Quality of life in women with lipoedema: a contextual behavioral approach

Joanna Dudek , Wojciech Białaszek , Paweł Ostaszewski


Purpose 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. Methods 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 ScaleRevised) and other psychological factors. The majority of participants were from the USA, the UK, and Australia. Results 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. Conclusions 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.
Author Joanna Dudek
Joanna Dudek,,
, Wojciech Białaszek (Wydział Psychologii)
Wojciech Białaszek,,
- Wydział Psychologii
, Paweł Ostaszewski (Wydział Psychologii)
Paweł Ostaszewski,,
- Wydział Psychologii
Journal seriesQuality of Life Research, ISSN 0962-9343, e-ISSN 1573-2649, (A 35 pkt)
Issue year2016
Publication size in sheets0.5
Keywords in EnglishLipoedema, Quality of life, Acceptance and Commitment Therapy (ACT), Functional Analytic Psychotherapy (FAP), Psychological flexibility, Social connectedness
ASJC Classification2739 Public Health, Environmental and Occupational Health
URL http://link.springer.com/article/10.1007%2Fs11136-015-1080-x
Languageen angielski
Dudek-Bia-aszek-Ostaszewski-QoLRes-2015-str-tytulowa.pdf of 14-09-2015
310.31 KB
Additional file
2017-03-14-10-54-02-573.pdf 44.3 KB
Score (nominal)40
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2016 = 1.3; WoS Impact Factor: 2016 = 2.344 (2) - 2016=2.954 (5)
Citation count*36 (2021-02-27)
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Dorobek Naukowy - Preview URLhttp://dn.swps.edu.pl/Podglad.aspx?WpisID=18056
Dorobek Naukowy - Approve URLhttp://dn.swps.edu.pl/Biuro/ZatwierdzanieWpisu.aspx?WpisID=18056
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* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
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