肥胖人群相关病耻感的研究进展
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摘要
综述肥胖相关病耻感的概念、主要测评工具以及国内外研究现状,为临床医护人员和教育者应对肥胖相关病耻感提供参考依据,建议应用信效度良好的测评工具对国内肥胖相关病耻感进行系统研究,并据此开展针对性的干预,以改善肥胖人群的身心健康。
This article reviewed the obesity-related stigma from concept,main assessment tools,and the research status quo at home and aboard,provided a reference for clinical medical personnel and educators to deal with obesity-related stigma.It suggested to apply the assessment tools with good reliability and validity for the systematic research of obesity-related stigma in China,and carry out targeted intervention accordingly,to improve the physical and mental health of obese people.
This article reviewed the obesity-related stigma from concept,main assessment tools,and the research status quo at home and aboard,provided a reference for clinical medical personnel and educators to deal with obesity-related stigma.It suggested to apply the assessment tools with good reliability and validity for the systematic research of obesity-related stigma in China,and carry out targeted intervention accordingly,to improve the physical and mental health of obese people.
引文
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[3]Pascoe EA,Richman LS.Perceived discrimination and health:a meta-analytic review[J].Psychological Bulletin,2009,135(4):531-554.
[4]Phelan SM,Burgess DJ,Puhl R,et al.The adverse effect of weight stigma on the well-being of medical students with overweight or obesity:findings from a national survey[J].Journal of General Internal Medicine,2015,30(9):1251-1258.
[5]Puhl RM,Heuer CA.The stigma of obesity:a review and update[J].Obesity,2009,17(5):941-946.
[6]Rensen C,Bandyopadhyay S,Gopal PK,et al.Measuring leprosyrelated stigma-apilot study to validate a toolkit of instruments[J].Disability&Rehabilitation,2011,33(9):711-719.
[7]Lillis J,Luoma JB,Levin ME,et al.Measuring weight self-stigma:the Weight Self-Stigma Questionnaire[J].Obesity,2010,18(5):971-976.
[8]Lin KP,Lee ML.Validating a Chinese version of the Weight Self-Stigma Questionnaire for use with obese adults[J].International Journal of Nursing Practice,2017(Supple):e12537.
[9]Ma6ano C,AiméA,Lepage G,et al.Psychometric properties of the Weight Self-Stigma Questionnaire(WSSQ)among a sample of overweight/obese French-speaking adolescents[J].Eating and Weight Disorders-Studies on Anorexia,Bulimia and Obesity,2017,4(7):1-9.
[10]Hain B,Langer L,Hünnemeyer K,et al.Translation and validation of the German Version of the Weight Self-Stigma Questionnaire(WSSQ)[J].Obesity Surgery,2015,25(4):750-753.
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[12]Myers A,Rosen JC.Obesity stigmatization and coping:relation to mental health symptoms,body image,and self-esteem[J].Int JObes Relat Metab Disord,1999,23(3):221-230.
[13]Vartanian LR.Development and validation of a brief version of the Stigmatizing Situations Inventory[J].Obesity Science&Practice,2015,1(2):119-125.
[14]Durso LE,Latner JD.Understanding self-directed stigma:development of the Weight Bias Internalization Scale[J].Obesity,2008,16(S2):S80-S86.
[15]Sarríasgómez S,Baile JI.Psychometric properties of a Spanish adaptation of The Weight Bias Internalization Scale(WBIS)][J].Nutrition Hospitalaria,2015,32(n04):1510-1515.
[16]Innamorati M,Imperatori C,Lamis DA,et al.Weight Bias Internalization Scale discriminates obese and overweight patients with different severity levels of depression:the Italian Version of the WBIS[J].Current Psychology,2016,36(2):1-10.
[17]Ciupituplath C,Wiegand S,Babitsch B.The Weight Bias Internalization Scale for youth:validation of a Specific tool for assessing internalized weight bias among treatment-seeking German adolescents with overweight[J].Journal of Pediatric Psychology,2017,43(1):40-51.
