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1.
Eval Program Plann ; 104: 102434, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38615372

RESUMEN

Weight-based discrimination (WBD) is common and associated with reduced physical and emotional functioning. WBD is common in the workplace, yet no studies have evaluated a WBD intervention delivered in a worksite setting. This study evaluated the feasibility, acceptability, and preliminary effectiveness of a 3-hour, remote-delivered WBD intervention at a large public university. Six workshops including 94 participants (41.76 ± 9.37 y; 92.8% women) were delivered December 2020 through May 2021; 88.3% of participants enrolled in the study and 88.8% of enrolled participants completed pre- and post-intervention surveys. Participants strongly agreed the workshop contributed to a more inclusive work environment (M=4.98 ± 0.2; 1 =Strongly Disagree to 5 =Strongly Agree); and was highly needed (4.9 ± 0.3) and liked (4.8 ± 0.5). Qualitative feedback cited benefits of remote delivery in providing body size anonymity and wanting access to intervention materials and more time for discussion and action steps to reduce WBD. Participants experienced significant, medium reductions in explicit weight bias (ps < .001), significant, small reductions in weight bias internalization (p < .001), and statistically non-significant (p = .08), small-to-medium reductions in implicit bias. Targeting worksites as a delivery mechanism has the potential to reduce WBD, thereby improving the health and well-being of diverse employees and creating a more inclusive workspace.


Asunto(s)
Estigma Social , Lugar de Trabajo , Humanos , Femenino , Masculino , Lugar de Trabajo/psicología , Adulto , Persona de Mediana Edad , Evaluación de Programas y Proyectos de Salud , Prejuicio de Peso
2.
Body Image ; 43: 337-347, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36265414

RESUMEN

Disordered eating (DE) exhibited by individuals with intersecting marginalized identities may be less likely to be perceived as pathological compared to DE exhibited by individuals with non-marginalized identities. The present experiment tested the intersectional impact of weight status and race stimuli on responses to DE in a college sample. Undergraduate students (N = 193, Mage = 18.57, SD = 1.88, 71 % female) read a fictional account from a female target with DE who was described as "underweight," "average weight," or "overweight," and "White" or "Black." Participants completed an in-lab survey assessing detection of and responses to DE. Three 2 (race: Black, White) x 3 (weight status: underweight, average weight, overweight) ANCOVAs revealed a main effect of weight status. DE was more likely to be detected in "underweight" than "average" and "overweight" targets (p < .001). Participants encouraged weight loss for "average" and "overweight" targets compared to "underweight" targets (p < .001) and encouraged weight restoration for "underweight" targets compared to "average weight" and "overweight" targets (p < .001). No significant effects for target race or interaction between weight status and race emerged. These findings underscore the salience of weight status in shaping perceptions of DE.


Asunto(s)
Trastornos de Alimentación y de la Ingestión de Alimentos , Femenino , Humanos , Adolescente , Masculino , Trastornos de Alimentación y de la Ingestión de Alimentos/diagnóstico , Imagen Corporal/psicología , Sobrepeso , Universidades , Delgadez , Peso Corporal
3.
Eat Disord ; 30(1): 99-109, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-33393452

RESUMEN

The present study examined how weight status would affect lay perceptions of a White female student presenting signs of eating disorder-related distress. We recruited a mixed-gender, weight-diverse U.S. community sample through Mechanical Turk (N = 130; 49.2% female) to complete an online survey. Participants were randomly assigned to one of two conditions in which they read a personal statement section of a college application revealing eating disorder-related distress from a student who was either 'overweight' or 'underweight.' Participants evaluated the student on need for support, behavioural prescriptions for eating and exercise, and personal qualities. Although participants recognized a serious mental health concern in both conditions, they were more likely to prescribe eating disorder behaviors to the higher weight student. Findings suggest that weight stigma may bias lay perceptions of and even reinforce an eating disorder when exhibited by higher weight individuals.


