Abstract：
OBJECTIVE: Binge-eating disorder (BED) is a strongly stigmatized condition and is often complicated by weight stigma. Research on the intersection between BED and weight stigma is scarce especially in Chinese populations. The present study examined BED stigma in Chinese, whether BED stigma was independent from weight stigma, and whether diagnostic labeling and etiological explanations influenced the degree of BED stigma.
METHODS: Using a between-subject experimental vignette study, 642 participants (mean age = 29.74 years, SD = 11.34) were randomly assigned to read one of the 18 vignettes, describing a character with information on BED symptoms, weight status, diagnostic labeling, and etiological explanations, followed by measures of stigma and help-seeking intentions.
RESULTS: The character with BED symptoms was ascribed more negative personality characteristics, elicited more negative affective reactions, and triggered greater desired social distance compared to the character without BED symptoms. No evidence for weight stigma was found nor for its interaction with BED stigma. The Cantonese diagnostic label of BED, kwong sik zing, was associated with lower levels of volitional stigma and greater help-seeking intentions than the diagnostic label of eating disorders, jam sik sat tiu, and the absence of labeling. The effect of etiological explanations was only significant in the univariate test, indicating that providing either a psychosocial or a biogenetic etiological explanation lessened the negative evaluations of personality characteristics.
CONCLUSIONS: The present study provided first evidence for BED stigma in Chinese. BED stigma appeared to be attributable to the presence of disordered eating behavior rather than the BED diagnosis.
METHODS: Using a between-subject experimental vignette study, 642 participants (mean age = 29.74 years, SD = 11.34) were randomly assigned to read one of the 18 vignettes, describing a character with information on BED symptoms, weight status, diagnostic labeling, and etiological explanations, followed by measures of stigma and help-seeking intentions.
RESULTS: The character with BED symptoms was ascribed more negative personality characteristics, elicited more negative affective reactions, and triggered greater desired social distance compared to the character without BED symptoms. No evidence for weight stigma was found nor for its interaction with BED stigma. The Cantonese diagnostic label of BED, kwong sik zing, was associated with lower levels of volitional stigma and greater help-seeking intentions than the diagnostic label of eating disorders, jam sik sat tiu, and the absence of labeling. The effect of etiological explanations was only significant in the univariate test, indicating that providing either a psychosocial or a biogenetic etiological explanation lessened the negative evaluations of personality characteristics.
CONCLUSIONS: The present study provided first evidence for BED stigma in Chinese. BED stigma appeared to be attributable to the presence of disordered eating behavior rather than the BED diagnosis.
摘要：
目的：暴饮暴食症（BED）是一种强烈的污名化疾病，通常因体重污名而复杂化。特别是在中国人群中，很少研究BED与体重柱头之间的交集。本研究检查了中国人的BED污名，BED柱头是否独立于体重柱头，以及诊断标记和病因学解释是否影响BED病耻感的程度。
方法：使用受试者之间的实验小插图研究，642名参与者(平均年龄=29.74岁，SD=11.34)被随机分配阅读18个小插图中的一个，用BED症状的信息描述一个角色，体重状态,诊断标签,和病因解释，其次是耻辱和寻求帮助的意图。
结果：具有BED症状的性格归因于更多的负面人格特征，引发更多负面的情感反应，与没有BED症状的角色相比，触发了更大的期望社交距离。没有发现体重柱头的证据，也没有发现它与BED柱头的相互作用。BED的粤语诊断标签，广植正,与饮食失调的诊断标签相比，与较低水平的自愿污名和更大的寻求帮助的意图有关，JamsiksatTiu,没有标签。病因解释的影响仅在单变量检验中显著，表明提供心理社会或生物遗传学病因解释减少了对人格特征的负面评价。
结论：本研究为中国人BED污名化提供了第一个证据。BED的污名似乎归因于饮食行为紊乱的存在，而不是BED的诊断。
方法：使用受试者之间的实验小插图研究，642名参与者(平均年龄=29.74岁，SD=11.34)被随机分配阅读18个小插图中的一个，用BED症状的信息描述一个角色，体重状态,诊断标签,和病因解释，其次是耻辱和寻求帮助的意图。
结果：具有BED症状的性格归因于更多的负面人格特征，引发更多负面的情感反应，与没有BED症状的角色相比，触发了更大的期望社交距离。没有发现体重柱头的证据，也没有发现它与BED柱头的相互作用。BED的粤语诊断标签，广植正,与饮食失调的诊断标签相比，与较低水平的自愿污名和更大的寻求帮助的意图有关，JamsiksatTiu,没有标签。病因解释的影响仅在单变量检验中显著，表明提供心理社会或生物遗传学病因解释减少了对人格特征的负面评价。
结论：本研究为中国人BED污名化提供了第一个证据。BED的污名似乎归因于饮食行为紊乱的存在，而不是BED的诊断。