[18]Tunceli K,Li K,Williams LK.Long-term effects of obesity on employment and work limitations among U.S.adults,1986to1999[J].Obesity,2006,14(9):1637-1646.
[19]Hatzenbuehler ML,Keyes KM,Hasin DS.Associations between perceived weight discrimination and the prevalence of psychiatric disorders in the general population[J].Obesity,2009,17(11):2033-2039.
[20]Savoy S,Almeida L,Boxer P.The relation of weight stigmatization to psychological adjustment[J].Journal of Applied Social Psychology,2012,42(9):2285-2308.
[21]Pearl RL,White MA,Grilo CM.Overvaluation of shape and weight as a mediator between self-esteem and weight bias internalization among patients with binge eating disorder[J].Eating Behaviors,2014,15(2):259-261.
[22]Pearl RL,White MA,Grilo CM.Weight bias internalization,depression,and self-reported health among overweight binge eating disorder patients[J].Obesity,2014,22(5):142-148.
[23]Almeida L,Savoy S,Boxer P.The role of weight stigmatization in cumulative risk for binge eating[J].Journal of Clinical Psychology,2011,67(3):278.
[24]Fettich KC,Chen EY.Coping with obesity stigma affects depressed mood in African-American and White Candidates for Bariatric surgery[J].Obesity,2012,20(5):1118-1121.
[25]Wott CB,Carels RA.Overt weight stigma,psychological distress and weight loss treatment outcomes[J].J Health Psychol,2010,15(4):608-614.
[26]Koball AM,Carels RA.Coping responses as mediators in the relationship between perceived weight stigma and depression[J].Eating and Weight Disorders-Studies on Anorexia,Bulimia and Obesity,2011,16(1):17-23.
[27]Puhl RM,Brownell KD.Confronting and coping with weight stigma:an investigation of overweight and obese adults[J].Obesity,2006,14(10):1802-1815.
[28]Williams DR,Neighbors HW,Jackson JS.Racial/ethnic discrimination and health:findings from community studies[J].American Journal of Public Health,2008,98(9Suppl):S29.
[29]Durso LE,Latner JD,Hayashi K.Perceived discrimination is associated with binge eating in a community sample of non-overweight,overweight,and obese adults[J].Obesity Facts,2012,5(6):869-880.
[30]Schvey NA,Puhl RM,Brownell KD.The impact of weight stigma on caloric consumption[J].Obesity,2011,19(10):1957.
[31]Puhl RM,Heuer CA.Obesity stigma:important considerations for public health[J].American Journal of Public Health,2010,100(6):1019-1028.
[32]Zettle RD.The evolution of a contextual approach to therapy:from comprehensive distancing to ACT[J].International Journal of Behavioral Consultation&Therapy,2005,1(2):77-89.
[33]Luoma JB,Kohlenberg BS,Hayes SC,et al.Reducing self-stigma in substance abuse through acceptance and commitment therapy:model,manual development,and pilot outcomes[J].Addiction Research&Theory,2008,16(2):149-165.
[34]Masuda A,Hayes SC,Fletcher LB,et al.Impact of acceptance and commitment therapy versus education on stigma toward people with psychological disorders[J].Behaviour Research&Therapy,2007,45(11):2764-2772.
[35]Lillis J,Hayes SC,Bunting K,et al.Teaching acceptance and mindfulness to improve the lives of the obese:apreliminary test of a theoretical model[J].Annals of Behavioral Medicine,2009,37(1):58.
[36]Palmeira L,Pinto-Gouveia J,Cunha M.Exploring the efficacy of an acceptance,mindfulness&compassionate-based group intervention for women struggling with their weight(Kg-Free):a randomized controlled trial[J].Appetite,2017,112:107.
[37]石颖,王守琦,英杰,等.患者病耻感的干预研究进展[J].护理学杂志,2016,31(22):104-108.
[38]Colleges AOAM.The prevention and treatment of overweight and obesity in reportⅧcontemporary issues in medicine,medical school objective project[R].USA:Association of American Medical Colleges,2007:1.
[39]Kushner RF,Zeiss DM,Feinglass JM,et al.An obesity educational intervention for medical students addressing weight bias and communication skills using standardized patients[J].BMCMedical Education,2014,14(1):53.
