Stigma of eating disorders and recovery‐related outcomes: A systematic review
Abstract
Objective: People with eating disorders (EDs) tend to engage in behaviours that are ordinarily perceived as normal in society, such as restrictive dieting. However, when people are diagnosed with an ED, they may often feel stigmatized, which is likely to act as a barrier to recovery. To date, there is a limited understanding of how stigma of EDs impacts recovery‐related outcomes. Method: A systematic search was performed using PsychINFO and PubMed. Multiple combined searches of terms relating to stigma, EDs, and recovery‐related outcomes were conducted. PRISMA guidelines were followed throughout the selection process and resulted in nine studies meeting specific inclusion criteria. The extracted data are examined in a critical narrative synthesis. Results: Our review suggested that across different samples and measures, stigmatization of EDs is negatively related to a range of factors important for recovery. These include psychological, social and physical health outcomes, ED psychopathology and treatment‐seeking behaviours. Conclusions: Based on the quality assessment, it was concluded that future research would benefit from the use of research designs that can demonstrate causality and generalize findings across community samples. Therefore, in order to improve recovery‐related outcomes, treatment plans must consider the type of ED stigma experienced and its relation with specific recovery‐related outcomes.
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Self-stigma is associated with increased ED severity, decreased treatment-seeking behaviour, decreased psychological wellbeing, low self-esteem, shame, and delayed recovery.
“Self-stigma is associated with increased ED severity, decreased treatment-seeking behaviour, decreased psychological wellbeing, low self-esteem, shame, and delayed recovery [82–85].”
From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [84]
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- Authors
- Foran, A., O'Donnell, A. T., & Muldoon, O. T.
- Affiliations
- University of Limerick (IE)
- Centre for Social Issues Research, Department of Psychology University of Limerick Limerick Republic of Ireland
- Corresponding author
- Foran, Aoife‐Marie
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2020-03-26
- Volume
- 28
- Issue
- 4
- Pages
- 385-397
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W3012959041
- Cited by
- 59
- References
- 49
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 18 · 2023: 12 · 2022: 5 · 2021: 4 · 2020: 1
- FWCI
- 0.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- University of Limerick Institutional Repository (University of Limerick) (acceptedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- eating disorders, stigma, recovery, treatment-seeking behavior, mental health outcomes, social functioning, physical health, psychopathology, barriers to recovery
- MeSH terms
- Feeding and Eating Disorders, Humans, Stereotyping, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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