{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T08:17:13Z","timestamp":1790497033032,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,12,22]],"date-time":"2014-12-22T00:00:00Z","timestamp":1419206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Health Research Board of Ireland"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:label\/><jats:p>The prevalence of obesity, especially severe obesity where body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>) exceeds 40\u2009kg\u2009m<jats:sup>\u22122<\/jats:sup> and where the physical risks are greatest, is increasing. However, little is known about the impact of severe obesity on psychological well\u2010being and self\u2010rated health (<jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content>). We aimed to investigate this relationship in patients attending an <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>rish weight management clinic. <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> was measured with a single\u2010item inventory (excellent\u2009=\u20091, poor\u2009=\u20095). Well\u2010being was measured with the validated <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>orld <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>rganization\u2010<jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ive <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>ell\u2010being <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndex (<jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content>\u20105), in which scores &lt;13 indicate poor well\u2010being. Previous studies of the <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>rish population have reported mean <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content>\u2009=\u20092.56 (males) and 2.53 (females) and mean well\u2010being\u2009=\u200916.96. One hundred eighty\u2010two (46.8%) completed questionnaires were returned. The sample was representative of the clinic population with a mean age of 47.1, mean baseline <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> of 51.9\u2009kg\u2009m<jats:sup>\u22122<\/jats:sup> and 64.3% females. Mean <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> was 3.73 in males and 3.30 in females; mean well\u2010being was 10.27 in males and 10.52 in females. In the final multivariable models, number of medications, depression and obstructive sleep apnoea, <jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content>\u20105 and current <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> were significant predictors of <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content>, and secondary level education, social support and mindfulness scores were significant predictors of psychological well\u2010being. Number of medications was not significant. The results suggest that the poor psychological well\u2010being seen is not explained by the presence of comorbidities and that social support and mindfulness may be important targets for improving psychological well\u2010being. Improving psychological well\u2010being in addition to weight loss and effective management of comorbidities may be important for improving <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cob.12081","type":"journal-article","created":{"date-parts":[[2014,12,22]],"date-time":"2014-12-22T07:40:11Z","timestamp":1419234011000},"page":"12-21","source":"Crossref","is-referenced-by-count":7,"title":["Poor mental health in severely obese patients is not explained by the presence of comorbidities"],"prefix":"10.1111","volume":"5","author":[{"given":"R.","family":"Somerville","sequence":"first","affiliation":[{"name":"School of Public Health Physiotherapy and Population Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"McKenzie","sequence":"additional","affiliation":[{"name":"School of Public Health Physiotherapy and Population Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Eslami","sequence":"additional","affiliation":[{"name":"School of Public Health Physiotherapy and Population Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Breen","sequence":"additional","affiliation":[{"name":"Obesity Research Group St Columcille's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"O'Shea","sequence":"additional","affiliation":[{"name":"Obesity Research Group St Columcille's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Wall","sequence":"additional","affiliation":[{"name":"School of Public Health Physiotherapy and Population Science University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxm012"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.18.2146"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2007.01.006"},{"key":"e_1_2_10_5_1","volume-title":"Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation","author":"World Health Organization","year":"2000"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2001.0840"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.00291.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1010906402079"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-002797"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137343"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwg275"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2009.213"},{"key":"e_1_2_10_13_1","first-page":"A57","article-title":"Associations between severe obesity and depression: results from the national health and nutrition examination survey, 2005\u20132006","volume":"8","author":"Keddie AM","year":"2011","journal-title":"Prev Chronic Dis"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2008.54"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2850.2008.00106.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4603(95)00081-X"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.307"},{"key":"e_1_2_10_18_1","unstructured":"Psychiatric Research Unit.WHO\u2010Five Well\u2010being Index (WHO\u20105). [WWW document]. URLhttp:\/\/www.who\u20105.org\/(accessed July 12 2014)."},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(91)90150-B"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191104268029"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199507)18:1<79::AID-EAT2260180109>3.0.CO;2-V"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03035123"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebm.8.5.155"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwr048"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1011895532488"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cms060"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdi025"},{"key":"e_1_2_10_28_1","unstructured":"Anon.WHOCC \u2013 ATC\/DDD Index. WHO Collab Cent Drug Stat Methodol 2011."},{"key":"e_1_2_10_29_1","unstructured":"IBM.SPSS Missing Values 20 2011. URL:ftp:\/\/public.dhe.ibm.com\/software\/analytics\/spss\/documentation\/statistics\/20.0\/en\/client\/Manuals\/IBM_SPSS_Missing_Values.pdf(accessed February 13 2014)"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.58.110405.085530"},{"key":"e_1_2_10_31_1","unstructured":"Van GinkelJR.Universiteit Leiden. [WWW document]. URLhttp:\/\/www.socialsciences.leiden.edu\/educationandchildstudies\/childandfamilystudies\/organisation\/staffcfs\/van\u2010ginkel.html(accessed November 13 2013)."},{"key":"e_1_2_10_32_1","first-page":"65","article-title":"Significance levels from repeated p\u2010values with multiply\u2010imputed data","volume":"1","author":"Li K\u2010H","year":"1991","journal-title":"Stat Sin"},{"key":"e_1_2_10_33_1","unstructured":"Institute for Digital Research and Education UCLA.Multiple Imputation in SAS Part 2. [WWW document]. URLhttp:\/\/www.ats.ucla.edu\/stat\/sas\/seminars\/missing_data\/part2.htm(accessed February 14 2014)."},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980009993193"},{"key":"e_1_2_10_35_1","unstructured":"DelaneyL DoyleO McKenzieK WallP.The distribution of well\u2010being in Ireland. Geary Inst Univ Coll Dublin 2007."},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00371-4"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-8-90"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2001.0220"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b3868"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.33.3.10"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.70"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2010.00843.x"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2003.tb00423.x"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802204"},{"key":"e_1_2_10_45_1","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1037\/0278-6133.12.5.342","article-title":"Obese people who seek treatment have different characteristics than those who do not seek treatment","volume":"12","author":"Fitzgibbon ML","year":"1993","journal-title":"Health Psychol"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.17.2058"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089297765555377"},{"key":"e_1_2_10_48_1","first-page":"349","article-title":"Psychological profile and quality of life of morbid obese patients attending a cognitive behavioural program","volume":"17","author":"Marzocchi R","year":"2008","journal-title":"Psychol Top"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0018555"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2008.11.012"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291706007276"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12052"}],"container-title":["Clinical Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcob.12081","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cob.12081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T13:32:12Z","timestamp":1696253532000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cob.12081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,22]]},"references-count":51,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1111\/cob.12081"],"URL":"https:\/\/doi.org\/10.1111\/cob.12081","archive":["Portico"],"relation":{},"ISSN":["1758-8103","1758-8111"],"issn-type":[{"value":"1758-8103","type":"print"},{"value":"1758-8111","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,22]]}}}