Can we fight stigma with science? The effect of aetiological framing on attitudes towards anorexia nervosa and the impact on volitional stigma

Bannatyne, Amy Jean; Abel, Lisa M.

doi:10.1111/ajpy.12062

Cited by 17 publications

(62 citation statements)

References 23 publications

(58 reference statements)

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“…An average score for each subscale was created for analysis. Previous research (e.g., Bannatyne & Abel, 2014) has reported good internal consistencies ranging from .82 (sociocultural) to .84 (biogenetic). Reliability analyses for the current study revealed similar internal consistencies (.86 and .83, respectively).…”

Section: Downloaded By [Northeastern University] At 15:04 02 Februarymentioning

confidence: 89%

“…Participants were asked to indicate on a 7-point Likert scale, ranging from 1 (does not contribute at all) to 7 (main contributing factor) the extent to which nine different factors contribute to the development of AN. In line with previous research (e.g., Bannatyne & Abel, 2014), the Causal Attributions Scale (Crisafulli et al, 2008) was separated into two subscales for analysis: biogenetic attributions and sociocultural attributions. An average score for each subscale was created for analysis.…”

Section: Downloaded By [Northeastern University] At 15:04 02 Februarymentioning

confidence: 93%

“…Preliminary research suggests this strategy may indeed be beneficial, with various etiological framing models examined (e.g., biogenetic, Downloaded by [Northeastern University] at 15:04 02 February 2015 sociocultural, environmental, and multifactorial explanations) in female nursing students (Crisafulli et al, 2008), psychology students (Crisafulli et al, 2010), and a general undergraduate sample (Bannatyne & Abel, 2014). Consistent with attribution theory, the studies revealed participants who received a biologically-framed etiological explanation tended to view individuals suffering from AN as less responsible for their condition, exhibited lower levels of blame and vanity related stigma, and greater intention to engage in helping behavior, compared to those who received a sociocultural explanation.…”

Section: The Effect Of Etiological Framingmentioning

confidence: 99%

“…Consistent with attribution theory, the studies revealed participants who received a biologically-framed etiological explanation tended to view individuals suffering from AN as less responsible for their condition, exhibited lower levels of blame and vanity related stigma, and greater intention to engage in helping behavior, compared to those who received a sociocultural explanation. However, concerns regarding the impact of traditional multifactorial explanations of AN were raised as the multifactorial group in both Bannatyne and Abel (2014) and Crisafulli, Thompson-Brenner, Franko, Eddy, & Herzog. (2010) produced increased perceptions of illness responsibility.…”

Section: The Effect Of Etiological Framingmentioning

confidence: 99%

“…(2010) produced increased perceptions of illness responsibility. Bannatyne and Abel (2014) suggested attitude accessibility (Roskos-Ewoldsen, Bichsel, & Hoffman, 2002), whereby individuals attend to the most salient information (sociocultural factors in the case of AN) and ignore competing evidence (e.g., biogenetic information), might be a possible explanation for the finding.…”

Section: The Effect Of Etiological Framingmentioning

confidence: 99%

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Educating Medical Students About Anorexia Nervosa: A Potential Method for Reducing the Volitional Stigma Associated With the Disorder

Bannatyne

Stapleton

2014

Eating Disorders

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It is frequently reported that clinicians across a range of professional disciplines experience strong negative reactions toward patients with anorexia nervosa (AN). The present study aimed to develop, evaluate, and compare the effectiveness of two different educational programs, based on an etiological framing model. Participants were medical students (N = 41) from an Australian University, who were randomly assigned to one of three conditions (biogenetic intervention vs. multifactorial intervention vs. control). Outcome attitudinal/stigma data were collected pre- and post-intervention, and at 8 weeks follow-up. Results indicated intervention participations exhibited significantly lower volitional stigma scores compared to the control group, who exhibited no change in attitudes or stigma. Specifically, intervention participants had significantly lower total ED stigma scores, levels of blame, perceptions of AN as a selfish/vain illness, and viewed sufferers as less responsible for their illness at post-intervention. These reductions were maintained at follow-up. Overall, the study provides preliminary evidence that brief targeted interventions can assist in reducing levels of volitional stigma toward AN.

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Section: Downloaded By [Northeastern University] At 15:04 02 Februarymentioning

confidence: 89%

Section: Downloaded By [Northeastern University] At 15:04 02 Februarymentioning

confidence: 93%

Section: The Effect Of Etiological Framingmentioning

confidence: 99%

Section: The Effect Of Etiological Framingmentioning

confidence: 99%

Section: The Effect Of Etiological Framingmentioning

confidence: 99%

See 3 more Smart Citations

Educating Medical Students About Anorexia Nervosa: A Potential Method for Reducing the Volitional Stigma Associated With the Disorder

Bannatyne

Stapleton

2014

Eating Disorders

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Interventions to reduce the stigma of eating disorders: A systematic review and meta‐analysis

Doley

Hart

Stukas

et al. 2017

Intl J Eating Disorders

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Stigma is a problem for individuals with eating disorders (EDs), forming a barrier to disclosure and help-seeking. Interventions to reduce ED stigma may help remove these barriers; however, it is not known which strategies (e.g., explaining etiology to reduce blame, contact with a person with an ED, or educating about ED) are effective in reducing stigma and related outcomes. This review described effectiveness of intervention strategies, and identified gaps in the literature. A search of four databases was performed using the terms (eating disorder* OR bulimi* OR anorexi* OR binge-eating disorder) AND (stigma* OR stereotyp* OR beliefs OR negative attitudes) AND (program OR experiment OR intervention OR education), with additional texts sought through LISTSERVs. Two raters screened papers, extracted data, and assessed quality. Stigma reduction strategies and study characteristics were examined in critical narrative synthesis. Exploratory meta-analysis compared the effects of biological and sociocultural explanations of EDs on attitudinal stigma. Eighteen papers were eligible for narrative synthesis, with four also eligible for inclusion in a meta-analysis. Biological explanations reduced stigma relative to other explanations, including sociocultural explanations in meta-analysis (g = .47, p < .001). Combined education and contact interventions improved stigma relative to control groups or over time. Most studies examined Anorexia Nervosa (AN) stigma and had mostly female, undergraduate participants. Despite apparent effectiveness, research should verify that biological explanations do not cause unintentional harm. Future research should evaluate in vivo contact, directly compare education and contact strategies, and aim to generalize findings across community populations.

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Stigma of Binge‐Eating Disorder in Hong Kong Chinese Adults: Effects of Weight Status, Diagnostic Labeling, and Etiological Explanations

Chan,

Po,

2024

Intl J Eating Disorders

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ObjectiveBinge‐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.MethodUsing 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.ResultsThe 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.DiscussionThe 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.

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Can we fight stigma with science? The effect of aetiological framing on attitudes towards anorexia nervosa and the impact on volitional stigma

Cited by 17 publications

References 23 publications

Educating Medical Students About Anorexia Nervosa: A Potential Method for Reducing the Volitional Stigma Associated With the Disorder

Educating Medical Students About Anorexia Nervosa: A Potential Method for Reducing the Volitional Stigma Associated With the Disorder

Interventions to reduce the stigma of eating disorders: A systematic review and meta‐analysis

Stigma of Binge‐Eating Disorder in Hong Kong Chinese Adults: Effects of Weight Status, Diagnostic Labeling, and Etiological Explanations

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