Overt and subtle discrimination, subjective well-being and physical health-related quality of life in an obese sample

  1. Magallares Sanjuán, Alejandro
  2. Benito de Valle Galindo, Pilar
  3. Irles-Rocamora, José-Antonio
  4. Jáuregui Lobera, Ignacio
Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Ano de publicación: 2014

Volume: 17

Páxinas: 1-8

Tipo: Artigo

DOI: 10.1017/SJP.2014.64 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: The Spanish Journal of Psychology

Obxectivos de Desenvolvemento Sustentable

Resumo

Obesity represents a serious health issue affecting millions of people in Western industrialized countries. The severity of the medical problems it causes is paralleled by the fact that obesity has become a social stigma that affects the psychological health-related quality of life of individuals with weight problems. Our study, with 111 obese patients of a Spanish hospital, focused specifically on how overt and subtle discrimination is related to subjective well-being (affect balance and life satisfaction) and physical health-related quality of life. It was shown that overt (r = �.28, p < .01 with affect balance; r = �.26, p < .01 with life satisfaction) and subtle discrimination (r = �.28, p < .01 with affect balance; r = �.27, p < .01 with life satisfaction) were negatively linked with subjective well-being, and that there was a negative correlation between overt discrimination and physical health-related quality of life (r = �.26, p < .01). Additionally, it was found that overt discrimination was a mediator variable in the relationship between physical health-related quality of life and subjective well-being using the Baron and Kenny procedure. Finally, it is discussed the relationship between discrimination, subjective well-being and physical health-related quality of life in obese people.

