Long‐term Effects of Dieting: Is Weight Loss Related to Health?

“Success” in dieting interventions has traditionally been defined as weight loss. It is implicit in this definition that losing weight will lead to improved health, and yet, health outcomes are not routinely included in studies of diets. In this article, we evaluate whether weight loss improves health by reviewing health outcomes of long‐term randomized controlled diet studies. We examine whether weight‐loss diets lead to improved cholesterol, triglycerides, systolic and diastolic blood pressure, and fasting blood glucose and test whether the amount of weight lost is predictive of these health outcomes. Across all studies, there were minimal improvements in these health outcomes, and none of these correlated with weight change. A few positive effects emerged, however, for hypertension and diabetes medication use and diabetes and stroke incidence. We conclude by discussing factors that potentially confound the relationship between weight loss and health outcomes, such as increased exercise, healthier eating, and engagement with the health care system, and we provide suggestions for future research.     

Medicare's search for effective obesity treatments: diets are not the answer

The prevalence of obesity and its associated health problems have increased sharply in the past 2 decades. New revisions to Medicare policy will allow funding for obesity treatments of proven efficacy. The authors review studies of the long-term outcomes of calorie-restricting diets to assess whether dieting is an effective treatment for obesity. These studies show that one third to two thirds of dieters regain more weight than they lost on their diets, and these studies likely underestimate the extent to which dieting is counterproductive because of several methodological problems, all of which bias the studies toward showing successful weight loss maintenance. In addition, the studies do not provide consistent evidence that dieting results in significant health improvements, regardless of weight change. In sum, there is little support for the notion that diets lead to lasting weight loss or health benefits.     

An Evidence‐Based Model for Understanding the Mental Health Experiences of Transgender Australians

A growing body of empirical research has documented the mental health experiences of Australian transgender people. This research indicates three key factors that appear to play a role in determining outcomes for adult transgender Australians: (a) discrimination, (b) access to hormones and/or surgery, (c) community connectedness. Two theoretical frameworks clarify why these factors exist and how they can lead to either negative or positive mental health outcomes. The first is cisgenderism, which describes the ideology that delegitimises people's own understanding of their genders and bodies. Although anyone can experience cisgenderism, it is a particularly common experience for transgender people. The second is decompensation, which describes the processes through which the cumulative effects of stressors may lead to poor mental health. Drawing on both previous empirical findings and these two theoretical frameworks, this article proposes, and provides initial testing of, a model for understanding the mental health of transgender adults in Australia. The article concludes by suggesting the need for changes regarding how decisions are made about mental health service provision for transgender people, how mental health professionals understand the lives of transgender people, and how legislation can better ensure the full inclusion of transgender people in Australia.     

Connecting adverse childhood experiences and community health to promote health equity

Adverse childhood experiences (ACEs) can have negative effects on health outcomes across the lifespan. Furthermore, the effects of ACEs are often compounded by social determinants of health and historical and contemporary trauma that can affect entire communities. The socio‐ecological model is a valuable framework for understanding the complex systems in which efforts to promote health equity are situated. Using a trauma‐informed lens, community health becomes a powerful focal point for viable prevention and treatment options to address ACEs and promote health equity. Self‐healing on a community level involves collective engagement; people most affected by ACEs and trauma come together around activities that have the potential to lift up the entire community and foster individual and community resilience. The use of community health research and evaluation methods that are consistent with trauma‐informed, empowerment approaches can contribute to community healing. This paper is intended to establish a common language for how community healing can address ACEs and foster health equity.     

GENDER DIFFERENCES IN INTERNAL BELIEFS ABOUT WEIGHT AND NEGATIVE ATTITUDES TOWARDS SELF AND OTHERS

Previous research has found that people with an internal weight locus of control (beliefs in self-control over weight) are more likely to join and stay in weight-loss programs and have higher self-esteem than those who have an external locus of control (e.g., belief that weight is due to luck, genes). There has been no research on how weight locus of control affects the self-esteem of people who are not average weight or not satisfied with their weight. The present study predicted that for people who are overweight, weight locus of control would be negatively related to self-esteem. The results confirmed this interaction between weight locus of control and weight on self-esteem for women, but not for men. The second prediction was that internal weight locus of control would have negative social consequences in terms of greater negative stereotyping of obese people, and this was also confirmed for women. Because weight loss is rarely permanent, it would seem important to change people's attitudes about the lack of control that they (and others) have over body weight.     

