Relationship between body image and psychological well-being in patients with morbid obesity

Background: Morbid obesity is rising around the world. It can cause unpleasant appearance and body image. Most of the studies have aimed to evaluate the psychopathology of overweight and obesity and paying attention to mental well-being in morbid obese individuals is rare. Therefore, this study aimed to assess the relationship between body image and psychological well-being in morbid obese patients

Methods: This cross-sectional study, using simple random sampling method, was done on 124 morbid obese patients who referred to obesity clinic in Shiraz from 2016 to 2017. The data were collected by body image index and psychological well-being questionnaire. Results were analyzed using descriptive statistics, Pearson correlation coefficient test, ANOVA, and Regression analysis

Results: The results showed a significant relationship between body image and psychological wellbeing [r=0.43] [P<0.001], and between the total score of the body image and all the subscales of psychological well-being except autonomy and purpose in life [P<0.05]. There was also a significant relationship between the total score of psychological well-being and all the subscales of body image [P<0.05]. However, there was no significant difference between the mean scores of the body image and those of psychological well-being in different categories of body mass index [BMI] [P>0.05]

Conclusion: Final results indicated that body image defects caused by obesity could lie in negative psychological well-being in all aspects. This study can promote health clinicians' knowledge in supporting of mental status of obese individuals. It is suggested that preventing and supporting intervention should be performed as effective methods for encountering and coping with psychological effects of obesity

Designing a model for private health insurance in Iran

Background and objective Some of high income countries are developing the private health insurance coverage as a complementary. or supplementary coverage: Methods, We examined the private health insurance in England U.S.A, Germany, Spain, Austria, Turkey, Sweden Greece, Mexico, Japan, Canada, Denmark and Iran between 2002 and 2006 for studding private healt ;insurance coverage. We used data from the OECD, European Observatory and country specific resources also we reviewed specific regulations in certain countries, based on this comparative study we designed a. model for private health insurance coverage in Iran after approving by specialist in Delphi technique The private health insurance has been created in order to cover the cost and service gapes which excite in the current basic insurance also increase the satisfaction of insured and make the choice authority for. people who have higher incomes Premiums are the main source of financial support in the private health insurance which is entertained. from individual risks and criteria within health condition. In addition Legislation is primary role of government, in addition supporting role in beginning of the work and after that supervising role were suggested Based on specialist opinions the private health insurance in Iran private health insurance could be covered.the gaps of basic health insurance as a complementary or supplementary health insurance based on residency and ability to pay