Asunto(s)
Trastornos de Alimentación y de la Ingestión de Alimentos , Conducta Alimentaria/psicología , Trastornos de Alimentación y de la Ingestión de Alimentos/terapia , Femenino , Humanos , Masculino , Sobrepeso/psicología , Estudiantes , Delgadez/psicología
4.
Int J Aging Hum Dev ; 94(3): 362-382, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-34514858

RESUMEN

Recent studies have projected an increase in aging informal caregivers who are often dealing with their frailty. However, little is known about their health, caregiving factors, or coping resources that promote health. Informed by lifespan perspective and health behavior models, this study examined the gender differences in health and caregiving profiles of aging informal caregivers and investigated the association between leisure activity and unhealthy days. A sample of 565 informal caregivers (>50 years) was drawn from the Oregon version of the 2017 Behavioral Risk Factor Surveillance System. Descriptive analyses revealed that the caregivers were mainly women between 60 and 69, White non-Hispanic, married, college graduates, retired and healthinsured. Negative binomial regression showed that leisure activities were related to fewer odds of reporting unhealthy days for most comparison scenarios. Findings emphasize the importance of accounting for group differences and similarities in understanding health and caregiving factors among informal caregivers.


Asunto(s)
Cuidadores , Promoción de la Salud , Envejecimiento , Femenino , Humanos , Actividades Recreativas , Oregon
5.
Clin Pract Pediatr Psychol ; 10(3): 295-306, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36777258

RESUMEN

Objective: Prior intent to treat (ITT) evaluation of the Fathering Through Change (FTC) online interactive behavioral parent training program demonstrated a causal link from the FTC intervention to reductions in pre-post changes in fathers' coercive parenting, and in turn, reductions in pre-post changes in child behavioral problems (a moderate indirect effect size d = .30). The present study expands on this work by investigating mediational mechanisms. Methods: The present study employed a sample of 426 recently divorced or separated fathers who were each randomly assigned to either the FTC program or to the waitlist control. We tested a set of ITT serial mediation hypotheses positing effects of the FTC on fathers' reductions in coercive parenting would be mediated through reductions in emotion regulation problems. To be included in this intervention, fathers had been separated or divorced within the past two years and also had children between the ages of four and twelve. Results: The intervention obtained a significant total and set of unique pathways linking the FTC intervention to improved child adjustment. This supports a causal experimental link to reduced child behavior problems (d = .39). Emotion regulation did not fully mediate the intervention effect on parenting. Conclusions: Emotion regulation added both direct and indirect experimental explained variance over and above parenting alone. Clinical implications are discussed for the application of online training through pediatric settings.

6.
Int J Soc Psychiatry ; 68(3): 555-563, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-33541175

RESUMEN

BACKGROUND: Although approximately 79% of the world's suicides occur in low- and middle-income countries (LMICs), the limited research in these regions has primarily focused on the rates of suicide attempts (SA) and ideation among men and younger members of the population. AIM: This study investigated the associations between bodily pain, functional limitation, chronic health conditions, and suicidal ideation among older Ghanaian women with a positive screen for depression. METHODS: Data was obtained from the World Health Organization's Study on global AGEing and adult health (SAGE) Ghana Wave 1, a nationally representative sample. Based on the interpersonal theory of suicide, we used logistic regression analysis to investigate the associations between the variables. RESULTS: Functional limitation, bodily pain, hopelessness, and hypertension were significantly associated with a higher risk of suicidal ideation after accounting for sociodemographic and other confounding factors. CONCLUSIONS: Early interventions designed to decrease hopelessness, hypertension, and functional limitations may lead to reduced suicide ideation among older Ghanaian women who screen positive for depression.


Asunto(s)
Ideación Suicida , Intento de Suicidio , Adulto , Anciano , Estudios Transversales , Femenino , Ghana/epidemiología , Humanos , Masculino , Dolor , Factores de Riesgo
7.
Eat Behav ; 43: 101543, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34399304

