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Adagide S, Canlı S, Aksoy M. The identification of the relationship between nursing students' disgust sensitivity and willingness to care for the elderly: The case of a university. Geriatr Nurs 2024; 59:453-457. [PMID: 39141952 DOI: 10.1016/j.gerinurse.2024.07.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 07/10/2024] [Accepted: 07/30/2024] [Indexed: 08/16/2024]
Abstract
OBJECTIVES In clinical learning environments, nursing students frequently encounter situations that cause physical disgust. It is believed that a high sensitivity to disgust among students can negatively affect their academic performance and caregiving behavior. This study was conducted to identify the relationship between nursing students' disgust sensitivity and willingness to care for older adults. METHOD This descriptive and cross-sectional research was conducted with 807 volunteer participants studying at the Department of Nursing of a university in southeast Turkey. The research data were collected by using the Personal Information Form, the Disgust Sensitivity Scale - Revised Form (DS-R), and the Willingness to Care for the Elderly Scale (WCES) . Descriptive statistics, the Student's t-test, the Mann-Whitney U test, the One-Way Analysis of Variance, and Pearson's correlation were used in the analysis of research data. RESULTS In the research, nursing students' mean DS-R and WCES scores were calculated respectively as 77.93 ± 16.40 and 34.16 ± 5.98 points. A statistically significant negative relationship was found between nursing students' DS-R and WCES scores (p < 0.05). In the research, there were statistically significant differences in nursing students' mean DS-R scores as per the variables of student gender and class year. Also, it was found that, as per the variables of student nationality and the status of assuming responsibility for the care of a sick or old relative, there were statistically significant differences in both nursing students' mean DS-R scores and their mean WCES scores (p < 0.05). CONCLUSION It was concluded that nursing students had high-level disgust sensitivity and medium-level willingness to care for an older adult. As the disgust sensitivity of the nursing students increased, their willingness to care for an older adult was negatively affected. Therefore, it is important that nurse educators evaluate nursing students' disgust sensitivity and help nursing students define and eliminate their disgust emotions.
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Affiliation(s)
- Simla Adagide
- Siirt University, Faculty of Health Sciences, Department of Nursing Psychiatric, Siirt Turkey
| | - Serap Canlı
- Department of Elderly Care, Haymana Vocational School, University of Ankara, Türkiye
| | - Meyreme Aksoy
- Siirt University, Faculty of Health Sciences, Department of Nursing Fundamentals, Siirt Turkey.
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Allnutt AE, Smith DJ, Torrence WA, Alexander DS. Examining weight bias attitudes and obesity beliefs among undergraduate students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1814-1819. [PMID: 35834745 DOI: 10.1080/07448481.2022.2093114] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 05/23/2022] [Accepted: 06/19/2022] [Indexed: 06/15/2023]
Abstract
Objective: This cross-sectional study examined the weight bias attitudes and obesity beliefs of health science (HS), nursing, and pre-medicine undergraduate students. Methods: Using snowballing and convenience sampling strategies, students (N = 139) completed an online survey, including a 24-item Antifat Attitudes Scale (AFAS) and eight-item Belief About Obese Persons (BAOP) scale. Results: HS students have higher weight bias than nursing and pre-medicine students combined (M = 43.45, SD = 10.75), t(137) = -2.45, p = .016). A negative correlation exists between AFAS and BAOP suggesting high weight bias influences a belief that obesity is controllable. Gender positively predicted weight bias attitudes (ß = -11.43, t = -4.33, p < .001) and obesity beliefs (ß = 3.75, t = 3.01, p = . 003). Conclusions: Findings confirm that HS students have weight bias attitudes. This supports undergraduate curricular changes on obesity etiology that may improve treatment plans of individuals who are obese.
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Affiliation(s)
| | - Daniel J Smith
- Concordia University Chicago, River Forest, Illinois, USA
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3
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Walters J, Occhipinti S, Duffy AL, Scrafton S, Tapp C, Oaten M. Age-related disgust responses to signs of disease. Cogn Emot 2024; 38:399-410. [PMID: 38349386 DOI: 10.1080/02699931.2023.2300390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 12/22/2023] [Indexed: 02/22/2024]
Abstract
Previous studies found similarities in adults' disgust responses to benign (e.g. obesity) and actual disease signs (e.g. influenza). However, limited research has compared visual (i.e. benign and actual) to cognitive (i.e. disease label) disease cues in different age groups. The current study investigated disgust responses across middle childhood (7-9 years), late childhood (10-12 years), adolescence (13-17 years), and adulthood (18+ years). Participants viewed individuals representing a benign visual disease (obese), sick-looking (staphylococcus), sick-label (cold/flu), and healthy condition. Disgust-related outcomes were: (1) avoidance, or contact level with apparel the individual was said to have worn, (2) disgust facial reactions, and (3) a combination of (1) and (2). Avoidance was greater for the sick-looking and sick-label than the healthy and obese conditions. For facial reaction and combination outcomes, middle childhood participants responded with greater disgust to the sick-looking than the healthy condition, while late childhood participants expressed stronger disgust towards the sick-looking and obese conditions than the healthy condition. Adolescents and adults exhibited stronger disgust towards sick-label and sick-looking than obese and healthy conditions. Results suggest visual cues are central to children's disgust responses whereas adolescents and adult responses considered cognitive cues.
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Affiliation(s)
- Jared Walters
- School of Applied Psychology, Griffith University, Gold Coast, Australia
| | - Stefano Occhipinti
- School of Applied Psychology, Griffith University, Gold Coast, Australia
- Department of English and Communication, International Research Centre for the Advancement of Health Communication Research, Hong Kong Polytechnic University, Hong Kong, Hong Kong
| | - Amanda L Duffy
- School of Applied Psychology, Griffith University, Gold Coast, Australia
| | - Sharon Scrafton
- School of Applied Psychology, Griffith University, Gold Coast, Australia
| | - Caley Tapp
- School of Public Health, The University of Queensland, Herston, Australia
| | - Megan Oaten
- School of Applied Psychology, Griffith University, Gold Coast, Australia
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4
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Wendell DG, Tatalovich R. Status politics is the origin of morality policy. Politics Life Sci 2023; 42:306-315. [PMID: 37987574 DOI: 10.1017/pls.2023.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
After drawing a distinction between "class" and "status," an early but short-lived sociological literature on status politics is reviewed. That approach has lost favor, but moral foundations theory (MFT) offers a new opportunity to link morality policy to status politics. While any of the five moral foundations (care, fairness, loyalty, authority, sanctity) can provoke conflict over status, most often sanctity is the cause of status politics because it engages the emotion of disgust. Disgust drives the behavioral immune system, which prevents us from being infected by contaminants in tainted food or by "outsiders" who are perceived to follow unconventional practices. This research note concludes by referencing 20 empirical studies in which feelings of disgust targeted certain groups or practices in society (i.e., immigrants, criminals, abortion). Thus, status politics is the origin of morality policy.
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Clifford S, Erisen C, Wendell D, Cantú F. Disgust sensitivity and support for immigration across five nations. Politics Life Sci 2023; 42:65-80. [PMID: 37140224 DOI: 10.1017/pls.2022.6] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Immigration has become a focal debate in politics across the world. Recent research suggests that anti-immigration attitudes may have deep psychological roots in implicit disease avoidance motivations. A key implication of this theory is that individual differences in disease avoidance should be related to opposition to immigration across a wide variety of cultural and political contexts. However, existing evidence on the topic has come almost entirely from the United States and Canada. In this article, we test the disease avoidance hypothesis using nationally representative samples from Norway, Sweden, Turkey, and Mexico, as well as two diverse samples from the United States. We find consistent and robust evidence that disgust sensitivity is associated with anti-immigration attitudes and that the relationship is similar in magnitude to education. Overall, our findings support the disease avoidance hypothesis and provide new insights into the nature of anti-immigration attitudes.
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6
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Lin HH, Shen CC, Ling Y, Lin CY. Effect of traditional Chinese medicine massage on physical and mental health of middle-aged and elderly women. Biotechnol Genet Eng Rev 2023:1-26. [PMID: 36880446 DOI: 10.1080/02648725.2023.2186495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Abstract
This mixed-methods study examined the effects of traditional Chinese medicine massage on the physique, athletic performance, body composition, and perceived physical and mental health of 10 middle-aged and older women by using questionnaires and multiple measurement instruments. Microsoft Office and IBM SPSS 26.0 were used for the verification and calculation of results. Multivariate analysis was employed to analyze the data. Intermittent exercise significantly influenced the body composition, physical fitness, sports performance, and physical and mental health of female college students and improved their self-confidence, sleep quality, eating habits, weight, blood pressure, and sports performance, even when not accompanied with massage. However, although the rate of improvement was stable, intermittent exercise with traditional Chinese medicine massage yielded greater improvements in abdominal muscle strength and flexibility than intermittent exercise without traditional Chinese medicine massage. In terms of physical and mental health, headache, head pressure, back pain, and sense of loss were significantly alleviated (p < 0.01) in the traditional Chinese medicine massage group.
