The Application of Cohen's Stress-Buffering Model for Weight Bias Internalization in Prebariatric Patients.

IF 3.9 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Obesity Facts Pub Date : 2024-01-01 Epub Date: 2024-06-19 DOI:10.1159/000539857

Jördis Kaden, Claudia Hübner, Thomas Mansfeld, Johannes Sander, Florian Seyfried, Stefan Kaiser, Arne Dietrich, Anja Hilbert

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引用次数: 0

Abstract

Introduction: Weight bias internalization (WBI) is associated with reduced psychological well-being in individuals with obesity. The aim of this study was to investigate the application of Cohen's stress-buffering model of social support for WBI on well-being in patients presenting for bariatric surgery.

Methods: In N = 804 adult prebariatric patients, WBI, social support, depression severity, health-related quality of life (HRQOL), and self-esteem were assessed by self-report questionnaires. Structural Equation Modeling was applied to test for direct associations between social support and well-being and for a buffering effect of social support on the relationship between WBI and well-being.

Results: After controlling for age, sex, and body mass index, greater social support was directly associated with reduced depression severity and increased self-esteem, but not with increased HRQOL. Contrary to Cohen's stress-buffering model, social support showed no moderating effects on the association between WBI and depression severity, HRQOL, and self-esteem.

Conclusion: These cross-sectional results may indicate that greater social support is associated with improved well-being, supporting it as a potential coping resource in bariatric surgery. Given the absence of supporting evidence for the buffering effect in the present study, future prospective research may reevaluate the existence of a moderating effect of social support and investigate whether support-focused interventions improve psychological well-being.

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科恩压力缓冲模型在减肥前病人体重偏差内化中的应用。

简介体重偏差内化（WBI）与肥胖症患者心理健康水平下降有关。本研究旨在探讨科恩的社会支持压力缓冲模型在减肥手术患者中的应用：方法：在 N = 804 名减肥术前成年患者中，通过自我报告问卷对 WBI、社会支持、抑郁严重程度、健康相关生活质量（HRQOL）和自尊进行评估。应用结构方程模型检验了社会支持与幸福感之间的直接关联，以及社会支持对 WBI 与幸福感之间关系的缓冲作用：结果：在控制了年龄、性别和体重指数之后，更多的社会支持与抑郁严重程度的降低和自尊心的增强直接相关，但与 HRQOL 的提高无关。与科恩的压力缓冲模型相反，社会支持对 WBI 与抑郁严重程度、HRQOL 和自尊之间的关系没有调节作用：这些横断面结果可能表明，更多的社会支持与幸福感的改善有关，支持其作为减肥手术中的一种潜在应对资源。鉴于本研究中缺乏缓冲效应的支持性证据，未来的前瞻性研究可能会重新评估社会支持是否存在调节效应，并调查以支持为重点的干预措施是否能改善心理健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity Facts 医学-内分泌学与代谢

CiteScore

6.80

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Obesity Facts'' publishes articles covering all aspects of obesity, in particular epidemiology, etiology and pathogenesis, treatment, and the prevention of adiposity. As obesity is related to many disease processes, the journal is also dedicated to all topics pertaining to comorbidity and covers psychological and sociocultural aspects as well as influences of nutrition and exercise on body weight. The editors carefully select papers to present only the most recent findings in clinical practice and research. All professionals concerned with obesity issues will find this journal a most valuable update to keep them abreast of the latest scientific developments.