Henning Carmen, Schroeder Stefanie, Steins-Loeber Sabine, Wolstein Joerg
Department of Pathopsychology, University of Bamberg, Bamberg, Germany.
Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany.
Front Nutr. 2022 Feb 8;9:799831. doi: 10.3389/fnut.2022.799831. eCollection 2022.
Current treatments of obesity often fail to consider gender and psychological aspects, which are essential for weight loss and weight maintenance. The aim of our study was to analyze subjective illness representations (SIRs) of adults with obesity according to the Common-Sense Self-Regulation Model (CSM) by assessing their associations with weight-related variables and gender.
Data was collected via online self-assessment between April 2017 and March 2018. SIRs were operationalized by the revised Illness Perception Questionnaire (IPQ-R) and illness outcomes according to the CSM were defined as BMI, eating behaviour, physical wellbeing, bodyweight satisfaction, and shape concerns. The sample consisted of 427 adults ( = 42.2 years, = 10.9; 82% female) with obesity (BMI: = 42.3 kg/m, = 9.0). Student's tests and multiple hierarchical regression analyses were conducted with the control variables (age and BMI) and subjective illness representations and gender as independent variables.
The explanation of outcome variances was moderate to high (21-43%) except for restraint eating behaviour (10%). Subjective illness representations showed several significant associations with weight-related variables, especially timeline and emotional representations. Female gender was significantly associated with more restraint eating behaviour [ = 4.19, < 0.001] and females had unfavourable values of the weight-related variables as well as a more cyclic [ = 3.68, < 0.001], and more emotional representation [ = 5.17, < 0.001] of their obesity.
The results of this study indicate that gender and subjective illness representations, especially the emotional representation, play an important role for weight-related variables. Therefore, the assessment of SIRs may constitute an economic tool to identify specific individual deficits of self-regulation.
当前肥胖症的治疗往往未能考虑到性别和心理因素，而这些因素对于体重减轻和维持体重至关重要。我们研究的目的是根据常识自我调节模型（CSM）分析肥胖成年人的主观疾病表征（SIRs），评估它们与体重相关变量及性别的关联。
2017年4月至2018年3月期间通过在线自我评估收集数据。SIRs通过修订后的疾病认知问卷（IPQ-R）进行操作化，根据CSM的疾病结果定义为体重指数（BMI）、饮食行为、身体健康、体重满意度和体型担忧。样本包括427名肥胖成年人（平均年龄=42.2岁，标准差=10.9；82%为女性）（BMI：平均值=42.3kg/m²，标准差=9.0）。以控制变量（年龄和BMI）、主观疾病表征和性别作为自变量进行了学生t检验和多重层次回归分析。
除了克制饮食行为（10%）外，结果变量方差的解释率为中等至高（21%-43%）。主观疾病表征与体重相关变量显示出若干显著关联，尤其是时间线和情感表征。女性性别与更多的克制饮食行为显著相关[β=4.19，p<0.001]，女性在体重相关变量方面具有不利值，并且对其肥胖症有更循环性的[β=3.68，p<0.001]和更情绪化的表征[β=5.17，p<0.001]。
本研究结果表明，性别和主观疾病表征，尤其是情感表征，在体重相关变量中起重要作用。因此，SIRs的评估可能构成一种经济的工具，用于识别自我调节的特定个体缺陷。
