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多学科生活方式干预对肥胖症患者生活质量心理和身体方面的影响:抑郁的中介作用

Effects of a multidisciplinary lifestyle intervention for obesity on mental and physical components of quality of life: the mediatory role of depression.

作者信息

Pazzagli Chiara, Mazzeschi Claudia, Laghezza Loredana, Reboldi Gian Paolo, De Feo Pierpaolo

机构信息

Department of Scienze Umane e della Formazione, University of Perugia, Italy.

出版信息

Psychol Rep. 2013 Feb;112(1):33-46. doi: 10.2466/06.13.15.PR0.112.1.33-46.

Abstract

The current study investigates the effects of a multidisciplinary lifestyle intervention for obesity on Health Related Quality of Life (HRQoL). In this study, 92 adults with obesity were weighed and completed the Short Form Health Survey (SF-36) and the Center for Epidemiologic Studies Depression Scale (CES-D) at the baseline and at the end of a 3-month intervention. Repeated measures analysis of variance (ANOVA), a series of hierarchical regressions, and the statistical mediation analysis of Baron and Kenny were conducted. (a) Over 3 months, changes in weight and the mental and physical scales of the SF-36 and depression were all significant. (b) The results indicate a significant mediation of changes in depression scores for the association between weight loss and enhancement on the General Health scale of the SF-36. Improvements to HRQoL from a multidisciplinary lifestyle intervention seem to affect both the physical and mental components of the SF-36 score and to reduce depression, contributing to enhanced self-perceptions of well-being.

摘要

本研究调查了针对肥胖的多学科生活方式干预对健康相关生活质量(HRQoL)的影响。在本研究中,92名肥胖成年人在基线时以及3个月干预结束时进行了称重,并完成了简短健康调查问卷(SF-36)和流行病学研究中心抑郁量表(CES-D)。进行了重复测量方差分析(ANOVA)、一系列层次回归分析以及Baron和Kenny的统计中介分析。(a)在3个月内,体重变化以及SF-36的心理和身体量表得分及抑郁程度均有显著变化。(b)结果表明,抑郁得分的变化对体重减轻与SF-36总体健康量表得分提高之间的关联具有显著中介作用。多学科生活方式干预对HRQoL的改善似乎影响了SF-36得分的身体和心理成分,并减轻了抑郁,有助于增强幸福感的自我认知。

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