Body weight and self-perception are associated with depression: Results from the National Health and Nutrition Examination Survey (NHANES) 2005–2016

Darimont, Tobia; Karavasiloglou, Nena; Hysaj, Ola; Richard, Aline; Rohrmann, Sabine

doi:10.1016/j.jad.2020.05.130

Cited by 26 publications

(15 citation statements)

References 42 publications

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“…Also, sleep problems are comorbid with anxiety disorders and recurrent depression (Cable et al, 2017; Mullin et al, 2017), which were typical presenting problems in this sample. It is not surprising that weight issues were commonly disclosed given the high occurrence of obesity in the United States (Ogden et al, 2015), the association of body weight and self-perception regarding size with depression (Darimont et al, 2020), and that taking medication for psychological conditions can add to difficulty with weight management (Citromea & Vreeland, 2009). Finally, because illness and pain can be highly disruptive to daily living, quality of life, and psychosocial well-being (Vartiainen et al, 2016), it is not unexpected that adults would disclose these issues.…”

Section: Discussionmentioning

confidence: 99%

Disclosure and nondisclosure of physical health issues in psychodynamic psychotherapy.

Fuhrmann¹,

Hoffman²,

Hill³

et al. 2022

Psychotherapy

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In this exploratory study, 54 adult clients seen by 11 therapists in open-ended individual psychodynamic psychotherapy reported about disclosure and nondisclosure of physical health issues (PHI) within psychotherapy. Although clients reported at intake that they had moderately severe PHI, they discussed these issues in therapy only in 12% of sessions, and clients initiated the discussion about these issues nearly 75% of the time. The most frequently disclosed PHI were sleep, weight, illness, and pain. Clients were more likely to disclose if PHI were distressing, related to their mental health, relevant to the psychotherapy process, a priority, and if there was enough time in therapy for discussion. At the client level for disclosed PHI, depth of discussion was associated with client-rated alliance; clients who generally rated the alliance high were those who disclosed about the PHI, initiated the PHI discussion, and were not distressed by the PHI. At the session level, clients rated the alliance higher when they were distressed by the PHI but did not discuss it in depth. For nondisclosed PHI, clients reported a higher alliance if they generally and in particular sessions were not distressed about the PHI. Clinical Impact StatementQuestion: How much and why do clients disclose or not disclose about PHI in psychotherapy sessions? Findings: Clients disclosed infrequently about PHI because they thought other problems were more relevant for therapy. Meaning: Therapists need to ask about distressing relevant PHI. Next Steps: We need to develop training programs to teach therapists about PHI, and we need to examine the actual process of how therapists work effectively with PHI.

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Section: Discussionmentioning

confidence: 99%

Disclosure and nondisclosure of physical health issues in psychodynamic psychotherapy.

Fuhrmann¹,

Hoffman²,

Hill³

et al. 2022

Psychotherapy

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“…Obesity is not just a problem with a broad, worldwide scope-it also has many consequences for physical [6][7][8] and mental health [9][10][11]. Moreover, obesity lowers the quality of life [12] creating a vicious cycle of problems; for example, some types of depression can cause obesity, while in other situations, obesity can lead to depression [13,14].…”

Section: Introductionmentioning

confidence: 99%

“Better If They Laugh with Me than at Me”: The Role of Humor in Coping with Obesity-Related Stigma in Women

Mazurkiewicz

Lipowski

Krefta³

et al. 2021

IJERPH

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This study investigated the role of perceived stigmatization in the relationship between humor styles and coping with stress among young women suffering from stigma due to obesity. In the 21st century, obesity is an increasing global health issue with many physical and mental consequences for obese women. As a chronic stigmatizing disease, it requires that the affected individuals cope with social consequences; women with obesity are more prone to such consequences than men. Humor fosters the breaking of stereotypes and alleviating the consequences of stigmatization. A total of 127 young adult women (age M = 25.74, SD = 2.73) participated in the study (n = 54 with overfat and n = 73 with healthy fat). Participants filled out the Humor Styles Questionnaire, Perceived Stigmatization Questionnaire, and the Brief COPE Scale. Anthropometric data were gathered using a body composition analyzer. Results indicate that, when perceiving hostile behaviors toward themselves and using humor as a coping strategy, women with overfat select maladaptive styles of humor (i.e., self-defeating and aggressive styles). Women with overfat were also more likely to use humor as a coping strategy in difficult situations. Furthermore, none of the participants were satisfied with their body mass. At the same time, among women without obesity, a lack of compliments was not treated as a problem, even if they had high body fat.

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“…A recent review on body satisfaction and depression has linked greater body dissatisfaction with an increased likelihood of depression (41). Furthermore, the detrimental effect of excess weight on mental health depends on the perception of weight (42,43). Indeed, underestimation of excess weight was associated with lower rates of depression (44).…”

Section: Discussionmentioning

confidence: 99%

Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up

Bouzas

Bibiloni²,

García³

et al. 2022

Front. Nutr.

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BackgroundMetabolic syndrome (MetS) worsens quality of life and increases mortality. Dissatisfaction with weight in patients with MetS may modify the effect of lifestyle interventions to achieve changes in health-related behaviors.ObjectiveTo assess 1-year changes in cardiovascular risk scores, self-perceived general health and health-related behaviors according to observed changes in desired weight loss during the first year of intervention in a large cardiovascular prevention trial.DesignProspective analysis of the PREDIMED-PLUS trial, including 5,499 adults (55–75 years old) with overweight or obesity at baseline.MethodsThe desired weight loss was the difference between ideal and measured weight. Tertiles of change in desired weight loss (1 year vs. baseline) were defined by the following cut-off points: ≥0.0 kg (T1, n = 1,638); 0.0 to −4.0 kg (T2, n = 1,903); ≤−4.0 kg (T3, n = 1,958). A food frequency questionnaire assessed diet and the Minnesota-REGICOR questionnaire assessed physical activity. The Framingham equation assessed cardiovascular risks. The changes in the severity of MetS were also assessed. The Beck Depression Inventory assessed depressive symptoms and the SF-36 assessed health-related quality of life. Data were analyzed using general linear models.ResultsBMI decreased at T2 and T3 (T1: 0.3, T2: −0.7, T3: −1.9). The most significant improvement in diet quality was observed at T3. Cardiovascular risk decreased at T2 and T3. Mean reductions in MetS severity score were: −0.02 at T1, −0.39 at T2 and −0.78 at T3. The perception of physical health increases in successive tertiles.ConclusionsIn older adults with MetS, more ambitious desired weight loss goals were associated with improvements in diet, cardiovascular health and perceived physical health during the first year of a healthy lifestyle intervention programme. Weight dissatisfaction needs to be considered by health professionals.Clinical trial registrationhttp://www.isrctn.com/ISRCTN89898870, identifier 89898870.

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Body weight and self-perception are associated with depression: Results from the National Health and Nutrition Examination Survey (NHANES) 2005–2016

Cited by 26 publications

References 42 publications

Disclosure and nondisclosure of physical health issues in psychodynamic psychotherapy.

Disclosure and nondisclosure of physical health issues in psychodynamic psychotherapy.

“Better If They Laugh with Me than at Me”: The Role of Humor in Coping with Obesity-Related Stigma in Women

Desired weight loss and its association with health, health behaviors and perceptions in an adult population with weight excess: One-year follow-up

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