EA 4072 - PSITEC - Psychologie: Interactions Temps Émotions Cognition, University Lille, F-59000, Lille, France.
Medical Research Department, Lille Catholic Hospitals, F-59000, Lille, France.
Curr Obes Rep. 2017 Dec;6(4):432-437. doi: 10.1007/s13679-017-0281-8.
Preservation of Quality of Life (QOL) is now a major determinant of obesity management, but little is known about variables predicting QOL. Identifying these predicting variables of QOL would provide further understanding of the QOL concept and help draw clinical implications. The Self-determination Theory (SDT) is a promising understanding perspective of the QOL.
The SDT postulates that well-being and motivation are determined by the satisfaction of three needs: autonomy, competence, and relatedness. Many researches have confirmed the relationships between these SDT's needs and well-being, but this theory has little been applied to the problem of QOL in obese children and adolescents. Literature results and theoretical implications of the SDT in understanding of QOL in youth obesity are discussed. New clinical applications could be drawn: in children with obesity, interventions promoting high satisfaction of the SDT's needs could improve their QOL and help them break the vicious circles of overweight.
目的综述：生活质量（QOL）的保持现在是肥胖管理的一个主要决定因素，但关于预测 QOL 的变量知之甚少。确定这些 QOL 的预测变量将进一步了解 QOL 概念，并有助于得出临床意义。自我决定理论（SDT）是理解 QOL 的一个很有前途的视角。
最近发现：SDT 假设幸福感和动机是由三种需求的满足决定的：自主性、能力和关联性。许多研究已经证实了这些 SDT 需求与幸福感之间的关系，但这一理论很少应用于肥胖儿童和青少年的 QOL 问题。本文讨论了 SDT 在理解青少年肥胖 QOL 中的文献结果和理论意义。可以得出新的临床应用：在肥胖儿童中，促进 SDT 需求高度满足的干预措施可以提高他们的 QOL，并帮助他们打破超重的恶性循环。
