Association between Health-Related Quality of Life and Emotional Problems in Rural Adolescents with Overweight and Obesity

Ariuna S. Kosovtseva, Lyubov V. Rychkova, Anna V. Pogodina, Vladimir M. Polyakov, Zhanna G. Ajurova

 
International Journal of Biomedicine. 2020;10(4):442-447.
DOI: 10.21103/Article10(4)_OA22
Originally published December 10, 2020

Abstract: 

Background: Health-related quality of life (HRQL) and emotional functioning are important parameters of weight-loss motivation. The aim of this study was to identify the association between emotional/personal characteristics and HRQL in adolescents with overweight and obesity.
Methods and Results: Our cross-sectional case-control study included 172 adolescents: 19 of them overweight, 67 obese, and 86 healthy. We measured anthropometry and performed a psychological examination (PedsQL 4.0, The State-Trait Anxiety Inventory, Buss-Durkee Hostility Inventory, and Personality inventory Mini-SMIL). Negative correlations prevailed between PedsQL scales and psychological traits of healthy adolescents: increases in anxiety, covert anger, and depression were associated with a decrease of HRQL (Total Scale Scores, Psychosocial Health Score, Physical Health Score, and Emotional, Social and School functioning). The psychological impairment (Irritability, Resentment, Guilt, Covert anger) positively correlated with a change in HRQL (Total Scale Scores, Psychosocial Health Score, and Physical Health Score) in obese adolescents.
Conclusion: Obese adolescents had an inadequate association between HRQL and emotional state: the accumulation of anxiety and aggression was accompanied by an increase in HRQL. These difficulties can be a barrier to having treatment and weight-loss motivation.

Keywords: 
anxiety • anger • emotion • weight-loss motivation
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Received September 18, 2020.
Accepted October 17, 2020.
©2020 International Medical Research and Development Corporation.