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首页> 美国卫生研究院文献>Health Psychology Research >Do Psychological Factors Help to Reduce Body Mass in Obesity or is it Vice Versa? Selected Psychological Aspects and Effectiveness of the Weight-Loss Program in the Obese Patients
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Do Psychological Factors Help to Reduce Body Mass in Obesity or is it Vice Versa? Selected Psychological Aspects and Effectiveness of the Weight-Loss Program in the Obese Patients

机译：心理因素是否有助于减少肥胖症的体重？肥胖患者减重计划的某些心理因素和有效性

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The aim of this study was to assess the strength and direction of the correlation between cognitive appraisal, emotional state, social functioning and the effectiveness of a weight-loss program undertaken by obese subjects. The out-patient weight-loss program encompassed 150 obese women. Assessments were carried out at four time points: at the start of the weight-loss program and then after a 5%, 10% and a 15% reduction of the initial body mass. The research tools used were: a survey, the Situation Appraisal Questionnaire (SAQ), the Emotional State Questionnaire (ESQ), and the Q-Sort Social Functioning Questionnaire. The cognitive appraisal, emotional state and social functioning of the study group changed significantly (P<0.001). Significantly more individuals with a 15% body mass reduction, as compared with individuals with no body mass reduction, had an early obesity onset, i.e. at the age of <10 years old (P<0.001). Significantly more individuals with no body mass reduction, compared with individuals with a 15% reduction, had a later obesity onset, i.e. between the ages of 20 and 30 (P<0.001) and between 50 and 60 (P<0.001). Significantly more individuals with a 15% body mass reduction, compared with individuals with no mass reduction, had previously experienced the jojo effect (P<0.001) and had successfully lost weight (P<0.001). Significantly more individuals with no body mass reduction, compared with individuals with a15% reduction, had a history of unsuccessful attempts at reducing body mass (P<0.001). We conclude that the attitude of obese patients towards a weight-loss program is not a deciding factor for its effectiveness. As body mass reduces, the attitude improves.
机译：本研究的目的是评估肥胖受试者进行的认知评估，情绪状态，社会功能与减肥计划的有效性之间的相关性和方向。门诊减肥计划包括150名肥胖妇女。在四个时间点进行评估：在减肥计划开始时，然后在初始体重减少5％，10％和15％之后。使用的研究工具包括：调查，情况评估问卷（SAQ），情绪状态问卷（ESQ）和Q-Sort社会功能问卷。研究组的认知评估，情绪状态和社会功能发生了显着变化（P <0.001）。与未降低体重的个体相比，降低体重15％的个体明显多于肥胖的早期发作，即年龄<10岁（P <0.001）。与体重减轻15％的个体相比，没有体重减轻的个体明显多于肥胖发作的后期，即在20至30岁之间（P <0.001）和50至60岁之间（P <0.001）。与未减少体重的个体相比，体重减少15％的个体明显更多，以前曾经历过jojo效应（P <0.001）并且成功减肥（P <0.001）。与减少体重15％的个体相比，没有减少体重的个体明显多于减少体重的尝试失败的历史（P <0.001）。我们得出结论，肥胖患者对减肥计划的态度并不是决定其有效性的决定性因素。随着体重的减少，态度会改善。

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