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A systematic review of weight stigma and disordered eating cognitions and behaviors
Body Image ( IF 5.580 ) Pub Date : 2024-01-25 , DOI: 10.1016/j.bodyim.2023.101678
Jordan A. Levinson , Shruti Kinkel-Ram , Bethany Myers , Jeffrey M. Hunger

Weight stigma is persistent across contexts and is associated with disordered eating cognitions and behaviors. This systematic review aimed to examine the existing literature that has explored the relationship between weight stigma and disordered eating cognitions and behaviors. We specifically examined three dimensions of weight stigma – experienced, anticipated, and internalized – and adopted an inclusive conceptualization of outcomes related to disordered eating (including constructs such as binge eating, body dissatisfaction, and other cognitions and behaviors such as dietary restraint, unhealthy weight control behaviors, and drive for thinness). We searched PubMed, Embase, CINAHL, Web of Science, Sociological Abstracts, and PsycINFO for English-language, peer-reviewed articles and dissertations with quantitative methodology published through October 2023. The search resulted in 242 articles meeting inclusion criteria. A narrative review found a consistent relationship between greater weight stigma and more disordered eating cognitions and behaviors. Methodological and theoretical limitations are discussed, as are critical avenues for future research and potential clinical implications stemming from this body of research. Given the widespread nature and impact of weight stigma on disordered eating, it is imperative that we intervene to address weight stigma at all levels, from the structural to the intrapersonal.

中文翻译:

对体重耻辱和饮食失调认知和行为的系统回顾

体重耻辱在各种情况下都持续存在,并且与饮食认知和行为紊乱有关。本系统综述旨在检查现有文献,这些文献探讨了体重耻辱与饮食失调认知和行为之间的关系。我们专门研究了体重耻辱的三个维度——经历过的、预期的和内化的——并对与饮食失调相关的结果采用了包容性的概念化(包括暴饮暴食、身体不满意等结构,以及饮食限制、不健康体重等其他认知和行为)控制行为,并努力减肥)。我们检索了 PubMed、Embase、CINAHL、Web of Science、Sociological Abstracts 和 PsycINFO,查找截至 2023 年 10 月发表的采用定量方法的英文同行评审文章和论文。搜索结果有 242 篇符合纳入标准的文章。一项叙述性评论发现,更大的体重耻辱与更混乱的饮食认知和行为之间存在一致的关系。讨论了方法和理论的局限性,以及未来研究的关键途径和来自该研究机构的潜在临床意义。鉴于体重耻辱的广泛性和对饮食失调的影响,我们必须进行干预,以解决从结构到个人内部各个层面的体重耻辱问题。
更新日期:2024-01-25
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