“It is Good to Know Now…Before it’s Too Late”: Promoting Sexual Health Literacy Amongst Resettled Young People With Refugee Backgrounds

Little is known about access to sexual health information amongst young people with refugee backgrounds living in countries of resettlement. This paper reports on a study of sexual health amongst recently arrived young people from refugee backgrounds in Melbourne, Australia. The study employed qualitative research methods to explore and describe how resettled youth access, interpret and implement sexual health information. Between August and December 2007, data was collected through 23 focus group discussions and 14 in-depth interviews involving 142 young people with refugee backgrounds. Participants were purposively selected to reflect the ethnic composition of humanitarian entrants to Australia over the past 3 years. Their countries of origin included Iraq, Afghanistan, Burma, Sudan, Liberia, and Horn of Africa countries. The findings highlight how young people with refugee backgrounds are disadvantaged in relation to access to sexual health information. Young people had little knowledge of sexual health or STIs apart from HIV/AIDS. While they are aware of potential sources of sexual health information, few of these sources are utilized. Specific barriers to learning about sexual health include concerns about confidentiality, shame and embarrassment when discussing sexual health, and the competing demands of resettlement. The paper argues for sexual health promotion to be an explicit part of early resettlement services for refugee youth, and the implications for the development of appropriate sexual health education programs are discussed.     

Weight perception, weight change intentions, and alcohol use among young adults

Obesity and binge drinking are important health issues for young adults in the United States. Several studies have investigated the relationship between these constructs with mixed results. One possible explanation to disentangle this relationship suggests that how people feel about their weight, regardless of their actual weight, may explain some variation in alcohol use. This study (n = 4497) investigated the relationship between two types of body weight concerns--weight perception and weight change intentions--and binge drinking. Controlling for measured body weight, we considered whether body weight concerns increase risk for binge drinking. Findings suggest that women who reported trying to lose weight had an increased risk of binge drinking. Conversely, men who perceived themselves overweight were significantly less likely to participate in binge drinking. We conclude with a discussion of the finding's implications.     

Health behaviour and attitudes to publicity campaigns for health promotion

Abstract

A sample of 403 members of the public responded to a postal questionnaire concerning their own health behaviour and their attitudes towards health publicity. A principal components analysis of these attitudes revealed three factors, the first of which reflected a tendency to deny the “relevance” of health campaigns. This tendency was higher among those who smoked, took less exercise and had less healthy diets. It is inferred that the direct effects of such campaigns may be impeded by the fact that they appeal most to those people whose own behaviour (from the point of view of health) is in least need of change.     

Weighed Down by Stigma: How Weight‐Based Social Identity Threat Contributes to Weight Gain and Poor Health

Weight stigma is pervasive, and a number of scholars argue that this profound stigma contributes to the negative effects of weight on psychological and physical health. Some lay individuals and health professionals assume that stigmatizing weight can actually motivate healthier behaviors and promote weight loss. However, as we review, weight stigma is consistently associated with poorer mental and physical health outcomes. In this article, we propose a social identity threat model elucidating how weight stigma contributes to weight gain and poorer mental and physical health among overweight individuals. We propose that weight‐based social identity threat increases physiological stress, undermines self‐regulation, compromises psychological health, and increases the motivation to avoid stigmatizing domains (e.g., the gym) and escape the stigma by engaging in unhealthy weight loss behaviors. Given the prevalence of overweight and obesity in the US, weight stigma thus has the potential to undermine the health and wellbeing of millions of Americans.     

The legacies of systemic and internalized oppression: Experiences of microaggressions,imposter phenomenon,and stereotype threat on historically marginalized groups

Previous literature has described how people of historically marginalized groups (namely people of color, women, queer and transgender people, people living with disabilities, immigrants, and people of religious minority groups) are likely to internalize negative, oppressive feelings about their identities (David, 2014; David, Schroeder, & Femandez, 2019). For example, studies have found that many women and people of color (and women of color, in particular) experience what has been labeled as imposter phenomenon, or the notion that they are not intelligent or adequate enough, despite evidence that confirms their success or worth. Similarly, people of color and people from other historically marginalized groups are known to experience stereotype threat, or anxiety about performance or behaviors that could confirm biases about a social group they belong to. Finally, previous literature shows that people of historically marginalized groups navigate various types of microaggressions, or subtle or covert biased statements and behaviors that negatively impact their self-esteem, academic performance, mental health, and physical health. While the terms microaggressions, stereotype threat, and imposter phenomenon have been discussed thoroughly in academic literature, less is written about the connections between these concepts. Utilizing intersectionality theory, the current paper will propose an interactional model between these constructs and aims to describe how cumulative effects of microaggressions exacerbate and contribute to internalized oppression. Based on this model, this paper will also provide recommendations for future directions in psychological research and practice.     

Religion,Health, and Psychological Well-Being

This study compares the effects of religiosity on health and well-being, controlling for work and family. With 2006 GSS data, we assess the effects of religiosity on health and well-being, net of job satisfaction, marital happiness, and financial status. The results indicate that people who identify as religious tend to report better health and happiness, regardless of religious affiliation, religious activities, work and family, social support, or financial status. People with liberal religious beliefs tend to be healthier but less happy than people with fundamentalist beliefs. Future research should probe how religious identity and beliefs impact health and well-being.     

