Disordered eating behavior and mental health correlates among treatment seeking obese women

被引:5
作者
Altamura, M. [1 ]
Rossi, G. [2 ]
Aquilano, P. [1 ]
De Fazio, P. [3 ]
Segura-Garcia, C. [3 ]
Rossetti, M. [2 ]
Petrone, A. [4 ]
Lo Russo, T. [2 ]
Vendemiale, G. [2 ]
Bellomo, A. [1 ]
机构
[1] Univ Foggia, Dept Clin & Expt Med, Psychiat Unit, Foggia, Italy
[2] Univ Foggia, Unit Obes & Eating Disorders, Dept Med & Surg Sci, Foggia, Italy
[3] Magna Graecia Univ Catanzaro, Psychiat Unit, Dept Hlth Sci, Catanzaro, Italy
[4] Dept Neurosci, Psychol Unit, Foggia, Italy
来源
CLINICA TERAPEUTICA | 2015年 / 166卷 / 05期
关键词
Anxiety; Depression obesity; Dieting; Eating behaviors; Eating disorders;
D O I
10.7417/T.2015.1888
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives. Previous research has suggest that obesity is associated with increased risk for psychopathological disorders, however, little is known about which obese patients are most vulnerable to psychopathological disorders. We therefore investigated 126 treatment-seeking obese women to describe eating disorder pathology and mental health correlates, and to identify disordered eating behaviors that may place obese at increased risk for psychopathological disorders. Material and Methods. The Structured Clinical Interview for DSM-IV (SCID) was used to identify Eating Disorders (ED). A battery of psychological tests, including the Anxiety Scale Questionnaire (ASQ,) Clinical Depression Questionnaire (CDQ), Eating Disorder Inventory-2 (EDI-2) Eating Attitudes Test-26 (EAT-26) scales and structured clinical interview were administered to all the patients. We analyzed the link between psychopathological disorders and eating attitudes by using both multiple regression analysis and non-parametric correlation. Results. Disordered eating behaviors and emotional behavioral aspects related to Anorexia Nervosa, such as ineffectiveness, are strongly linked to the depression and anxiety in obese subjects. No correlation was found between psychopathological disorders and age or anthropometric measurements. Conclusions. Findings corroborate earlier work indicating that psychological distress is elevated in obese treatment seeking, bolstering the need for mental health assessment of such individuals. The feeling of ineffectiveness constitutes the major predictor of psychopathological aspects. This is an important result which may inform the development of effective interventions for obese patients and prevention of psychopathological disorders.
引用
收藏
页码:E330 / E334
页数:5
相关论文
共 37 条
[1]  
Larsson S.C., Wolk A., Epidemiology of obesity and diabetes: prevalence and trends Obesity and Diabetes, Contemporary Diabetes: Obesity and Diabetes, pp. 15-36, (2006)
[2]  
McElroy S.L., Kotwal R., Malhotra S., Et al., Are mood disorders and obesity related?. A review for the mental health professional, J Clin Psychiatry, 65, pp. 634-651, (2004)
[3]  
Simon G.E., Von Korff M., Saunders K., Et al., Association between obesity and psychiatric disorders in the US adult population, Arch Gen Psychiatry, 63, pp. 824-830, (2006)
[4]  
Petry N.M., Barry D., Pietrzak R.H., Et al., Overweight and obesity are associated with psychiatric disorders: results from the national epidemiologic survey on alcohol and related conditions, Psychosomatic Med, 70, pp. 288-297, (2008)
[5]  
Kessler R.C., Chui W.T., Demler O., Et al., Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication, Arch Genl Psychiatry, 62, pp. 617-627, (2005)
[6]  
Strine T.W., Mokdad A.H., Dube S.R., Et al., The association of depression and anxiety with obesity and unhealthy behaviors among community-dwelling US adults, Gen Hosp Psychiatry, 30, pp. 127-137, (2008)
[7]  
Markowitz S., Friedman M.A., Arent S.M., Understanding the relation between obesity and depression: causal mechanisms and implications for treatment, Clin Psychol Sci Prac, 15, pp. 1-20, (2008)
[8]  
Peterson R.E., Latendresse S.J., Bartholome L.T., Et al., Binge eating disorder mediates links between symptoms of depression, anxiety, and caloric intake in overweight and obese women, J Obesity, (2012)
[9]  
Ricca V., Manucci E., Moretti S., Et al., Screening for Binge Eating disorder in Obese Outpatients, Compr Psychiatry, 41, pp. 111-115, (2000)
[10]  
Specker S., de Zwann M., Raymond N., Et al., Psychopatology in subgroups of obese women with and without binge eating disorder, Compr Psychiatry, 35, pp. 185-190, (2004)