{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:51:28Z","timestamp":1791237088501,"version":"4.1.0"},"reference-count":97,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Italian Ministry of Health\u2014Ricerca Corrente"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Identifying key psychological well-being factors in morbid obesity is crucial for designing effective mental health and weight management interventions. This study explores the interconnections between the dimensions of psychological well-being in a large sample of adults with morbid obesity enrolled in an inpatient nutritional rehabilitation program. Methods: A sample of 3212 participants (F = 58%; mean age = 57.18 years; mean Body Mass Index = 43.40 kg\/m2) completed the Psychological General Well-Being Index (PGWBI) upon admission to the clinic. A network analysis approach examined the relationships among the PGWBI dimensions (anxiety, depression, positive well-being, self-control, vitality, and general health). Results: Network analysis revealed that vitality and positive well-being exhibited the highest values across closeness (1.432; 0.353), strength (0.853; 0.917), and expected influence (0.853; 0917), indicating their key role in psychological well-being. Depression also demonstrated moderate relevance, suggesting its connection to other well-being factors, though it was not the primary determinant. In contrast, self-control and general health had negative strength and expected influence values (\u22120.660; \u22121.641), indicating a less central role in the network. Additionally, anxiety and depression displayed negative betweenness (\u22120.645), reinforcing their more peripheral position. Conversely, positive well-being and vitality showed the highest betweenness (1.291), highlighting their role as key connecting nodes within the well-being network. Conclusions: Findings suggest interventions targeting positive well-being and vitality may most effectively enhance psychological well-being in morbid obesity, emphasizing strength-based approaches that foster positive affect, motivation, and resilience rather than focusing solely on reducing distress or weight-related concerns.<\/jats:p>","DOI":"10.3390\/jcm14062076","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T12:03:06Z","timestamp":1742299386000},"page":"2076","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Mapping Psychological Well-Being in Morbid Obesity: A Network Analysis Approach"],"prefix":"10.3390","volume":"14","author":[{"given":"Giada","family":"Pietrabissa","sequence":"first","affiliation":[{"name":"Clinical Psychology Research Lab, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, 28824 Piancavallo, Italy"},{"name":"Department of Psychology, Catholic University of Milan, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Guerrini-Usubini","sequence":"additional","affiliation":[{"name":"Clinical Psychology Research Lab, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, 28824 Piancavallo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9972-1064","authenticated-orcid":false,"given":"Valentina","family":"Villa","sequence":"additional","affiliation":[{"name":"Clinical Psychology Research Lab, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, 28824 Piancavallo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9620-4133","authenticated-orcid":false,"given":"Alessandro","family":"Sartorio","sequence":"additional","affiliation":[{"name":"Experimental Laboratory for Auxo-Endocrinological Research San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, 28824 Piancavallo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2633-9822","authenticated-orcid":false,"given":"Gianluca","family":"Castelnuovo","sequence":"additional","affiliation":[{"name":"Clinical Psychology Research Lab, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, 28824 Piancavallo, Italy"},{"name":"Department of Psychology, Catholic University of Milan, 20123 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3059-544X","authenticated-orcid":false,"given":"Amelia","family":"Brunani","sequence":"additional","affiliation":[{"name":"Division of Rehabilitation Medicine, Research Laboratory in Biomechanics and Rehabilitation San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, 28824 Piancavallo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1016\/S0140-6736(23)02750-2","article-title":"Worldwide trends in underweight and obesity from 1990 to 2022: A pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults","volume":"403","author":"Phelps","year":"2024","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1038\/s41366-023-01398-y","article-title":"Economic costs of obesity: A systematic review","volume":"48","author":"Nagi","year":"2024","journal-title":"Int. J. Obes."