[40]Miller Jr DP,Spangler JG,Vitolins MZ,et al.Are medical students aware of their anti-obesity bias?[J].Academic Medicine Journal of the Association of American Medical Colleges,2013,88(7):978-982.
[41]Robinson EL,Ball LE,Leveritt MD.Obesity bias among health and non-health students attending an Australian university and their perceived obesity education[J].Journal of Nutrition Education&Behavior,2014,46(5):390.
[42]Flint S.Obesity stigma:prevalence and impact in healthcare[EB/OL].[2015-01-14].https://www.researchgate.net/publication/276918977_Obesity_stigma_Prevalence_and_impact_in_healthcare.
[43]O′brien KS,Puhl RM,Latner JD,et al.Reducing anti‐fat prejudice in preservice health students:a randomized trial[J].Obesity,2010,18(11):2138-2144.
[44]Poustchi Y,Saks N,Piasecki A,et al.Brief intervention effective in reducing weight bias in medical students[J].Fam Med,2013,45(5):345-348.
[45]Swift J,Tischler V,Markham S,et al.Are anti-stigma films a useful strategy for reducing weight bias among trainee healthcare professionals?Results of a pilot randomized control trial[J].Obes Facts,2013,6(1):91-102.
[46]Puhl RM,Luedicke J,Heuer CA.The stigmatizing effect of visual media portrayals of obese persons on public attitudes:does race or gender matter?[J].J Health Commun,2013,18(7):805.
[47]Pearl RL,Dovidio JF,Puhl RM.Visual portrayals of obesity in health media:promoting exercise without perpetuating weight bias[J].Health Educ Res,2015,30(4):580-590.
[48]Puhl RM,Moss-Racusin CA,Schwartz MB,et al.Weight stigmatization and bias reduction:perspectives of overweight and obese adults[J].Health Education Research,2008,23(2):347-358.
[49]Puhl RM,Himmelstein MS,Gorin AA,et al.Missing the target:including perspectives of women with overweight and obesity to inform stigma-reduction strategies[J].Obesity Science&Practice,2017,3(1):25-35.
[50]Puhl R,Peterson JL,Luedicke J.Fighting obesity or obese persons?Public perceptions of obesity-related health messages[J].International Journal of Obesity,2013,37(6):774.
[2]Farhangi MA,Emamalizadeh M,Hamedi F,et al.Weight self-stigma and its association with quality of life and psychological distress among overweight and obese women[J].Eat Weight Disord,2016,22(3):1-6.
[3]Pascoe EA,Richman LS.Perceived discrimination and health:a meta-analytic review[J].Psychological Bulletin,2009,135(4):531-554.
[4]Phelan SM,Burgess DJ,Puhl R,et al.The adverse effect of weight stigma on the well-being of medical students with overweight or obesity:findings from a national survey[J].Journal of General Internal Medicine,2015,30(9):1251-1258.
[5]Puhl RM,Heuer CA.The stigma of obesity:a review and update[J].Obesity,2009,17(5):941-946.
[6]Rensen C,Bandyopadhyay S,Gopal PK,et al.Measuring leprosyrelated stigma-apilot study to validate a toolkit of instruments[J].Disability&Rehabilitation,2011,33(9):711-719.
[7]Lillis J,Luoma JB,Levin ME,et al.Measuring weight self-stigma:the Weight Self-Stigma Questionnaire[J].Obesity,2010,18(5):971-976.
[8]Lin KP,Lee ML.Validating a Chinese version of the Weight Self-Stigma Questionnaire for use with obese adults[J].International Journal of Nursing Practice,2017(Supple):e12537.
[9]Ma6ano C,AiméA,Lepage G,et al.Psychometric properties of the Weight Self-Stigma Questionnaire(WSSQ)among a sample of overweight/obese French-speaking adolescents[J].Eating and Weight Disorders-Studies on Anorexia,Bulimia and Obesity,2017,4(7):1-9.
