Annals of Behavioral Medicine

, Volume 24, Issue 3, pp 169–180 | Cite as

Are the fat more jolly?

  • Robert E. Roberts 
  • William J. Strawbridge 
  • Stephane Deleger 
  • George A. Kaplan 


Does obesity affect mental health? Two waves of data from a panel study of community residents 50 years and older were used to investigate the association between obesity and eight indicators of mental health: happiness, perceived mental health, life satisfaction, positive affect, negative affect, optimism, feeling loved and cared for, and depression. For none of the eight mental health outcomes examined did we observe a protective effect for obesity. Either no association was observed between obesity and psychological functioning, or the obese were worse off. Using 1994-1999 prospective data, the obese were at increased risk for poorer mental health on five of the outcomes examined using bivariate analyses. However, controlling for mental health problems at baseline and using statistical controls for covariates, the increased relative risk was limited to depression. There has been sufficient disparity of results thus far to justify further research on this question.


Mental Health Obesity Life Satisfaction Behavioral Medicine Mental Health Outcome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. (1).
    Brownell KD, Wadden TA: Etiology and treatment of obesity: Understanding a serious, prevalent, and refractory disorder.Journal of Consulting and Clinical Psychology. 1992,60:605–517.CrossRefGoogle Scholar
  2. (2).
    Bender R, Trautner C, Spraul M, Berger M: Assessment of excess mortality in obesity.American Journal of Epidemiology. 1998,147:42–48.PubMedGoogle Scholar
  3. (3).
    McGinnis JM, Foege WH: Actual causes of death in the United States.Journal of the American Medical Association. 1993,270:2207–2212.PubMedCrossRefGoogle Scholar
  4. (4).
    National Institutes of Health:Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The Evidence Report. Obesity Education Initiative, DHHS Publication No. 98-403. Bethesda, MD: National Institutes of Health, 1998.Google Scholar
  5. (5).
    Pi-Sunyer FX: Medical hazards of obesity.Annals of Internal Medicine. 1993,119; 655–660.PubMedGoogle Scholar
  6. (6).
    Stevens J, Cai J, Pamuk ER, et al.: The effect of age on the association between body mass index and mortality.New England Journal of Medicine. 1998,338:1–7.PubMedCrossRefGoogle Scholar
  7. (7).
    Wolf AM, Colditz GA: Current estimates of the economic costs of obesity in the United States.Obesity Research. 1998,6:97–106.PubMedGoogle Scholar
  8. (8).
    Friedman MA, Brownell KD: Psychological correlates of obesity: Moving to the next research generation.Psychological Bulletin. 1995,117:3–20.PubMedCrossRefGoogle Scholar
  9. (9).
    Crisp AH, McGuiness B: Jolly fat: Relation between obesity and psychoneurosis in the general population.British Medical Journal. 1975,1:7–9.Google Scholar
  10. (10).
    Crisp AH, Queenan M, Sittampaln Y, Harris G: “Jolly fat” revisited.Journal of Psychosomatic Research. 1980,24:233–241.PubMedCrossRefGoogle Scholar
  11. (11).
    Kittel F, Rustin RM, Dramaix M, De Backer G, Kornitzer M: Psycho-socio-biological correlates of moderate overweight in an industrial population.Journal of Psychosomatic Research. 1978,22:145–158.PubMedCrossRefGoogle Scholar
  12. (12).
    Segers M-J, Mertens C: Psychological and bioclinical CHD risk factors: Quantitative differences between obese, normal, and thin subjects.Journal of Psychosomatic Research. 1974,18:403–411.PubMedCrossRefGoogle Scholar
  13. (13).