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/S2213-8587(24)00316-4","article-title":"Definition and diagnostic criteria of clinical obesity","volume":"13","author":"Rubino","year":"2025","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/S2213-8587(21)00145-5","article-title":"European Commission classifies obesity as a chronic disease","volume":"9","author":"Burki","year":"2021","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1159744","DOI":"10.3389\/fdgth.2023.1159744","article-title":"Study protocol of a clinical randomized controlled trial on the efficacy of an innovative Digital thErapy to proMote wEighT loss in patients with obesity by incReasing their Adherence to treatment: The DEMETRA study","volume":"5","author":"Castelnuovo","year":"2023","journal-title":"Front. Digit. Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1186\/s13063-018-2968-x","article-title":"ACTonHEALTH study protocol: Promoting psychological flexibility with activity tracker and mHealth tools to foster healthful lifestyle for obesity and other chronic health conditions","volume":"19","author":"Cattivelli","year":"2018","journal-title":"Trials"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Debski, J., Przybylowski, J., Skibiak, K., Czerwinska, M., Waledziak, M., and Rozanska-Waledziak, A. (2024). Depression and Obesity-Do We Know Everything about It? A Narrative Review. Nutrients, 16.","DOI":"10.3390\/nu16193383"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000518200","article-title":"Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature","volume":"15","author":"Pietrabissa","year":"2022","journal-title":"Obes. Facts"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1007\/s40211-019-0302-9","article-title":"Obesity and anxiety symptoms: A systematic review and meta-analysis","volume":"33","author":"Amiri","year":"2019","journal-title":"Neuropsychiatrie"},{"key":"ref_10","first-page":"9317179","article-title":"Mobile Apps for the Management of Comorbid Overweight\/Obesity and Depression\/Anxiety: A Systematic Review","volume":"2020","author":"Lugo","year":"2020","journal-title":"J. Healthc. Eng."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1002\/ejhf.1433","article-title":"Cardiorespiratory fitness, body mass index and heart failure incidence","volume":"21","author":"Kokkinos","year":"2019","journal-title":"Eur. J. Heart Fail."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"83","DOI":"10.3389\/fpsyg.2017.00083","article-title":"The MOTIV-HEART Study: A Prospective, Randomized, Single-Blind Pilot Study of Brief Strategic Therapy and Motivational Interviewing among Cardiac Rehabilitation Patients","volume":"8","author":"Pietrabissa","year":"2017","journal-title":"Front. Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1016\/j.ecl.2016.04.016","article-title":"The Psychosocial Burden of Obesity","volume":"45","author":"Sarwer","year":"2016","journal-title":"Endocrinol. Metab. Clin. North. Am."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e14098","DOI":"10.1111\/hex.14098","article-title":"\u2019Beyond the Scale\u2019: A Qualitative Exploration of the Impact of Weight Stigma Experienced by Patients With Obesity in General Practice","volume":"27","author":"Ryan","year":"2024","journal-title":"Health Expect."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1080\/10810730.2023.2286512","article-title":"Weight Stigma in Online News Images: A Visual Content Analysis of Stigma Communication in the Depictions of Individuals with Obesity in U.S. and U.K. News","volume":"29","author":"Rao","year":"2024","journal-title":"J. Health Commun."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2459","DOI":"10.1007\/s40519-022-01385-8","article-title":"Weight stigma in patients with overweight and obesity: Validation of the Italian Weight Self-Stigma Questionnaire (WSSQ)","volume":"27","author":"Rossi","year":"2022","journal-title":"Eat. Weight Disord."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1037\/amp0000538","article-title":"Weight stigma as a psychosocial contributor to obesity","volume":"75","author":"Puhl","year":"2020","journal-title":"Am. Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/j.neubiorev.2019.09.039","article-title":"Interpersonal difficulties in obesity: A systematic review and meta-analysis to inform a rejection sensitivity-based model","volume":"107","author":"Albano","year":"2019","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1007\/s13679-020-00383-0","article-title":"Review of the Experience of Weight-Based Stigmatization in Romantic Relationships","volume":"9","year":"2020","journal-title":"Curr. Obes. Rep."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2206","DOI":"10.3389\/fpsyg.2018.02206","article-title":"The impact of workplace health promotion programs emphasizing individual responsibility on weight stigma and discrimination","volume":"9","author":"Mulder","year":"2018","journal-title":"Front. Psychol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e13954","DOI":"10.1111\/hex.13954","article-title":"Perceived weight stigma in healthcare settings among adults living with obesity: A cross-sectional investigation of the relationship with patient characteristics and person-centred care","volume":"27","author":"Crompvoets","year":"2024","journal-title":"Health Expect."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e13606","DOI":"10.1111\/obr.13606","article-title":"Weight stigma experienced by patients with obesity in healthcare settings: A qualitative evidence synthesis","volume":"24","author":"Ryan","year":"2023","journal-title":"Obes. Rev."