RESUMEN

According to affect regulation models, distress associated with weight-based teasing may be related to loss of control (LOC) eating. Maladaptive coping strategies may further exacerbate this association, but such hypotheses have not been evaluated in men. The purpose of the current study was to examine the association between distress from weight-based teasing and LOC eating in racially and ethnically diverse young men. The degree to which men engage in impulsive behavior when distressed was investigated as a moderating variable. Exploratory analyses examined the proposed associations within racial/ethnic identity groups. The current study included 1011 young men (18-30 years, Mage = 23.9 ± 3.6 y, 28.3% non-Hispanic White; 23.4% African American; 24.3% Hispanic/Latino; 23.8% Asian/Asian American). Participants completed an online survey with measures of weight-based teasing, LOC eating frequency, engagement in impulsive behavior when distressed, and demographics. After adjusting for age, race/ethnicity, and body mass index, there was a positive association between distress from weight-based teasing and LOC eating frequency (p < .001). In the full sample, the tendency to engage in impulsive behavior when distressed exacerbated this link (p < .01). Exploratory analyses revealed the moderating effect of impulsive coping on distress from teasing was significant in non-Hispanic White men, but was not significant for all others. These findings suggest that men are not immune to the negative correlates of weight-based teasing. LOC eating may function as a maladaptive coping mechanism, or may be an artifact of the disordered eating symptoms that can emerge during extreme efforts to obtain a thinner physique.


Asunto(s)
Regulación Emocional , Trastornos de Alimentación y de la Ingestión de Alimentos , Adulto , Índice de Masa Corporal , Etnicidad , Humanos , Conducta Impulsiva , Masculino , Adulto Joven
8.
Body Image ; 38: 37-48, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33831652

RESUMEN

Research suggests that weight-related teasing is associated with body concerns and disordered eating in male and female adolescents and women. Yet, little is known about these associations for young men with diverse racial and ethnic identities. This study examined the association of weight-related teasing frequency and distress with body concerns, loss of control (LOC) eating, dietary restraint, and history of psychiatric and medical diagnoses in racially and ethnically diverse young men. Racial and ethnic identity was examined as a potential moderator. Participants (N = 1,069; 18-30 years; Mage = 24.1 ± 3.6 years) completed an online survey and reported on general demographics; weight-related teasing; body concerns; LOC eating frequency in the last 28 days; dietary restraint; and history of psychiatric and medical diagnoses. All models adjusted for BMI, income, education, and history of psychiatric diagnoses (when not the dependent variable). Both weight-related teasing frequency and distress were significantly and positively linked with all dependent variables, and these associations did not significantly vary by racial and ethnic identity. These findings suggest that, much like in prior research with adolescents and women, experiences with weight-related teasing are associated with body concerns, disordered eating, and poorer health in racially and ethnically diverse young men, regardless of body size.


Asunto(s)
Imagen Corporal , Etnicidad , Trastornos de Alimentación y de la Ingestión de Alimentos , Disparidades en el Estado de Salud , Grupos Raciales , Prejuicio de Peso , Adolescente , Adulto , Imagen Corporal/psicología , Etnicidad/psicología , Etnicidad/estadística & datos numéricos , Trastornos de Alimentación y de la Ingestión de Alimentos/etnología , Humanos , Masculino , Grupos Raciales/psicología , Grupos Raciales/estadística & datos numéricos , Encuestas y Cuestionarios , Prejuicio de Peso/etnología , Adulto Joven
9.
Body Image ; 35: 154-160, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33022482

RESUMEN

The present study tested an objectification model of orthorexic eating (i.e., pattern of disordered eating characterized by a preoccupation with food quality and purity, ritualistic styles of eating, avoidance of foods considered unhealthy, and compulsive evaluation of the source and nutritional content of foods) in women who are physically active in sport. A community sample of women physically active in sport (N = 228) completed an online survey with measures of orthorexic eating, phenomenological and appearance-based self-objectification, phenomenological body shame, sport-based perfectionism, and athletic identity. Parallel mediation analysis (PROCESS; Model 4) demonstrated a significant indirect effect (ab) of phenomenological self-objectification on orthorexic eating through phenomenological body shame (b = -0.10, 95 % percentile bootstrap confidence interval (PB CI): -0.15, -0.06), adjusting for three covariate measures. The direct effect (c') of phenomenological self-objectification on orthorexic eating was not significant (b = 0.02, 95 % PB CI: -0.07, 0.10). The findings support an objectification theory model of orthorexic eating in community women who participate in sport.


Asunto(s)
Ejercicio Físico/fisiología , Trastornos de Alimentación y de la Ingestión de Alimentos/fisiopatología , Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Perfeccionismo , Autoimagen , Adolescente , Adulto , Femenino , Humanos , Modelos Psicológicos , Deportes , Adulto Joven
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