72.4 kg/m²) seeking outpatient ED treatment. We hypothesised that EDs commonly characterised by weight/shape concerns (i.e., anorexia nervosa [AN], bulimia nervosa [BN], binge-eating disorder [BED]) would show higher NATO scores than avoidant/restrictive food intake disorder (ARFID) and that individuals at the upper and lower ends of the BMI spectrum (obesity/overweight vs. underweight) would report greater NATO than those in the normal BMI range.

Results

A one-way ANOVA showed that BN and BED groups reported higher NATO than the ARFID and AN groups. Individuals with obesity endorsed greater NATO than the normal weight and underweight groups. Diagnosis and BMI were associated with NATO, but BMI was no longer significant when included with diagnosis.

Discussion

NATO appears more strongly related to ED diagnosis than BMI. Individuals with binge-spectrum EDs and those with obesity may be particularly vulnerable. Further investigation inclusive of weight stigma frameworks is needed.

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暴饮暴食症和较高的身体质量指数与对肥胖更消极的态度有关。

目的：饮食失调（EDs）在体型较大的个体中越来越普遍，并与体重耻辱感的经历有关，但对肥胖（NATO）的负面态度在ed和体重谱中仍未得到充分研究。我们检查了北约是否在ed和身体质量指数（BMI）组中有所不同。方法：参与者为322名寻求门诊ED治疗的成年人（BMI范围= 14.5-72.4 kg/m2）。我们假设通常以体重/体型问题为特征的EDs（即神经性厌食症[AN]，神经性贪食症[BN]，暴饮暴食症[BED]）会比回避/限制性食物摄入障碍（ARFID）显示更高的NATO评分，并且BMI谱上端和下端的个体（肥胖/超重与体重不足）会比正常BMI范围内的个体报告更高的NATO评分。结果：单因素方差分析显示，BN和BED组报告的NATO高于ARFID和AN组。肥胖人群比正常体重和体重过轻的人群支持更大的北约。诊断和BMI与NATO相关，但BMI在诊断中不再重要。讨论：NATO与ED诊断的相关性似乎比BMI更强。患有狂饮型ed和肥胖的人可能特别容易受到影响。需要进一步的调查，包括体重病耻感框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.