Abstract
In this article we examine, in a 3-year follow-up, whether depressive symptoms and cynical hostility predict weight change. A cardiovascular risk factor survey was carried out for a stratified random sample of a population aged between 45 to 64 years in 1992. A follow-up survey was conducted three years later for 119 male and 166 female participants of the baseline survey. Using similar methodology, body mass index (BMI), depression (Beck depression inventory), cynical hostility (cynical distrust scale), and several health-related factors were measured in both surveys. Higher depression scores at the baseline predicted both weight gain (> 2 BMI units) and weight loss (> 1 BMI unit) during the follow-up. Cynical hostility did not predict weight change. An increase in depression scores predicted weight loss. Women with depressive symptoms in the least educated group lost weight, and women with depressive symptomsin the most educated group gained weight. These results emphasize the assessment of depressive symptoms in a normal population that is interested in losing weight or preventing obesity.
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Ackerman S., & Nolan, L. J. (1998). Bodyweight gain induced bypsychotropic drugs: Incidence, mechanisms and management.CNS Drugs, 9, 135–151.
Adams, S. H. (1994). Role of hostility in women’s health during midlife: A longitudinal study.Health Psychology, 13, 488–495.
American Psychiatric Association. (1994).Diagnostic and statistical manual of mental disorders (4th ed.) Washington, DC: Author.
Barefoot, J.C., Heitmann, B.L., Helms, M.J., Williams, R.B., Surwit, R.S., & Siegler, I. (1998). Symptoms of depression and changes in body weight from adolescents to mid-life.International Journal of Obesity, 22, 688–694.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation.Clinical Psychological Review, 8, 77–100.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression: The depression.Archives of General Psychiatry, 4, 561–571.
Björntorp, P. (1991). Visceral fat accumulation: The missing link between psychosocial factors and cardiovascular disease?Journal of Internal Medicine, 230, 195–201.
Blaum, C. S., Fries, B. E., & Fiatarone, M. A. (1995). Factors associated with low body mass index and weight loss in nursing home residents.Journal of Gerontology, 50, 162–168.
Christensen, L. (1993). Effect of eating behavior on mood: A review of the literature.International Journal of Eating Disorders, 14, 171–183.
Cooke, D. J., & Allan, C. A. (1983). Self-reported alcohol consumption and dissimulation in an urban Scottish sample.Journal of Studies on Alcohol, 44, 617–269.
DiPietro, L., Anda, R.F., Williamson, D.F., & Stunkard, A.J. (1992). Depressive symptoms and weight change in a national cohort of adults.International Journal of Obesity, 16, 745–753.
Foster, G. D., Wadden, T. A., Kendall, P. C., Stunkard, A. J., & Vogt, R. A. (1996). Psychological effects of weight loss and regain: A prospective evaluation.Journal of Consulting and Clinical Psychology, 64, 752–757.
Fine, J. T., Colditz, G. A., Coakley, E. H., Moseley G., Manson, J. E., Willet, W. C., & Kawachi, I. (1999). A Prospective study of weight change and health-related qualityof lifein women.Journal of American Medical Association, 282, 2136–2142.
French, S. A., Jeffery, R. W., Folsom, A. R., Williamson, D. F., & Byers, T. (1995). History of intentional and unintentional weight loss inpopulation-based sampleofwomen aged 55 to69 years.Obesity Research, 3, 163–170.
Gauvin, L., & Spence, J.C. (1996). Physical activity and psychological well-being: Knowledge base, current issues, and caveats.Nutrition Review, 54, S53-S65.
Gold, P. W. & Chouros, G. P. (1999). The endocrinilogy of melancholic and atypical depression: relation to neurocircuitry and somatic consequences. Procedings of the Associations of American Physicians,111, 22–34.
Greenglass, E.R., & Julkunen, J. (1989). Construct validity and sex differences inCook-Medley Hostility.Personality and Individual Differences, 10, 209–218.
Haukkala, A., & Uutela, A. (2000). Cynical hostility, depression and obesity: The moderating role of education and gender.International Journal of Eating Disorders, 25, 106–109.