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Affiliation(s)
- Hsiao-Hsien Lin
- Department of Leisure Industry Management, National Chin-Yi University of Technology, Taichung, Taiwan
| | - Chih-Chien Shen
- Institute of Physical Education and Health, Yulin Normal University, Yulin China
| | - Ying Ling
- School of General Education, Guangxi Vovational & Technical College, Nanning, China
| | - Chao-Yen Lin
- School of Physical Education, Jiaying University, Guangdong, China
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7
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Hoover LV, Ackerman JM, Cummings JR, Gearhardt AN. The Association of Perceived Vulnerability to Disease with Cognitive Restraint and Compensatory Behaviors. Nutrients 2022; 15:nu15010008. [PMID: 36615665 PMCID: PMC9824184 DOI: 10.3390/nu15010008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 12/15/2022] [Accepted: 12/16/2022] [Indexed: 12/24/2022] Open
Abstract
Individual differences exist in perceived vulnerability to disease (PVD). PVD is associated with negative responses (e.g., disgust) towards individuals with obesity and heightened sensitivity regarding personal appearance. Through increasing fear of fat (FOF), PVD may be associated with cognitive restraint and compensatory behaviors. We utilized an adult sample (n = 247; 53.3% male sex assigned at birth) recruited through Amazon's MTurk prior to the COVID-19 pandemic to investigate associations between PVD, cognitive restraint and compensatory behaviors. Participants completed the Perceived Vulnerability to Disease Scale, Eating Disorder Diagnostic Scale, Dutch Eating Behaviors Questionnaire, and Goldfarb's Fear of Fat Scale. Mediation analyses were used to test our hypotheses. Perceived infectability (PVD-Infection) was associated with cognitive restraint and compensatory behaviors through increased FOF. Perceived germ aversion (PVD-Germ) was associated with cognitive restraint, but FOF did not mediate this association. Sex-stratified analyses revealed no significant sex differences. PVD may be an overlooked factor associated with cognitive restraint and compensatory behaviors in males and females. FOF was an important mediating factor in these associations. Increased engagement in cognitive restraint and compensatory behaviors may reflect attempts to reduce FOF. Future longitudinal research should explore whether PVD is a risk factor for cognitive restraint and compensatory behaviors.
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8
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Macho S, Andrés A, Saldaña C. Anti-fat attitudes among Spanish general population: Psychometric properties of the anti-fat attitudes scale. Clin Obes 2022; 12:e12543. [PMID: 35848847 PMCID: PMC9786687 DOI: 10.1111/cob.12543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 05/26/2022] [Accepted: 06/22/2022] [Indexed: 12/30/2022]
Abstract
Weight discrimination is one of the worst forms of prejudice and is deeply rooted in society. The aim of this study was to adapt the anti-fat attitudes scale (AFA) to the Spanish general population. The sample consisted of 1248 participants from the Spanish community population. They were recruited through the internet and participated voluntarily. Women (77.8%) were more predominant than men. Regarding body weight categories, 5.3% were underweight, 43.5% were normal-weight, 24.9% were overweight and 26.3% had obesity. A cross-validation method with an exploratory and confirmatory factor analysis confirmed the three-factor structure of the AFA. The Spanish version of the AFA showed a satisfactory internal consistency for all three factors, as well as adequate test-retest reliability after a 1-month interval. Finally, the Spanish version of the AFA seems to be an adequate tool to assess negative attitudes towards obesity in both clinical and research settings. Men presented more negative attitudes towards obesity and were convinced that obesity is under someone's control. Women presented more fear of gaining weight. Normal-weight people were those who discriminated more. Participants with overweight or obesity suffered more fear of gaining weight. There was no intra-group discrimination between individuals with overweight and obesity.
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Affiliation(s)
- Sergio Macho
- Departament de Psicologia Clínica i PsicobiologiaUniversitat de Barcelona (UB), Passeig Vall d'Hebron171, 08035BarcelonaSpain
| | - Ana Andrés
- Faculty of Psychology, Education and Sport SciencesRamon Llull UniversityBarcelonaSpain
| | - Carmina Saldaña
- Departament de Psicologia Clínica i PsicobiologiaUniversitat de Barcelona (UB), Passeig Vall d'Hebron171, 08035BarcelonaSpain
- Institut de NeurociènciesUniversitat de Barcelona (UB)BarcelonaSpain
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9
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Kraaijeveld SR, Jamrozik E. Moralization and Mismoralization in Public Health. MEDICINE, HEALTH CARE, AND PHILOSOPHY 2022; 25:655-669. [PMID: 36045179 PMCID: PMC9432796 DOI: 10.1007/s11019-022-10103-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 05/09/2022] [Accepted: 07/07/2022] [Indexed: 11/19/2022]
Abstract
Moralization is a social-psychological process through which morally neutral issues take on moral significance. Often linked to health and disease, moralization may sometimes lead to good outcomes; yet moralization is often detrimental to individuals and to society as a whole. It is therefore important to be able to identify when moralization is inappropriate. In this paper, we offer a systematic normative approach to the evaluation of moralization. We introduce and develop the concept of 'mismoralization', which is when moralization is metaethically unjustified. In order to identify mismoralization, we argue that one must engage in metaethical analysis of moralization processes while paying close attention to the relevant facts. We briefly discuss one historical example (tuberculosis) and two contemporary cases related to COVID-19 (infection and vaccination status) that we contend to have been mismoralized in public health. We propose a remedy of de-moralization that begins by identifying mismoralization and that proceeds by neutralizing inapt moral content. De-moralization calls for epistemic and moral humility. It should lead us to pull away from our tendency to moralize-as individuals and as social groups-whenever and wherever moralization is unjustified.
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Affiliation(s)
| | - Euzebiusz Jamrozik
- Oxford-Johns Hopkins Global Infectious Disease Ethics Collaborative, Johns Hopkins University, Baltimore, United States
- Ethox and Wellcome Centre for Ethics and Humanities, University of Oxford, Oxford, United Kingdom
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10
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Arseniev-Koehler A, Foster JG. Machine Learning as a Model for Cultural Learning: Teaching an Algorithm What it Means to be Fat. SOCIOLOGICAL METHODS & RESEARCH 2022; 51:1484-1539. [PMID: 37974911 PMCID: PMC10653277 DOI: 10.1177/00491241221122603] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
Public culture is a powerful source of cognitive socialization; for example, media language is full of meanings about body weight. Yet it remains unclear how individuals process meanings in public culture. We suggest that schema learning is a core mechanism by which public culture becomes personal culture. We propose that a burgeoning approach in computational text analysis - neural word embeddings - can be interpreted as a formal model for cultural learning. Embeddings allow us to empirically model schema learning and activation from natural language data. We illustrate our approach by extracting four lower-order schemas from news articles: the gender, moral, health, and class meanings of body weight. Using these lower-order schemas we quantify how words about body weight "fill in the blanks" about gender, morality, health, and class. Our findings reinforce ongoing concerns that machine-learning models (e.g., of natural language) can encode and reproduce harmful human biases.
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Affiliation(s)
- Alina Arseniev-Koehler
- Department of Sociology, Purdue University, West Lafayette, IN, USA
- Division of Biomedical Informatics, University of California, San Diego, La Jolla, CA, USA
| | - Jacob G. Foster
- Department of Sociology, University of California, Los Angeles, Los Angeles, CA, USA
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11
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Physical disability in romantic partner: Behavioral immune system theory fails to explain why women and men differ in their perceptions of potential romantic partners who are physically disabled. PERSONALITY AND INDIVIDUAL DIFFERENCES 2022. [DOI: 10.1016/j.paid.2022.111821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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12
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Thiebaut G, Méot A, Witt A, Prokop P, Bonin P. Pseudo-Contamination and Memory: Is There a Memory Advantage for Objects Touched by "Morphologically Deviant People"? EVOLUTIONARY PSYCHOLOGICAL SCIENCE 2022; 9:1-14. [PMID: 36311386 PMCID: PMC9589653 DOI: 10.1007/s40806-022-00345-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 09/13/2022] [Accepted: 09/28/2022] [Indexed: 11/17/2022]
Abstract
Memory plays an important role in the behavioral immune system (BIS; Schaller in Psychological Inquiry, 17(2), 96-101, 2016a), a proactive immune system whose ultimate function is to make organisms avoid sources of contamination. Indeed, it has been found that objects presented next to sick people are remembered better than objects shown next to healthy people-representing a contamination effect in memory. In the present studies, we investigated this memory effect in relation to "pseudo-contaminated" sources, that is to say, people exhibiting cues ultimately evoking the threat of contamination but objectively posing no such threat in terms of disease transmission. Common objects were shown next to photographs of people having three kinds of morphological deviations-obesity (study 1), scars and burns (study 2), strange eyes (study 3)-or no morphological deviation. Contrary to our expectations, we found that "pseudo-contaminated objects" were not remembered better than "non-contaminated objects," whereas discomfort ratings of the idea of touching the same objects were clearly higher with morphologically deviant people. Memory mechanisms do not seem to be mobilized by "pseudo-contamination" sources which are not directly related to infection risk.
