Skip main navigation

Hurry, only 9 days left to get one year of Unlimited learning for £249.99 £174.99. New subscribers only. T&Cs apply

Find out more

Considering psychological factors

Learn to consider the psychological in a patient interview

It is worth listening to the language that the patient uses to describe themselves or their eating behaviours to gauge the extent to which they may have internalised negative stereotypes of obesity (internalised weight bias).

Formal assessment of depression may also be required given that depression is a common co-morbidity in people with overweight or obesity. The Patient Health Questionnaire-2 (PHQ-2) is a very brief screening tool that can be used in the clinical setting.1 A negative result to both questions is considered a negative result for depression. If a patient has a positive response to one or both questions, then a more detailed screening tool such as the Patient Health Questionnaire-9 (PHQ-9)2 can be administered. This can help guide medical referral for follow-up. You can download a hard copy or view copies of the questionnaires below: Other psychological factors that you should consider in your assessment include pain catastrophising, fear of movement and low self efficacy (low confidence).

Screen grab of Patient Health Questionnaire-2: Screening Instrument for Depression. Over the past two weeks, how often have you been bothered by any of the following problems. Scale: Not at all 0, Several days 1, 2 More than one-half the days, 3 Nearly every day. Little interest or pleasure in doing things. Feeling down, depressed, or hopeless.

This article is from the free online

EduWeight: Weight Management for Adult Patients with Chronic Disease

Created by
FutureLearn - Learning For Life

Reach your personal and professional goals

Unlock access to hundreds of expert online courses and degrees from top universities and educators to gain accredited qualifications and professional CV-building certificates.

Join over 18 million learners to launch, switch or build upon your career, all at your own pace, across a wide range of topic areas.

Start Learning now