Sport Research Center, Miguel Hernández University of Elche, Elche, Spain.
School of Education and Lifelong Learning, University of East Anglia, Norwich, UK.
Stress Health. 2018 Oct;34(4):509-522. doi: 10.1002/smi.2811. Epub 2018 May 23.
Guided by self-determination theory, the purpose of this study was to gain an understanding of the previous experiences of living with morbid obesity of 10 postbariatric patients enrolled in a physical activity programme. Qualitative data were collected through interviews and diarized observations. A thematic analysis revealed that participants suffered from health and mobility troubles in their daily life and experienced stigmatization and discrimination in most areas of their social functioning. Participants described how these experiences resulted in the thwarting of their basic psychological needs for autonomy, competence and relatedness. In turn, psychological need frustration contributed to negative consequences such as body image concerns, low self-esteem, anxiety and depression; controlled regulation of their eating behaviour and extrinsic goals; rigid behaviours such as avoiding social situations; and compensatory and self-defeating behaviours such as giving up diet and physical activity regimens and binge eating (i.e., oppositional defiance). This study highlights how living with morbid obesity can impair optimal functioning and well-being via experiences of psychological need frustration.
本研究以自我决定理论为指导，旨在了解 10 名参加身体活动计划的病态肥胖患者的既往生活经历。通过访谈和日记观察收集定性数据。主题分析显示，参与者在日常生活中患有健康和行动障碍，并在其社会功能的大多数领域经历污名化和歧视。参与者描述了这些经历如何导致他们的自主、能力和相关的基本心理需求受挫。反过来，心理需求受挫导致了负面后果，如身体形象问题、低自尊、焦虑和抑郁；对饮食行为和外在目标的控制调节；回避社交场合等刻板行为；以及补偿和自毁行为，如放弃饮食和体育活动计划和暴食（即，对立违抗性障碍）。本研究强调了病态肥胖如何通过心理需求受挫的经历损害最佳功能和幸福感。
