The Relationship of Self-identified Weight Status With Perceived Mental and Physical Health.

IF 1.3 4区 医学 Q3 PSYCHIATRY
Antonia Hamilton, Shannon R Smith, Janet A Lydecker
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Abstract

Objective: This study examined whether individuals with higher weight (body mass index in the overweight or obesity range) self-identified as having overweight or obesity (Ow/Ob). The study also examined whether self-identifying as having Ow/Ob was associated with perceived mental health, perceived physical health, depression, and eating disorder psychopathology.

Methods: Four study groups were created: those with Ow/Ob who self-identified as having Ow/Ob (Ow/Ob+), those with Ow/Ob who did not self-identify as having Ow/Ob (Ow/Ob-), those with core features of binge-eating disorder (BED) and Ow/Ob, and those with bulimia nervosa (BN) and Ow/Ob. Analyses of variance compared study groups on perceived health, depression, and eating disorder psychopathology.

Results: The BED and BN groups were more likely to self-identify as having overweight/obesity compared with Ow/Ob groups without eating disorders. The Ow/Ob- group had the best-perceived health and the lowest levels of eating disorder psychopathology and depression compared with the other groups. The Ow/Ob+ group had better perceived mental health than the BED and BN groups but did not differ significantly from the Ow/Ob- group in perceived mental health. Perceived physical health in the Ow/Ob+ group was better than in the BED group and worse than in the Ow/Ob- group. The Ow/Ob+ group had higher levels of eating disorder psychopathology than the Ow/Ob- group.

Conclusions: Self-identifying as having obesity is associated with eating disorder psychopathology as well as poorer perceived mental and physical health. Providers should engage patients in discussions about their weight with the understanding that self-identifying as having overweight or obesity might indicate the presence of eating disorder psychopathology. Future clinical research should investigate the directionality or possible bidirectionality of this relationship.

自我识别的体重状况与感知的身心健康的关系。
目的:本研究调查了体重较高(体重指数在超重或肥胖范围内)的个体是否自我认定为超重或肥胖(Ow/Ob)。该研究还调查了自我认同是否患有Ow/Ob与感知的心理健康、感知的身体健康、抑郁和饮食障碍精神病理学有关。方法:创建了四个研究组:Ow/Ob患者,他们自我认定为Ow/Ob(Ow/Ob+),Ow/Obs患者,他们没有自我认定为患有Ow/Ob(Ow/Ob-),那些具有暴饮症(BED)和Ow/Ob核心特征的人,以及那些患有神经性贪食症(BN)和Ov/Ob的人。方差分析比较了研究组在感知健康、抑郁和饮食障碍精神病理学方面的差异。结果:与没有饮食障碍的Ow/Ob组相比,BED和BN组更有可能自我认定为超重/肥胖。与其他组相比,Ow/Ob组的健康状况最好,饮食失调、精神病理学和抑郁症水平最低。Ow/Ob+组比BED和BN组有更好的心理健康感知,但在心理健康感知方面与Ow/Ob-组没有显著差异。Ow/Ob+组的感知身体健康状况好于BED组,而差于Ow/Ob-组。Ow/Ob+组的进食障碍精神病理学水平高于Ow/Ob-组。结论:自我认定为肥胖与饮食障碍精神病理学以及较差的心理和身体健康状况有关。提供者应让患者参与关于他们体重的讨论,并理解自我认定为超重或肥胖可能表明存在饮食障碍精神病理学。未来的临床研究应该调查这种关系的方向性或可能的双向性。
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
CiteScore
2.30
自引率
10.50%
发文量
159
审稿时长
>12 weeks
期刊介绍: Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.
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