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Affiliation(s)
- Gaëtan Thiebaut
- LEAD-CNRS UMR5022, Université de Bourgogne, Pôle AAFE - Esplanade Erasme, BP 26513, Dijon Cedex, 21065 France
| | - Alain Méot
- LAPSCO-CNRS UMR6024, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Arnaud Witt
- LEAD-CNRS UMR5022, Université de Bourgogne, Pôle AAFE - Esplanade Erasme, BP 26513, Dijon Cedex, 21065 France
| | - Pavol Prokop
- Department of Environmental Ecology and Landscape Management, Faculty of Natural Sciences, Comenius University, Bratislava, Slovakia
- Institute of Zoology, Slovak Academy of Sciences, Bratislava, Slovakia
| | - Patrick Bonin
- LEAD-CNRS UMR5022, Université de Bourgogne, Pôle AAFE - Esplanade Erasme, BP 26513, Dijon Cedex, 21065 France
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Anderson LM, Hall LMJ, Crosby RD, Crow SJ, Berg KC, Durkin NE, Engel SG, Peterson CB. "Feeling fat," disgust, guilt, and shame: Preliminary evaluation of a mediation model of binge-eating in adults with higher-weight bodies. Body Image 2022; 42:32-42. [PMID: 35653964 PMCID: PMC10136371 DOI: 10.1016/j.bodyim.2022.05.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 05/11/2022] [Accepted: 05/23/2022] [Indexed: 11/29/2022]
Abstract
"Feeling fat" is a subjective state that theoretically contributes to the maintenance of binge eating (BE). However, feeling fat, and its relation to BE among individuals with higher-weight bodies, has been infrequently studied. This study proposes a momentary-level model in which negative moral emotion states (disgust, guilt, shame) mediate the association between feeling fat and binge eating. In this study, 50 adults with higher-weight bodies (MBMI=40.3 ± 8.5 kg/m2; 84% female) completed a two-week ecological momentary assessment protocol, which measured experiences of feeling fat, emotion states, and binge-eating behavior. Univariate generalized linear mixed models (GLMM) evaluated the momentary associations among levels of feeling fat at Time 1, emotion states at Time 2, and binge eating at Time 2, controlling for Time 1 emotion states. GLMM results suggest that increases in each emotion from Time 1 to Time 2 mediated the association between Time 1 feeling fat and Time 2 binge eating. When modeled simultaneously within one multivariate multilevel structured equation model, disgust appeared to drive the relation between feeling fat and binge eating, over and above guilt and shame. Although preliminary, findings suggest increases in negative moral emotions, particularly disgust, mediate the feeling fat-binge eating association in adults with higher-weight bodies.
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Affiliation(s)
- Lisa M Anderson
- University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA.
| | - Leah M J Hall
- Eastern Oklahoma Veterans' Affairs Health Care System, Tulsa, OH, USA
| | - Ross D Crosby
- Sanford Research, Center for Bio-behavioral Research, Fargo, ND, USA; University of North Dakota School of Medicine and Health Sciences, Department of Psychiatry, Fargo, ND, USA
| | - Scott J Crow
- University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA; The Emily Program, St. Paul, MI, USA
| | - Kelly C Berg
- University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA
| | - Nora E Durkin
- University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA; Hazelden Betty Ford Foundation, Plymouth, MI, USA
| | - Scott G Engel
- Sanford Research, Center for Bio-behavioral Research, Fargo, ND, USA; University of North Dakota School of Medicine and Health Sciences, Department of Psychiatry, Fargo, ND, USA
| | - Carol B Peterson
- University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA
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14
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Wabnegger A, Schienle A. Association between obesity bias and trait disgust: Findings from the moral machine experiment with obese humans and animals. COGENT PSYCHOLOGY 2022. [DOI: 10.1080/23311908.2022.2090077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Albert Wabnegger
- Institute of Psychology, University of Graz, Graz, Austria
- BioTechMed, Graz, Austria
| | - Anne Schienle
- BioTechMed, Graz, Austria
- University of California USA, California, USA
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15
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Disgust sensitivity predicts sociosexuality across cultures. EVOL HUM BEHAV 2022. [DOI: 10.1016/j.evolhumbehav.2022.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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16
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van Leeuwen F, Inbar Y, Petersen MB, Aarøe L, Barclay P, Barlow FK, de Barra M, Becker DV, Borovoi L, Choi J, Consedine NS, Conway JR, Conway P, Adoric VC, Demirci E, Fernández AM, Ferreira DCS, Ishii K, Jakšić I, Ji T, Jonaityte I, Lewis DMG, Li NP, McIntyre JC, Mukherjee S, Park JH, Pawlowski B, Pizarro D, Prokop P, Prodromitis G, Rantala MJ, Reynolds LM, Sandin B, Sevi B, Srinivasan N, Tewari S, Yong JC, Žeželj I, Tybur JM. Disgust sensitivity relates to attitudes toward gay men and lesbian women across 31 nations. GROUP PROCESSES & INTERGROUP RELATIONS 2022. [DOI: 10.1177/13684302211067151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Previous work has reported a relation between pathogen-avoidance motivations and prejudice toward various social groups, including gay men and lesbian women. It is currently unknown whether this association is present across cultures, or specific to North America. Analyses of survey data from adult heterosexuals ( N = 11,200) from 31 countries showed a small relation between pathogen disgust sensitivity (an individual-difference measure of pathogen-avoidance motivations) and measures of antigay attitudes. Analyses also showed that pathogen disgust sensitivity relates not only to antipathy toward gay men and lesbians, but also to negativity toward other groups, in particular those associated with violations of traditional sexual norms (e.g., prostitutes). These results suggest that the association between pathogen-avoidance motivations and antigay attitudes is relatively stable across cultures and is a manifestation of a more general relation between pathogen-avoidance motivations and prejudice towards groups associated with sexual norm violations.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Leah Borovoi
- National Institute for Testing and Evaluation, Israel
| | | | | | | | | | | | | | | | | | | | | | | | | | - David M. G. Lewis
- College of Science, Health, Engineering and Education, and Centre for Healthy Ageing, Health Futures Institute, Murdoch University, Australia
| | | | | | | | | | | | | | - Pavol Prokop
- Comenius University, Slovakia
- Slovak Academy of Sciences, Slovakia
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17
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Brand BA, Haveman YRA, de Beer F, de Boer JN, Dazzan P, Sommer IEC. Antipsychotic medication for women with schizophrenia spectrum disorders. Psychol Med 2022; 52:649-663. [PMID: 34763737 PMCID: PMC8961338 DOI: 10.1017/s0033291721004591] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 10/13/2021] [Accepted: 10/22/2021] [Indexed: 12/24/2022]
Abstract
There are significant differences between men and women in the efficacy and tolerability of antipsychotic drugs. Here, we provide a comprehensive overview of what is currently known about the pharmacokinetics and pharmacodynamics of antipsychotics in women with schizophrenia spectrum disorders (SSDs) and translate these insights into considerations for clinical practice. Slower drug absorption, metabolism and excretion in women all lead to higher plasma levels, which increase the risk for side-effects. Moreover, women reach higher dopamine receptor occupancy compared to men at similar serum levels, since oestrogens increase dopamine sensitivity. As current treatment guidelines are based on studies predominantly conducted in men, women are likely to be overmedicated by default. The risk of overmedicating generally increases when sex hormone levels are high (e.g. during ovulation and gestation), whereas higher doses may be required during low-hormonal phases (e.g. during menstruation and menopause). For premenopausal women, with the exceptions of quetiapine and lurasidone, doses of antipsychotics should be lower with largest adjustments required for olanzapine. Clinicians should be wary of side-effects that are particularly harmful in women, such as hyperprolactinaemia which can cause oestrogen deficiency and metabolic symptoms that may cause cardiovascular diseases. Given the protective effects of oestrogens on the course of SSD, oestrogen replacement therapy should be considered for postmenopausal patients, who are more vulnerable to side-effects and yet require higher dosages of most antipsychotics to reach similar efficacy. In conclusion, there is a need for tailored, female-specific prescription guidelines, which take into account adjustments required across different phases of life.