Referencias bibliográficas

  • Alonso J., Regidor E., Barrio G., Prieto L., Rodriguez C., & de la Fuente L. (1998). Valores poblacionales de referencia de la versión española Del Cuestionario de Salud SF-36 [Population-based reference values for the Spanish version of the Health Survey SF-36]. Medicina Clinica, 111, 410-146.
  • Baron R. M., & Kenny D. A. ( 1986). The moderatormediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182. http://dx.doi.org/10.1037/0022-3514.51. 6.1173
  • Böckerman P., Johansson E., Saarni S. I., & Saarni S. E. (2014). The negative association of obesity with subjective well-being: Is it all about health? Journal of Happiness Studies, 15, 857-867. http://dx.doi.org/10.1007/s10902-013-9453-8
  • Brandheim S., Rantakeisu U., & Starrin B. (2013). BMI and psychological distress in 68,000 Swedish adults: A weak association when controlling for an a ge-gender combination. BMC Public Health, 13, 68. http://dx.doi.org/10.1186/1471-2458-13-68
  • Cabañero M.,Richart M.,Cabrero J.,Orts M,Reig A.,Tosal B. 2004).Fiabilidad y validez de la Escala de Satisfacción con la Vida de Diener en una muestra de mujeres embarazadas y puérperas [Reliability and validity of Satisfaction with Life Scale in a sample of pregnant women] Psicothema 16 448-455.
  • Carr D., & Friedman M. A. (2005). Is obesity stigmatizing? Body weight, perceived discrimination, and psychological well-being in the United States. Journal of Health and Social Behavior, 46, 244-259. http://dx.doi.org/10.1177/002214650504600303
  • Cronbach L. J., & Shavelson R. J. (2004). My current thoughts on coefficient alpha and successor procedures. Educational and Psychological Measurement, 64, 391-418. http://dx.doi.org/10.1177/0013164404266386
  • de Wit L., Luppino F., van Straten A., Penninx B., Zitman F., & Cuijpers P. (2010). Depression and obesity: A metaanalysis of community-based studies. Psychiatry Rese arch, 178, 230-235. http://dx.doi.org/10.1016/j.psychres. 2009.04.015
  • Diener E. (2000). Subjective well-being: The science of happiness, and a proposal for national index. American Psychologist, 55, 34-43. http://dx.doi.org/10.1037/0003-066X.55.1.34
  • Diener E., & Diener C., (1996). Most people are happy. Psychological Science, 7, 181-185. http://dx.doi.org/10.1111/j.1467-9280.1996.tb00354.x
  • Díez-Fernández A., Sánchez-López M., Mora-Rodríguez R., Notario-Pacheco B., Torrijos-Niño C., & Martínez-Vizcaíno V. (2014). Obesity as a mediator of the influence of cardiorespiratory fitness on cardio metabolic risk: A mediation analysis. Diabetes Care, 37, 855-862. http://dx.doi.org/10.2337/dc13-0416
  • Falkner N. F., Neumark-Sztainer D., Story M., Jeffery R. W., Beuhring T., & Resnick M. D. (20 01). Social, educational, and psychological correlates of weight status in adolescents. Obesity Research, 9, 32-42. http://dx.doi.org/10.1038/oby.2001.5
  • Gariepy G., Nitka D., & Schmitz N. (2010). The association between obesity and anxiety disorders in the population: A systematic review and meta-Analysis. International Journal of Obesity, 34, 407-419. http://dx.doi.org/10.1038/ijo.2009.252
  • Giel K., Thiel A ., Teufel M., Mayer J., & Zipfel S. (2010). Weight bias in work settings-A qualitative review. Obesity Facts, 3, 33-40. http://dx.doi.org/10.1159/000276992
  • Gutiérrez-Fisac J. L., Guallar-Castillón P., León-Muñoz L. M., Graciani A., Banegas J. R., & Rodríguez-Artalejo F. (2012). Prevalence of general and abdominal obesity in the adult population of Spain, 2008-2010: The ENRICA study. Obesity Review, 13, 388-392.http://dx.doi.org/10.1111/j.1467-789X.2011.00964.x
  • Hansson L. M., Nä slund E., & Rasmussen F. (2010). Perceived discrimination among men and women with normal weight and obesity. A population-based study from Sweden. Scandinavian Journal of Public, 38, 587-596. http://dx.doi.org/10.1177/1403494810372266
  • Haslam D. W., & James P. T. (2005). Obesity. Lancet, 366, 1197-1209. http://dx.doi.org/10.1016/S0140-6736(05)67483-1
  • Hatzenbuehler M. L., Keyes K. M., & Hasin D. S. (2009). Associations between perceived weight discrimination and the prevalence of psychiatric disorders in the general population. Obesity, 17, 2033-2039. http://dx.doi.org/10.1038/oby.2009.131
  • Holmbeck G. N. (2002). Pos-hoc probing of significant moderation and mediational effects in studies of pediatric populations. Journal of Pediat ric Psychology, 27, 87-96. http://dx.doi.org/10.1093/jpepsy/27.1.87
  • Jalbert L., & Wright C. (2012). Making room for pp in the field of bariatrics. Psynopsis: Canada's Psychology Newspaper, 34, 20-23.
  • Jones K. P., Peddie C. I., Gilrane V. L., King E. B., & Gray A. L. (2013). Not so subtle: A meta-Analytic investig ation of the correlates of subtle and overt discrimination. Journal of Management, 11. http://dx.doi.org/10.1177/0149206313506466
  • King E. B., Shapiro J. R., Hebl M. R., Singletary S. L., & Turner S. (2006 ). The stigma of obesity in customer service: A mechanism for remediation and bottom-line consequences of interpersonal discrimination. The Journal of Applied Psychology, 91, 579-593. http://dx.doi.org/10.1037/0021-9010.91.3.579
  • Latner J., Durso L., & Mond J. (2013). Health and healthrelated quality of life among treatment-seeking overweight and obese adults: Associations with internalized weight bias. Journal of Eating Disorders, 13, 1. http://dx.doi.org/10.1186/2050-2974-1-3
  • Leontopoulou S., & Triliva S. (2012). Explorations of subjective well-being and character strengths among a Greek University student sample. International Journal of Well being, 2, 251-270. http://dx.doi.org/10.5502/ijw.v2.i3.6
  • Magallares A., & Pais-Ribeiro J. L. (2013). Mental health and obesity: A meta-Analysis. Applied Research in Quality of Life, 9, 295-308. http://dx.doi.org/10.1007/s11482-013-9226-X
