Psychological aspects in health and diseases
Gita Alipour; Abbas Abolghasemi; Bahman Akbari
Abstract
Objective: Obesity is a complex, multifactorial, chronic, and progressive disease that has become a crucial public health problem worldwide. Therefore, it seems necessary to identify risk and protective factors to prevent obesity and treat obesity. This study aims to identify the risk and protective ...
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Objective: Obesity is a complex, multifactorial, chronic, and progressive disease that has become a crucial public health problem worldwide. Therefore, it seems necessary to identify risk and protective factors to prevent obesity and treat obesity. This study aims to identify the risk and protective factors of obesity in women.Method: The study was descriptive-correlational. The research sample consisted of 429 overweight and obese women, selected through voluntary sampling. To collect data, a physical activity questionnaire, core beliefs of eating questionnaire, self-criticism questionnaire, shame and guilt scale, self-esteem scale, body image concern questionnaire, stress-anxiety-depression questionnaire, and weight self-efficacy questionnaire were used. The obtained data were analyzed using stepwise regression using SPSS 24.Results: The findings showed that among obesity risk factors (core beliefs of eating, self-criticism, shame and guilt, concern about body image, stress-anxiety-depression), the core beliefs of eating, stress, and depression can predict obesity. Also, the research results showed that among obesity protective factors (weight self-efficacy, self-esteem, and physical activity), weight self-efficacy can predict obesity improvement more than other variables.Conclusion: Based on the results of the present research, we can say that the variables of core beliefs about eating, stress, and depression as risk factors and the variable of self-efficacy as a protective factor can predict body mass index.
Psychological aspects in health and diseases
Fatemeh Nemati Sogolitappeh; Mostafa Zarean; Sara Azadi
Abstract
Objective: This study compared health-related quality of life (HRQoL) and stress appraisal among overweight, obese, and post-bariatric surgery women.Method: We used a descriptive, causal-comparative design with 90 women. Each group—overweight, obese, and post-bariatric surgery—contained 30 ...
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Objective: This study compared health-related quality of life (HRQoL) and stress appraisal among overweight, obese, and post-bariatric surgery women.Method: We used a descriptive, causal-comparative design with 90 women. Each group—overweight, obese, and post-bariatric surgery—contained 30 participants. Participants were purposively sampled from Imam Reza Hospital. The Short Form Health Survey (SF-36) assessed physical (PCS) and mental (MCS) HRQoL. The Stress Appraisal Measure (SAM) evaluated perceived stress. We analyzed data using MANOVA and Tukey’s post hoc tests in SPSS 26.Results: MANOVA showed significant group differences (F = 8.65, p < 0.001, η² = 0.23). Tukey’s post hoc tests found that overweight women had higher PCS and MCS scores and lower stress appraisal than both obese and post-bariatric groups. The post-bariatric group had higher PCS and MCS than the obese group. Stress appraisal did not differ significantly between these two groups.Conclusion: Bariatric surgery improves HRQoL compared with obesity, but not to levels seen in the overweight. High stress remains after surgery. These findings highlight the need for psychological support and early interventions to maintain HRQoL and manage stress.
Parisa Homayounpour; mohammadreza seirafi; Sahar Ghareh
Abstract
Objective: Dialectical Behavior Therapy (DBT) was originally developed to treat individuals with pervasive emotion dysregulation. Then it developed its approach in other disorders such as obesity. This research aims to found out the efficacy of DBT in the reduction of negative emotions (anxiety, depression, ...
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Objective: Dialectical Behavior Therapy (DBT) was originally developed to treat individuals with pervasive emotion dysregulation. Then it developed its approach in other disorders such as obesity. This research aims to found out the efficacy of DBT in the reduction of negative emotions (anxiety, depression, and anger) with weight loss in obese women with different reasons for obesity.Methods: The population of this quasi-experimental study consisted of 56 obese women with a body mass index more than 29.9 kg/m2. Descriptive statistics were computed for demographic information and self-report questionnaire. Anger, anxiety, and depression are three subscales of feelings that were tested by the 25 items of Emotional Eating Scale that was developed by Arnow, Kenardy and Agras in 1994.Results: The results demonstrated that negative emotions such as anger, anxiety, and depression, significantly (ρ-value<0.001) decrease in obese women by weight loss during the time. Mixed-effect modeling ANOVA repeated measurements were performed to study changes in variables over time.Conclusions: The results of the present study show that DBT-skills can be effective in decreasing emotion dysregulations and Body Mass Index (BMI).
mahnaz etefaghi; Mehrdad Sabet; Khadijeh Abolmaali Alhoseini
Abstract
Objective: The aim of this study was to compare the effectiveness of Barlow's transdiagnostic, emotion-focused and mindfulness therapy on moderating the eating behavior of adults with obesity.
Method: The present research project was a semi-experimental with pretest, post test, and follow up with a ...
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Objective: The aim of this study was to compare the effectiveness of Barlow's transdiagnostic, emotion-focused and mindfulness therapy on moderating the eating behavior of adults with obesity.
Method: The present research project was a semi-experimental with pretest, post test, and follow up with a control group. The statistical population included all people with obesity in Tehran. Sixty people were randomly selected through available sampling method and were assigned to four groups: (1) Barlow's transdiagnostic therapy, (2) emotion- focused therapy, (3) mindfulness-based therapy, and (4) control group. Data were analyzed using the Dutch Eating Behavior Questionnaire (DEBQ) in three stages: pre test, post test, and follow up, and were analyzed by mixed-variance analysis.
Results: The research findings showed the within effects significant (P<0.05) regarding emotional, environmental, and restricted eating. Regarding between effects, a significant and constant effectiveness was found in the subscale of emotional and restricted eating in emotion- focused therapy group and in the subscale of environmental eating in mindfulness-based therapy group (P<0.05).
Conclusion: Emotion- focused therapy can help people to moderate emotional and restricted eating through emotional experience and making sense of emotions, and mindfulness therapy can help people to moderate environmental eating by helping them focus on the present moment and break repetitive patterns.