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Affiliation(s)
- Bodyl A. Brand
- Department of Biomedical Sciences of Cells & Systems, Section Cognitive Neurosciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Yudith R. A. Haveman
- Department of Biomedical Sciences of Cells & Systems, Section Cognitive Neurosciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Franciska de Beer
- Department of Biomedical Sciences of Cells & Systems, Section Cognitive Neurosciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - Janna N. de Boer
- Department of Biomedical Sciences of Cells & Systems, Section Cognitive Neurosciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
- Department of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
| | - Paola Dazzan
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London, London, UK
| | - Iris E. C. Sommer
- Department of Biomedical Sciences of Cells & Systems, Section Cognitive Neurosciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
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Ranisavljev M, Kuzmanovic J, Todorovic N, Roklicer R, Dokmanac M, Baic M, Stajer V, Ostojic SM, Drid P. Rapid Weight Loss Practices in Grapplers Competing in Combat Sports. Front Physiol 2022; 13:842992. [PMID: 35222096 PMCID: PMC8864148 DOI: 10.3389/fphys.2022.842992] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Accepted: 01/06/2022] [Indexed: 11/30/2022] Open
Abstract
Background Grappling is a wrestling style that combines different techniques such as freestyle wrestling, jiu-jitsu, judo, sambo, and others. As with other combat sports, it requires categorizing the athletes in weight classes, which leads to the use of certain methods to lose body weight in a short amount of time which poses a serious threat to athletes’ health and wellbeing. Therefore, the objective of this study was to investigate the most widespread rapid weight loss (RWL) methods and sources of influence used by grappling athletes. Methods A total of 145 athletes took part in the study by voluntarily filling out a questionnaire regarding their weight loss techniques and methods. They were divided into two groups, male (27.7 ± 5.2 years, 1.76 ± 0.13 m, and 82.1 ± 20 kg) and female (27.33 ± 6.3 years, 1.65 ± 0.08 m, and 64.3 ± 10.4 kg), for further statistical analysis. After calculating descriptive statistics for all the variables, a t-test was conducted for gender differences in weight loss and weight regain, and a chi-square test measured the diversity in techniques and source of influence. Results Out of 145 participants, 120 athletes (85.2%) reported engaging in rapid weight loss prior to weigh-in. Coaches (52.4 and 59%) and teammates (42.6 and 22.1%) seemed to be the most influential on their rapid weight-loss strategies, whereas physicians (17.1 and 17.9%) and parents (23.2 and 23.1%) were the least influential. A statistical difference between men and women (p = 0.05) was found when teammates were a source of influence (42.6 and 21.1%, respectively). Regarding the methods used, both groups practiced gradual dieting (85.4 and 79.5%) as the most prevalent, followed by increased exercise (79 and 66.6%) and sauna (78.7 and 66.6%). Moreover, men trained in plastic suits significantly more often than women (67.1 vs. 41%, p = 0.01). Conclusion Rapid weight loss is detrimental to athletes’ health and wellbeing. Hence, it is crucial to find and implement methods that will control and ultimately limit its use in combat sports. Physicians and nutritionists need to be closely linked with the staff, collaborate and supervise the weight cutting.
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Affiliation(s)
- Marijana Ranisavljev
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Jovan Kuzmanovic
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Nikola Todorovic
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Roberto Roklicer
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | | | - Mario Baic
- Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
| | - Valdemar Stajer
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Sergej M. Ostojic
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
- *Correspondence: Patrik Drid,
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19
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A Study on the Effects of Chinese Massage on Physical and Mental Health in Participants Based Smart Healthcare. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:9732355. [PMID: 35013692 PMCID: PMC8742151 DOI: 10.1155/2022/9732355] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/24/2021] [Accepted: 12/09/2021] [Indexed: 12/21/2022]
Abstract
The purpose of this study is to understand the influence of the effect of the smart Chinese massage appliance on the participants' sports performance and physical and mental health after intermittent exercises. The study was performed by a mixed-study method. First, the experimental research method was used to design an experimental procedure and specifications such as data collection scope. Next, the quantitative research was carried out, using SPSS 26.0 statistical software to analyze data from the questionnaire. Then, the qualitative research was carried out by interviewing experts and respondents and obtaining their opinions. Finally, all the data were collated and analyzed using the multidimensional review method. Findings. Chinese massage significantly improved the physical fitness, exercise performance, body composition, and physical and mental health status of high-strength cyclic exercise participants. High-strength exercises can improve the physical and mental health of men. Medium-strength exercises could improve current conditions for women. Oxygen intake remained peaked for 8 sessions for men and increased after 30 sessions for women. Both groups required a 1-2-week adaptation period but had different exercise performance periods. After the experiment, head and back pain, as well as stress and negative emotions, was improved. The high intensity of the exercises relieved fear, headache or head stress, overeating, and other problems.
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20
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Kurita K, Managi S. COVID-19 and Stigma: Evolution of Self-restraint Behavior. DYNAMIC GAMES AND APPLICATIONS 2022; 12:168-182. [PMID: 35096465 PMCID: PMC8788405 DOI: 10.1007/s13235-022-00426-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/03/2022] [Indexed: 05/11/2023]
Abstract
Social stigma can effectively prevent people from going out and possibly spreading COVID-19. Using the framework of replicator dynamics, we analyze the interaction between self-restraint behavior, infection with viruses such as COVID-19, and stigma against going out. Our model is analytically solvable with respect to an interior steady state in contrast to the previous model of COVID-19 with stigma. We show that a non-legally binding policy reduces the number of people going out in a steady state.
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Affiliation(s)
- Kenichi Kurita
- Urban Institute and Department of Civil Engineering, School of Engineering, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka, 819-0395 Japan
| | - Shunsuke Managi
- Urban Institute and Department of Civil Engineering, School of Engineering, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka, 819-0395 Japan
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21
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Luo L, Yang D, Tian Y, Gao W, Yang J, Yuan J. Awe weakens the AIDS-related stigma: The mediation effects of connectedness and empathy. Front Psychiatry 2022; 13:1043101. [PMID: 36532200 PMCID: PMC9755721 DOI: 10.3389/fpsyt.2022.1043101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 11/18/2022] [Indexed: 12/04/2022] Open
Abstract
Stigma toward people with HIV or AIDS produces significant harms to their life and also hinders the prevention of AIDS. In the present study, we tested whether awe can weaken AIDS-related stigma and the mediating role of connectedness and empathy between them through a cross-sectional study (Study 1, N = 372) and two experimental studies (Study 2a and 2b, N = 110 and N = 180, respectively). Results showed that awe reduced AIDS-related stigma (Study 2a and 2b), via the serial mediation of connectedness and empathy (Study 1 and 2b). These findings suggest that the experience of awe increases one's connectedness to the world, which then enhances empathy and decreases AIDS-related stigma. This study expands our understanding of the relationship between awe and stigma, providing empirical basis for decreasing social prejudice to others.
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Affiliation(s)
- Li Luo
- The Affect Cognition and Regulation Laboratory (ACRLab), Faculty of Psychology, Southwest University, Chongqing, Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China.,School of Educational Science, Neijiang Normal University, Neijiang, China
| | - Dong Yang
- The Affect Cognition and Regulation Laboratory (ACRLab), Faculty of Psychology, Southwest University, Chongqing, Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China
| | - Yu Tian
- The Affect Cognition and Regulation Laboratory (ACRLab), Faculty of Psychology, Southwest University, Chongqing, Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China
| | - Wei Gao
- The Affect Cognition and Regulation Laboratory (ACRLab), Faculty of Psychology, Southwest University, Chongqing, Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China
| | - Jiemin Yang
- The Affect Cognition and Regulation Laboratory (ACRLab), Faculty of Psychology, Southwest University, Chongqing, Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China
| | - Jiajin Yuan
- The Affect Cognition and Regulation Laboratory (ACRLab), Faculty of Psychology, Southwest University, Chongqing, Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China
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22
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Newman L, Tang Y, Bakina DA. A General, Theory-Based Measure of Stigmatization (the GEMS): Development and an Application. EVOLUTIONARY PSYCHOLOGICAL SCIENCE 2021. [DOI: 10.1007/s40806-021-00309-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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23
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Li T, Bu H, Duan W. A brief measure of perceived courtesy and affiliate stigma on COVID-19: A study with a sample from China. PERSONALITY AND INDIVIDUAL DIFFERENCES 2021; 180:110993. [DOI: 10.1016/j.paid.2021.110993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2020] [Revised: 05/06/2021] [Accepted: 05/10/2021] [Indexed: 10/21/2022]
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24
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Bonell S, Murphy SC, Griffiths S. Under the knife: Unfavorable perceptions of women who seek plastic surgery. PLoS One 2021; 16:e0257145. [PMID: 34492078 PMCID: PMC8423238 DOI: 10.1371/journal.pone.0257145] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 08/24/2021] [Indexed: 11/19/2022] Open
Abstract
Plastic surgery is growing in popularity. Despite this, there has been little exploration to date regarding the psychosocial consequences of seeking plastic surgery. Our study investigated how women seeking plastic surgery are perceived by others. We presented a random sample of 985 adults (men = 54%, Mage = 35.84 years, SDage = 10.59) recruited via Amazon's Mechanical Turk with a series of experimental stimuli consisting of a photographed woman (attractive versus unattractive) and a vignette describing an activity she plans to engage in (plastic surgery versus control activity). Participants rated stimuli on perceived warmth, competence, morality, and humanness. We ran linear mixed-effect models to assess all study hypotheses. There was a negative plastic surgery effect; that is, women seeking plastic surgery were perceived less favorably than those planning to complete control activities across all outcome variables (warmth, competence, morality, and humanness). These relationships were moderated by physical attractiveness; while attractive women planning to undergo plastic surgery were perceived less favorably than attractive women planning to engage in control activities, perceptions of unattractive individuals remained unchanged by plastic surgery status. We theorized that empathy toward unattractive women seeking plastic surgery mitigated the negative plastic surgery effect for these women. In sum, our results suggest that perceptions of attractive women are worsened when these women decide to seek cosmetic surgery. Perceptions of warmth and competence have implications for an individual's self-esteem and interpersonal relationships, while perceptions of morality and humanness can impact an individual's ability to fulfil their psychological needs. As such, we concluded that attractive women seeking plastic surgery are potentially subject to experience negative psychosocial outcomes. Future research ought to examine whether perceptions and outcomes differ for women seeking reconstructive plastic surgery (versus cosmetic plastic surgery) and whether they differ across different types of surgeries (i.e. face versus body).