    Stewart Al, Brook RH: Effects of being overweight.American Journal of Public Health. 1983,73:171–178.PubMedGoogle Scholar
  14. (14).
    Reed DB: The relationship between obesity and psychological general well-being in United States women.Dissertation Abstracts International. 1985,46:3791.Google Scholar
  15. (15).
    Faubel M: Body image and depression in women with early and late onset obesity.Journal of Psychology. 1989,12:385–395.Google Scholar
  16. (16).
    Hällström T, Noppa H: Obesity in women in relation to mental illness, social factors, and personality traits.Journal of Psychosomatic Research. 1981,25:75–82.PubMedCrossRefGoogle Scholar
  17. (17).
    Noppa H, Hällström T: Weight gain in adulthood in relation to socioeconomic factors, mental illness, and personality traits: A prospective study of middle-aged women.Journal of Psychosomatic Research. 1981,25:83–89.PubMedCrossRefGoogle Scholar
  18. (18).
    Istvan J, Zavela K, Weidner G: Body weight and psychological distress in NHANES I.International Journal of Obesity. 1992,16:999–1003.PubMedGoogle Scholar
  19. (19).
    Homer TN, Utermohlen V: A multivariate analysis of psychological factors related to body mass index and eating preoccupation in female college students.Journal of the American College of Nutrition. 1993,12:459–465.Google Scholar
  20. (20).
    Ross C: Overweight and depression.Journal of Health and Social Behavior. 1994,35:63–79.PubMedCrossRefGoogle Scholar
  21. (21).
    Palinkas LA, Wingard DL, Barrett-Connor E: Depressive symptoms in overweight and obese older adults: A test of the “jolly fat” hypothesis.Journal of Psychosomatic Research. 1996,40:59–66.PubMedCrossRefGoogle Scholar
  22. (22).
    Han TS, Tijhuis MA, Lean ME, Seidell JC: Quality of life in relation to overweight and body fat distribution.American Journal of Public Health. 1998,88:1814–1820.PubMedCrossRefGoogle Scholar
  23. (23).
    Carpenter KM, Hasin DS, Allison DB, Faith MS: Relationships between obesity and DSM-IV Major Depressive Disorder, Suicide Ideation, and Suicide Attempts: Results from a general population study.American Journal of Public Health. 2000,90:251–257.PubMedGoogle Scholar
  24. (24).
    Roberts RE, Kaplan GA, Shema SJ, Strawbridge WJ: Are the obsess at greater risk of depression?American Journal of Epidemiology. 2000,152:163–170.PubMedCrossRefGoogle Scholar
  25. (25).
    Eaton WW: Studying the natural history of psychopathology. In Tsuang MT, Tohen M, Zahner GEP (eds),Textbook in psychiatric epidemiology. New York: Wiley-Liss, Inc., 1995, 157–177.Google Scholar
  26. (26).
    Roberts RE: Epidemiological issues in measuring preventive effects. In Munoz RF (ed),Depression Prevention: Research Directions. Washington, DC: Hemisphere, 1987, 45–75.Google Scholar
  27. (27).
    American Psychiatric Association:Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association, 1994.Google Scholar
  28. (28).
    Hochstim JR: Health and ways of living: The Alameda County, California, population laboratory. In Kessler {jrII}, Levin ML (eds),The Community as an Epidemiologic Laboratory. Baltimore: Johns Hopkins University Press, 1970, 149–176.Google Scholar
  29. (29).
    Berkman LF, Breslow L:Health and Ways of Living: The Alameda County study. New York: Oxford University Press, 1983.Google Scholar
  30. (30).
    National Center for Health Statistics. Anthropometric Reference Data and Prevalence of Overweight, United States, 1976-1980. In Najjar MF, Rowland M (eds),Vital Health Statistics (Series 11, No. 238 DHHS Publication No. (PHS) 87-1688). Washington, DC: U.S. Government Printing Office, 1987, 3–5.Google Scholar
  31. (31).
