Stigma and eating disorders: Is there evidence of negative attitudes towards anorexia nervosa among women in the community?

Background and aims: Few studies have examined stigma towards individuals affected by eating disorders. The aim of this study was to elucidate negative attitudes concerning the eating disorder anorexia nervosa (AN). Method: A vignette describing a fictional 15-year-old female meeting diagnostic criteria for AN was presented to 250 female university students, followed by a series of questions designed to assess perceptions of severity, self-centredness, contribution to society, social distance and desirability. Participants' levels of eating disorder psychopathology and familiarity with the problem described were also assessed. Results: Whereas attitudes were generally positive, negative attitudes were apparent in responses to items addressing self-centredness and social distance. In addition, many participants had at some stage thought that it “might not be too bad” to have the problem described. Exposure to information concerning the problem described through film or television was associated with less negative attitudes, whereas other types of exposure had little or no effect. Conclusions: Negative attitudes towards individuals affected by AN exist among women in the community, as well as ambivalence concerning the severity of the disorder. Further research is needed to identify the nature of stigma associated with eating disorders and the variables that moderate its expression.

[1]  B. Rodgers,et al.  Beliefs of women concerning the severity and prevalence of bulimia nervosa , 2004, Social Psychiatry and Psychiatric Epidemiology.

[2]  M. Thelen,et al.  Attitudes and knowledge regarding bulimia and anorexia nervosa , 1986 .

[3]  J B Carlin,et al.  Onset of adolescent eating disorders: population based cohort study over 3 years , 1999, BMJ.

[4]  D. Neumark-Sztainer,et al.  Prevention of Body Dissatisfaction and Disordered Eating: What Next? , 2006, Eating disorders.

[5]  H. Kraemer,et al.  Eating disorders in white and black women. , 2003, The American journal of psychiatry.

[6]  C. Fairburn,et al.  Studies of the epidemiology of bulimia nervosa. , 1990, The American journal of psychiatry.

[7]  D. Penn,et al.  Interpersonal contact and the stigma of mental illness: A review of the literature , 2003 .

[8]  J. Lacey,et al.  The SCOFF questionnaire: assessment of a new screening tool for eating disorders , 1999, BMJ.

[9]  M G Gelder,et al.  Stigmatisation of people with mental illnesses. , 2000, The British journal of psychiatry : the journal of mental science.

[10]  A. Esterman,et al.  Outcome in patients with eating disorders: a 5-year study , 2001, The Lancet.

[11]  B. Rodgers,et al.  Beliefs of the public concerning the helpfulness of interventions for bulimia nervosa. , 2004, The International journal of eating disorders.

[12]  B. Rodgers,et al.  Mental Health Literacy and Eating-Disordered Behavior: Beliefs of Adolescent Girls Concerning the Treatment of and Treatment-Seeking for Bulimia Nervosa , 2007 .

[13]  Anthony F Jorm,et al.  Public knowledge and attitudes to mental disorders: A limiting factor in the optimal use of treatment services , 2000 .

[14]  C. Fairburn,et al.  Prevalence and long-term course of lifetime eating disorders in an adult Australian twin cohort. , 2006, The Australian and New Zealand journal of psychiatry.

[15]  K. Sofronoff,et al.  Adolescents' Willingness to Seek Psychological Help: Promoting and Preventing Factors , 2004 .

[16]  A. Korten,et al.  Attitudes Towards People with a Mental Disorder: A Survey of the Australian Public and Health Professionals , 1999, The Australian and New Zealand journal of psychiatry.

[17]  S. Crow,et al.  The Economic and Social Burden of Eating Disorders , 2003 .

[18]  B. Rodgers,et al.  Beliefs of women concerning causes and risk factors for bulimia nervosa. , 2004, The Australian and New Zealand journal of psychiatry.

[19]  J. Polivy,et al.  Causes of eating disorders. , 2002, Annual review of psychology.

[20]  B. Rodgers,et al.  Self-recognition of disordered eating among women with bulimic-type eating disorders: A community-based study. , 2006, The International journal of eating disorders.

[21]  M. Thelen,et al.  Attitudes toward bulimic behaviors in two generations: the role of knowledge, body mass, gender, and bulimic symptomatology. , 1997, Addictive behaviors.

[22]  Bruce G. Link,et al.  The impact of contact on stigmatizing attitudes toward people with mental illness , 2003 .

[23]  Dc Washington.  Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. , 1994 .

[24]  P W Corrigan,et al.  Changing attitudes about schizophrenia. , 1999, Schizophrenia bulletin.

[25]  J. Treasure,et al.  Perceptions of illness in individuals with anorexia nervosa: a comparison with lay men and women. , 2005, The International journal of eating disorders.

[26]  P. Corrigan,et al.  How adolescents perceive the stigma of mental illness and alcohol abuse. , 2005, Psychiatric services.

[27]  B. Rodgers,et al.  Assessing quality of life in eating disorder patients , 2005, Quality of Life Research.

[28]  G. Wilson,et al.  Enhancing motivation for change in treatment-resistant eating disorders. , 1998, Clinical psychology review.

[29]  Bruce G. Link,et al.  On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. , 1997, Journal of health and social behavior.

[30]  P. Corrigan,et al.  An attribution model of public discrimination towards persons with mental illness. , 2003, Journal of health and social behavior.

[31]  C. Fairburn,et al.  Women who choose not to participate in surveys on eating disorders , 1992 .