Obesity Surgery

, Volume 17, Issue 5, pp 669–671 | Cite as

Depressed Mood in Class III Obesity Predicted by Weight-Related Stigma

  • Eunice Y. Chen
  • Lindsey E. Bocchieri-Ricciardi
  • Daniel Munoz
  • Sarah Fischer
  • Shawn Katterman
  • Megan Roehrig
  • Maureen Dymek-Valentine
  • John C. Alverdy
  • Daniel Le Grange


Greater depressed mood in Class III obese surgery-seeking clients may be due to weightrelated stigma, weight-related physical disability (e.g. mobility) or the presence of binge-eating (BE).


60 Class III obese surgery-seeking adults were administered the Beck Depression Inventory (BDI), weight-related physical disability (IWQOL-PF) and another weight-related stigma (IWQOL-PD), and assessed for BE (SCID-1 or Questionnaire of Eating and Weight Patterns) before surgery.


In a hierarchical regression analysis, BMI, gender, and age of obesity onset did not account for a significant portion of the variance in BDI scores in the first step. The second step of the model was statistically significant (F(3,53)––.469, P–lt;–.000), accounting for 33.6% of the variance in BDI scores. IWQOLPD scores were the only significant predictor of BDI scores (b––.518, P––.001), and this independently contributed to 32.6% of the variance in BDI scores.


This suggests that depressed mood seen in Class III obese surgery-seeking individuals may be most related to weight-related stigma rather than BE status, or weight-related physical disability.

Key words

Morbid obesity depression weight-related discrimination binge-eating 


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  1. 1.
    Onyike CU, Crum RM, Lee HB et al. Is obesity associated with major depression? Results from the Third National Health and Nutrition Examination Survey. Am J Epidemiol 2003; 158:1139–7.CrossRefPubMedGoogle Scholar
  2. 2.
    Carpenter KM, Hasin DS, Allison DB et al. Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: Results from a general population study. Am J Pub Health 2000; 90: 251–.CrossRefGoogle Scholar
  3. 3.
    Dong C, Li W-D, Li D et al. Extreme obesity is associated with attempted suicides: results from a family study. Int J Obes 2006; 30: 388–0.CrossRefGoogle Scholar
  4. 4.
    Rand CSM, Macgregor A. Morbidly obese patients–perceptions of social discrimination before and after surgery for obesity. South Med J 1990; 83: 1390–.PubMedGoogle Scholar
  5. 5.
    Carr D, Friedman MA. Is obesity stigmatizing? Body weight, perceived discrimination, and psychological well-being in the United States. J Health Soc Behav 2005; 46: 244–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Friedman KE, Reichmann SK, Costanzo PR et al. Weight stigmatization and ideological beliefs: relation to psychological functioning in obese adults. Obes Res 2005; 907–6.Google Scholar
  7. 7.
    Myers AR, Rosen J. Obesity stigmatization and coping: relation to mental health symptoms, body image, and self-esteem. Int J Obes 1999; 23: 221–0.CrossRefGoogle Scholar
  8. 8.
    Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res 2005; 13: 639–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Bulik CM, Tozzi F, Anderson C et al. The relation between eating disorders and components of perfectionism. Am J Psychiatry 2003; 160: 366–.CrossRefPubMedGoogle Scholar
  10. 10.
    Mazzeo SE, Saunders R, Mitchell KS. Gender and binge eating among bariatric surgery candidates. Eat Behav 2006; 7: 47–2.CrossRefPubMedGoogle Scholar
  11. 11.
    Kolotkin RL, Crosby, RD, Pendelton R et al. Health-related quality of life in patients seeking gastric bypass surgery vs non-treatment-seeking controls. Obes Surg 2003; 13: 371–.CrossRefPubMedGoogle Scholar
  12. 12.
    Crichlow RJ, Andres PL, Morrison SM et al. Depression in orthopaedic trauma patients. Prevalence and severity. J Bone Joint Surg Am 2006; 88: 1927–3.CrossRefPubMedGoogle Scholar
  13. 13.
    Marcus DA. Obesity and the impact of chronic pain. Clin J Pain 2004; 20: 186–1.CrossRefPubMedGoogle Scholar
  14. 14.
    Beck AT, Ward CH, Mendelson M et al. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561–1.PubMedGoogle Scholar
  15. 15.
    First MB, Spitzer RL, Gibbon M et al. Structured Clinical Interview for Axis I DSM-IV Disorders - Patient Edition (SCID-I/P). New York: Biometrics Research Department, NY: State Psychiatric Institute, 1995.Google Scholar
  16. 16.
    Nangle DW, Johnson WG, Carr-Nangle RE et al. Binge eating disorder and the proposed DSM-IV criteria: Psychometric analysis of the questionnaire of eating and weight patterns. Int J Eat Disord 1994; 16: 147–7.CrossRefPubMedGoogle Scholar
  17. 17.
    Powers PS, Perez A, Boyd F et al. Eating pathology before and after bariatric surgery: a prospective study. Int J Eat Disord 1999; 25: 293–00.CrossRefPubMedGoogle Scholar
  18. 18.
    Bocchieri-Ricciardi LE, Chen EY, Munoz D et al. Pre-surgery binge eating status: effect on eating behavior and weight outcome after gastric bypass. Obes Surg 2006; 16: 1198–04.CrossRefPubMedGoogle Scholar
  19. 19.
    Fabricatore AN, Wadden TA, Sarwer DB et al. Health-related quality of life and symptoms of depression in extremely obese persons seeking bariatric surgery. Obes Surg 2005; 15: 304–.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Eunice Y. Chen
    • 1
    • 5
  • Lindsey E. Bocchieri-Ricciardi
    • 1
  • Daniel Munoz
    • 1
  • Sarah Fischer
    • 1
  • Shawn Katterman
    • 2
  • Megan Roehrig
    • 1
  • Maureen Dymek-Valentine
    • 3
  • John C. Alverdy
    • 4
  • Daniel Le Grange
    • 1
  1. 1.Department of PsychiatryUniversity of ChicagoChicagoUSA
  2. 2.Department of PsychologyMichigan State UniversityEast LansingUSA
  3. 3.Department of PsychiatryUniversity of North CarolinaChapel HillUSA
  4. 4.Center for Surgical Treatment of Obesity, Department of SurgeryUniversity of ChicagoChicagoUSA
  5. 5.Department of PsychiatryUniversity of ChicagoChicagoUSA

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