Kleemola, M., Virtanen, M., & Pietinen, P. (1994).The 1992 Dietary survey of Finnish adults. (National Public Health Institute Series B No 2). Helsinki, Finland: Kansanterveyslaitos.
Klem, M. L., Wing, R. R., Simkin-Silverman, L., & Kuller, L. H. (1997). The psychological consequences of weight gain prevention in healthy, premenopausal women.International Journal of Eating Disorders, 21, 167–174.
Miller, T. Q., Jenkins, C. D., Kaplan, G. A., & Salonen, J. T. (1995). Are all hostility scales alike? Factor structure and covariation among measures of hostility.Journal of Applied Social Psychology, 25, 1142–1168.
Miller, T. Q., Smith, T. W., Turner, C. W., Guijarro, M. L., & Hallet, A. J. (1996). A meta-analytic review of research on hostility and physical health.Psychological Bulletin, 119, 322–348.
National Institutes of Health (1998).Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. (NIH Publication No. 98-4083) Washington, DC: U.S. Government Printing Office.
Noppa, H., & Hällström, T.(1981). Weight gain inadulthood inrelation tosocioeconomic factors, mental illness and personality traits: A prospective study of middle-aged women.Journal of Psychosomatic Research, 25, 83–89.
Pietinen, P., Vartiainen, E., & Männistö, S.(1996). Trends inbody mass index and obesity among adults in Finland from 1972 to 1992.International Journal of Obesity, 20, 114–120.
Räikkönen, K., Matthews, K. A., Kuller, L. H., Reiber, C., & Bunker C. H. (1999). Anger, hostility, and viscelar adipose tissue in healthy postmenopausal women.Metabolism, Clinical & Experimental, 48, 1146–1151.
Ravaja, N., Keltikangas-Järvinen. L., & Keskivaara, P. (1996). Type A factors as predictors of changes in the metabolic syndrome precursors in adolescents and young adults—A 3-year follow-up study.Health Psychology, 15, 18–29.
Salomaa, V., Rasi, V., Stengård, J., Vahtera, E., Pekkanen, J., Vartiainen, E., Ehnholm, C., & Puska, P. (1998). Intra- and interindividual variability of hemostatic factors and traditional risk factors in a three-year follow-up.Thrombosis & Haemostasis, 79, 969–974.
Schneiderman, N., & Skyler, J. S. (1996). Insulin metabolism, sympathetic nervous system regulation, and coronary heart diseases prevention. In K. Orth-Gomer & N. Schneiderman (Eds.),Behavioral medicine approaches to cardiovascular diseases prevention (pp. 105–133). Mahwah, NJ: Lawrence Erlbaum Associates, Inc.
Siegler, I., Peterson, B., Barefoot, J. C., & Williams, R.B.(1992). Hostility during late adolescence predicts coronary risk factors at mid-life.American Journal of Epidemiology, 136, 146–154.
Stunkard, A. J., Fernström, M. H., Price, A., Frank, E., & Kupfer, D. J. (1990). Direction of weight change in recurrent depression: Consistency across episodes.Archives of General Psychiatry, 47, 857–860.
Tabachnick, B. G., & Fidell, L. S. (1996).Using Multivariate Statistics (3rd ed.). New York: HarperCollins.
Williamson, D. F., Kahn, H. S., Remington, P. L., & Anda, R. F. (1990). The 10-year incidence of overweight and major weight gain in US adults.Archives of Internal Medicine, 150, 665–672.
Williamson, D. F., Serdula, M. K., Anda, R. F., Levy, A., & Byers, T. (1992). Weight loss attempts in adults: Goals, duration, and rateofweight loss.American Journal of Public Health, 82, 1251–1257.
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Haukkala, A., Uutela, A. & Salomaa, V. Depressive symptoms, cynical hostility, and weight change: A 3-year follow-up among middle-aged men and women. Int. J. Behav. Med. 8, 116–133 (2001). https://doi.org/10.1207/S15327558IJBM0802_03
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DOI: https://doi.org/10.1207/S15327558IJBM0802_03