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IntroductionAbdominal obesity is currently a growing problem in public health and has a high comorbidity with depressive and anxiety disorders. Obesity significantly decreases life quality, causes disability and decreases life expectancy.ObjectivesThe objective of this study was to examine anxiety and depressive symptoms among women, who received individual or group psychotherapy sessions due to obesity control.Methods577 women aging from 18 to 65 were examined. Height and weight were measured, Body mass index (BDI) was calculated based on received data. Depressive symptoms were determined with the PHQ-9 questionnaire [Kroenke K, Spitzer RL, Williams JB]. Anxiety symptoms were determined with the GAD-7 questionnaire. The level of social adaptation was examined.ResultsThe prevalence of mild depression in our sample of women with obesity was 31.5%, 19.1% - moderate depression, 1% - severe depression, 48.4% had no depression symptoms. Anxiety symptoms were found in 38.2% of examined women, 61.8% showed no anxiety symptoms. Furthermore, when patients were divided into subgroups accordingly to BMI, anxiety was mostly registered among ones with normal BMI. An average correlation between indicators of anxiety and depressive symptoms was identified (r=0,62, p<0,05). Average correlation between indicators of anxiety and depression and the level of social adaptation (r=0,59 and r=0,48 relatively, p<0,05). Anxiety and depressive symptoms’ dependency on BMI was not established.ConclusionsThe received data showed that anxiety and depression have high prevalence among women with obesity. The study will help medical specialists draw attention to high comorbidity between abdominal obesity and anxiety-depressive disorders.

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Historic retrospective of development of integral approach to medicine has been stated. Some result and systematization of multiple investigations on the problem «constitution and illness» has been summarized. New data has been introduced about absence of tropism of schizophrenia, peptic ulcer, cerebrovascular diseases to definite constitution type. In this association contemporary images about human constitution have been formulated. Theoretic bases of coming-to-be of integrative anthropology have been considered in native medicine and psychology; its sections have been distinguished. Definitions, principles and methods of clinical anthropology have been given and its value for medicine has been considered including medical education.

Most of patients with disorders of depressive spectrum are observed in primary care (PC) and take psychotropic medications that influence the course of depression. Patientns who took tranquilizers in PC demonstrated higher level of anxiety. Those who took antidepressants had more significant reduction of atypical depressive symptoms. Futher investigations are necessary.