[10]Hain B,Langer L,Hünnemeyer K,et al.Translation and validation of the German Version of the Weight Self-Stigma Questionnaire(WSSQ)[J].Obesity Surgery,2015,25(4):750-753.
[11]Sevincer GM,Kaya A,Bozkurt S,et al.Reliability,validity,and factorial structure of the Turkish version of the Weight Self-Stigma Questionnaire(Turkish WSSQ)[J].Psychiatry and Clinical Psychopharmacology,2017,27(2):1-7.
[12]Myers A,Rosen JC.Obesity stigmatization and coping:relation to mental health symptoms,body image,and self-esteem[J].Int JObes Relat Metab Disord,1999,23(3):221-230.
[13]Vartanian LR.Development and validation of a brief version of the Stigmatizing Situations Inventory[J].Obesity Science&Practice,2015,1(2):119-125.
[14]Durso LE,Latner JD.Understanding self-directed stigma:development of the Weight Bias Internalization Scale[J].Obesity,2008,16(S2):S80-S86.
[15]Sarríasgómez S,Baile JI.Psychometric properties of a Spanish adaptation of The Weight Bias Internalization Scale(WBIS)][J].Nutrition Hospitalaria,2015,32(n04):1510-1515.
[16]Innamorati M,Imperatori C,Lamis DA,et al.Weight Bias Internalization Scale discriminates obese and overweight patients with different severity levels of depression:the Italian Version of the WBIS[J].Current Psychology,2016,36(2):1-10.
[17]Ciupituplath C,Wiegand S,Babitsch B.The Weight Bias Internalization Scale for youth:validation of a Specific tool for assessing internalized weight bias among treatment-seeking German adolescents with overweight[J].Journal of Pediatric Psychology,2017,43(1):40-51.
[18]Tunceli K,Li K,Williams LK.Long-term effects of obesity on employment and work limitations among U.S.adults,1986to1999[J].Obesity,2006,14(9):1637-1646.
[19]Hatzenbuehler ML,Keyes KM,Hasin DS.Associations between perceived weight discrimination and the prevalence of psychiatric disorders in the general population[J].Obesity,2009,17(11):2033-2039.
[20]Savoy S,Almeida L,Boxer P.The relation of weight stigmatization to psychological adjustment[J].Journal of Applied Social Psychology,2012,42(9):2285-2308.
[21]Pearl RL,White MA,Grilo CM.Overvaluation of shape and weight as a mediator between self-esteem and weight bias internalization among patients with binge eating disorder[J].Eating Behaviors,2014,15(2):259-261.
[22]Pearl RL,White MA,Grilo CM.Weight bias internalization,depression,and self-reported health among overweight binge eating disorder patients[J].Obesity,2014,22(5):142-148.
[23]Almeida L,Savoy S,Boxer P.The role of weight stigmatization in cumulative risk for binge eating[J].Journal of Clinical Psychology,2011,67(3):278.
[24]Fettich KC,Chen EY.Coping with obesity stigma affects depressed mood in African-American and White Candidates for Bariatric surgery[J].Obesity,2012,20(5):1118-1121.
[25]Wott CB,Carels RA.Overt weight stigma,psychological distress and weight loss treatment outcomes[J].J Health Psychol,2010,15(4):608-614.
[26]Koball AM,Carels RA.Coping responses as mediators in the relationship between perceived weight stigma and depression[J].Eating and Weight Disorders-Studies on Anorexia,Bulimia and Obesity,2011,16(1):17-23.
[27]Puhl RM,Brownell KD.Confronting and coping with weight stigma:an investigation of overweight and obese adults[J].Obesity,2006,14(10):1802-1815.
[28]Williams DR,Neighbors HW,Jackson JS.Racial/ethnic discrimination and health:findings from community studies[J].American Journal of Public Health,2008,98(9Suppl):S29.
[29]Durso LE,Latner JD,Hayashi K.Perceived discrimination is associated with binge eating in a community sample of non-overweight,overweight,and obese adults[J].Obesity Facts,2012,5(6):869-880.
[30]Schvey NA,Puhl RM,Brownell KD.The impact of weight stigma on caloric consumption[J].Obesity,2011,19(10):1957.