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"524s","DOI":"10.1093\/ajcn\/55.2.524s","article-title":"Psychological aspects of severe obesity","volume":"55","author":"Stunkard","year":"1992","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"mzae078","DOI":"10.1093\/intqhc\/mzae078","article-title":"The relationship between person-centred care and well-being and satisfaction with care of patients living with obesity","volume":"36","author":"Crompvoets","year":"2024","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1007\/s10865-021-00231-z","article-title":"Psychological and behavioral pathways between perceived stress and weight change in a behavioral weight loss intervention","volume":"44","author":"Molina","year":"2021","journal-title":"J. Behav. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1186\/s13063-021-05191-y","article-title":"The ACTyourCHANGE study protocol: Promoting a healthy lifestyle in patients with obesity with Acceptance and Commitment Therapy-a randomized controlled trial","volume":"22","author":"Cattivelli","year":"2021","journal-title":"Trials"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1306421","DOI":"10.1080\/17482631.2017.1306421","article-title":"\u201cIt is not the diet; it is the mental part we need help with.\u201d A multilevel analysis of psychological, emotional, and social well-being in obesity","volume":"12","author":"Rand","year":"2017","journal-title":"Int. J. Qual. Stud. Health Well-Being"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e116","DOI":"10.1017\/S1463423619000227","article-title":"Weight bias and health care utilization: A scoping review","volume":"20","author":"Alberga","year":"2019","journal-title":"Prim. Health Care Res. Dev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2973","DOI":"10.3389\/fpsyg.2019.02973","article-title":"Psychological Well-Being as an Independent Predictor of Exercise Capacity in Cardiac Rehabilitation Patients With Obesity","volume":"10","author":"Pietrabissa","year":"2019","journal-title":"Front. Psychol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1037\/0003-066X.55.1.34","article-title":"Subjective well-being: The science of happiness and a proposal for a national index","volume":"55","author":"Diener","year":"2000","journal-title":"Am. Psychol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.nupar.2022.05.001","article-title":"Progression of quality of life in patients with grade 3 obesity after a 36 months care pathway with and without bariatric surgery","volume":"36","author":"Boulon","year":"2022","journal-title":"Nutr. Clin. M\u00e9tab."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Phyo, A.Z.Z., Freak-Poli, R., Craig, H., Gasevic, D., Stocks, N.P., Gonzalez-Chica, D.A., and Ryan, J. (2020). Quality of life and mortality in the general population: A systematic review and meta-analysis. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09639-9"},{"key":"ref_33","first-page":"307","article-title":"Quality of life in patients with renal failure undergoing hemodialysis","volume":"54","author":"Rasyid","year":"2022","journal-title":"Acta Medica Indones."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1023\/A:1007219227883","article-title":"Toward an Integration of Subjective Well-Being and Psychopathology","volume":"54","author":"Greenspoon","year":"2001","journal-title":"Soc. Indic. Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1080\/02796015.2008.12087908","article-title":"Looking beyond psychopathology: The dual-factor model of mental health in youth","volume":"37","author":"Suldo","year":"2008","journal-title":"Sch. Psychol. Rev."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1002\/eat.23190","article-title":"Psychological features in obesity: A network analysis","volume":"53","author":"Calugi","year":"2020","journal-title":"Int. J. Eat. Disord."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1038\/s43586-021-00055-w","article-title":"Network analysis of multivariate data in psychological science","volume":"1","author":"Borsboom","year":"2021","journal-title":"Nat. Rev. Methods Prim."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1001\/jamapsychiatry.2017.4607","article-title":"Interplay Among Psychopathologic Variables, Personal Resources, Context-Related Factors, and Real-life Functioning in Individuals With Schizophrenia: A Network Analysis","volume":"75","author":"Galderisi","year":"2018","journal-title":"JAMA Psychiatry"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1080\/21642850.2018.1521283","article-title":"Network analysis: A brief overview and tutorial","volume":"6","author":"Hevey","year":"2018","journal-title":"Health Psychol. Behav. Med."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Michalos, A.C. (2014). Psychological General Well-Being Index (PGWB). Encyclopedia of Quality of Life and Well-Being Research, Springer.","DOI":"10.1007\/978-94-007-0753-5"},{"key":"ref_41","unstructured":"Dupuy, H.J. (1984). The psychological general well-being (PGWB) index. Assessment of Quality of Life in clinical trials of cardiovascular therapies, Le Jacq Publishing."