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Journal of Obesity
Volume 2010, Article ID 372463, 6 pages
Research Article

Self-Reported Psychosocial Health in Obese Patients before and after Weight Loss

1Unit for Diabetes and Metabolism, Clinical Sciences Research Institute, Warwick Medical School, University Hospital Coventry, Clifford Bridge Road, Coventry CV2 2DX, UK
2Unit of Diabetes, Endocrinology and Metabolism, University Hospital Coventry, Clifford Bridge Road, Coventry CV2 2DX, UK

Received 23 June 2009; Revised 23 December 2009; Accepted 10 February 2010

Academic Editor: Eric Doucet

Copyright © 2010 G. Osei-Assibey et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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 . 7 4 ± 1 . 8  kg; pharmacotherapy is 6 . 7 ± 4 . 2  kg; and surgery is 2 0 . 1 ± 1 3 . 6  kg. Anxiety scores improved in all three groups ( 𝑃 < . 0 5 ). Patients having pharmacotherapy or surgery had significant improvements in physical and work function and public distress compared to those having dietary treatment only ( 𝑃 < . 0 5 ). 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.