Comprehensive review of obesity and psychological considerations for treatment

Abstract

Although obesity is considered to be a medical condition, psychosocial variables influence its development, course, and treatment. To date, obesity research focuses heavily on the associated physical problems and the identification of effective treatments. While an array of behavioral, pharmacological and surgical treatments has been developed, their ability to demonstrate long-term weight losses is not convincing. Thus, there has been a shift towards the identification of psychological and social factors that may assist in the prediction of successful treatments, most notably in the surgical treatment of obesity. As a result, less emphasis has been placed on post-treatment psychosocial influences. As the treatment of obesity becomes increasing multidimensional, the need for attention to psychosocial factors and the involvement of mental health providers increases. For the allied or mental health provider, a comprehensive understanding of obesity's physical, psychological and social basis is vital to ensure proper assessment or treatment, as it is warranted.

Association between treatment adherence and quality of life among overweight adolescents

“…There is evidence that treatment adherence is critical for effective weight control management. Therefore, focusing on adherence can be the best investment for success 17,18 .…”

Stigma In Persons with Obesity

“…Empirically, there is a lack of consistent evidence that obesity, in and of itself, is associated with higher rates of psychopathology [ 36 ], particularly among individuals with mild obesity [ 37 ]. However, research suggests that patients with severe obesity tend to exhibit more psychopathology than healthy-weight individuals or those with milder obesity [ 7 , 38 -43 ].…”

Beliefs about Causes of Obesity: A Comparison of Australian Doctors, Psychologists and Community Members

“…While the physical consequences of obesity are undeniable, recent literature indicates that the social and psychological consequences of obesity can be equally debilitating [10]. Over the past decade, a considerable body of literature has emerged demonstrating that stigma and stereotype towards obese people is widespread and can have a detrimental impact on many areas of life for affected individuals [11].…”

“…Over the past decade, a considerable body of literature has emerged demonstrating that stigma and stereotype towards obese people is widespread and can have a detrimental impact on many areas of life for affected individuals [11]. This review has identified that common obesity stereotypes categorize obesity as a disability stemming from the individual's lack of selfdiscipline and willpower [10].…”