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Affiliation(s)
- Sarah Bonell
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia
| | - Sean C. Murphy
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia
| | - Scott Griffiths
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia
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25
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Hlay JK, Albert G, Batres C, Richardson G, Placek C, Arnocky S, Lieberman D, Hodges-Simeon CR. The evolution of disgust for pathogen detection and avoidance. Sci Rep 2021; 11:13468. [PMID: 34188198 PMCID: PMC8241835 DOI: 10.1038/s41598-021-91712-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 05/19/2021] [Indexed: 11/08/2022] Open
Abstract
The behavioral immune system posits that disgust functions to protect animals from pathogen exposure. Therefore, cues of pathogen risk should be a primary driver influencing variation in disgust. Yet, to our knowledge, neither the relationship between current pathogen risk and disgust, nor the correlation between objective and perceived pathogen risk have been addressed using ecologically valid measures in a global sample. The current article reports two studies addressing these gaps. In Study 1, we include a global sample (n = 361) and tested the influence of both perceived pathogen exposure and an objective measure of pathogen risk-local communicable infectious disease mortality rates-on individual differences in pathogen and sexual disgust sensitivities. In Study 2, we first replicate Study 1's analyses in another large sample (n = 821), targeting four countries (US, Italy, Brazil, and India); we then replaced objective and perceived pathogen risk with variables specific to the SARS-CoV-2 pandemic. In Study 1, both local infection mortality rates and perceived infection exposure predicted unique variance in pathogen and sexual disgust. In Study 2, we found that perceived infection exposure positively predicted sexual disgust, as predicted. When substituting perceived and objective SARS-CoV-2 risk in our models, perceived risk of contracting SARS-CoV-2 positively predicted pathogen and sexual disgust, and state case rates negatively predicted pathogen disgust. Further, in both studies, objective measures of risk (i.e., local infection mortality and SARS-CoV-2 rates) positively correlated with subjective measures of risk (i.e., perceived infection exposure and perceived SARS-CoV-2 risk). Ultimately, these results provide two pieces of foundational evidence for the behavioral immune system: 1) perceptions of pathogen risk accurately assay local, objective mortality risk across countries, and 2) both perceived and objective pathogen risk explain variance in disgust levels.
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Affiliation(s)
- Jessica K Hlay
- Department of Anthropology, Boston University, 232 Bay State Rd. #105, Boston, MA, 02215, USA
| | - Graham Albert
- Department of Anthropology, Boston University, 232 Bay State Rd. #105, Boston, MA, 02215, USA
| | - Carlota Batres
- Department of Psychology, Franklin & Marshall College, Lancaster, PA, USA
| | - George Richardson
- School of Human Services, University of Cincinnati, Cincinnati, OH, USA
| | - Caitlyn Placek
- Department of Anthropology, Ball State University, Muncie, IN, USA
| | - Steven Arnocky
- Department of Psychology, Nipissing University, North Bay, ON, Canada
| | - Debra Lieberman
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| | - Carolyn R Hodges-Simeon
- Department of Anthropology, Boston University, 232 Bay State Rd. #105, Boston, MA, 02215, USA.
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26
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Meaney T, Rieger E. Integrating cognitive dissonance and social consensus to reduce weight stigma. Body Image 2021; 37:117-126. [PMID: 33647827 DOI: 10.1016/j.bodyim.2021.02.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 02/03/2021] [Accepted: 02/07/2021] [Indexed: 10/22/2022]
Abstract
Weight stigma is pervasive and has a range of deleterious effects. Among the most promising approaches for modifying this form of stigma are cognitive dissonance and social consensus. Due to their theoretical connection, this study tested the effects of an experimental manipulation of cognitive dissonance blended with social consensus for targeting weight stigma. It also added to research investigating the effects of cognitive dissonance on weight stigma by investigating a broader range of stigma measures. Participants were university students aged 18-35 years (N = 98) who were randomly allocated to one of four experimental conditions: blended cognitive dissonance, standard cognitive dissonance, blended control or standard control. Stigma measures included the perceived characteristics of, affective reactions towards, social avoidance of, and blameworthiness attributed to a higher-weight individual, and general weight stigma. Results showed that those in the cognitive dissonance conditions reported significantly lower weight stigma than those in the non-dissonance, control conditions. Moreover, those in the blended cognitive dissonance condition with higher in-group identification reported less negative affective reactions than those with lower in-group identification. The results provide consistent support for cognitive dissonance as an approach for reducing weight stigma and some additive support for an integrated cognitive dissonance and social consensus approach.
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Affiliation(s)
- Tomas Meaney
- Research School of Psychology, Australian National University, Canberra, Australia
| | - Elizabeth Rieger
- Research School of Psychology, Australian National University, Canberra, Australia.
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27
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Barnett MA, Jones TL, Schmitt KA, Cordas KC, Harrod S. Adults' attitudes toward children, adolescents, and adults who are obese and tax-funded programs to combat obesity. The Journal of Social Psychology 2021; 161:379-393. [PMID: 33198607 DOI: 10.1080/00224545.2020.1845114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The goals of the present study were to assess (1) adults' patterns of beliefs about and attitudes toward children, adolescents, and adults who are obese and (2) their attitudes toward hypothetical tax-funded programs designed to combat obesity in children, adolescents, and adults. A total of 267 participants, ranging in age from 19 to 88 years old, were recruited through Amazon's Mechanical Turk (MTurk) to participate online in the present study. The participants rated adults who are obese less favorably, and as less malleable, than children or adolescents who are obese. Furthermore, they were less supportive of tax-funded programs designed to combat obesity in adults than children or adolescents. In general, the participants' relatively unfavorable response to adults who are obese appears to be associated with the beliefs that older individuals who are obese are relatively unchangeable and have heightened personal fault for their plight.
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Affiliation(s)
- Mark A Barnett
- Department of Psychological Sciences, Kansas State University, Manhattan, KS, USA
| | - Tucker L Jones
- Department of Psychological Sciences, Kansas State University, Manhattan, KS, USA
| | - Kennedy A Schmitt
- Department of Psychological Sciences, Kansas State University, Manhattan, KS, USA
| | - Kyla C Cordas
- Department of Psychological Sciences, Kansas State University, Manhattan, KS, USA
| | - Sarah Harrod
- Department of Psychological Sciences, Kansas State University, Manhattan, KS, USA
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28
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Olson KL, Goldstein SP, Lillis J, Panza E. Weight stigma is overlooked in commercial-grade mobile applications for weight loss and weight-related behaviors. Obes Sci Pract 2021; 7:244-248. [PMID: 33841895 PMCID: PMC8019276 DOI: 10.1002/osp4.457] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 09/17/2020] [Accepted: 09/20/2020] [Indexed: 11/09/2022] Open
Affiliation(s)
- KayLoni L Olson
- The Department of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University Providence Rhode Island USA.,The Weight Control and Diabetes Research Center The Miriam Hospital Providence Rhode Island USA
| | - Stephanie P Goldstein
- The Department of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University Providence Rhode Island USA.,The Weight Control and Diabetes Research Center The Miriam Hospital Providence Rhode Island USA
| | - Jason Lillis
- The Department of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University Providence Rhode Island USA.,The Weight Control and Diabetes Research Center The Miriam Hospital Providence Rhode Island USA
| | - Emily Panza
- The Department of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University Providence Rhode Island USA.,The Weight Control and Diabetes Research Center The Miriam Hospital Providence Rhode Island USA
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29
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Jovančević A, Jović M. The Relation Between Anti-Fat Stereotypes and Anti-Fat Prejudices: The Role of Gender as a Moderator. Psychol Rep 2021; 125:1687-1713. [PMID: 33789533 DOI: 10.1177/00332941211005123] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Research suggests that people attribute more negative traits to individuals with obesity than to non-obese individuals, and that females with obesity are seen more negatively than males. The theory also suggests that stereotypes are cognitive predecessors of prejudices. The aims of this research were to examine the latent structure underlying anti-fat stereotypical traits, differences in perceiving individuals with obesity and non-obese individuals, male and female individuals with obesity, as well as the role of anti-fat stereotypes in anti-fat prejudices. The sample consisted of 106 respondents (Male = 16; Female = 86; Mean age = 19.98), who graded stimuli photographs of male and female individuals (with obesity and average-weight) on series of anti-fat stereotypical traits on two occasions, and filled in Anti-fat prejudices questionnaire. The data were analyzed through EFA and CFA, ANOVA, and structural equation modeling (moderation). Four factors behind stereotypical traits were extracted: Positive social image, Perceived lack of self-care, Perceived persistence, and Antipathy. It has been shown that respondents gave stimuli photographs of individuals with obesity lower scores on Positive social image and Perceived persistence, and higher scores on Perceived lack of self-care and Antipathy. The same results were obtained for females within the subsample of individuals with obesity. Furthermore, it has been shown that certain anti-fat stereotypes (Positive social image, Perceived lack of self-care, and Perceived persistence) predict anti-fat prejudices, and that gender was a significant moderator of the effect of Perceived lack of self-care on anti-fat prejudices. We can conclude that individuals with obesity are indeed seen in a more negative light than non-obese individuals, and that this is more pronounced for females with obesity, which is in accordance with previous studies. Moreover, the results suggest the possible role of anti-fat stereotypes as cognitive predecessors of anti-fat prejudices, and that gender of individuals with obesity has an effect on this relationship.
