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Comparison of psychosocial status in treatment-seeking women with class III vs. class I-II obesity
Journal article   Open access   Peer reviewed

Comparison of psychosocial status in treatment-seeking women with class III vs. class I-II obesity

Thomas A Wadden, Meghan L Butryn, David B Sarwer, Anthony N Fabricatore, Canice E Crerand, Patti E Lipschutz, Lucy Faulconbridge, Steven E Raper and Noel N Williams
Obesity (Silver Spring, Md.), v 14 Suppl 2(3S), pp 90S-98S
Mar 2006
DOI: https://doi.org/10.1038/oby.2006.288
PMID: 16648600
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1038/oby.2006.288View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze),  Open

Abstract

Bariatric Surgery - psychology Life Style Self Efficacy Obesity, Morbid - surgery Humans Middle Aged Psychology Anxiety - psychology Alcohol Drinking Stress, Psychological - psychology Affect Obesity, Morbid - psychology Motivation Self Concept Weight Loss Personality Inventory Depression - psychology Adult Female Surveys and Questionnaires Smoking
This study compared the psychosocial status and weight loss expectations of women with extreme (class III) obesity who sought bariatric surgery with those of women with class I-II obesity who enrolled in a research study on behavioral weight control. Before treatment, all participants completed the Beck Depression Inventory-II and the Weight and Lifestyle Inventory. This latter questionnaire assesses several domains including symptoms of depression and low self-esteem, history of psychiatric complications, current stressors, and weight loss expectations. Women with class III obesity, as compared with class I-II, reported significantly more symptoms of depression. Fully 25% of women in the former group appeared to have a significant mood disorder that would benefit from treatment. As compared with women with class I-II obesity, significantly more women with class III obesity also reported a history of psychiatric complications, which included physical and sexual abuse and greater stress related to their physical health and financial/legal matters. Both groups of women had unrealistic weight loss expectations. Those who sought surgery expected to lose 47.6 +/- 9.3% of initial weight, compared with 24.8 +/- 8.7% for those who enrolled in behavioral weight control. These findings suggest that women with extreme obesity who seek bariatric surgery should be screened for psychosocial complications. Those determined to have significant psychiatric distress should be referred for behavioral or pharmacological treatment to alleviate their suffering. Long-term studies are needed to provide definitive guidance concerning the relationship between preoperative psychopathology and the outcome of bariatric surgery.

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9 Record Views
64 citations in Web of Science
82 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Endocrinology & Metabolism
Nutrition & Dietetics
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