[31]Puhl RM,Heuer CA.Obesity stigma:important considerations for public health[J].American Journal of Public Health,2010,100(6):1019-1028.
[32]Zettle RD.The evolution of a contextual approach to therapy:from comprehensive distancing to ACT[J].International Journal of Behavioral Consultation&Therapy,2005,1(2):77-89.
[33]Luoma JB,Kohlenberg BS,Hayes SC,et al.Reducing self-stigma in substance abuse through acceptance and commitment therapy:model,manual development,and pilot outcomes[J].Addiction Research&Theory,2008,16(2):149-165.
[34]Masuda A,Hayes SC,Fletcher LB,et al.Impact of acceptance and commitment therapy versus education on stigma toward people with psychological disorders[J].Behaviour Research&Therapy,2007,45(11):2764-2772.
[35]Lillis J,Hayes SC,Bunting K,et al.Teaching acceptance and mindfulness to improve the lives of the obese:apreliminary test of a theoretical model[J].Annals of Behavioral Medicine,2009,37(1):58.
[36]Palmeira L,Pinto-Gouveia J,Cunha M.Exploring the efficacy of an acceptance,mindfulness&compassionate-based group intervention for women struggling with their weight(Kg-Free):a randomized controlled trial[J].Appetite,2017,112:107.
[37]石颖,王守琦,英杰,等.患者病耻感的干预研究进展[J].护理学杂志,2016,31(22):104-108.
[38]Colleges AOAM.The prevention and treatment of overweight and obesity in reportⅧcontemporary issues in medicine,medical school objective project[R].USA:Association of American Medical Colleges,2007:1.
[39]Kushner RF,Zeiss DM,Feinglass JM,et al.An obesity educational intervention for medical students addressing weight bias and communication skills using standardized patients[J].BMCMedical Education,2014,14(1):53.
[40]Miller Jr DP,Spangler JG,Vitolins MZ,et al.Are medical students aware of their anti-obesity bias?[J].Academic Medicine Journal of the Association of American Medical Colleges,2013,88(7):978-982.
[41]Robinson EL,Ball LE,Leveritt MD.Obesity bias among health and non-health students attending an Australian university and their perceived obesity education[J].Journal of Nutrition Education&Behavior,2014,46(5):390.
[42]Flint S.Obesity stigma:prevalence and impact in healthcare[EB/OL].[2015-01-14].https://www.researchgate.net/publication/276918977_Obesity_stigma_Prevalence_and_impact_in_healthcare.
[43]O′brien KS,Puhl RM,Latner JD,et al.Reducing anti‐fat prejudice in preservice health students:a randomized trial[J].Obesity,2010,18(11):2138-2144.
[44]Poustchi Y,Saks N,Piasecki A,et al.Brief intervention effective in reducing weight bias in medical students[J].Fam Med,2013,45(5):345-348.
[45]Swift J,Tischler V,Markham S,et al.Are anti-stigma films a useful strategy for reducing weight bias among trainee healthcare professionals?Results of a pilot randomized control trial[J].Obes Facts,2013,6(1):91-102.
[46]Puhl RM,Luedicke J,Heuer CA.The stigmatizing effect of visual media portrayals of obese persons on public attitudes:does race or gender matter?[J].J Health Commun,2013,18(7):805.
[47]Pearl RL,Dovidio JF,Puhl RM.Visual portrayals of obesity in health media:promoting exercise without perpetuating weight bias[J].Health Educ Res,2015,30(4):580-590.
[48]Puhl RM,Moss-Racusin CA,Schwartz MB,et al.Weight stigmatization and bias reduction:perspectives of overweight and obese adults[J].Health Education Research,2008,23(2):347-358.
[49]Puhl RM,Himmelstein MS,Gorin AA,et al.Missing the target:including perspectives of women with overweight and obesity to inform stigma-reduction strategies[J].Obesity Science&Practice,2017,3(1):25-35.
[50]Puhl R,Peterson JL,Luedicke J.Fighting obesity or obese persons?Public perceptions of obesity-related health messages[J].International Journal of Obesity,2013,37(6):774.