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Affiliation(s)
- Ana Jovančević
- Department of Psychology, Faculty of Philosophy, University of Niš, Serbia
| | - Miljan Jović
- Department of Research Methodology, Measurement and Data Analysis, Faculty of Behavioural, Management and Social Sciences, University of Twente, the Netherlands
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30
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Shi H, Guan XN, Liu DY, Zhu L, Wu ZW, Luo GZ, Wang J, Xiu MH, Zhang XY. Sex-specific Association of Antipsychotic-induced Weight Gain and Treatment Response for Antipsychotic-Naive First Episode Schizophrenia Patients: A Prospective 8-week Longitudinal Study. PHARMACOPSYCHIATRY 2021; 54:68-74. [PMID: 33626593 DOI: 10.1055/a-1353-6544] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Patients with antipsychotic-naïve first-episode (ANFE) schizophrenia (SZ) can help clarify many confounding factors in determining sex differences in antipsychotic drug induced weight gain and its association with symptom improvement. METHODS This 8-week longitudinal trial of ANFE patients with SZ enrolled 526 patients and 313 healthy controls. We evaluated bodyweight and the efficacy of antipsychotics on the Positive and Negative Syndrome Scale (PANSS) at baseline and at the end of week 8. RESULTS Males and females after treatment showed no sex difference in weight gain, BMI increase, and percentage of weight gain. However, at baseline, male patients had more positive symptoms than female patients, and decreases in positive symptoms, general psychopathology, and total PANSS scores were less in male than female patients. Adjusting for confounding factors using multiple linear regression confirmed that weight gain was significantly associated with these decreases in PANSS symptoms only in men not women. CONCLUSIONS The relationship between weight gain and symptom reduction after 8 weeks of antipsychotic treatment exists only in male patients with ANFE SZ and not in female patients.
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Affiliation(s)
- Hui Shi
- Department of Clinical Psychology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China
| | - Xiao Ni Guan
- Peking University Hui Long Guan Clinical Medical School, Beijing Hui Long Guan Hospital, Beijing, China
| | - Dian Ying Liu
- Department of Psychiatry, The Third People's Hospital of Ganzhou, Ganzhou, Jiangxi, China
| | - Lin Zhu
- Department of Psychiatry, The Third People's Hospital of Ganzhou, Ganzhou, Jiangxi, China
| | - Zhi Wei Wu
- Department of Psychiatry, Shenzhen Kangning Hospital, Shenzhen, Guangdong, China.,Shenzhen Mental Health center. Shenzhen, Guangdong, China
| | - Guo Zhi Luo
- Department of Psychiatry, Shenzhen Kangning Hospital, Shenzhen, Guangdong, China.,Shenzhen Mental Health center. Shenzhen, Guangdong, China
| | - Jun Wang
- Peking University Hui Long Guan Clinical Medical School, Beijing Hui Long Guan Hospital, Beijing, China
| | - Mei Hong Xiu
- Peking University Hui Long Guan Clinical Medical School, Beijing Hui Long Guan Hospital, Beijing, China
| | - Xiang Yang Zhang
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
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31
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Christian A, Parekh B, Koritzky G. Bias and discrimination against men with overweight in the military. Health Psychol Open 2021; 7:2055102920985374. [PMID: 33489302 PMCID: PMC7768582 DOI: 10.1177/2055102920985374] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Research on weight-bias against men and/or in the military is scarce. Such a bias might cause some military members, who are otherwise fit to perform their duties, to suffer from discrimination and undue stress. We showed military personnel a picture of a soldier who had either normal weight or overweight. In both conditions, the description of the soldier stated that his physical fitness and job-related skills were good. Nonetheless, the soldier’s suitability for promotion was rated lower in the overweight condition. These findings improve our understanding of the impact of bias on the mental and physical health of men with overweight.
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Affiliation(s)
| | - Bina Parekh
- The Chicago School of Professional Psychology, USA
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Fitzgerald HN, McDonald R, Thomas R, Shook NJ. Disease avoidance: A predictor of sexist attitudes toward females. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-020-01343-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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33
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Halstead I, Lewis GJ. Understanding opposition to human gene editing A role for pathogen disgust sensitivity?. Politics Life Sci 2020; 39:154-166. [PMID: 33231034 DOI: 10.1017/pls.2020.12] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Recent advances in gene editing technology promise much for medical advances and human well-being. However, in parallel domains, there have been objections to the use of such biotechnologies. Moreover, the psychological factors that govern the willingness to use gene editing technology have been underexplored to date. In this registered report, we sought to test whether pathogen disgust sensitivity is linked with opposition to gene editing. U.K.-based adult participants (N = 347) were recruited to this study. Gene editing attitudes reflected two largely distinct latent factors concerning enhancing human traits and treating medical disorders. In contrast to prediction, pathogen disgust sensitivity was related to greater support for gene editing in both of these domains. This result suggests that gene editing, at least in the current study, is not viewed as pathogenic, or that the perceived benefits of gene editing outweigh any perceived pathogen risk.
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Capturing Fluctuations in Pathogen Avoidance: the Situational Pathogen Avoidance Scale. EVOLUTIONARY PSYCHOLOGICAL SCIENCE 2020; 7:21-38. [PMID: 32837865 PMCID: PMC7424133 DOI: 10.1007/s40806-020-00256-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 08/03/2020] [Accepted: 08/05/2020] [Indexed: 11/26/2022]
Abstract
Pathogen avoidance is an important motive underlying human behavior and is associated with numerous psychological processes—including biases against social groups heuristically associated with illness. Although there are reliable measurement scales to assess chronic dispositional levels of pathogen avoidance, no measurement scale currently exists to directly assess moment-to-moment fluctuations in pathogen avoidance. This paper presents the Situational Pathogen Avoidance (SPA) scale, which assesses situational variability in pathogen avoidance, especially as it pertains to avoidance of social stimuli. Across six studies, we demonstrate the reliability and validity of the SPA scale, show that the scale is influenced by situational activation of pathogen avoidance motives, and demonstrate that it mediates the association between pathogen avoidance motives (both chronic and situational) and social biases against obese and foreign targets. The SPA scale provides a valuable measurement tool for researchers who study pathogen avoidance and to those who study social biases more generally.
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Tapp C, Oaten M, Stevenson RJ, Occhipinti S, Thandi R. Is obesity treated like a contagious disease? JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2020. [DOI: 10.1111/jasp.12650] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Caley Tapp
- School of Applied Psychology Griffith University Gold Coast QLD Australia
| | - Megan Oaten
- School of Applied Psychology Griffith University Gold Coast QLD Australia
| | | | - Stefano Occhipinti
- School of Applied Psychology Griffith University Gold Coast QLD Australia
| | - Ravjinder Thandi
- School of Applied Psychology Griffith University Gold Coast QLD Australia
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Kusche I, Barker JL. Pathogens and Immigrants: A Critical Appraisal of the Behavioral Immune System as an Explanation of Prejudice Against Ethnic Outgroups. Front Psychol 2019; 10:2412. [PMID: 31708846 PMCID: PMC6824207 DOI: 10.3389/fpsyg.2019.02412] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Accepted: 10/09/2019] [Indexed: 11/13/2022] Open
Abstract
The last two decades have seen the development of a body of literature in evolutionary psychology that seeks to attribute negative attitudes to ethnic and racial minorities and other outgroups to an evolved behavioral immune system (BIS). It hypothesizes that disgust sensitivity, which evolved as protection against pathogen threats, also triggers reactions to cues that are not viscerally disgusting, such as people with unfamiliar features, and thus can explain prejudice toward members of these groups. Such an explanation seems to limit the influence of education, public policy, and rhetoric on those attitudes. Our conceptual analysis shows that this is not the case. Existing hypotheses about why the BIS would be triggered even in the absence of visceral disgust elicitors suggest that general unfamiliarity or atypicality act as cues for this hypersensitive threat detection system. This implies that the impact of the BIS must depend on the cultural and societal context in which people learn not only what is disgusting but also what is typical. The social context of personal interaction with mass media representation of and political debate about immigrants consequently needs to be considered as a decisive factor for any effect of the BIS on attitudes and behavior toward ethnic and racial outgroups. The BIS is therefore not a separate or even superordinate explanation of prejudice, compared to those coming from the social sciences. We conclude that it can offer valuable insights into processes of stigmatization and prejudice, once the role of social learning in the developmental unfolding and activation of psychological mechanisms is taken seriously.
