The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis

Gariépy, Geneviève; Nitka, Danit; Schmitz, N.

doi:10.1038/ijo.2009.252

Cited by 604 publications

(461 citation statements)

References 78 publications

(138 reference statements)

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“…Comorbidity with anxiety and depression has been reported in obesity (Gariepy, Nitka, & Schmitz, 2010;de Wit et al, 2010) and may have influenced performance on the mental flexibility task. ANOVAs revealed significant differences between obese patients with binge eating disorder and controls on all self-rating scales (Table 1).…”

Section: Measures Questionnairesmentioning

confidence: 99%

Cognitive deficits in obese persons with and without binge eating disorder. Investigation using a mental flexibility task

et al. 2011

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Objective: Studies suggest that cognitive deficits and attentional biases play a role in the development and maintenance of obesity and eating disorders. In this study, we simultaneously examine attentional biases, as well as inhibitory control and mental flexibility, which are keys to controlling unwanted behaviors and thoughts in obese patients with and without binge eating disorder. Methods: 16 obese patients with binge eating disorder and 16 patients without binge eating disorder were compared with 16 normal-weight controls on a ‘‘food/body-mental flexibility task'', which allows the investigation of inhibitory control, mental flexibility and attention for stimuli related to the body and food. Results: All obese patients made significantlymore errors (i.e., pressing a key when a distracter displayed) andmore omissions (i.e., not pressing a key when a target displayed) than controls in both food and body sections of the task. Obese participants with binge eating disorder made significantly more errors and omissions than those without binge eating disorder. No difference between groups was found concerning mental flexibility and cognitive biases for food- and body-related targets. Discussion: These results suggest that obese patients have a general inhibition problemand difficulty focusing attention, which do not depend on the types of stimuli processed. The results also suggest that these cognitive deficits are more severe in obese patients with binge eating disorder, which indicates that there is a continuum of increasing inhibition and cognitive problems with increasingly disordered eating. These cognitive deficits may contribute to problematic eating behaviors

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Section: Measures Questionnairesmentioning

confidence: 99%

Cognitive deficits in obese persons with and without binge eating disorder. Investigation using a mental flexibility task

et al. 2011

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“…In line with this, de Wit et al (2009) and Zhao et al (2009) found a U-curved association between depression and Body Mass Index (BMI). Although it has been less studied, there is also evidence for an association between anxiety and obesity (Gariepy et al, 2010). Both weight gain and loss are associated with elevated health risks (Must et al, 1999;Newman et al, 2001;Field et al, 2001;Adams et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Depressive and anxiety disorders: Associated with losing or gaining weight over 2 years?

Wit

Straten

Lamers

et al. 2015

Psychiatry Research

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a b s t r a c tThis longitudinal study examines to what extent different depressive and anxiety disorders and clinical characteristics are associated with subsequent weight change, while controlling for baseline weight, sociodemographics, health status, psychotropic medication use and (un)healthy lifestyle factors. Data are from a sample of 2447 respondents aged 18-65 years of the Netherlands Study of Depression and Anxiety (NESDA). Baseline depressive disorders and anxiety disorders were determined with the Composite International Diagnostic Interview (CIDI). Weight at baseline and after 2 years was measured and analyzed as continuous change score (mean change in weight 1 kg) and in categories of significant weight loss ( o1 S.D. weight change equaling o 4 kg), weight maintenance and weight gain ( 41 S.D., 46 kg). After full adjustment for covariates baseline comorbid anxiety and depressive disorder and baseline Major Depressive Disorder (MDD) were associated with significant 2-year weight gain. Both current and remitted MDD at baseline and a baseline dysthymia, but none of the anxiety disorders, were associated with significant weight loss. This longitudinal study confirms a U-curved link between depression and weight change over 2 years. Furthermore, a dose-response effect of depression severity on 2-year weight gain was found.

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“…The specific factors producing this association are not well defined. Some studies emphasize the role of psychological distress related to a negative judgment of the environment, feelings of exclusion typical to obese patients that can increase anxiety leading to Panic Disorder [54,55]. In our sample, the relationship with eating behavior shows a prevalence of binge, grazing and nocturnal eating which are all considered maladaptive behaviors.…”

Section: Generalized Anxiety Disorder: Gadmentioning

confidence: 85%

Obesity and Psychiatric Disorders in a Sample of Obese Candidates for Bariatric Surgery in Campania Region

Micanti¹,

Pecoraro²,

Mosca³

et al. 2017

Primary Health Care

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Introduction: Obesity is now considered as pandemic. 40% of Italian population is overweight or obese. Many studies emphasize the association of obesity with mental disorders specifically depressive and anxiety disorders, substance use disorder, personality disorder. It has to be distinguished from the mental dimensions: impulsivity, mood, anxiety and body image connected to the emotional regulation system producing eating behaviors. Obesity subjects differ in eating behaviors: gorging, snacking, sweeteating, grazing and binge that are characterised by different level of psychopathology. Mental disorders are also associated to eating behaviors. Bariatric surgery is considered gold standard therapy for obesity. However, follow-up studies underline that the association obesity-mental disorders determines weight loss failure.Methods: 2205 obese subjects underwent psychiatric assessment before bariatric surgery. Patients were divided into two groups as result of psychiatric assessment: 1392 obese subjects without association with mental disorders and 813 with mental disorders. These last (mean age 37,63 SD ± 12,07; 181 M, 632 W; mean body mass index (BMI), 45,16 SD ± 12,14) were enrolled in this study. Every patient underwent psychiatric evaluation. The absence of mental disorders was considered an exclusion criteria.

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The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis

Cited by 604 publications

References 78 publications

Cognitive deficits in obese persons with and without binge eating disorder. Investigation using a mental flexibility task

Cognitive deficits in obese persons with and without binge eating disorder. Investigation using a mental flexibility task

Depressive and anxiety disorders: Associated with losing or gaining weight over 2 years?

Obesity and Psychiatric Disorders in a Sample of Obese Candidates for Bariatric Surgery in Campania Region

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