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Psychological health in a non-clinical sample of obese women
Abstract
Objectives The relationship between obesity and psychological health remains unclear. The aims of this study were to evaluate the effect of obesity on the psychological health of a non-clinical sample of obese women, to investigate binge eating in this group, and to examine the predictors of psychological distress.Design A cross-sectional comparison of women divided into three obesity groups (body mass index (BMI)= 30-34.9, 35-39.9, > or = 40) was used.Participants 179 women with a BMI > 30 (mean age 45 y) returned a questionnaire included in a subscriber-only magazine for women of size 16+.Measures The questionnaire asked for information on demographics, weight history and eating behaviour, and included established self-report measures of body shape assessment, body shape satisfaction, dietary restraint, mental health state and self-esteem.Results The heaviest women (BMI > 40) did not differ on measures of mental health, but expressed the greatest dissatisfaction with their body weight, shape and appearance, and had the lowest self-esteem. Frequent binge eating was reported by 25% of all women. Self-esteem and peer relationships, but not body weight, were highly significant negative predictors of poor mental health.Conclusions Poor mental health is not the inevitable consequence even of the most extreme obesity, but is related to both low self-esteem and poor peer relationships. These, and problems with eating control, are features of psychological morbidity that require recognition and therapeutic attention.
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“Other constructs of PPWB included: life satisfaction 37 , 42 , 45 , 49 , 60 ; positive affect 47 , 50 , 51 , 62 ; social support 52 , 53 , 54 ; vitality 36 , 37 , 46 , 57 , 59 ; happiness 3 , 53 , 54 , 58 , 61 , 62 ; self‐acceptance 34 ; and optimism. 39”
From Positive psychological well-being in women with obesity: A scoping review of qualitative and quantitative primary research (2022) · cites this paper as [52]
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Greenland (2000) · doi:10.1161/01.cir.101.1.e16 · Cited by 924
Schwartz, M. B., & Brownell, K. D. (2004) · Body Image · doi:10.1016/s1740-1445(03)00007-x · Cited by 637
Weinberger, N., Kersting, A., Riedel-Heller, S. G., & Luck‐Sikorski, C. (2016) · Obesity Facts · doi:10.1159/000454837 · Cited by 450
Weighing the care: physicians' reactions to the size of a patient
Hebl, M., & Xu, J. M. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801681 · Cited by 453
Exploring the Association Between Body Weight, Stigma of Obesity, and Health Care Avoidance
Drury, C. A. A., & Louis, M. (2002) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2002.tb00089.x · Cited by 388
“Although body image dissatisfaction is correlated with BMI (Hill & Williams, 1998; Sarwer, Wadden, & Foster, 1998), low self-esteem is not always the inevitable result.”
Background
Metadata
- Authors
- Hill, A., & Williams, J.
- Affiliations
- University of Leeds (GB)
- ORCID
- Williams, J
- Venue
- International Journal of Obesity
- Published
- 1998-06
- Volume
- 22
- Issue
- 6
- Pages
- 578-583
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W1995917616
- Cited by
- 115
- References
- 0
- Citations by year
- 2024: 4 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 9 · 2014: 11 · 2013: 5 · 2012: 10
- FWCI
- 4.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- Deakin Research Online (Deakin University) (submittedVersion)
- Figshare (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Funders
- University of Leeds
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Keywords
- obesity, mental health, binge eating, self-esteem, body dissatisfaction, peer relationships, body mass index, eating behaviour, dietary restraint, women
- MeSH terms
- Adolescent, Adult, Aged, Behavior, Body Image, Cross-Sectional Studies, Diet, Eating, Female, Humans, Interpersonal Relations, Mental Health, Middle Aged, Obesity, Surveys and Questionnaires, Self Concept, Body Mass Index
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