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Affiliation(s)
- Isabel Kusche
- Aarhus Institute of Advanced Studies, Aarhus University, Aarhus, Denmark
| | - Jessica L Barker
- Aarhus Institute of Advanced Studies, Aarhus University, Aarhus, Denmark.,Interacting Minds Centre, Aarhus University, Aarhus, Denmark
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Schulte EM, Yokum S, Jahn A, Gearhardt AN. Food cue reactivity in food addiction: A functional magnetic resonance imaging study. Physiol Behav 2019; 208:112574. [PMID: 31181233 PMCID: PMC6620138 DOI: 10.1016/j.physbeh.2019.112574] [Citation(s) in RCA: 47] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 05/21/2019] [Accepted: 06/05/2019] [Indexed: 12/19/2022]
Abstract
BACKGROUND While neuroimaging studies have revealed that reward dysfunction may similarly contribute to obesity and addiction, no prior studies have examined neural responses in individuals who meet the "clinical" food addiction phenotype. METHODS Women (n = 44) with overweight and obesity, nearly half of whom (n = 20) met criteria for moderate-to-severe Yale Food Addiction Scale 2.0 (YFAS 2.0) food addiction, participated in a functional magnetic resonance imaging cue reactivity task. Participants viewed images of highly processed foods, minimally processed foods, and household objects while thinking about how much they wanted each item. Differences in neural responses by YFAS 2.0 food addiction to highly processed and minimally processed food cues were investigated. RESULTS There was a significant interaction between participant group and neural response in the right superior frontal gyrus to highly versus minimally processed food cues (r = 0.57). Individuals with YFAS 2.0 food addiction exhibited modest, elevated responses in the superior frontal gyrus for highly processed food images and more robust, decreased activations for minimally processed food cues, whereas participants in the control group showed the opposite responses in this region. Across all participants, the household items elicited greater activation than the food cues in regions associated with interoceptive awareness and visuospatial attention (e.g., insula, inferior frontal gyrus, inferior parietal lobe). CONCLUSIONS Women with overweight or obesity and YFAS 2.0 food addiction, compared to those with only overweight or obesity, exhibited differential responses to highly and minimally processed food cues in a region previously associated with cue-induced craving in persons with a substance-use disorder. Overall, the present work provides further support for the utility of the food addiction phenotype within overweight and obesity.
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Affiliation(s)
- Erica M Schulte
- Department of Psychology, University of Michigan, United States.
| | | | - Andrew Jahn
- Functional MRI Laboratory, University of Michigan, United States
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Kim TJ, Makowski AC, von dem Knesebeck O. Obesity stigma in Germany and the United States - Results of population surveys. PLoS One 2019; 14:e0221214. [PMID: 31430315 PMCID: PMC6701774 DOI: 10.1371/journal.pone.0221214] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Accepted: 08/02/2019] [Indexed: 12/05/2022] Open
Abstract
Introduction Over the past decades, obesity stigma has become a substantial public health issue as studies have highlighted its negative consequences for mental and physical health. However, comparative studies are scarce. In this cross-national study, we focus on the following research questions: (1) Are there differences in the magnitude of public obesity stigma between Germany and the United States (US), and (2) are there differences in the associations of sociodemographic as well as experience (i.e. former obesity experience) and contact-related (i.e. contact to a person with obesity) factors with public obesity stigma between these two countries? Material and methods National telephone surveys in Germany and the United States were conducted (total sample = 2,802) by using vignettes for the description of a person with obesity. Fat Phobia Scale, negative reactions, and desire for social distance were assessed as components of public obesity stigma. All three stigma components were examined with multilevel linear regression analyses. Results Overall, results show that public obesity stigma is significantly more pronounced in the US than in Germany. Relationships between obesity stigma and sociodemographic as well as experience and contact-related factors remain rather inconclusive, though, in general, stronger associations are shown in the US. Conclusions Contrary to the normalization hypothesis, findings indicate that a comparatively high prevalence of obesity like in the US is associated with a higher level of obesity stigma.
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Affiliation(s)
- Tae Jun Kim
- Department of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- * E-mail:
| | - Anna Christin Makowski
- Department of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Olaf von dem Knesebeck
- Department of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Dawydiak EJ, Stafford HE, Stevenson JL, Jones BC. Pathogen Disgust Predicts Stigmatization of Individuals with Mental Health Conditions. EVOLUTIONARY PSYCHOLOGICAL SCIENCE 2019. [DOI: 10.1007/s40806-019-00208-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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40
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Richardson GB, Hanson-Cook BS, Figueredo AJ. Bioecological Counseling. EVOLUTIONARY PSYCHOLOGICAL SCIENCE 2019. [DOI: 10.1007/s40806-019-00201-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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41
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Brewis A, Wutich A. Stigma: A biocultural proposal for integrating evolutionary and political-economic approaches. Am J Hum Biol 2019; 32:e23290. [PMID: 31282087 DOI: 10.1002/ajhb.23290] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 05/08/2019] [Accepted: 06/10/2019] [Indexed: 02/06/2023] Open
Abstract
OBJECTIVES Stigma-the process by which people become socially discredited because they hold a characteristic that is classified as unacceptable or undesirable-has barely been considered in biocultural analyses. Yet, it provides an acute point of articulation for evolutionary and political-economic perspectives on human variation, including the biocultural production of health disparities. To explain the theoretical integration of the two perspectives to stigma, we first lay out some operationalizable definitions of stigma, and review feasible methods to capture them in the field. We then test the roles of predictors suggested from evolutionary (respondent's level of disgust, fear of contagion) and political-economic (respondent's perceived social standing and negative social labeling of those who violate hygiene norms) theories of stigma. METHODS We used survey, interview, and behavioral report data from a study of hygiene behaviors at four local community sites in Guatemala, Fiji, New Zealand, and the United States (N = 300). We applied a hierarchical GLMM design that treats site as a random effect. RESULTS The independent influences of both variable sets are evident in publicly visible forms of reported hygiene behaviors, specifically the exhibition of clean bodies, clothes, and homes. CONCLUSION We propose that the study of stigma provides a productive operationalizable space to engage the promise of the biocultural synthesis to integrate evolutionary and political-economic models of health and human variation.
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Affiliation(s)
- Alexandra Brewis
- School of Human Evolution and Social Change, Arizona State University, Tempe, Arizona
| | - Amber Wutich
- School of Human Evolution and Social Change, Arizona State University, Tempe, Arizona
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Placek CD, Nishimura H, Hudanick N, Stephens D, Madhivanan P. Reframing HIV Stigma and Fear : Considerations from Social-ecological and Evolutionary Theories of Reproduction. HUMAN NATURE-AN INTERDISCIPLINARY BIOSOCIAL PERSPECTIVE 2019; 30:1-22. [PMID: 30661161 DOI: 10.1007/s12110-018-09335-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
HIV stigma and fears surrounding the disease pose a challenge for public health interventions, particularly those that target pregnant women. In order to reduce stigma and improve the lives of vulnerable populations, researchers have recognized a need to integrate different types of support at various levels. To better inform HIV interventions, the current study draws on social-ecological and evolutionary theories of reproduction to predict stigma and fear of contracting HIV among pregnant women in South India. The aims of this study were twofold: compare the social-ecological model to a modified maternal-fetal protection model and test a combined model that included strong predictors from each model. The study took place in 2008-2011 in Mysore District, Karnataka, India. Using data from a cross-sectional survey and biological indicators of health, we statistically modeled social-ecological variables representing individual, interpersonal, and community/institutional levels. Participants were 645 pregnant women. The social-ecological and combined models were the best-fitting models for HIV-related stigma, and the combined model was the best fit for HIV-related fear. Our findings suggest that combining reproductive life history factors along with individual, interpersonal, and community/institutional factors are significant indicators of HIV-related stigma and fear. Results of this study support a multifaceted approach to intervention development for HIV-related stigma and fear. The combined model in this study can be used as a predictive model for future research focused on HIV stigma and fear, with the intent that dual consideration of social-ecological and evolutionary theories will improve public health communication efforts.
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Affiliation(s)
- Caitlyn D Placek
- Department of Anthropology, Ball State University, Muncie, IN, USA.,Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, 33199, USA.,Public Health Research Institute of India, Mysore, Karnataka, India
| | - Holly Nishimura
- School of Public Health, University of California at Berkeley, Berkeley, CA, USA
| | - Natalie Hudanick
- Department of Anthropology, Ball State University, Muncie, IN, USA
| | - Dionne Stephens
- Department of Psychology, Florida International University, Miami, FL, USA
| | - Purnima Madhivanan
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, 33199, USA. .,Public Health Research Institute of India, Mysore, Karnataka, India.