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.archger.2010.03.010","article-title":"Low Psychological General Well-Being (PGWB) is associated with deteriorated 10-year survival in men but not in women among the elderly","volume":"52","author":"Nilsson","year":"2011","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/s11136-004-0613-5","article-title":"Patient reported outcomes in gastroesophageal reflux disease: An overview of available measures","volume":"14","author":"Talley","year":"2005","journal-title":"Qual. Life Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/1477-7525-11-2","article-title":"Construct validity of the psychological general well being index (PGWBI) in a sample of patients undergoing treatment for stress-related exhaustion: A rasch analysis","volume":"11","author":"Jonsdottir","year":"2013","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_45","unstructured":"IBM Corp (2023). IBM SPSS Statistics for Windows, IBM Corp. Version 29.0.2.0."},{"key":"ref_46","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Routledge. [2nd ed.]."},{"key":"ref_47","unstructured":"JASP Team (JASP, 2024). JASP, Version 0.19.0."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Lauritzen, S.L. (1996). Oxford Statistical Science Series. Graphical Models, Oxford University Press.","DOI":"10.1093\/oso\/9780198522195.001.0001"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1093\/biostatistics\/kxm045","article-title":"Sparse inverse covariance estimation with the graphical lasso","volume":"9","author":"Friedman","year":"2007","journal-title":"Biostatistics"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Golino, H.F., and Epskamp, S. (2017). Exploratory graph analysis: A new approach for estimating the number of dimensions in psychological research. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0174035"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.jrp.2014.07.003","article-title":"State of the aRt personality research: A tutorial on network analysis of personality data in R","volume":"54","author":"Costantini","year":"2015","journal-title":"J. Res. Personal."},{"key":"ref_52","first-page":"953","article-title":"Network Psychometrics","volume":"Volume 2","author":"Epskamp","year":"2017","journal-title":"The Wiley Handbook of Psychometric Testing: AnMultidisciplinary Reference on Survey, Scale and Test Development"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1093\/biomet\/asn034","article-title":"Extended Bayesian information criteria for model selection with large model spaces","volume":"95","author":"Chen","year":"2008","journal-title":"Biometrika"},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"van Borkulo, C.D., Borsboom, D., Epskamp, S., Blanken, T.F., Boschloo, L., Schoevers, R.A., and Waldorp, L.J. (2014). A new method for constructing networks from binary data. Sci. Rep., 4.","DOI":"10.1038\/srep05918"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1214\/15-EJS1012","article-title":"High-dimensional Ising model selection with Bayesian information criteria","volume":"9","author":"Barber","year":"2015","journal-title":"Electron. J. Stat."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3758\/s13428-017-0862-1","article-title":"Estimating psychological networks and their accuracy: A tutorial paper","volume":"50","author":"Epskamp","year":"2018","journal-title":"Behav. Res. Methods"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1007\/s10608-018-9981-y","article-title":"Hopelessness: A network analysis","volume":"43","author":"Marchetti","year":"2019","journal-title":"Cogn. Ther. Res."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"853","DOI":"10.3758\/s13428-017-0910-x","article-title":"How well do network models predict observations? On the importance of predictability in network models","volume":"50","author":"Haslbeck","year":"2018","journal-title":"Behav. Res. Methods"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v093.i08","article-title":"mgm: Estimating Time-Varying Mixed Graphical Models in High-Dimensional Data","volume":"93","author":"Haslbeck","year":"2020","journal-title":"J. Stat. Softw."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1177\/1948550617709827","article-title":"Network Analysis on Attitudes:A Brief Tutorial","volume":"8","author":"Dalege","year":"2017","journal-title":"Soc. Psychol. Personal. Sci."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1017\/S0033291716003287","article-title":"Co-morbid obsessive\u2013compulsive disorder and depression: A Bayesian network approach","volume":"47","author":"McNally","year":"2017","journal-title":"Psychol. Med."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1146\/annurev-clinpsy-050212-185608","article-title":"Network analysis: An integrative approach to the structure of psychopathology","volume":"9","author":"Borsboom","year":"2013","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"111940","DOI":"10.1016\/j.jpsychores.2024.111940","article-title":"The association between overweight and varying degrees of obesity with subjective well-being and depressive symptoms: A two sample Mendelian randomization study","volume":"187","author":"Luo","year":"2024","journal-title":"J. Psychosom. Res."