Maureen K. Flynn, Jovan O. Hernandez, Jenny Valadez Fraire, Sara C. Hobbs, Cassy S. Malnar
{"title":"肥胖妇女的体重耻辱感与医疗保健回避：与身体形象相关的心理僵化和认知融合的调节作用","authors":"Maureen K. Flynn, Jovan O. Hernandez, Jenny Valadez Fraire, Sara C. Hobbs, Cassy S. Malnar","doi":"10.1016/j.jcbs.2024.100814","DOIUrl":null,"url":null,"abstract":"<div><p>Women who have obesity engage in healthcare avoidance at a higher rate than women in the normal weight range. Body mass index (BMI) and weight stigma are positively correlated and women who have obesity report weight-related concerns as reasons for healthcare avoidance. The current study examined whether body-image related psychological inflexibility and cognitive fusion moderate the relationship between weight-related stigma and healthcare avoidance. Female participants with obesity (<em>n</em> = 261) were recruited on Prolific and completed surveys online. Results showed that inflexibility and cognitive fusion moderated the relationship between stigma and healthcare avoidance. Future studies could examine the effectiveness of interventions targeting psychological inflexibility and fusion to decrease healthcare avoidance. There is also a clear need to target weight bias within society, healthcare systems, and healthcare providers.</p></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"33 ","pages":"Article 100814"},"PeriodicalIF":3.4000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Weight stigma and healthcare avoidance among women with obesity: The moderating roles of body image-related psychological inflexibility and cognitive fusion\",\"authors\":\"Maureen K. Flynn, Jovan O. Hernandez, Jenny Valadez Fraire, Sara C. Hobbs, Cassy S. Malnar\",\"doi\":\"10.1016/j.jcbs.2024.100814\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Women who have obesity engage in healthcare avoidance at a higher rate than women in the normal weight range. Body mass index (BMI) and weight stigma are positively correlated and women who have obesity report weight-related concerns as reasons for healthcare avoidance. The current study examined whether body-image related psychological inflexibility and cognitive fusion moderate the relationship between weight-related stigma and healthcare avoidance. Female participants with obesity (<em>n</em> = 261) were recruited on Prolific and completed surveys online. Results showed that inflexibility and cognitive fusion moderated the relationship between stigma and healthcare avoidance. Future studies could examine the effectiveness of interventions targeting psychological inflexibility and fusion to decrease healthcare avoidance. There is also a clear need to target weight bias within society, healthcare systems, and healthcare providers.</p></div>\",\"PeriodicalId\":47544,\"journal\":{\"name\":\"Journal of Contextual Behavioral Science\",\"volume\":\"33 \",\"pages\":\"Article 100814\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Contextual Behavioral Science\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2212144724000942\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Contextual Behavioral Science","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212144724000942","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Weight stigma and healthcare avoidance among women with obesity: The moderating roles of body image-related psychological inflexibility and cognitive fusion
Women who have obesity engage in healthcare avoidance at a higher rate than women in the normal weight range. Body mass index (BMI) and weight stigma are positively correlated and women who have obesity report weight-related concerns as reasons for healthcare avoidance. The current study examined whether body-image related psychological inflexibility and cognitive fusion moderate the relationship between weight-related stigma and healthcare avoidance. Female participants with obesity (n = 261) were recruited on Prolific and completed surveys online. Results showed that inflexibility and cognitive fusion moderated the relationship between stigma and healthcare avoidance. Future studies could examine the effectiveness of interventions targeting psychological inflexibility and fusion to decrease healthcare avoidance. There is also a clear need to target weight bias within society, healthcare systems, and healthcare providers.
期刊介绍：
The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS).
Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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