Internalized weight bias in obese patients with binge eating disorder: Associations with eating disturbances and psychological functioning

被引:130
作者
Durso, Laura E. [1 ]
Latner, Janet D. [1 ]
White, Marney A. [2 ]
Masheb, Robin M. [2 ]
Blomquist, Kerstin K. [2 ]
Morgan, Peter T. [2 ]
Grilo, Carlos M. [2 ,3 ]
机构
[1] Univ Hawaii Manoa, Dept Psychol, Honolulu, HI 96822 USA
[2] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA
[3] Yale Univ, Dept Psychol, New Haven, CT 06520 USA
基金
美国国家卫生研究院;
关键词
binge eating disorder; weight bias; stigma; anti-fat attitudes; obesity; body image; OVERVALUATION; OVERWEIGHT; STIGMA; STIGMATIZATION; FEATURES; SCALE; SHAPE;
D O I
10.1002/eat.20933
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Widespread bias against obese individuals may lead to the internalization of weight bias in obese persons. This study examined correlates of internalized weight bias (IWB) in obese patients with binge eating disorder (BED). Method: One hundred treatment-seeking obese patients with BED were administered with the eating disorders examination interview and questionnaires assessing IWB, fat phobia, depression, and self-esteem. Results: The mean IWB score in this group of patients with BED was significantly greater than the mean IWB score observed previously in a community sample of overweight adults. IWB was positively associated with eating disorder psychopathology, fat phobia, and depression, and negatively associated with selfesteem. IWB made significant independent contributions to the variance in eating disorder psychopathology even after accounting for fat phobia, depression, and self-esteem. Discussion: Treatment-seeking obese patients with BED demonstrate high levels of IWB. IWB may contribute to the variance in eating disorder psychopathology in BED patients, beyond the contributions of fat phobia, depression, and self-esteem. (C) 2011 by Wiley Periodicals, Inc.
引用
收藏
页码:423 / 427
页数:5
相关论文
共 23 条
[1]   Binge eating disorder and night eating syndrome: A comparative study of disordered eating [J].
Allison, KC ;
Grilo, CM ;
Masheb, RM ;
Stunkard, AJ .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2005, 73 (06) :1107-1115
[2]  
[Anonymous], STRUCTURED CLI UNPUB
[3]  
[Anonymous], 1993, BINGE EATING NATURE
[4]  
Ashmore Jamile A, 2008, Eat Behav, V9, P203, DOI 10.1016/j.eatbeh.2007.09.006
[5]   Fat phobia scale revisited: the short form [J].
Bacon, JG ;
Scheltema, KE ;
Robinson, BE .
INTERNATIONAL JOURNAL OF OBESITY, 2001, 25 (02) :252-257
[6]  
Beck A. T., 1987, Beck depression inventory: Manual
[7]   PSYCHOMETRIC PROPERTIES OF THE BECK DEPRESSION INVENTORY - 25 YEARS OF EVALUATION [J].
BECK, AT ;
STEER, RA ;
GARBIN, MG .
CLINICAL PSYCHOLOGY REVIEW, 1988, 8 (01) :77-100
[8]   Implicit, explicit, and internalized weight bias and psychosocial maladjustment among treatment-seeking adults [J].
Carels, R. A. ;
Wott, C. B. ;
Young, K. M. ;
Gumble, A. ;
Koball, A. ;
Oehlhof, M. W. .
EATING BEHAVIORS, 2010, 11 (03) :180-185
[9]   THE STIGMA OF OVERWEIGHT - AFFECTIVE CONSEQUENCES OF ATTRIBUTIONAL AMBIGUITY [J].
CROCKER, J ;
CORNWELL, B ;
MAJOR, B .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1993, 64 (01) :60-70
[10]   Understanding Self-directed Stigma: Development of the Weight Bias Internalization Scale [J].
Durso, Laura E. ;
Latner, Janet D. .
OBESITY, 2008, 16 :S80-S86