Weight bias among professionals treating eating disorders: Attitudes about treatment and perceived patient outcomes
Article first published online: 5 SEP 2013
Copyright © 2013 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 47, Issue 1, pages 65–75, January 2014
How to Cite
Puhl, R. M., Latner, J. D., King, K. M. and Luedicke, J. (2014), Weight bias among professionals treating eating disorders: Attitudes about treatment and perceived patient outcomes. Int. J. Eat. Disord., 47: 65–75. doi: 10.1002/eat.22186
- Issue published online: 10 DEC 2013
- Article first published online: 5 SEP 2013
- Manuscript Revised: 7 AUG 2013
- Manuscript Accepted: 7 AUG 2013
- Manuscript Received: 8 JUL 2013
- Rudd Center for Food Policy & Obesity at Yale University
- weight bias;
This study aimed to assess weight bias among professionals who specialize in treating eating disorders and identify to what extent their weight biases are associated with attitudes about treating obese patients.
Participants were 329 professionals treating eating disorders, recruited through professional organizations that specialize in eating disorders. Participants completed anonymous, online self-report questionnaires, assessing their explicit weight bias, perceived causes of obesity, attitudes toward treating obese patients, perceptions of treatment compliance and success of obese patients, and perceptions of weight bias among other practitioners.
Negative weight stereotypes were present among some professionals treating eating disorders. Although professionals felt confident (289; 88%) and prepared (276; 84%) to provide treatment to obese patients, the majority (184; 56%) had observed other professionals in their field making negative comments about obese patients, 42% (138) believed that practitioners who treat eating disorders often have negative stereotypes about obese patients, 35% (115) indicated that practitioners feel uncomfortable caring for obese patients, and 29% (95) reported that their colleagues have negative attitudes toward obese patients. Compared to professionals with less weight bias, professionals with stronger weight bias were more likely to attribute obesity to behavioral causes, expressed more negative attitudes and frustrations about treating obese patients, and perceived poorer treatment outcomes for these patients.
Similar to other health disciplines, professionals treating eating disorders are not immune to weight bias. This has important implications for provision of clinical treatment with obese individuals and efforts to reduce weight bias in the eating disorders field. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:65–75)