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Feng X, Wilson A. Does dissatisfaction with, or accurate perception of overweight status help people reduce weight? Longitudinal study of Australian adults. BMC Public Health 2019; 19:619. [PMID: 31113396 PMCID: PMC6530191 DOI: 10.1186/s12889-019-6938-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Accepted: 05/02/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND With studies around the world suggesting a large proportion of people do not recognise that they are overweight (or feel satisfied with being overweight), this fuels the view that such 'misperceptions' need to be 'corrected'. However, few longitudinal studies have examined the consequences of under-perceived weight status, nor over-perceived weight status (when a person feels overweight when they are not) and weight-related satisfaction on trajectories in body mass index (BMI). METHODS Five-year BMI trajectories were examined among 8174 participants in an Australian nationally representative cohort. Each person was classified into groups according to their neighbourhood socioeconomic circumstances, baseline BMI and answers to "how satisfied are you with your current weight?" and "do you consider yourself to be… acceptable weight / underweight / overweight?" Gender-specific multilevel linear regressions were used to examine five-year BMI trajectories for people in each group, adjusting for potential confounders. RESULTS At baseline, weight-related dissatisfaction and perceived overweight were generally associated with higher mean BMI for men and women, regardless of whether they were classified as 'normal' or overweight by World Health Organization (WHO) criteria. Mean BMI did not decrease among people classified as overweight who perceived themselves as overweight, or expressed weight-related dissatisfaction, regardless of where they lived. Among men and women with 'normal' BMI at baseline but expressing weight-related dissatisfaction, mean BMI increased disproportionately among those living in disadvantaged areas compared to their counterparts in affluent areas. Similarly, mean BMI rose disproportionately among people in disadvantaged areas who felt they were overweight despite having a 'normal' BMI by WHO criteria, compared to people with the same over-perceptions living in affluent areas. These differences exacerbated pre-existing socioeconomic inequities in mean BMI. CONCLUSIONS No evidence was found to suggest accurate recognition of overweight or expressing weight-related dissatisfaction leads to a lower BMI. However, there was evidence of an increase in mean BMI among people who felt dissatisfied with, or over-perceived their 'normal' weight, especially in socioeconomically disadvantaged areas. Correction of under-perceptions may not drive weight loss, but circumstances contributing to over-perception and dissatisfaction with weight status may contribute to increased weight gain and exacerbate socioeconomic inequities in BMI.
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Affiliation(s)
- Xiaoqi Feng
- Population Wellbeing and Environment Research Lab (PowerLab), School of Health and Society, Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2522, Australia. .,Menzies Centre for Health Policy, School of Public Health, the Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
| | - Andrew Wilson
- Menzies Centre for Health Policy, School of Public Health, the Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.,The Australian Prevention Partnership Centre, The Sax Institute, Sydney, Australia
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Dijker AJM, DeLuster R, Peeters N, de Vries NK. Seeing overweight adults as babies: Physical cues and implications for stigmatization. Br J Psychol 2017; 108:757-782. [PMID: 28230235 PMCID: PMC5655698 DOI: 10.1111/bjop.12240] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Revised: 10/18/2016] [Indexed: 11/27/2022]
Abstract
Human babies not only are reliable triggers of tender feelings and protective tendencies, they also happen to be exceptionally fat compared to the newborns of most other species. These two facts are used to formulate a hypothesis predicting that overweight males, due to their great physical resemblance to babies, not only are perceived as cute, but also are associated with negatively evaluated traits (e.g., immaturity, lack of willpower) that are saliently inconsistent with traits required for adults. In this study, a great many physical features of adult males varying widely in weight were measured and correlated with subjective judgements. Providing preliminary support for the hypothesis, it was found that the features that were correlated with objective and perceived fatness (e.g., circularity of body parts, relatively large head, short and thick neck) also correlated with perceived babyishness. Perceived fatness and babyishness had curvilinear influences on the positive and prosocial appraisal of cuteness, but were primarily negatively related to perceived willpower and beauty. Results are used to formulate an alternative evolutionary perspective on social responses to overweight and obese individuals, emphasizing the uniquely human adaptive value of fatness and the misfiring of the underlying response mechanism under modern conditions of living.
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Affiliation(s)
- Anton J. M. Dijker
- Faculty of Health, Medicine and Life SciencesCAPHRIMaastricht UniversityThe Netherlands
| | - Rutger DeLuster
- Faculty of Health, Medicine and Life SciencesCAPHRIMaastricht UniversityThe Netherlands
| | - Nicolas Peeters
- Faculty of Health, Medicine and Life SciencesCAPHRIMaastricht UniversityThe Netherlands
| | - Nanne K. de Vries
- Faculty of Health, Medicine and Life SciencesCAPHRIMaastricht UniversityThe Netherlands
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Cathodal transcranial direct current stimulation of the extrastriate visual cortex modulates implicit anti-fat bias in male, but not female, participants. Neuroscience 2017; 359:92-104. [DOI: 10.1016/j.neuroscience.2017.07.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Revised: 07/03/2017] [Accepted: 07/06/2017] [Indexed: 11/23/2022]
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Assari S, Caldwell CH, Zimmerman MA. Depressive Symptoms During Adolescence Predict Adulthood Obesity Among Black Females. J Racial Ethn Health Disparities 2017; 5:774-781. [PMID: 28840545 DOI: 10.1007/s40615-017-0422-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Revised: 07/27/2017] [Accepted: 08/03/2017] [Indexed: 01/29/2023]
Abstract
AIM This study aimed to investigate gender differences in the association between baseline depressive symptoms and subsequent changes in obesity in a sample of urban Black youth in the USA. METHODS The current study followed 681 Black youth (335 male and 346 female) for up to 18 years from 1994 to 2012. All youth were selected from an economically disadvantaged urban area in MI, USA. The main independent variable was baseline depressive symptoms measured in 1994. The main outcome was change in body mass index (BMI) from 1999 to 2012, calculated based on self-reported height and weight. Scio-demographics (age, number of parents in the household, and parental employment) were covariates. Gender was the focal moderator. We used linear regressions to test the predictive role of baseline depressive symptoms on change in BMI (from 1999 to 2012) in the pooled sample, and also based on gender. RESULTS Among Black females, but not Black males, baseline depressive symptoms predicted the BMI change from 1999 to 2012. The association remained significant for Black females after controlling for covariates. CONCLUSION High depressive symptoms at baseline better predict BMI change over the next decade for female than male Black youth. As a result, detection and reduction of depressive symptoms may be a vital element of obesity prevention programs for Black females. Policies and programs that address determinants of psychological distress as a strategy to prevent obesity among female Black youth in disadvantaged neighborhoods may be especially useful.
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Affiliation(s)
- Shervin Assari
- Department of Psychiatry, School of Medicine, University of Michigan, 4250 Plymouth Rd., Ann Arbor, MI, 48109-2700, USA.
- Center for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
| | - Cleopatra Howard Caldwell
- Center for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI, USA
- Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 2846 SPH I, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA
| | - Marc A Zimmerman
- Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 2846 SPH I, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA
- Prevention Research Center, School of Public Health, University of Michigan, Ann Arbor, MI, USA
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Vartanian LR, Trewartha T, Beames JR, Azevedo SM, Vanman EJ. Physiological and self-reported disgust reactions to obesity. Cogn Emot 2017; 32:579-592. [DOI: 10.1080/02699931.2017.1325728] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | - Tara Trewartha
- School of Psychology, UNSW Sydney, Sydney, NSW, Australia
| | | | | | - Eric J. Vanman
- School of Psychology, University of Queensland, St. Lucia, QLD, Australia
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Taft TH, Bedell A, Naftaly J, Keefer L. Stigmatization toward irritable bowel syndrome and inflammatory bowel disease in an online cohort. Neurogastroenterol Motil 2017; 29:10.1111/nmo.12921. [PMID: 27501483 PMCID: PMC5276799 DOI: 10.1111/nmo.12921] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Accepted: 07/18/2016] [Indexed: 12/12/2022]
Abstract
BACKGROUND Stigma is associated with many negative health outcomes. Research has examined perceived and internalized stigma in individuals with irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD), but less has been done to evaluate levels of enacted stigma associated with these conditions. The aim of this study was to evaluate the presence of enacted stigma toward IBS and IBD in the general population compared to an adult-onset asthma (AOA) control group. METHODS Participants were recruited via social media and a research-dedicated website and completed all measures online. Participants were randomized to one of six clinical vignettes: (i) IBD male, (ii) IBD female, (iii) IBS male, (iv) IBS female, (v) AOA male, or (vi) AOA female. Participants read the assigned vignette and then completed measures of emotional empathy, level of familiarity, and enacted stigma. KEY RESULTS Participants reported higher levels of enacted stigma toward IBS compared to both IBD and AOA. No differences in stigma were found between IBD and AOA. Higher levels of familiarity were most strongly correlated with reduced IBD-related stigma, with weaker but still significant correlations between level of familiarity and IBS and AOA. Higher levels of emotional empathy were associated with reduced stigma for IBD, IBS, and AOA. CONCLUSIONS & INFERENCES Individuals with IBS experience greater levels of enacted stigma compared to IBD and AOA. This finding is consistent with previous research that has shown greater levels of perceived and internalized stigma in IBS compared to IBD.
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Affiliation(s)
- T. H. Taft
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - A. Bedell
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - J. Naftaly
- Rosalind Franklin School of Medicine, North Chicago, IL, USA
| | - L. Keefer
- Icahn School of Medicine, Mount Sinai Medical Center, New York, NY, USA
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Steinkopf L. Disgust, Empathy, and Care of the Sick: an Evolutionary Perspective. EVOLUTIONARY PSYCHOLOGICAL SCIENCE 2016. [DOI: 10.1007/s40806-016-0078-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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