  • McClure K. J.,Puhl R. M.,Heuer C. A. 2011 Obes ity in the news Do photographic images of obese persons influence antifat attitudes? Journal of Health Communication 16 359-371 http://dx.doi.org/10.1080/10810730.2010.535108
  • Miller C. T., & Downey K. T. (1999). A meta-Analysis of heavyweight and self-esteem. Personality and Social Psychology Review, 3, 68-84. http://dx.doi.org/10.1207/s15327957pspr0301-4
  • Molero F., Recio P., García-Ael C., Fuster M. J., & Sanjuán P. (2012). Measuring dimensions of perceived discrimination in 5 stigmatized groups. Social Indicators Research, 114, 901-914. http://dx.doi.org/10.1007/s11205-012-0179-5
  • Muennig P. (2008). The body politic: The relationship between stigma and obesity-Associated disease. BMC Public Health, 8, 128-138. http://dx.doi.org/10.1186/1471-2458-8-128
  • Noh S., Kaspar V., & Wickrama K. A. S. (2007). Overt and subtle racial discrimination and mental health: Preliminary findings for Korean immigrants. American Journal of Public Health, 97, 1269-1274. http://dx.doi.org/10.2105/AJPH.2005.085316
  • Ortiz-Hernánd ez L., Compeán-Dardón S., Verde-Flota E., & Flores-Martínez M. N. (2011). Racism and mental health among university students in Mexico City. Salud Pública México, 53, 125-133. http://dx.doi.org/10.1590/S0036-3634201100 0200005
  • Pavot W., & Diener E. (1993). Review of the satisfaction with Life Scale. Psychological Assessment, 5, 164-172. http://dx.doi.org/10.1037//1040-3590.5.2.164
  • Pettigrew T. F., & Meertens R. W. (1995). Subtle and blatant prejudice in Western Europe. European Journal of Social Psychology, 25, 57-75. http://dx.doi.org/10.1002/ejsp. 2420250106
  • Puhl R. M., & Heuer C. A. (2009). The stigma of obesity: A review and update. Obesity, 17, 941-964. http://dx.doi.org/10.1038/oby.2008.636
  • Puhl R., Heuer C., & Brownell K. (2010). Stigma and social c onsequences of obesity. In P. Kopelman, I. Caterson, & W. Dietz (Eds.), Clinical obesity in adults and children (pp. 25-40). New York, NY: Wiley-Blackwell.
  • Ryan R. M., & Deci E. L. (2001). On happiness an d human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141-166. http://dx.doi.org/10.1146/annurev.psych.52.1.141
  • Sandin B., Chorot P., Lostao L., Joi ner T. E., Santed M. A., & Valiente R. M. (1999). Escalas PANAS de Afecto Positivo y Negativo: Validacion factorial y convergencia transcultural [Positive and Negative Affect Scales (PANAS): Factorial validity and cross-cultural conve rgence]. Psicothema, 11, 37-51.
  • Schafer M. H., & Ferraro K. F. (2011). The stigma of obesity: Does perceived weight discrimination affect identity and physical health? Social Psychology Quarterly, 74, 76-97. http://dx.doi.org/10.1177/0190272511398197
  • Seligman M. E., & Csikszentmihalyi M. (2000). Positive psychology: An introduction. American Psychologist, 55, 5-14. http://dx.doi.org/10.1037/0003-066X.55.1.5
  • Sikorski C., Luppa M., Kaiser M., Glaesmer H., Schomerus G., König H., & Riedel-Heller S. (2011). The stigma of obesity in the general public and its implications for public health-A systemat ic review. BMC Public Health, 11, 661. http://dx.doi.org/10.1186/1471-2458-11-661
  • Siwik V., Kutob R., Ritenbaugh C., Cruz L., Senf Aickin, M., ⋯ & Shatte A. (2013). Intervention in overweight childr en improves body mass index (BMI) and physical activity. Journal of the American Board of Family Medicine , 26, 126-137. http://dx.doi.org/10.3122/jabfm.2013. 02.120118
  • Sobel M. (1988). Direct and i ndirect effects in linear structural equation models. In J. Long (Ed.), Common problem/proper solutions: Avoiding error in quantitative research (pp. 46-64). Beverly Hills, CA: Sage.
  • Swencionis C., Wylie-Rosett J., Lent M. R., Ginsberg M., Cimino C., Wassertheil-Smoller S., ⋯ Segal-Isaacson, C. J. (2013). Weight change, psychological well-being, and vitality in adults participating in a cognitive-behavioral weight loss program. Health Psychology, 32, 439-446. http://dx.doi.org/10.1037/a0029186
  • Tsenkova V. K., Carr D., Schoeller D. A., & Ryff C. D. (2011). Perceived weight discrimination amplifies the link between central adiposity and nondiabetic gly cemic control (HbA1c). Annals of Behavioral Medicine, 41, 243-251. http://dx.doi.org/10.1007/s12160-010-9238-9
  • Vilhena E., Pais-Ribeiro J. L., Silva I., Cardoso H., & Mendonça D. (2014). Predictors of quality of life in Portuguese obese patients: A structural equation modeling application. Journal of Obesity, ID684919. http://dx.doi.org/10.1155/2014/684919
  • Wardle J., Chida Y., Gibson E. L., Whitaker K., & Steptoe A. (2011). Stress and adiposity: A meta-Analysis of longitudinal studies. Obesity, 19, 771-778. http://dx.doi.org/10.1038/oby.2010.241
  • Ware J. E., & Sherbourne C. D. (1992). The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473-483. http://dx.doi.org/10.1097/00005650-199206000-00002
  • Watson D.,Clark L. A.,Tellegen A. 1988 Development and validation of brief measures of positive and negative affect. The PANAS scales Journal of Personality and Social Psychology 54 1063-1070 http://dx.doi.org/10.1037/0022-3514.54.6.1063
  • Williams D. R., Neighbors H. W., & Jackson J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93, 200-208. http://dx.doi.org/10.2105/AJPH.93.2.200
  • World Health Organization (2011). Waist Circumference and Waist-Hip Ratio. Geneva, Suiza: World Health Organization.
  • Zeller M. H., Ingerski L. M., Wilson L., & Modi A. C. (2010). Factors contributing to weight misperception in obese children presenting for intervention. Clinical Pediatrics, 49, 330-336. http://dx.doi.org/10.1177/0009922809346571
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