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目的 研究单纯性肥胖成人心理状态的变化特点及其与肥胖程度的关系。方法 采用SCL 90等心理评定量表对超重肥胖人群和适宜体重人群进行为期一年的前瞻性对照追踪。结果 超重肥胖人群存在较多的心理问题 ,心理健康状况较差 ,但追踪期间有明显改善趋势。适宜体重人群存在的心理问题相对较少 ,追踪期间采用的消极应付方式也少 ,但经历的慢性生活事件强度较大。追踪前两组人群的心理状态与肥胖程度均无关 ,追踪期间两组人群的主观社会支持感都增强。结论 两组人群心理状态的变化特点不同 ,心理状态与肥胖程度无关。
Objective To investigate the changes of psychological status of simple obesity adults and its relationship with the degree of obesity. Methods A one-year, prospective, controlled follow-up of overweight and obese and appropriate weight population was conducted using a psychometric assessment scale such as SCL 90. Results Overweight and obese people had more psychological problems, poor mental health, but there was a clear trend of improvement during follow-up. People with appropriate weight have relatively few psychological problems, fewer passive coping strategies during the follow-up period, and a greater intensity of chronic life experience. There was no correlation between the psychological status of the two groups and the degree of obesity. The subjective social support of the two groups increased during the follow-up. Conclusion The changes of psychological status of the two groups have different characteristics, and the psychological status has nothing to do with the degree of obesity.