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寻求治疗的超重和肥胖成年人的心理特征：一种聚类分析方法。

Psychological Profiles of Treatment-Seeking Adults with Overweight and Obesity: A Cluster Analysis Approach.

作者信息

Plasonja Natalija, Brytek-Matera Anna, Décamps Greg

机构信息

Department of Human Sciences, Faculty of Psychology, Université de Bordeaux, LabPsy, EA 4139, F-33000 Bordeaux, France.

Institute of Psychology, University of Wroclaw, 50-527 Wroclaw, Poland.

出版信息

J Clin Med. 2022 Mar 31;11(7):1952. doi: 10.3390/jcm11071952.

DOI:10.3390/jcm11071952
PMID:35407559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8999798/
Abstract

BACKGROUND

Overweight and obesity are associated with depression and well-being. Some psychological characteristics play a role in explaining well-being and depression in obesity and in identifying specific patient profiles. However, subtyping individuals with overweight/obesity based on variables like self-esteem or stress has not often been done. Therefore, our objective was to explore the psychological profiles of treatment-seeking individuals overweight or with obesity and to compare their depression and well-being.

METHODS

Data regarding eating self-efficacy, well-being, depression, physical hunger, self-esteem, body satisfaction and perceived stress in individuals with overweight/obesity were collected from the ESTEAM cohort. Hierarchical cluster analysis and mean comparisons were performed on female ( = 1427) and male samples ( = 310).

RESULTS

Three psychological profiles were identified in both samples. The "High psychological concerns" profile and the "Low psychological concerns" profile were identical in both samples. The third profile, "Bodily concerns", differed by sex and was characterized by appearance dissatisfaction for women and by appearance and eating concerns for men. The "Low psychological concerns" profile presented the highest well-being and the lowest depression scores in both samples.

DISCUSSION

The findings support the hypothesis of the heterogeneity of individuals with overweight and obesity and suggest sex-related therapeutic approaches.

摘要

背景

超重和肥胖与抑郁及幸福感相关。一些心理特征在解释肥胖人群的幸福感和抑郁情况以及识别特定患者类型方面发挥着作用。然而，基于自尊或压力等变量对超重/肥胖个体进行亚型分类的情况并不常见。因此，我们的目标是探究寻求治疗的超重或肥胖个体的心理特征，并比较他们的抑郁和幸福感。

方法

从ESTEAM队列中收集了超重/肥胖个体在饮食自我效能、幸福感、抑郁、身体饥饿感、自尊、身体满意度和感知压力方面的数据。对女性样本（n = 1427）和男性样本（n = 310）进行了层次聚类分析和均值比较。

结果

在两个样本中均识别出三种心理特征类型。“高心理关注度”类型和“低心理关注度”类型在两个样本中是相同的。第三种类型“身体关注度”因性别而异，女性的特点是对外表不满，男性的特点是对外表和饮食方面的关注。“低心理关注度”类型在两个样本中均呈现出最高的幸福感和最低的抑郁得分。

讨论

研究结果支持超重和肥胖个体存在异质性的假设，并提示了与性别相关的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507d/8999798/e3c49b6dd83a/jcm-11-01952-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507d/8999798/6a47dc1fc37a/jcm-11-01952-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507d/8999798/e3c49b6dd83a/jcm-11-01952-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507d/8999798/6a47dc1fc37a/jcm-11-01952-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507d/8999798/e3c49b6dd83a/jcm-11-01952-g002.jpg

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