Zhu Boheng, Gostoli Sara, Benasi Giada, Patierno Chiara, Petroni Maria Letizia, Nuccitelli Chiara, Marchesini Giulio, Fava Giovanni Andrea, Rafanelli Chiara
Department of Psychology "Renzo Canestrari", University of Bologna, Italy.
Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China.
Int J Clin Health Psychol. 2022 Jan-Apr;22(1):100279. doi: 10.1016/j.ijchp.2021.100279. Epub 2021 Nov 18.
BACKGROUND/OBJECTIVE: Although the literature suggested that impaired psychological well-being (PWB) is associated with obesity, evidence on the role of PWB in weight outcomes is limited and inconclusive. This research aimed to investigate the joint role of PWB in achieving clinically significant weight loss (CWL; loss of 5% of the initial weight) through a comprehensive lifestyle intervention for obesity using a broad-based evaluation.
This study is a prospective cohort of 96 patients with obesity attending a comprehensive lifestyle intervention for weight loss. Data on weight, lifestyle, PWB, and distress, were collected before and after the intervention.
30.5% of the participants achieved CWL at the end of treatment. A more pronounced increase in autonomy (odds ratio = 0.80 [95% : 0.68, 0.93], ≤ .01) and somatization (odds ratio = 0.83 [95% : 0.70, 0.98], ≤ .05) from pre- to post-treatment were independently associated with a lower probability of CWL.
Unbalanced dimensions of PWB, in particular exceedingly high autonomy, may contribute to a poor weight loss outcome. This study paves the way for the addition of psychotherapeutic strategies geared to euthymia in comprehensive lifestyle intervention.
背景/目的：尽管文献表明心理健康受损与肥胖有关，但关于心理健康在体重结果中的作用的证据有限且尚无定论。本研究旨在通过一项基于广泛评估的肥胖综合生活方式干预措施，调查心理健康在实现具有临床意义的体重减轻（CWL；初始体重减轻5%）中的联合作用。
本研究是一项前瞻性队列研究，对96名参加肥胖综合生活方式减肥干预的患者进行了研究。在干预前后收集了体重、生活方式、心理健康和痛苦方面的数据。
30.5%的参与者在治疗结束时实现了CWL。从治疗前到治疗后，自主性（优势比=0.80[95%：0.68，0.93]，P≤0.01）和躯体化（优势比=0.83[95%：0.70，0.98]，P≤0.05）的更显著增加与CWL的较低概率独立相关。
心理健康的不平衡维度，特别是极高的自主性，可能导致体重减轻效果不佳。本研究为在综合生活方式干预中增加针对心境正常的心理治疗策略铺平了道路。
