Skip to main content
Article thumbnail
Location of Repository

Self-reported psychosocial health in obese patients before and after weight loss

By G. Osei-Assibey, Ioannis Kyrou, Sudhesh Kumar, Ponnusamy Saravanan and Krystyna Matyka


Psychosocial profiles were examined in 255 morbidly obese patients attending a hospital service offering access to standard weight loss therapies. 129 patients were reassessed after at least 6-month follow-up. At baseline, 51.8% and 32.7% of patients, respectively, had evidence of anxiety and depressive disorders, 24% had severe impairments in self esteem, and 29.7% had an increased risk of eating disorders. At follow-up, weight loss from baseline was significant in all 3 therapies: diet only is 0.74±1.8 kg; pharmacotherapy is 6.7±4.2 kg; and surgery is 20.1±13.6 kg. Anxiety scores improved in all three groups (P<.05). Patients having pharmacotherapy or surgery had significant improvements in physical and work function and public distress compared to those having dietary treatment only (P<.05). Our observational data suggest that weight management services can lead to psychosocial benefit in morbidly obese patients. Well-designed studies are necessary to examine the link between weight loss and emotional health

Topics: R1
Publisher: Hindawi Publishing Corporation
Year: 2010
OAI identifier:

Suggested articles


  1. (2001). Development of a brief measure to assess quality of life in obesity,” doi
  2. (2002). Healthrelated quality of life varies among obese subgroups,” doi
  3. (2004). Gender, race, and obesity-related quality of life at extreme levels of obesity,” doi
  4. (2001). W a d d e n ,D .B .S a r w e r doi
  5. (2005). Restrained eating behavior and obesity,”
  6. (2006). Psychiatric co-morbidities in patients attending specialist obesity services in doi
  7. (1989). J.SobalandA.J.Stunkard,“Socioeconomicstatusandobesity: a review of the literature,”
  8. (1967). A study of social stereotype of body image in children,” doi
  9. (1993). G o r t m a k e r ,A .M u s t ,J .M .P e r r i n ,A .M .S o b o l ,a n dW . H.Dietz,“Social andeconomicconsequences ofoverweight in adolescence and young adulthood,” The New England
  10. (1990). F ri e z e ,J .E .O l s o n ,a n dD .C .G o o d ,“ P e r c e i v e da n da c t u a l discrimination in the salaries of male and female managers,”
  11. (1994). Bias against overweight job applicants in a simulated employment interview,” doi
  12. (2002). Psychosocial consequences of obesity and weight loss,” in Handbook of Obesity Treatment,T .A .W a d d e na n dA .
  13. (1998). Swedish obese subjects (SOS)—an intervention study of obesity. Two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity,” doi
  14. (2001). The relationship between health-related quality of life and weight loss,” doi
  15. (2002). Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-Lite) in a community sample,” doi
  16. (2002). Changes in comorbidities and improvements in quality of life after LAP-BAND placement,” doi
  17. (2004). Quality of life of obese patients submitted to bariatric surgery,”
  18. (2005). Effects of the cannabinoid-1 receptor blocker rimonabant on weight reduction and cardiovascular risk factors in overweight patients: 1-year experience from the RIO-Europe study,” doi
  19. (2003). Impact of weight loss and regain on quality of life: mirror image or differential effect?” doi
  20. (2002). Binge-eating disorder and the night-eating syndrome,” doi
  21. (2005). Psychobehavioral and nutritional predictors of weight loss in obese women treatedwithsibutramine,”InternationalJournalofObesity,vol. doi
  22. (2004). T e i x e i r a ,S .B .G o i n g ,L .B .H o u t k o o p e r ,e ta l . ,“ P r e t r e a t -ment predictors of attrition and successful weight management in women,”
  23. Binge eating disorder, weight control self-efficacy, and depression in overweight men and women,” doi
  24. (2003). The hospital anxiety and depression scale,” doi
  25. The eating attitudes test: psychometric features and clinical correlates,” doi
  26. (2006). The EAT-26 as screening instrument for clinical nutrition unit attenders,” doi
  27. The ethnic composition of Coventry,” National Ethnic Minority Data Archive Information Paper 95/2,
  28. (1995). Confiding in crisis: gender differences in pattern of confiding among cancer patients,” doi
  29. (2000). Cancer patients’ information needs and information seeking behavior: in depth interview study,” doi
  30. (2000). Br´ azdov´ a, “A comparison between the lifestyles of men and women—parents of school age children,”
  31. World Health Organisation Consultation on Obesity, “Preventing and managing the global Epidemic. Report of a WHO consultation,”WHOTechnicalReportSeries894,WHO,2000. doi
  32. (2008). ConsumerHealth InformationNetwork,“Anxiety andanxiety disorders for women,”
  33. (1977). Sex differences and the epidemiology of depression,” doi
  34. (2004). Prevalence of major depression and stress indicators in the Danish general population,”ActaPsychiatricaScandinavica,vol.109,no.2,pp. 96–103, doi
  35. (2002). Comparison of self-esteem, body satisfaction, and social physique anxiety across males of different exercise frequency and racial back-ground,”
  36. (1999). Gender differences in physical self-perception of global self-esteem, andphysicalactivity:evaluationofthephysicalself-perception profile model,”
  37. (2002). Body image dissatisfaction: gender differences in eating attitudes, self-esteem, and reasons for exercise,” doi
  38. (1999). Sex differences in the links between attractiveness, self-esteem and the body,” doi
  39. (1999). Gender differences and self-esteem,”
  40. (2002). Prevalence and risk and protective factors related to disordered eating behaviors among adolescents: relationship to gender and ethnicity,” doi
  41. (2003). a, “Has the adolescents’ weight concern increased over 20 years?” doi
  42. (1999). More males seek treatment for eating disorders,” doi
  43. (2004). Gender differences in compensatory behaviors, weight and shape salience, and drive for thinness,” doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.