Yazdani Negar, Hosseini Sayed Vahid, Amini Masood, Sobhani Zahra, Sharif Farkhondeh, Khazraei Hajar
Department of Community Health of Nursing, School of Nursing, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Surgery, School of Medicine, Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2018 Apr;6(2):175-184.
Morbid obesity is rising around the world. It can cause unpleasant appearance and body image. Most of the studies have aimed to evaluate the psychopathology of overweight and obesity and paying attention to mental well-being in morbid obese individuals is rare. Therefore, this study aimed to assess the relationship between body image and psychological well-being in morbid obese patients.
This cross-sectional study, using simple random sampling method, was done on 124 morbid obese patients who referred to obesity clinic in Shiraz from 2016 to 2017. The data were collected by body image index and psychological well-being questionnaire. Results were analyzed using descriptive statistics, Pearson correlation coefficient test, ANOVA, and Regression analysis.
The results showed a significant relationship between body image and psychological well-being (r=0.43) (P<0.001), and between the total score of the body image and all the subscales of psychological well-being except autonomy and purpose in life (P<0.05). There was also a significant relationship between the total score of psychological well-being and all the subscales of body image (P<0.05). However, there was no significant difference between the mean scores of the body image and those of psychological well-being in different categories of body mass index (BMI) (P>0.05).
Final results indicated that body image defects caused by obesity could lie in negative psychological well-being in all aspects. This study can promote health clinicians' knowledge in supporting of mental status of obese individuals. It is suggested that preventing and supporting intervention should be performed as effective methods for encountering and coping with psychological effects of obesity.
全球范围内病态肥胖现象正在增加。它会导致外貌不佳和身体形象问题。大多数研究旨在评估超重和肥胖的心理病理学，而关注病态肥胖个体的心理健康则较为罕见。因此，本研究旨在评估病态肥胖患者身体形象与心理健康之间的关系。
本横断面研究采用简单随机抽样方法，对2016年至2017年转诊至设拉子肥胖诊所的124例病态肥胖患者进行了研究。通过身体形象指数和心理健康问卷收集数据。结果采用描述性统计、Pearson相关系数检验、方差分析和回归分析进行分析。
结果显示身体形象与心理健康之间存在显著关系（r=0.43）（P<0.001），身体形象总分与心理健康除自主性和生活目标外的所有子量表之间也存在显著关系（P<0.05）。心理健康总分与身体形象的所有子量表之间也存在显著关系（P<0.05）。然而，不同体重指数（BMI）类别中身体形象的平均得分与心理健康的平均得分之间没有显著差异（P>0.05）。
最终结果表明，肥胖导致的身体形象缺陷可能在各个方面导致负面心理健康。本研究可以增进健康临床医生对支持肥胖个体心理状态的认识。建议将预防和支持性干预作为应对肥胖心理影响的有效方法来实施。
