Psychological health in a non-clinical sample of obese women

Int J Obes Relat Metab Disord. 1998 Jun;22(6):578-83. doi: 10.1038/sj.ijo.0800631.


Objectives: The relationship between obesity and psychological health remains unclear. The aims of this study were to evaluate the effect of obesity on the psychological health of a non-clinical sample of obese women, to investigate binge eating in this group, and to examine the predictors of psychological distress.

Design: A cross-sectional comparison of women divided into three obesity groups (body mass index (BMI)= 30-34.9, 35-39.9, > or = 40) was used.

Participants: 179 women with a BMI > 30 (mean age 45 y) returned a questionnaire included in a subscriber-only magazine for women of size 16+.

Measures: The questionnaire asked for information on demographics, weight history and eating behaviour, and included established self-report measures of body shape assessment, body shape satisfaction, dietary restraint, mental health state and self-esteem.

Results: The heaviest women (BMI > 40) did not differ on measures of mental health, but expressed the greatest dissatisfaction with their body weight, shape and appearance, and had the lowest self-esteem. Frequent binge eating was reported by 25% of all women. Self-esteem and peer relationships, but not body weight, were highly significant negative predictors of poor mental health.

Conclusions: Poor mental health is not the inevitable consequence even of the most extreme obesity, but is related to both low self-esteem and poor peer relationships. These, and problems with eating control, are features of psychological morbidity that require recognition and therapeutic attention.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Behavior
  • Body Image
  • Body Mass Index
  • Cross-Sectional Studies
  • Diet
  • Eating
  • Female
  • Humans
  • Interpersonal Relations
  • Mental Health
  • Middle Aged
  • Obesity / psychology*
  • Self Concept
  • Surveys and Questionnaires