The relationship between anxiety and psychological distress with adherence to treatment in people with overweight after surgery
International Journal of Applied Behavioral Sciences,
Vol. 9 No. 3 (2022),
30 November 2022
,
Page 54-61
https://doi.org/10.22037/ijabs.v9i3.39236
Abstract
Background and Aim:One of the main concerns of health psychology is the follow-up of patients regarding to treatment adherence. Anxiety related to weight and psychological distress are the factors that play important roles in people with overweight after surgery. The present study aimed to investigate the relationship between anxiety and psychological distress with adherence to treatment in people with overweight after surgery.
Materials and Methods:The research method utilized in this study was descriptive correlational. The statistical population included all obese patients who had undergone sleeve gastrectomy surgery at the Endocrine and Metabolism Research Center. 147 of them were selected by available sampling method. Research instruments included Beck Anxiety Inventory, Kessler Psychological Distress Scale and General Adherence Scale. Data were analyzed using structural equation modeling method.
Results:The results of this study demonstrated that anxiety and psychological distress are related to adherence to treatment among women with overweight after surgery(p≤0/05). Further, the regression analysis suggested that anxiety and psychological distress predict, respectively, 54% and 58% of the variance of changes in treatment adherence.
Conclusion:It can be stated that targeting psychological constructs such as anxiety and psychological distress during treatment process can be an effective way to enhance treatment adherence among people
Keywords:
- Anxiety, Psychological distress, Adherence to treatment
How to Cite
Rafieipoo, A., & Kooshki, S. (2022). The relationship between anxiety and psychological distress with adherence to treatment in people with overweight after surgery. International Journal of Applied Behavioral Sciences, 9(3), 54–61. https://doi.org/10.22037/ijabs.v9i3.39236
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22. Parastoo Golshiri, Anita Tavakoli, Arash Najimi, Azita Tavakoli, The Role of Depression, Anxiety, and Stress in Medication Adherence in Patients with Hypertension, Journal Of Isfahan Medical School, 2017; 35(437): 781-788. magiran.com/p1732572.
23. Barberis N, Quattropani MC, Cuzzocrea F. Relationship between motivation, adherence to diet, anxiety symptoms, depression symptoms and quality of life in individuals with celiac disease. J Psychosom Res [Internet]. 2019;124(109787):109787. Available from: http://dx.doi.org/10.1016/j.jpsychores.2019.109787.
24. Lai C, Filippetti G, Schifano I, Aceto P, Tomai M, Lai S, et al. Psychological, emotional and social impairments are associated with adherence and healthcare spending in type 2 diabetic patients: an observational study. Eur Rev Med Pharmacol Sci [Internet]. 2019;23(2):749–54. Available from: http://dx.doi.org/10.26355/eurrev_201901_16889.
25. Kendall AD, Zinbarg RE, Bobova L, Mineka S, Revelle W, Prenoveau JM, et al. Measuring positive emotion with the Mood and Anxiety Symptom Questionnaire: Psychometric properties of the Anhedonic Depression scale: Psychometric properties of the Anhedonic Depression scale. Assessment [Internet]. 2016;23(1):86–95. Available from: http://dx.doi.org/10.1177/1073191115569528.
26. Mokhtari S, Khosravi S, Nejatbakhsh A . Comparison of intolerance of Uncertainty, Worriness, Cognitive Avoidance, Negative problem orientation among people with generalized anxiety disorder, major depression disorder and Normal subjects(population) . J Res Behave Sci 201 5; 1 3 ( 2): 188 - 207.
27. Dodd HF, Vogt J, Turkileri N, Notebaert L. Task relevance of emotional information affects anxiety-linked attention bias in visual search. Biol Psychol [Internet]. 2017;122:13–20. Available from: http://dx.doi.org/10.1016/j.biopsycho.2016.01.017.
