Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review
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Research about stigmatization in eating disorders (EDs) has highlighted stereotypes, prejudices, and discrimination against people with EDs, as well as their harmful effects on them, including self-stigma and a difficult recovery process. Whereas a recent review focused on the consequences of ED stigma, our work aimed to provide a broader synthesis of ED stigma, including its consequences, but also its content and distribution. More precisely, we focused on three EDs—namely, anorexia nervosa, bulimia nervosa, and binge eating disorder. Based on a systematic search of four major databases in psychology, the present scoping review includes 46 studies published between 2004 and 2021. We did not conduct any quality assessment of the studies included, because our aim was to provide a wide-ranging overview of these topics instead of an appraisal of evidence answering a precise research question. The review confirmed the existence of a common ED stigma: all individuals affected by EDs reviewed here were perceived as responsible for their situation, and elicited negative emotions and social distance. However, our review also depicted a specific stigma content associated with each ED. In addition, the demographic characteristics of the stigmatizing individuals had a notable influence on the extent of ED stigma: men, young adults, and low-income individuals appeared to be the most stigmatizing toward individuals with EDs. It is important to note that ED stigma had a negative effect on individuals’ eating disorders, psychological wellbeing, and treatment-seeking behavior. There is an urgent need for further research on the adverse effects of ED stigma and its prevention.
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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 [82]
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- Authors
- Brelet, L., Flaudias, V., Désert, M., Guillaume, S., Llorca, P.-M., & Boirie, Y.
- Affiliations
- Pôle R&D Santé, Jeolis Solutions, 63000 Clermont-Ferrand, France
- Université Clermont Auvergne (FR)
- Centre National de la Recherche Scientifique (FR)
- Centre Troubles des Conduites Alimentaires (TCA), Service de Nutrition Clinique, Unité de Nutrition Humaine, CHU Gabriel Montpied, CRNH, Université Clermont Auvergne, 63003 Clermont-Ferrand, France
- Corresponding author
- Brelet, Lisa
- ORCID
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2021-08-18
- Volume
- 13
- Issue
- 8
- Pages
- 2834
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC8400545
- OpenAlex
- W3194008514
- Cited by
- 94
- References
- 121
- Citations by year
- 2026: 17 · 2025: 25 · 2024: 27 · 2023: 18 · 2022: 7
- FWCI
- 1.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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 disorder stigma, anorexia nervosa, bulimia nervosa, binge eating disorder, self-stigma, social distance, perceived responsibility, psychological well-being, treatment-seeking behavior, stigma reduction
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Female, Humans, Male, Stereotyping, Young Adult, Social Stigma
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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