Canetti Laura, Berry Elliot M, Elizur Yoel
Department of Psychiatry, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Int J Eat Disord. 2009 Mar;42(2):109-17. doi: 10.1002/eat.20592.
To examine a structural equation model of the effects of personal and interpersonal factors on treatment outcome of bariatric surgery and weight-loss program.
Forty-four participants of the surgery group and 47 participants of the diet group completed questionnaires before treatment and 1 year afterward. Predictor measures are as follows: social support, motivation for control, sense of control, self-esteem, neuroticism, fear of intimacy, and emotional eating (EE).
Weight loss, quality of life, and mental health.
Neurotic predisposition (NP), a latent variable indicated by neuroticism, low self-esteem, and fear of intimacy, had an effect on weight loss that was fully mediated by EE. NP also had an effect on quality of life improvement that was fully mediated by EE and weight loss in both treatment groups.
Both NP and EE predict outcome of obesity treatments, but EE is the more proximal variable that mediates the effect of NP.
检验一个关于个人因素和人际因素对减肥手术及减肥计划治疗效果影响的结构方程模型。
手术组的44名参与者和饮食组的47名参与者在治疗前及治疗1年后完成问卷调查。预测指标如下:社会支持、控制动机、控制感、自尊、神经质、对亲密关系的恐惧以及情绪化进食(EE)。
体重减轻、生活质量和心理健康。
神经质倾向(NP),一个由神经质、低自尊和对亲密关系的恐惧所表明的潜在变量,对体重减轻有影响,且这种影响完全由情绪化进食(EE)介导。在两个治疗组中,NP对生活质量改善也有影响,且这种影响完全由情绪化进食(EE)和体重减轻介导。
神经质倾向(NP)和情绪化进食(EE)都能预测肥胖治疗的效果,但情绪化进食(EE)是介导神经质倾向(NP)影响的更直接的变量。