Research Article

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

Table 2

Follow-up changes (mean ± sd).

Dietary therapy alone (n=72)Pharmacotherapy (n=35)Bariatric surgery (n=22)

Total (n=72)Psych. counselling (n=35) No psych. counselling (n=37)Total (n=35)Psych. counselling (n=15)No psych. counselling (n=20)Total (n=22)Psych. counselling (n=10)No psych. counselling (n=13)

Weight, kg−0.74 ±1.8a−0.83 ± 1.5−0.63 ± 2.1−6.7 ±4.2a−5.3 ± 2.8−8.8 ±5.1b−20.1 ±13.6a−16.1 ± 8.3−25.7 ± 17.8
HADS
 anxiety−2.8 ±4.3a−4.2 ±3.9b−0.3 ± 3.9−2.6 ±4.4a−4.5. ±4.1b0.8 ± 2.3−4.2 ±4.1a−4.3 ± 4.8−3.8 ± 1.5
 Depression−1.4 ± 5.1−3.1 ±4.3b1.8 ± 4.8−2.6 ±4.3a,c−4.7 ±3.3b0.7 ± 3.6−2.3 ±4.4a,d−2.4 ± 4.9−2.2 ± 3.6
IWQoL
 Physical  function−12.8 ±25.6a−15.7 ± 28.1−7.7 ± 20.3−26.6 ±26.2a,c−33.3 ±23.7b−13.1 ± 26.8−32.9 ±24.7a,d−25.1 ± 23.9−46.5 ± 21.4
 Self esteem−13.6 ±34.9a−21.2 ±32.6b0.6 ± 35.6−27.7 ±26.7a−34.7 ±24.8b−13.7 ± 25.8−15.3 ± 39.0−11.9 ± 46.6−21.2 ± 22.7
 Sexual life−11.5 ±31.3a−17.9 ±33.9b4.3 ± 33.9−20.2 ±23.6a−28.3 ±21.2b−3.1 ± 19.4−12.9 ± 40.3−3.8 ± 41.2−29.2 ± 37.2
 Public distress−10.9 ± 37.5−13.3 ± 36.9−6.3 ± 39.3−21.4 ±33.3a,c−32.1 ±33.1b−0.2 ± 22.5−22.7 ±27.9a,d−13.9 ± 29.6−37.8 ± 17.8
 Work function−3.7 ± 29.7−7.7 ± 29.83.7 ± 29.1−14.9 ±23.8a,c−22.4 ±21.5b1.8 ± 20.6−14.3 ±30.8d−11.8 ± 35.2−18.6 ± 23.6
 EAT−1.1 ± 9.6−3.8 ±8.7b4.4 ± 9.1−3.9 ±10.8a−6.7 ±10.9b1.5 ± 8.7−1.4 ± 8.3−2.9 ± 8.92.0 ± 5.9

=a significant change from baseline. (P<.05),
=bsignificant difference (P<.05) between psychological versus no psychological counselling.
=cP<.05 pharmacotherapy versus dietary therapy alone.
=dP<.05 bariatric surgery versus dietary therapy alone.