Comparing Health-Related Quality of Life and Stress Appraisal among Women with Overweight, Obesity, and a History of Bariatric Surgery

Objective: This study compared health-related quality of life (HRQoL) and stress appraisal among overweight, obese, and post-bariatric surgery women. Method: We used a descriptive, causal-comparative design with ۹۰ women. Each group—overweight, obese, and post-bariatric surgery—contained ۳۰ participants. Participants were purposively sampled from Imam Reza Hospital. The Short Form Health Survey (SF-۳۶) assessed physical (PCS) and mental (MCS) HRQoL. The Stress Appraisal Measure (SAM) evaluated perceived stress. We analyzed data using MANOVA and Tukey’s post hoc tests in SPSS ۲۶. Results: MANOVA showed significant group differences (F = ۸.۶۵, p < ۰.۰۰۱, η² = ۰.۲۳). Tukey’s post hoc tests found that overweight women had higher PCS and MCS scores and lower stress appraisal than both obese and post-bariatric groups. The post-bariatric group had higher PCS and MCS than the obese group. Stress appraisal did not differ significantly between these two groups. Conclusion: Bariatric surgery improves HRQoL compared with obesity, but not to levels seen in the overweight. High stress remains after surgery. These findings highlight the need for psychological support and early interventions to maintain HRQoL and manage stress.

کلیدواژه ها:

Overweight ، Obesity ، Bariatric Surgery ، Quality of Life ، Stress Appraisal