Weight stigma and healthcare avoidance among women with obesity: The moderating roles of body image-related psychological inflexibility and cognitive fusion

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI:10.1016/j.jcbs.2024.100814

Maureen K. Flynn, Jovan O. Hernandez, Jenny Valadez Fraire, Sara C. Hobbs, Cassy S. Malnar

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Abstract

Women who have obesity engage in healthcare avoidance at a higher rate than women in the normal weight range. Body mass index (BMI) and weight stigma are positively correlated and women who have obesity report weight-related concerns as reasons for healthcare avoidance. The current study examined whether body-image related psychological inflexibility and cognitive fusion moderate the relationship between weight-related stigma and healthcare avoidance. Female participants with obesity (n = 261) were recruited on Prolific and completed surveys online. Results showed that inflexibility and cognitive fusion moderated the relationship between stigma and healthcare avoidance. Future studies could examine the effectiveness of interventions targeting psychological inflexibility and fusion to decrease healthcare avoidance. There is also a clear need to target weight bias within society, healthcare systems, and healthcare providers.

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肥胖妇女的体重耻辱感与医疗保健回避：与身体形象相关的心理僵化和认知融合的调节作用

与体重正常的女性相比，肥胖女性逃避医疗保健的比例更高。身体质量指数（BMI）和体重耻辱感呈正相关，肥胖女性将与体重相关的担忧作为逃避医疗保健的原因。本研究探讨了与身体形象相关的心理僵化和认知融合是否会缓和体重相关成见与回避医疗保健之间的关系。研究人员在 Prolific 网站上招募了患有肥胖症的女性参与者（n = 261），并完成了在线调查。结果显示，缺乏灵活性和认知融合调节了成见与医疗回避之间的关系。未来的研究可以检验针对心理不灵活和认知融合的干预措施对减少医疗回避的有效性。社会、医疗保健系统和医疗保健提供者显然也需要针对体重偏见进行干预。

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.