Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review

Research about stigmatization in eating disorders (EDs) has highlighted stereotypes, prejudices, and discrimination against people with EDs, as well as their harmful effects on them, including self-stigma and a difficult recovery process. Whereas a recent review focused on the consequences of ED sti...

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Main Authors: Lisa Brelet, Valentin Flaudias, Michel Désert, Sébastien Guillaume, Pierre-Michel Llorca, Yves Boirie
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/8/2834
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author Lisa Brelet
Valentin Flaudias
Michel Désert
Sébastien Guillaume
Pierre-Michel Llorca
Yves Boirie
author_facet Lisa Brelet
Valentin Flaudias
Michel Désert
Sébastien Guillaume
Pierre-Michel Llorca
Yves Boirie
author_sort Lisa Brelet
collection DOAJ
description Research about stigmatization in eating disorders (EDs) has highlighted stereotypes, prejudices, and discrimination against people with EDs, as well as their harmful effects on them, including self-stigma and a difficult recovery process. Whereas a recent review focused on the consequences of ED stigma, our work aimed to provide a broader synthesis of ED stigma, including its consequences, but also its content and distribution. More precisely, we focused on three EDs—namely, anorexia nervosa, bulimia nervosa, and binge eating disorder. Based on a systematic search of four major databases in psychology, the present scoping review includes 46 studies published between 2004 and 2021. We did not conduct any quality assessment of the studies included, because our aim was to provide a wide-ranging overview of these topics instead of an appraisal of evidence answering a precise research question. The review confirmed the existence of a common ED stigma: all individuals affected by EDs reviewed here were perceived as responsible for their situation, and elicited negative emotions and social distance. However, our review also depicted a specific stigma content associated with each ED. In addition, the demographic characteristics of the stigmatizing individuals had a notable influence on the extent of ED stigma: men, young adults, and low-income individuals appeared to be the most stigmatizing toward individuals with EDs. It is important to note that ED stigma had a negative effect on individuals’ eating disorders, psychological wellbeing, and treatment-seeking behavior. There is an urgent need for further research on the adverse effects of ED stigma and its prevention.
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spelling doaj.art-5d378b520b044b69aa8576995a069ee02023-11-22T09:06:49ZengMDPI AGNutrients2072-66432021-08-01138283410.3390/nu13082834Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping ReviewLisa Brelet0Valentin Flaudias1Michel Désert2Sébastien Guillaume3Pierre-Michel Llorca4Yves Boirie5Pôle R&D Santé, Jeolis Solutions, 63000 Clermont-Ferrand, FrancePôle Psychiatrie B, CHU Gabriel Montpied, 63003 Clermont-Ferrand, FranceLaboratoire de Psychologie Sociale et Cognitive (LAPSCO), Centre National de la Recherche Scientifique (CNRS), Université Clermont Auvergne, 63003 Clermont-Ferrand, FranceDépartement des Urgences Psychiatriques, Hôpital Lapeyronie, CHRU Montpellier, 34295 Montpellier, FranceCMP-B CHU, Clermont Auvergne INP, Institut Pascal, Centre National de la Recherche Scientifique (CNRS), Université Clermont Auvergne, 63000 Clermont-Ferrand, FranceCentre Troubles des Conduites Alimentaires (TCA), Service de Nutrition Clinique, Unité de Nutrition Humaine, CHU Gabriel Montpied, CRNH, Université Clermont Auvergne, 63003 Clermont-Ferrand, FranceResearch about stigmatization in eating disorders (EDs) has highlighted stereotypes, prejudices, and discrimination against people with EDs, as well as their harmful effects on them, including self-stigma and a difficult recovery process. Whereas a recent review focused on the consequences of ED stigma, our work aimed to provide a broader synthesis of ED stigma, including its consequences, but also its content and distribution. More precisely, we focused on three EDs—namely, anorexia nervosa, bulimia nervosa, and binge eating disorder. Based on a systematic search of four major databases in psychology, the present scoping review includes 46 studies published between 2004 and 2021. We did not conduct any quality assessment of the studies included, because our aim was to provide a wide-ranging overview of these topics instead of an appraisal of evidence answering a precise research question. The review confirmed the existence of a common ED stigma: all individuals affected by EDs reviewed here were perceived as responsible for their situation, and elicited negative emotions and social distance. However, our review also depicted a specific stigma content associated with each ED. In addition, the demographic characteristics of the stigmatizing individuals had a notable influence on the extent of ED stigma: men, young adults, and low-income individuals appeared to be the most stigmatizing toward individuals with EDs. It is important to note that ED stigma had a negative effect on individuals’ eating disorders, psychological wellbeing, and treatment-seeking behavior. There is an urgent need for further research on the adverse effects of ED stigma and its prevention.https://www.mdpi.com/2072-6643/13/8/2834eating disordersanorexia nervosabulimia nervosabinge eating disorderstigmatizationtreatment compliance
spellingShingle Lisa Brelet
Valentin Flaudias
Michel Désert
Sébastien Guillaume
Pierre-Michel Llorca
Yves Boirie
Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review
Nutrients
eating disorders
anorexia nervosa
bulimia nervosa
binge eating disorder
stigmatization
treatment compliance
title Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review
title_full Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review
title_fullStr Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review
title_full_unstemmed Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review
title_short Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review
title_sort stigmatization toward people with anorexia nervosa bulimia nervosa and binge eating disorder a scoping review
topic eating disorders
anorexia nervosa
bulimia nervosa
binge eating disorder
stigmatization
treatment compliance
url https://www.mdpi.com/2072-6643/13/8/2834
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