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医疗保健提供者的减肥建议是激励的,但它也是一种耻辱:一种基于实验的,基于场景的实验方法
Erin C Standen1, Alexander J Rothman1, Traci Mann1
1Department of Psychology, University of Minnesota, 75 E River Road, Minneapolis, MN, 55455, United States.
概括
医疗保健提供者建议体重较高的患者减肥可以增加健康饮食的动机,但也会导致耻辱感. 这种标准做法可能会对患者产生负面影响,并延续健康不平等.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 医疗保健提供者经常为体重指数 (BMI) 30 kg/m2或更高的患者提供减肥建议.
- 这种常见做法对患者的直接心理影响尚未得到充分研究.
- 了解这些影响对于改善患者护理和减少健康差异至关重要.
研究的目的:
- 为了研究从医疗保健提供者那里获得减肥建议的心理影响.
- 测试这样的建议可能同时增加行为动机和诱导基于体重的耻辱感的假设.
- 探索标准体重管理咨询的潜在负面影响.
主要方法:
- 一项研究涉及294名体重较高的参与者,他们被随机分配阅读两个场景之一.
- 参与者设想自己是接受行为减肥建议 (饮食和运动) 或控制建议的患者.
- 场景后,参与者报告了他们对健康饮食的动机,并经历了基于体重的身份威胁.
主要成果:
- 与对照组相比,接受减肥建议的参与者报告健康饮食的动机明显更高.
- 减肥建议也导致基于体重的身份威胁显著增加.
- 两组之间对提供者同情或未来医疗保健参与的看法没有发现显著差异.
结论:
- 从医疗保健提供者那里获得减肥建议有效地激励健康饮食行为.
- 然而,这种建议也显著增加了超重个体的耻辱感.
- 这些发现表明,需要重新评估提供减肥建议的标准实践,因为潜在的伤害和不公平的延续.
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