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1038\/s41366-024-01551-1","article-title":"Obesity, psychological well-being related measures, and risk of seven non-communicable diseases: Evidence from longitudinal studies of UK and US older adults","volume":"48","author":"Putra","year":"2024","journal-title":"Int. J. Obes."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1002\/osp4.605","article-title":"Positive psychological well-being in women with obesity: A scoping review of qualitative and quantitative primary research","volume":"8","author":"Conradson","year":"2022","journal-title":"Obes. Sci. Pr."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.neubiorev.2010.01.006","article-title":"Positive affect and psychobiological processes","volume":"35","author":"Dockray","year":"2010","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"636933","DOI":"10.3389\/fpsyg.2021.636933","article-title":"The Impact of Psychological Flexibility on Psychological Well-Being in Adults With Obesity","volume":"12","author":"Varallo","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Pietrabissa, G., Volpi, C., Bottacchi, M., Bertuzzi, V., Guerrini Usubini, A., L\u00f6ffler-Stastka, H., Prevendar, T., Rapelli, G., Cattivelli, R., and Castelnuovo, G. (2021). The Impact of Social Isolation during the COVID-19 Pandemic on Physical and Mental Health: The Lived Experience of Adolescents with Obesity and Their Caregivers. Int. J. Env. Res. Public Health, 18.","DOI":"10.3390\/ijerph18063026"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1159\/000499141","article-title":"Determinants of well-being and their implications for health care","volume":"74","author":"Helliwell","year":"2019","journal-title":"Ann. Nutr. Metab."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1017\/S0033291797005734","article-title":"Consequences of major and minor depression in later life: A study of disability, well-being and service utilization","volume":"27","author":"Beekman","year":"1997","journal-title":"Psychol. Med."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1097\/PSY.0b013e31818105ba","article-title":"Positive psychological well-being and mortality: A quantitative review of prospective observational studies","volume":"70","author":"Chida","year":"2008","journal-title":"Psychosom. Med."},{"key":"ref_72","first-page":"468","article-title":"Positive Emotions Are Not Simply the Absence of the Negative Ones: Development and Validation of the Emotional Recovery Questionnaire (EmRecQ)","volume":"24","author":"Lundqvist","year":"2010","journal-title":"Sport Psychol."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1186\/s12955-020-01423-y","article-title":"Well-being is more than happiness and life satisfaction: A multidimensional analysis of 21 countries","volume":"18","author":"Ruggeri","year":"2020","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/s42761-022-00163-0","article-title":"Emotional Well-Being: What It Is and Why It Matters","volume":"4","author":"Park","year":"2023","journal-title":"Affect. Sci."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/aphw.12090","article-title":"If, Why, and When Subjective Well-Being Influences Health, and Future Needed Research","volume":"9","author":"Diener","year":"2017","journal-title":"Appl. Psychol. Health Well-Being"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"120442","DOI":"10.1016\/j.jns.2022.120442","article-title":"Subjective health perception prioritizes psychological well-being over physical function in advanced ALS: A multigroup structural equation modeling analysis","volume":"442","author":"Lapin","year":"2022","journal-title":"J. Neurol. Sci."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1016\/S0140-6736(13)61489-0","article-title":"Subjective wellbeing, health, and ageing","volume":"385","author":"Steptoe","year":"2015","journal-title":"Lancet"},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"2426","DOI":"10.1017\/S136898002200043X","article-title":"Personal motivation, self-regulation barriers and strategies for weight loss in people with overweight and obesity: A thematic framework analysis","volume":"25","author":"Chew","year":"2022","journal-title":"Public Health Nutr."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"e20162047","DOI":"10.1542\/peds.2016-2047","article-title":"Improving self-regulation for obesity prevention in head start: A randomized controlled trial","volume":"139","author":"Lumeng","year":"2017","journal-title":"Pediatrics"},{"key":"ref_80","doi-asserted-by":"crossref","unstructured":"Tomiyama, A.J., Carr, D., Granberg, E.M., Major, B., Robinson, E., Sutin, A.R., and Brewis, A. (2018). How and why weight stigma drives the obesity \u2019epidemic\u2019 and harms health. BMC Med., 16.","DOI":"10.1186\/s12916-018-1116-5"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1080\/17437199.2016.1266275","article-title":"Lessons learned from trait self-control in well-being: Making the case for routines and initiation as important components of trait self-control","volume":"11","author":"Gillebaart","year":"2017","journal-title":"Health Psychol. Rev."