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December 5, 2025Healthcare0 citationsOpen Access

Mapping the Associations Between Body Mass Index and Key Psychosocial Determinants: Resilience, Perceived Stress, and Emotion Regulation in Young Adults—A Cross-Sectional Study

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BTBoris TilovPSPavel StanchevMDMariya Dimitrova

Key Points

  • Obese young adults reported lower perceived stress, suggesting a complex relationship between stress and weight.
  • Analysis revealed significant differences in perceived stress among BMI categories for young adults aged 19–30 years.
  • Cross-sectional study involved psychological assessments and sophisticated statistical methods to evaluate BMI's impact.
  • Findings highlight the importance of psychological factors, like resilience, in understanding weight-related health challenges.

Abstract

Background: Obesity and overweight are escalating global public health concerns. This study examined the relationship between Body Mass Index (BMI) and psychological factors in young adults. Methods: A total of 283 participants aged 19–30 years were categorized by BMI (normal weight, overweight, obesity) using self-reported data. Psychological assessments included the Connor–Davidson Resilience Scale (CD-RISC), Perceived Stress Scale (PSS), Emotion Regulation Questionnaire (ERQ), and Buss–Perry Aggression Questionnaire (BPAQ), all with acceptable reliability. Individuals with psychiatric, neurological, or chronic somatic conditions were excluded. Analyses involved MANOVA, ANOVA, ANCOVA, and hierarchical regression, controlling for gender, physical activity, smoking, caffeine, alcohol, medication, and sleep disturbances. Results: MANOVA showed a near-significant multivariate effect of BMI on psychological variables (Wilks’ Lambda = 0.913, p = 0.068). ANOVA revealed significant differences in perceived stress among BMI groups (F (2, 279) = 3.796, p = 0.024), with obese participants reporting lower stress. Hierarchical regression identified perceived stress as the strongest predictor of BMI, followed by resilience and physical aggression. General aggression was negatively associated with BMI, suggesting potential compensatory mechanisms. Conclusions: Perceived stress and resilience showed small but significant associations with BMI in young adults, suggesting a modest contribution of psychological factors to weight-related health.

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Cite This Study

Tilov et al. (2025) studied this question.

synapsesocial.com/papers/693231288e51979591dce711https://doi.org/10.3390/healthcare13233150
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