Patterns of Natural Language Use: Disclosure, Personality, and Social Integration

When people write about their deepest thoughts and feelings about an emotionally significant event, numerous benefits in many domains (e.g., health, achievement, and well-being) result. As one step in understanding how writing achieves these effects, we have developed a computer program that provides a "fingerprint" of the words people use in writing or in natural settings. Analyses of text samples indicate that particular patterns of word use predict health and also reflect personality styles. We have also discovered that language use in the laboratory writing paradigm is associated with changes in social interactions and language use in the real world. The implications for using computer-based text analysis programs in the development of psychological theory are discussed.     

Relational regulation theory: a new approach to explain the link between perceived social support and mental health

Perceived support is consistently linked to good mental health, which is typically explained as resulting from objectively supportive actions that buffer stress. Yet this explanation has difficulty accounting for the often-observed main effects between support and mental health. Relational regulation theory (RRT) hypothesizes that main effects occur when people regulate their affect, thought, and action through ordinary yet affectively consequential conversations and shared activities, rather than through conversations about how to cope with stress. This regulation is primarily relational in that the types of people and social interactions that regulate recipients are mostly a matter of personal taste. RRT operationally defines relationships quantitatively, permitting the clean distinction between relationships and recipient personality. RRT makes a number of new predictions about social support, including new approaches to intervention.     

Theories of job stress and the role of traditional values: a longitudinal study in China

This study examines how traditionality influences the relationships between job stressors and health. A sample of 496 Chinese employees provided longitudinal questionnaire data, and their health was assessed by collecting blood samples and monitoring blood pressure. The results indicated that the positive relationship between job control and health was stronger among the less traditional workers, whereas the positive relationship between distributive justice and health was stronger among the more traditional workers. Furthermore, traditionality moderated the interactive effects of job demands and perceived control/justice on health. Perceiving higher control mitigated the effects of job demands on upper respiratory infections among low traditionalists, but it exacerbated the effects among the high traditionalists. Perceptions of higher justice mitigated the effects of job demands on emotional exhaustion and immunoglobulin A for high traditionalists but not for low traditionalists. These results suggest that, in the relationship between job demands and psychological and physiological health, concern for equity is an important moderator for individuals with more traditional values, whereas perceived personal control is salutary for health primarily among people with less traditional values.     

Women and weight: fad and fiction

In this article, I argue that women's concern with body weight is a "fad," when taken in an historical context, and is limited to Western societies. I have presented evidence that the following aspects of weight are myths rather than reality: (a) There are objective definitions of obesity; (b) obesity is prevalent among women; (c) obese people take in more calories than the nonobese; (d) dieting is an effective way to reduce weight; and (e) obesity is related to poor physical health.     

Cultural aspects of mental health and mental health service delivery with a focus on Nigeria within a global community

With an endless range of subgroups and individual variations, culture bears upon what all people bring to the clinical setting. Culture could account for health-seeking behaviour, type of services and support system and variations in how people communicate their health concerns. Culture may underlie presentation of sets of symptoms that are peculiar to certain societies – culture-bound syndromes. Culture also influences the meanings that people impart to their illness and also stigma associated with such illnesses. Culture must be viewed from the patients, clinicians and health system dimensions. Changes in mental health service delivery in last few decades have yielded culturally competent mental health services. The aim of this paper was to discuss culture and mental health with a focus on Nigeria and from a global perspective.     

Working with Mental Health Service Users to Change Mental Health Services

During the last ten years in the UK, service user consultation and collaboration has gradually entered the vocabulary of people providing and purchasing mental health services. However, we are not convinced that much needed change in mental health services will be achieved as a function of increased commitment to market consumerism. We argue here that service user consultation and collaboration should take account of the effects of social inequalities on mental health and on mental health services. This perspective highlights the need for fundamental change in mental health services, and helps us to appreciate the strength of resistance to change, and to understand some of the dynamics involved. We describe here how this perspective has motivated and shaped our own efforts to collaborate responsibly with service users to change mental health services.     

Divorce and Death: A Case Study for Health Psychology

Marital separation and divorce are associated with increased risk for early death, and the magnitude of this association rivals that of many well‐established public health factors. In the case of divorce, however, the mechanisms explaining precisely why and how some people are at risk for early death remain unclear. This paper reviews what is known about the association between divorce and risk for all‐cause mortality, then discusses four emerging themes: the biological intermediaries linking divorce to pathophysiology and disease onset, moving beyond the statistical mean, focusing research on the diathesis‐stress model, and studying how opportunity foreclosures may place people on a trajectory toward poor distal health outcomes. These ideas are grounded in a set of public lay commentaries about the association between divorce and death; in this way, the paper seeks to integrate current research ideas with how the general public thinks about divorce and its correlates. Although this paper focuses on divorce, many of the emerging themes are applicable to the study of psychosocial stress and health more generally. Therefore, the study of divorce and death provides a good case study for health psychology and considers new questions that can be pursued in a variety of research areas.