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1038\/ijo.2009.252","article-title":"The association between obesity and anxiety disorders in the population: A systematic review and meta-analysis","volume":"34","author":"Gariepy","year":"2010","journal-title":"Int. J. Obes."},{"key":"ref_83","doi-asserted-by":"crossref","unstructured":"Dakanalis, A., Mentzelou, M., Papadopoulou, S.K., Papandreou, D., Spanoudaki, M., Vasios, G.K., Pavlidou, E., Mantzorou, M., and Giaginis, C. (2023). The association of emotional eating with overweight\/obesity, depression, anxiety\/stress, and dietary patterns: A review of the current clinical evidence. Nutrients, 15.","DOI":"10.3390\/nu15051173"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1177\/1745691613504116","article-title":"Regulatory flexibility: An individual differences perspective on coping and emotion regulation","volume":"8","author":"Bonanno","year":"2013","journal-title":"Perspect. Psychol. Sci."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.1007\/s00426-022-01779-4","article-title":"Individual differences in resilience to stress are associated with affective flexibility","volume":"87","author":"Rademacher","year":"2023","journal-title":"Psychol. Res."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1037\/0003-066X.60.5.410","article-title":"Positive Psychology Progress: Empirical Validation of Interventions","volume":"60","author":"Seligman","year":"2005","journal-title":"Am. Psychol."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1097\/AJP.0000000000000494","article-title":"Happy despite pain: A randomized controlled trial of an 8-week internet-delivered positive psychology intervention for enhancing well-being in patients with chronic pain","volume":"33","author":"Peters","year":"2017","journal-title":"Clin. J. Pain"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1080\/17439760.2017.1388430","article-title":"Possible mechanisms in a multicomponent email guided positive psychology intervention to improve mental well-being, anxiety and depression: A multiple mediation model","volume":"14","author":"Pieterse","year":"2019","journal-title":"J. Posit. Psychol."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/j.psychsport.2009.05.009","article-title":"The effect of regular aerobic exercise on positive-activated affect: A meta-analysis","volume":"10","author":"Reed","year":"2009","journal-title":"Psychol. Sport Exerc."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"2145","DOI":"10.3389\/fpsyg.2019.02145","article-title":"Exercise, mood, self-efficacy, and social support as predictors of depressive symptoms in older adults: Direct and interaction effects","volume":"10","author":"Miller","year":"2019","journal-title":"Front. Psychol."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"167","DOI":"10.2165\/00007256-200029030-00003","article-title":"Physical activity and mental health: Current concepts","volume":"29","author":"Paluska","year":"2000","journal-title":"Sports Med."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1037\/0022-3514.84.4.822","article-title":"The benefits of being present: Mindfulness and its role in psychological well-being","volume":"84","author":"Brown","year":"2003","journal-title":"J. Personal. Soc. Psychol."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.orcp.2016.09.002","article-title":"The effects of mindfulness training on weight-loss and health-related behaviours in adults with overweight and obesity: A systematic review and meta-analysis","volume":"11","author":"Ruffault","year":"2017","journal-title":"Obes. Res. Clin. Pract."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1037\/hea0000614","article-title":"Stress-related eating, mindfulness, and obesity","volume":"37","author":"Cotter","year":"2018","journal-title":"Health Psychol."},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"947296","DOI":"10.3389\/fpsyg.2022.947296","article-title":"Study protocol of a randomized controlled trial of motivational interviewing-based intervention to improve adherence to continuous positive airway pressure in patients with obstructive sleep apnea syndrome: The MotivAir study","volume":"13","author":"Rapelli","year":"2022","journal-title":"Front. Psychol."},{"key":"ref_96","unstructured":"Miller, W.R., and Rollnick, S. (2012). Motivational Interviewing: Helping People Change, Guilford Press."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"100472","DOI":"10.1016\/j.erap.2019.100472","article-title":"Effects of exercise self-regulation on subsequent eating self-regulation: Implications for depletion vs. improvement based on behavioral treatment foci","volume":"69","author":"Annesi","year":"2019","journal-title":"Eur. Rev. Appl. Psychol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/6\/2076\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:56:12Z","timestamp":1760028972000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/6\/2076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,18]]},"references-count":97,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["jcm14062076"],"URL":"https:\/\/doi.org\/10.3390\/jcm14062076","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,18]]}}}