Weight Stigma in the Development, Maintenance, and Treatment of Eating Disorders: A Case Series Informing Implications for Research and Practice.
Adolescence
Eating disorders
Treatment
Weight stigma
Journal
Research on child and adolescent psychopathology
ISSN: 2730-7174
Titre abrégé: Res Child Adolesc Psychopathol
Pays: United States
ID NLM: 101773609
Informations de publication
Date de publication:
01 Nov 2024
01 Nov 2024
Historique:
accepted:
15
10
2024
medline:
1
11
2024
pubmed:
1
11
2024
entrez:
1
11
2024
Statut:
aheadofprint
Résumé
Weight-centric health practices are based on the principle that excess weight predicts chronic disease, informing a growing sociopolitical movement to address an "obesity epidemic." This hyper-focus on preventing obesity may contribute to weight stigma (i.e., the devaluation and discrimination of individuals based on body size) and other iatrogenic outcomes for youth, including the development and maintenance of eating disorders (EDs). Current evidence-based treatments for EDs include language and practices that may reinforce fears of fatness, body shame, and unhealthy dietary restriction without guidance on addressing weight stigma. Here, we present case examples from three adolescent patients across ED presentations and body sizes to (1) elucidate the role of weight stigma in ED development, (2) highlight the ubiquity and harms of weight stigma within ED treatments, and (3) outline thoughtful protocol adaptations to avoid further harm and facilitate recovery. We conclude with a call for immediate action to advance research characterizing the harms of weight-centric approaches in existing ED interventions to reduce the risk of iatrogenic effects on youth with EDs and advance weight-inclusive approaches to ED treatment.
Identifiants
pubmed: 39485638
doi: 10.1007/s10802-024-01260-3
pii: 10.1007/s10802-024-01260-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NIMH NIH HHS
ID : K23MH131871
Pays : United States
Organisme : NIMH NIH HHS
ID : K23MH126210
Pays : United States
Organisme : NIMH NIH HHS
ID : R21MH131787
Pays : United States
Organisme : NIMH NIH HHS
ID : T32MH018261
Pays : United States
Organisme : NIMH NIH HHS
ID : K23MH120347
Pays : United States
Organisme : Brain and Behavior Research Foundation
ID : NARSAD Young Investigator Award
Organisme : NCCIH NIH HHS
ID : K23AT011048
Pays : United States
Informations de copyright
© 2024. The Author(s).
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