The Psychological Burdens of Obesity: A Mixed-Methods Exploration of Early Maladaptive Schemas and Well-Being

Abstract

This study explores the relationships between early maladaptive schemas, schema avoidance behaviors, and psychological well-being in obese adults while also examining their life experiences and coping strategies. Using an explanatory mixed-methods design, the study first conducted a quantitative phase with 785 obese adults (BMI ≥ 30), analyzing data from the Psychological Well-being Scale, Young Schema Questionnaire, and Young-Rygh Avoidance Inventory through structural equation modeling (SEM). Findings indicated that schemas such as social isolation, insecurity, enmeshment, dependency, punitiveness, and self-sacrifice predicted schema avoidance and negatively impacted psychological well-being. In the qualitative phase, eight obese women who scored low on the Psychological Well-Being Scale but high on schema questionnaires participated in focus groups. Thematic analysis revealed that defectiveness, emotional deprivation, poor self-control, and high standards schemas were frequently triggered in obesity. The integration of quantitative and qualitative findings emphasized the significant role of schemas in obesity-related psychological distress.

Keywords

• Obesity
• Schemas
• Well-being

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