Efficacy of the SF-36 Questionnaire in Identifying Obese Patients with Psychological Discomfort

Callegari, Aliria; Michelini, Ilaria; Sguazzin, Cinzia; Catona, A; Klersy, Catherine

doi:10.1381/0960892053268255

Cited by 32 publications

(19 citation statements)

References 15 publications

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“…For this reason, a meta-analysis that may help to have a clearer picture of this topic is needed. Specifically, we will focus on the impact of obesity in mental health, measured with the SF-36 in adult populations for men and women (Callegari et al 2005).…”

Section: Obesitymentioning

confidence: 99%

Mental Health and Obesity: A Meta-Analysis

Magallares

Pais-Ribeiro

2013

Applied Research Quality Life

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The relationship between obesity and psychological distress is not clear because research conducted so far is not conclusive, with some studies finding that obese people report less mental health than normal-weight individuals, whilst others find that obesity may work as a protective factor that prevents people with weight problems from developing mental health issues. In this meta-analysis we review research that compares the mental health (measured with SF-36) of class I obese people (Body Mass Index between 30 and 34.99) with normal weight people (Body Mass Index between 18 and 24.99) in non-clinical adult populations. The metaanalysis conducted assumed a random-effects model and a weighted mean effect size was calculated (d), together with its statistical significance and confidence interval. Results reveal that obese women report less mental health than normal weight females (d=−.26) but that obese men show more mental health than normal weight individuals (d=.62). The results give support to the so-called "Jolly Fat" hypothesis.Keywords Obesity . Mental health . SF-36 . "Jolly Fat" hypothesisThe association between obesity in adults and mental health has been an issue of controversy for decades and the nature of the relationship between excessive weight and psychological distress continues to be debated by researchers and clinicians alike.Applied Research Quality Life

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Section: Obesitymentioning

confidence: 99%

Mental Health and Obesity: A Meta-Analysis

Magallares

Pais-Ribeiro

2013

Applied Research Quality Life

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“…38 Our results are partly in contrast with a previous survey in a small sample of obese patients undergoing bariatric surgery, where mental disorders appeared to affect psychosocial, but not physical, domains of SF-36. 39 However, the different sample size or type of referral could also account for this apparent discrepancy. Furthermore, the use of specific instruments for measuring psychological distress make our results more reliable than those obtained using only the formal diagnosis of mental disorders in previous studies.…”

Section: Metabolic and Psychological Correlate Of Hrql F Corica Et Almentioning

confidence: 99%

Metabolic syndrome, psychological status and quality of life in obesity: the QUOVADIS Study

et al. 2007

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Objective: We aimed to investigate the association of the clinical variables of the metabolic syndrome (MS) and psychological parameters on health-related quality of life (HRQL) in obesity. In particular, our aim was to investigate the relative impact of physical symptoms, somatic diseases and psychological distress on both the physical and the mental domains of HRQL. Design: Cross-sectional study. Subjects: A cohort of 1822 obese outpatients seeking treatment in medical centers. Measurements: HRQL was measured by the standardized summary scores for physical (PCS) and mental (MCS) components of the Short Form 36 Health Survey (SF-36). Patients were grouped according to tertiles of PCS and MCS. Metabolic and psychological profiles of PCS and MCS tertiles were compared by discriminant analysis. Results: The profile of metabolic and psychological variables was tertile-specific in 62.4 and 68.3% of patients in the lowest and highest tertiles of PCS, respectively, while concordance was low in the mid-tertile (32.8%). Concordance was very high in the lowest (74.4%) and in the highest (75.5%) tertiles of MCS, and was fair in the mid-tertile (53.2%). The main correlates of PCS were obesity-specific and general psychological well-being, BMI, body uneasiness, binge eating, gender and psychiatric distress. Only hypertension and hyperglycemia qualified as correlates among the components of MS. The components of MS did not define MCS. Conclusions: Psychological well-being is the most important correlate of HRQL in obesity, both in the physical and in the mental domains, whereas the features of MS correlate only to some extent with the physical domain of HRQL.

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“…Therefore, success following bariatric surgery should not only reflect weight loss and improvement or cure of pre-existing comorbidity, but also improvements in QoL [5]. In addition, frequent evaluation of QoL may be important to identify patients who need specific interventions in order to increase the benefits from surgery [6]. Treatment recommendations may include interventions that target on functional abilities, such as physical and psychological therapy, and vocational rehabilitation [1].…”

Section: Introductionmentioning

confidence: 99%