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Lipoedema is a chronic, progressive adipose disorder of unknown etiology, often underdiagnosed or misdiagnosed as obesity. It manifests itself with accumulation of the fat in lower parts of the body and associated edema and, due to numerous physical and psychological consequences, affects the quality of life (QOL) of those who suffer. The aim of this study was to investigate the psychological factors that might have an impact on the QOL of women with lipoedema from the contextual behavioral viewpoint.
In an Internet-based cross-sectional study, women suffering from lipoedema (N = 120) were asked to fill in questionnaires assessing: symptom severity, QOL (WHOQOL-BREF), satisfaction with life (SWLS), psychological flexibility (Acceptance and Action Questionnaire-II), social connectedness (Social Connectedness Scale-Revised) and other psychological factors. The majority of participants were from the USA, the UK, and Australia.
Multiple hierarchical regression analyses showed that a higher level of QOL was predicted by higher levels of psychological flexibility and social connectedness, while controlling for symptom severity. Higher level of SWL was predicted only by higher level of social connectedness.
Acceptance and Commitment Therapy with psychological flexibility as the target of change and Functional Analytic Psychotherapy with social connectedness as the target of change might be useful in treating women with lipoedema; however, further research in this area is needed. The authors conclude that psychological and biomedical interventions for women with lipoedema and their QOL merit more attention from researchers and the medical community than is currently received.
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Földi, M., & Földi, E. (2006). Földi’s textbook of lymphology: For physicians and lymphedema therapists (2nd ed.). Munich: Elsevier.
Bosman, J. (2011). Lipedema: Poor knowledge, neglect or disinterest? Journal of Lymphoedema, 6(2), 109.
Fife, C. E., Maus, E. A., & Carter, M. J. (2010). Lipedema: A frequently misdiagnosed and misunderstood fatty deposition syndrome. Advances in Skin & Wound Care, 23(2), 81–92. CrossRef
Hayes, S. C., Barnes-Holmes, D., & Wilson, K. G. (2012). Contextual behavioral science: Creating a science more adequate to the challenge of the human condition. Journal of Contextual Behavioral Science, 1, 1–16. CrossRef
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and Commitment Therapy: The process and practice of mindful change (2nd ed.). New York: The Guilford Press.
Tsai, M., Kohlenberg, R. J., Kanter, J. W., Kohlenberg, B., Follette, W. C., & Callaghan, G. M. (2008). A guide to Functional Analytic Psychotherapy: Awareness, courage, love, and behaviorism. New York: Springer Science & Business Media.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. CrossRefPubMed
Pearson, A. N., Follette, V. M., & Hayes, S. C. (2012). A pilot study of Acceptance and Commitment Therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19(1), 181–197. CrossRef
Kanter, J. W., Holman, G., Wetterneck, C. T., Tsai, M., & Kohlenberg, R. J. (2014). A new contextual behavioral model for social connection for Functional Analytic Psychotherapy. In Presented at the symposium presented at the Association for Contextual Behavioral Science 12th Annual World Conference, Minneapolis, MN.
Reis, H. T., & Shaver, P. R. (1988). Intimacy as an interpersonal process. In S. Duck (Ed.), Handbook of research in personal relationships (pp. 367–389). London: Wiley.
Seppala, E., Rossomando, T., & Doty, J. R. (2013). Social connection and compassion: Important predictors of health and well-being. Social Research, 80(2), 411–430.
Mangabeira, V., Kanter, J., & Del Prette, G. (2012). Functional Analytic Psychotherapy (FAP): A review of publications from 1990 to 2010. International Journal of Behavioral Consultation and Therapy, 7(2–3), 78–89. CrossRef
Pavot, W., & Diener, E. (2008). The Satisfaction with Life Scale and the emerging construct of life satisfaction. The Journal of Positive Psychology, 3(2), 137–152. CrossRef
The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558. CrossRef
Skevington, S. M., Lotfy, M., O’Connel, K. A., & WHOQOL Group. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13(2), 299–310. CrossRefPubMed
Lee, R. M., Draper, M., & Lee, S. (2001). Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: Testing a mediator model. Journal of Counseling Psychology, 48(3), 310–318. CrossRef
Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the Self-Compassion Scale. Clinical Psychology & Psychotherapy, 18, 250–255. CrossRef
Sandoz, E. K., Wilson, K. G., Merwin, R. M., & Kellum, K. (2013). Assessment of body image flexibility: The Body Image-Acceptance and Action Questionnaire. Journal of Contextual Behavioral Science, 2(1–2), 39–48. CrossRef
Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorder psychopathology: Interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363–370. PubMed
Leonard, R. C., Knott, L. E., Lee, E. B., Singh, S., Smith, A. H., Kanter, J., et al. (2014). The development of the Functional Analytic Psychotherapy Intimacy Scale. The Psychological Record, 64(4), 647–657. CrossRef
Champey, J., Corruble, E., Gottenberg, J., Buhl, C., Meyer, T., Caudmont, C., et al. (2006). Quality of life and psychological status in patients with primary Sjögren’s syndrome and sicca symptoms without autoimmune features. Arthritis Care & Research, 55(3), 451–457. CrossRef
Danieli, E., Airò, P., Bettoni, L., Cinquini, M., Antonioli, C. M., Cavazzana, I., et al. (2005). Health-related quality of life measured by the Short Form 36 (SF-36) in systemic sclerosis: Correlations with indexes of disease activity and severity, disability, and depressive symptoms. Clinical Rheumatology, 24(1), 48–54. CrossRefPubMed
Hahn, B. A., Kirchdoerfer, L. J., Fullerton, S., & Mayer, E. (1997). Patient-perceived severity of irritable bowel syndrome in relation to symptoms, health resource utilization and quality of life. Alimentary Pharmacology & Therapeutics, 11(3), 553–559. CrossRef
Belsley, D. (1991). Conditioning diagnostics: Collinearity and weak data in regression. New York: Wiley.
- Quality of life in women with lipoedema: a contextual behavioral approach
Joanna E. Dudek
- Springer International Publishing