    Scheier MF, Carver CS: Optimism, coping, and health: Assessment and implications of generalized outcome expectancies.Health Psychology. 1985,4:219–247.PubMedCrossRefGoogle Scholar
  32. (32).
    Spitzer RL, Williams JBW, Kroenke K, Linzer, M: Utility of a new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 study.Journal of the American Medical Association. 1994,272:1479–1756.CrossRefGoogle Scholar
  33. (33).
    Roberts RE, Kaplan GA, Shema SJ, Strawbridge WJ: Does growing old increase risk for depression?American Journal of Psychiatry. 1997,154:1384–1390.PubMedGoogle Scholar
  34. (34).
    Roberts RE, Kaplan GA, Shema SJ, Strawbridge WJ: Prevalence and correlates of depression in an aging cohort.Journal of Gerontology (Series B Psychological Sciences and Social Sciences). 1997,52B:5252–5258.Google Scholar
  35. (35).
    Kaplan GA, Strawbridge WJ, Cohen RD, Hungerford LH: Natural history of leisure-time physical activity and its correlates: Associations with mortality from all-causes and cardiovascular disease over 28 years.American Journal of Epidemiology. 1996,144:793–797.PubMedGoogle Scholar
  36. (36).
    Blazer D, Burchett B, Service C, George LK: The association of age and depression among the elderly: An epidemiologic exploration.Journal of Gerontology. 1991,46:210–215.Google Scholar
  37. (37).
    Lewinsohn PM, Rohde P, Seeley JR, Fischer SA: Age and depression: Unique and shared effects.Psychology and Aging. 1991,6:247–260.PubMedCrossRefGoogle Scholar
  38. (38).
    Kennedy GJ, Kelman HR, Thomas C: Persistence and remission of depressive symptoms in late life.American Journal of Psychiatry. 1991, 148:174–178.PubMedGoogle Scholar
  39. (39).
    Jorm AF: The epidemiology of depressive states in the elderly: Implications for recognition, intervention, and prevention.Social Psychiatry and Psychiatric Epidemiology. 1995,30:53–59.PubMedCrossRefGoogle Scholar
  40. (40).
    Rosenthal NE, Genhart M, Jacobson RG, Skwerer RG, Wehr TA: Disturbances of appetite and weight regulation in seasonal affective disorder.Annals of the New York Academy Sciences. 1987,499:216–230.CrossRefGoogle Scholar
  41. (41).
    Wurtman JJ, Brzezinski A, Wurtman RJ, Laferrere B: Effect of nutrient intake on premenstrual depression.American Journal of Obstetrics and Gynecology. 1989,161:1228–1234.PubMedGoogle Scholar
  42. (42).
    Wurtman RJ, Wurtman JJ: Carbohydrates and depression.Scientific American. 1989,260:68–75.PubMedCrossRefGoogle Scholar
  43. (43).
    Lieberman HR, Wurtman JJ, Chew B: Changes in mood after carbohydrate consumption among obese individuals.American Journal Clinical Nutrition. 1986,44:772–778.Google Scholar
  44. (44).
    Ross CE, Hayes D: Exercise and psychologic well-being in the community.American Journal of Epidemiology. 1988,127:762–771.PubMedGoogle Scholar
  45. (45).
    Lobstein DD, Mosbacher BJ, Ismail AH: Depression as a powerful discriminator between physically active and sedentary middle-aged men.Journal of Psychosomatic Research. 1983,27:69–76.PubMedCrossRefGoogle Scholar
  46. (46).
    Black DA, Goldstein RB, Mason EE: Prevalence of mental disorder in 88 morbidly obese bariatric clinic patients.American Journal of Psychiatry. 1992,149:227–234.PubMedGoogle Scholar

Copyright information

© The Society of Behavioral Medicine 2002

Authors and Affiliations

  • Robert E. Roberts 
    • 1
  • William J. Strawbridge 
    • 2
  • Stephane Deleger 
    • 2
  • George A. Kaplan 
    • 3
  1. 1.The University of Texas Health Science Center at HoustonHouston
  2. 2.Human Population LaboratoryBerkeley
  3. 3.University of Michigan School of Public HealthUSA

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