肥胖与抑郁、焦虑和压力症状之间关联的心理调节因素
Psychological Mediators of the Association between Obesity and Symptoms of Depression, Anxiety, and Stress.
作者信息
Henriques Joana, Afreixo Vera, Unterrainer Human, Senra Hugo
机构信息
Private Practice, Coimbra, Portugal.
Center for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics, University of Aveiro, Aveiro, Portugal.
出版信息
Neuropsychobiology. 2025;84(1):26-37. doi: 10.1159/000542767. Epub 2024 Nov 25.
INTRODUCTION
There is still paucity of knowledge about which factors can mediate the link between obesity and mental health problems. This study aimed to investigate psychological mediators of the association between different weight profiles (healthy, overweight, and obesity) and symptoms of depression, anxiety, and stress.
METHODS
A sample of 407 adults (≥18 years old) with different weight profiles recruited from general population was assessed for symptoms of depression, anxiety, and stress, and dimensions of emotion regulation and body investment/body image. Robust regression and robust mediation analyses were employed to investigate predictors and mediators of mental health outcomes in relation to different weight profiles.
RESULTS
Body investment difficulties in relation to body image and body care, and emotion regulation difficulties related to a tendency towards negative secondary responses to negative emotions, and/or denial of distress, significantly mediated the association between obesity and symptoms of depression. The association between obesity and symptoms of anxiety and stress was significantly mediated by body investment difficulties related to body image concerns.
CONCLUSIONS
The current study brings evidence on specific dimensions of emotion regulation and body image that play a key role for the co-occurrence of mental health problems in individuals with obesity.
INTRODUCTION
There is still paucity of knowledge about which factors can mediate the link between obesity and mental health problems. This study aimed to investigate psychological mediators of the association between different weight profiles (healthy, overweight, and obesity) and symptoms of depression, anxiety, and stress.
METHODS
A sample of 407 adults (≥18 years old) with different weight profiles recruited from general population was assessed for symptoms of depression, anxiety, and stress, and dimensions of emotion regulation and body investment/body image. Robust regression and robust mediation analyses were employed to investigate predictors and mediators of mental health outcomes in relation to different weight profiles.
RESULTS
Body investment difficulties in relation to body image and body care, and emotion regulation difficulties related to a tendency towards negative secondary responses to negative emotions, and/or denial of distress, significantly mediated the association between obesity and symptoms of depression. The association between obesity and symptoms of anxiety and stress was significantly mediated by body investment difficulties related to body image concerns.
CONCLUSIONS
The current study brings evidence on specific dimensions of emotion regulation and body image that play a key role for the co-occurrence of mental health problems in individuals with obesity.
引言
关于哪些因素能够介导肥胖与心理健康问题之间的联系，目前仍缺乏相关知识。本研究旨在调查不同体重状况（健康、超重和肥胖）与抑郁、焦虑和压力症状之间关联的心理介导因素。
方法
从普通人群中招募了407名不同体重状况的成年人（≥18岁），对其抑郁、焦虑和压力症状以及情绪调节和身体投入/身体意象维度进行评估。采用稳健回归和稳健中介分析来研究与不同体重状况相关的心理健康结果的预测因素和中介因素。
结果
与身体意象和身体护理相关的身体投入困难，以及与对负面情绪的负面二级反应倾向和/或否认痛苦相关的情绪调节困难，显著介导了肥胖与抑郁症状之间的关联。肥胖与焦虑和压力症状之间的关联显著由与身体意象担忧相关的身体投入困难介导。
结论
本研究为情绪调节和身体意象的特定维度提供了证据，这些维度在肥胖个体心理健康问题的共现中起着关键作用。
引言
关于哪些因素能够介导肥胖与心理健康问题之间的联系，目前仍缺乏相关知识。本研究旨在调查不同体重状况（健康、超重和肥胖）与抑郁、焦虑和压力症状之间关联的心理介导因素。
方法
从普通人群中招募了407名不同体重状况的成年人（≥18岁），对其抑郁、焦虑和压力症状以及情绪调节和身体投入/身体意象维度进行评估。采用稳健回归和稳健中介分析来研究与不同体重状况相关的心理健康结果的预测因素和中介因素。
结果
与身体意象和身体护理相关的身体投入困难，以及与对负面情绪的负面二级反应倾向和/或否认痛苦相关的情绪调节困难，显著介导了肥胖与抑郁症状之间的关联。肥胖与焦虑和压力症状之间的关联显著由与身体意象担忧相关的身体投入困难介导。
结论
本研究为情绪调节和身体意象的特定维度提供了证据，这些维度在肥胖个体心理健康问题的共现中起着关键作用。
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