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The perceived stigma, anticipated outcomes, and attitudes towards counseling may deter those with an eating disorder from seeking the help they need. Part 1 (N = 145) of a twopart study was conducted to examine the relationship between self-stigma and the anticipated outcomes (risks and benefits) associated with seeking counseling on attitudes toward counseling among those currently experiencing or at risk for an eating disorder. The results of multiple hierarchical regression analyses demonstrated that self-stigma, anticipated risks, and anticipated benefits significantly predicted attitudes towards seeking help for people with disordered eating. In addition, self-stigma had a stronger relationship with men’s attitudes towards seeking help than women’s and anticipated benefits had a stronger relationship with women’s attitudes than men’s. Part 2 (N = 676) used a pretest posttest experimental design to measure the effects of an educational intervention hypothesized to improve attitudes, increase the anticipated benefits and lessen the self-stigma, public stigma, and the anticipated risks associated with seeking counseling for an eating disorder. Against predictions, repeated measures Analysis of CoVariance (ANCOVA) demonstrated that the intervention had no significant effects on attitudes, self-stigma, anticipated risks, or anticipated benefits.

Seeking professional help for an eating disorder: the role of stigma, anticipated outcomes, and attitudes