2. Senmar M, Razaghpoor A, Mousavi AS, Zarrinkolah F, Esmaeili F, Rafiei H. Psychological symptoms in patients on dialysis and their relationship with spiritual well-being. Florence Nightingale J Nurs [Internet]. 2020;28(3):243–9. Available from: http://dx.doi.org/10.5152/FNJN.2020.19061.
3. Ok E, Kutlu Y. The effect of motivational interviewing on adherence to treatment and quality of life in chronic hemodialysis patients: A randomized controlled trial. Clin Nurs Res [Internet]. 2021;30(3):322–33. Available from: http://dx.doi.org/10.1177/1054773820974158.
4. Karimi M, Dideban D, Heidari H. Using the intelligent system to improve the delivered adequacy of dialysis by preventing intradialytic complications. J Healthc Eng [Internet]. 2022;2022:8160269. Available from: http://dx.doi.org/10.1155/2022/8160269.
5. Cukor D, Ver Halen N, Asher DR, Coplan JD, Weedon J, Wyka KE, et al. Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis. J Am Soc Nephrol [Internet]. 2014;25(1):196–206. Available from: http://dx.doi.org/10.1681/ASN.2012111134.
6. Assakran BS, Widyan AM, Alhumaidan NA, Alharbi FA, Alhnaya MA, Aljabali AA, et al. Dietary assessment and patient-perspective reasons for poor adherence to diet and exercise post bariatric surgery. BMC Res Notes [Internet]. 2020;13(1):526. Available from: http://dx.doi.org/10.1186/s13104-020-05373-y.
7. Chooi YC, Ding C, Magkos F. The epidemiology of obesity. Metabolism [Internet]. 2019;92:6–10. Available from: http://dx.doi.org/10.1016/j.metabol.2018.09.005.
8. Welbourn R, Hollyman M, Kinsman R, Dixon J, Liem R, Ottosson J, et al. Bariatric surgery worldwide: Baseline demographic description and one-year outcomes from the fourth IFSO Global Registry report 2018. Obes Surg [Internet]. 2019;29(3):782–95. Available from: http://dx.doi.org/10.1007/s11695-018-3593-1.
9. Toussi R, Fujioka K, Coleman KJ. Pre- and postsurgery behavioral compliance, patient health, and postbariatric surgical weight loss. Obesity (Silver Spring) [Internet]. 2009;17(5):996–1002. Available from: http://dx.doi.org/10.1038/oby.2008.628.
10. Elkins G, Whitfield P, Marcus J, Symmonds R, Rodriguez J, Cook T. Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg [Internet]. 2005;15(4):546–51. Available from: http://dx.doi.org/10.1381/0960892053723385.
11. Sarwer DB, Wadden TA, Moore RH, Baker AW, Gibbons LM, Raper SE, et al. Preoperative eating behavior, postoperative dietary adherence, and weight loss after gastric bypass surgery. Surg Obes Relat Dis [Internet]. 2008;4(5):640–6. Available from: http://dx.doi.org/10.1016/j.soard.2008.04.013.
12. Mendes R, Martins S, Fernandes L. Adherence to medication, physical activity and diet in older adults with diabetes: Its association with cognition, anxiety and depression. J Clin Med Res [Internet]. 2019;11(8):583–92. Available from: http://dx.doi.org/10.14740/jocmr3894.
13. Ansari Moghadam S, Poursharifi H, Seirafi M R, Valizadeh M. The Mediation Role of Treatment Adherence in the Relationship between Weight-Related Lifestyle Self-Efficacy, Psychological Distress and Weight Loss in Obese Patients Undergoing Sleeve Gastrectomy Surgery Method. RBS. 2019; 17 (2) :324-335.
14. Barlow, D. H. Clinical Handbook of Psychological Disorders: a Step-By-Step Treatment Manual. 2014. Guilford publications..
15. Akhavan-Abiri F, Shairi M R, Gholami Fesharaki M. The relationship between attachment and psychological distress with regard to the mediating role of mindfulness. Feyz. 2019; 23 (1) :89-101.
16. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol [Internet]. 1988;56(6):893–7. Available from: http://dx.doi.org/10.1037//0022-006x.56.6.893.
17. Khesht-Masjedi MF, Omar Z, Kafi Masoleh SM. Psychometrics properties of the Persian version of Beck Anxiety Inventory in North of Iranian adolescents. Int J Educ Psychol Res 2015;1:145-53.
18. Yaghubi, H.Psychometric properties of the 10 questions Version of the Kessler Psychological Distress Scale (K-10). Journal of Applied Psychological Research, 2016; 6(4): 45-57. doi: 10.22059/japr.2016.57963.
19. Naqvi AA, Hassali MA, Rizvi M, Zehra A, Nisa Z-U-, Islam MA, et al. Validation of the General Medication Adherence Scale in Pakistani patients with rheumatoid arthritis. Front Pharmacol [Internet]. 2020;11:1039. Available from: http://dx.doi.org/10.3389/fphar.2020.01039.
20. Hokmabadi, M., Bigdeli, I., Asadi, J., Asghari Ebrahim Abad, M. The effectiveness of acceptance and commitment therapy (ACT) on personality type D and adherence to treatment in patients with coronary artery disease: the modulatory role of working- and prospective memory performance. QUARTERLY JOURNAL OF HEALTH PSYCHOLOGY, 2018; 6(24): 138-161.
21. GHANBARI ZAHRA, DARVIZEH ZAHRA, KHOSRAVI ZOHREH. The Role of Anxiety and Depression in The Success of Sleeve Gastrectomy Surgery. QUARTERLY JOURNAL OF HEALTH PSYCHOLOGY. 2018 [cited 2022August24];7(3 (27) ):7-30. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=745499.
22. Parastoo Golshiri, Anita Tavakoli, Arash Najimi, Azita Tavakoli, The Role of Depression, Anxiety, and Stress in Medication Adherence in Patients with Hypertension, Journal Of Isfahan Medical School, 2017; 35(437): 781-788. magiran.com/p1732572.
23. Barberis N, Quattropani MC, Cuzzocrea F. Relationship between motivation, adherence to diet, anxiety symptoms, depression symptoms and quality of life in individuals with celiac disease. J Psychosom Res [Internet]. 2019;124(109787):109787. Available from: http://dx.doi.org/10.1016/j.jpsychores.2019.109787.
24. Lai C, Filippetti G, Schifano I, Aceto P, Tomai M, Lai S, et al. Psychological, emotional and social impairments are associated with adherence and healthcare spending in type 2 diabetic patients: an observational study. Eur Rev Med Pharmacol Sci [Internet]. 2019;23(2):749–54. Available from: http://dx.doi.org/10.26355/eurrev_201901_16889.
25. Kendall AD, Zinbarg RE, Bobova L, Mineka S, Revelle W, Prenoveau JM, et al. Measuring positive emotion with the Mood and Anxiety Symptom Questionnaire: Psychometric properties of the Anhedonic Depression scale: Psychometric properties of the Anhedonic Depression scale. Assessment [Internet]. 2016;23(1):86–95. Available from: http://dx.doi.org/10.1177/1073191115569528.
26. Mokhtari S, Khosravi S, Nejatbakhsh A . Comparison of intolerance of Uncertainty, Worriness, Cognitive Avoidance, Negative problem orientation among people with generalized anxiety disorder, major depression disorder and Normal subjects(population) . J Res Behave Sci 201 5; 1 3 ( 2): 188 - 207.
27. Dodd HF, Vogt J, Turkileri N, Notebaert L. Task relevance of emotional information affects anxiety-linked attention bias in visual search. Biol Psychol [Internet]. 2017;122:13–20. Available from: http://dx.doi.org/10.1016/j.biopsycho.2016.01.017.
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