体重循环的定性模型。

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Qualitative Health Research Pub Date : 2024-07-01 Epub Date: 2024-01-25 DOI:10.1177/10497323231221666
Lynsey Romo, Sydney Earl, Katelin A Mueller, Mary Obiol
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引用次数: 0

摘要

体重循环很可能是在身体形象理想内化、进行向上的社会比较和经历体重耻辱后努力减肥的结果。尽管体重循环可能会对身体和心理造成影响,但人们尚未对体重循环、社会压力以及经历和内化的成见之间的相互作用进行定性探讨。因此,本研究通过对 36 名体重循环成年人的深入访谈,试图了解人们是如何协商体重循环的。访谈为建立体重循环定性模型提供了信息,该模型来自于理论中立的归纳分析。该模型的阶段包括进入循环、经历循环和挑战循环。由于社会压力造成的体重耻辱,受访者进入了体重循环。在这一循环中,受访者将体重鄙视内在化,并采取了混乱的体重管理行为。一些受访者通过提高自我意识和减少有毒节食行为来挑战这种循环。然而,对于许多人来说,要完全摆脱体重循环以及以往体重管理思维和模式的束缚是非常困难的,甚至是不可能的。我们的调查强调了体重循环的严重性,并提出了从宏观和个体两个层面应对体重循环的方法。将体重循环视为饮食失调也是有益的,希望能改变社会对快速减肥的危险关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Qualitative Model of Weight Cycling.

Weight cycling is a likely consequence of striving to lose weight after internalizing body image ideals, making upward social comparisons, and experiencing weight stigma. Despite weight cycling's potential physical and psychological consequences, the interplay of weight cycling, social pressures, and experienced and internalized stigma have not been qualitatively explored. Thus, through in-depth interviews of 36 weight-cycling adults, this study sought to understand how people negotiate weight cycling. Interviews informed the development of a qualitative model of weight cycling, which was derived from a theory-neutral inductive analysis. The model's stages included entering the cycle, undergoing the cycle, and challenging the cycle. Participants were triggered to enter the cycle due to weight stigma caused by social pressures. Within the cycle, interviewees internalized weight stigma and engaged in disordered weight management behaviors. Some participants challenged the cycle by becoming more self-aware and mitigating their toxic dieting behaviors. However, it was very difficult, if not impossible, for many to fully exit weight cycling and the restraints of previous weight management thinking and patterns. Our investigation underscores the seriousness of weight cycling and suggests ways to combat weight cycling on both macro and individual levels. It may also be useful to consider weight cycling as disordered eating in hopes of shifting society's dangerous focus on rapid weight loss.

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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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