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减肥手术候选人的抑郁症状:与耻辱化和体重和形状的担忧有关联
Alexandra Fabrig1, Ricarda Schmidt1, Thomas Mansfeld2
1Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, Integrated Research and Treatment Center AdiposityDiseases, University of Leipzig Medical Center, Stephanstrasse 9a, 04103 Leipzig, Germany.
Nutrients
|February 24, 2024
概括
减肥手术候选人经历的体重耻辱会对心理健康产生负面影响,由体重偏差内化介导. 负面的身体形象,特别是体重和形状的担忧,加剧了这种关联.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 医学社会学 医学社会学
背景情况:
- 腹腔外科候选人 (BSC) 面临着重大的心理健康挑战.
- 理论上,体重耻辱会通过体重偏差内化 (WBI) 对心理健康产生负面影响.
研究的目的:
- 测试BSC中体重耻辱的理论模型.
- 调查负面身体形象 (体重和形状关注) 在经历污名化 (ES),WBI和抑郁症状之间的关系中起的缓解作用.
主要方法:
- 一个德国的多中心研究涉及854个BSC.
- 自我报告问卷评估了经历的污名化 (ES),体重偏差内化 (WBI),体重和形状的关注以及抑郁症状.
- 使用了简单和适度调解分析.
主要成果:
- 体重偏差内化 (WBI) 显著调解了经历的耻辱化 (ES) 和抑郁症状之间的关系.
- 体重和形状的关注调节了整体模型和WBI与抑郁症状之间的关联.
- 在高WBI的个体中,ES-抑郁症状的联系更强烈,并进一步被体重和形状的担忧放大.
结论:
- WBI是一个重要的调解者,将经历过的体重污名化与减肥手术候选人的抑郁症状联系起来.
- 负面的身体形象,特别是体重和形状的担忧,加剧了体重耻辱对心理健康的不利影响.
- 未来的研究应该探索针对WBI的纵向关联和干预措施,以减轻BSC的心理健康问题.
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