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超重与孤独?肥胖人群孤独感的代表性研究及其决定因素。

Overweight and Lonely? A Representative Study on Loneliness in Obese People and Its Determinants.

机构信息

Integrated Research and Treatment Center (IFB) Adiposity Diseases, University Hospital Leipzig, Leipzig, Germany,

SRH University of Applied Health Sciences, Gera, Germany,

出版信息

Obes Facts. 2019;12(4):440-447. doi: 10.1159/000500095. Epub 2019 Jul 17.

DOI:10.1159/000500095
PMID:31315116
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6758716/
Abstract

Obesity is associated with physical and medical restrictions and comorbidities, but it also entails psychosocial effects such as social isolation and feelings of rejection. The aim of this study was to investigate the link between loneliness and weight stigma in a large sample of obese individuals. Results were derived from a large representative sample (n = 1,000). The survey included the 3-item version of the UCLA loneliness scale, the Patient Health Questionnaire (PHQ-9) as well as the Weight Bias Internalization scale (WBIS). The mean UCLA score was 1.943 (SD = 0.771). Respondents with higher levels of depression (B = 0.176), higher internalized weight bias (B = 0.435), and the experience of discrimination (B = 0.286) reported higher levels of loneliness. Future studies should investigate the mediation pathways between obesity, loneliness, and its determinants to provide a framework for successful interventions as part of obesity management programs.

摘要

肥胖与身体和医疗限制以及合并症有关,但它也会带来社会隔离和被拒绝感等心理社会影响。本研究旨在调查大量肥胖个体中孤独感与体重歧视之间的联系。研究结果来自于一个大型代表性样本(n = 1,000)。该调查包括 UCLA 孤独感量表的 3 项版本、患者健康问卷 (PHQ-9) 和体重偏见内化量表 (WBIS)。UCLA 的平均得分为 1.943(SD = 0.771)。抑郁程度较高的受访者(B = 0.176)、内化的体重偏见程度较高的受访者(B = 0.435)和经历过歧视的受访者(B = 0.286)报告的孤独感水平更高。未来的研究应该调查肥胖、孤独感及其决定因素之间的中介途径,为肥胖管理计划的成功干预提供框架。

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本文引用的文献

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Elucidating the genetic basis of social interaction and isolation.阐明社会互动和隔离的遗传基础。
Nat Commun. 2018 Jul 3;9(1):2457. doi: 10.1038/s41467-018-04930-1.
2
Association of loneliness with all-cause mortality: A meta-analysis.孤独与全因死亡率的关联:一项荟萃分析。
PLoS One. 2018 Jan 4;13(1):e0190033. doi: 10.1371/journal.pone.0190033. eCollection 2018.
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Loneliness and acute stress reactivity: A systematic review of psychophysiological studies.孤独感与急性应激反应:心理生理学研究的系统综述。
Psychophysiology. 2018 May;55(5):e13031. doi: 10.1111/psyp.13031. Epub 2017 Nov 20.
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Internalizing Weight Stigma: Prevalence and Sociodemographic Considerations in US Adults.内化体重歧视:美国成年人中的患病率及社会人口学因素考量
Obesity (Silver Spring). 2018 Jan;26(1):167-175. doi: 10.1002/oby.22029. Epub 2017 Oct 30.
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Morbidity and mortality associated with obesity.与肥胖相关的发病率和死亡率。
Ann Transl Med. 2017 Apr;5(7):161. doi: 10.21037/atm.2017.03.107.
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Obesity and the Social Withdrawal Syndrome.肥胖与社交退缩综合征
Eat Behav. 2017 Aug;26:167-170. doi: 10.1016/j.eatbeh.2017.03.006. Epub 2017 Apr 4.
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Age differences in loneliness from late adolescence to oldest old age.从青少年晚期到高龄老年人阶段孤独感的年龄差异。
Dev Psychol. 2016 Jun;52(6):943-59. doi: 10.1037/dev0000117. Epub 2016 May 5.
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