The Incidence and Comorbidity of Psychiatric Disorders in Obesity

Berman, William; Berman, Ellen Raynes; Heymsfield, Steven B.; Fauci, Margaret; Ackerman, Sigurd H.

doi:10.1521/pedi.1992.6.2.168

Cited by 16 publications

(6 citation statements)

References 10 publications

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“…The clinically significant average score obtained for the disinhibition factor on the Eating Inventory questionnaire seems to be a characteristic of obese individuals, as Bjorvell et al 27 also reported that obese subjects score higher on disinhibition than non-obese subjects. The mildly depressed state and low self-esteem found in this group also seem to be characteristic of obese women 28,29 . In westernised societies obese people are exposed to discrimination and prejudice 30,31 .…”

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confidence: 51%

The accuracy of self-reported weight by overweight and obese women in an outpatient setting

Rossouw

Senekal

Stander

2001

Public Health Nutr.

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Objective: To investigate the accuracy of self-reported weight of overweight and obese women and characterisation of under-, correct-and over-reporters based on a number of related variables. Design: Weight was self-reported before entering the study. At baseline, actual weight was recorded, and demographic, health, nutritional, psychological and physical activity questionnaires were completed. Setting: A hospital outpatient department. Subjects: Participants were 131 women aged 18±64 years with a body mass index BMI $ 28 attending a Comprehensive Weight Management Programme. Outcome measures: The accuracy of self-reported weight was investigated for the total group, and the subjects were then categorised into three groups according to accuracy of self-reported weight (under-, correct-and over-reporters). The relationship between these accuracy groups and demographic, health, nutritional, and psychological variables and physical activity was examined, to characterise the under-, correct-and over-reporters. Results: Although not statistically significantly different, the total group of women tended to underestimate their weight by 0.8 (^3.6) kg. Categorisation according to the accuracy groups revealed that 29% underestimated their weight by 2 kg or more, 19% overestimated their weight by 2 kg or more, and only 52% correctly estimated their weight within 2 kg. Some trends and statistically significant differences between the accuracy groups concerning certain variables, e.g. height, age, income, education, contraceptive pill usage, smoking and food choices were evident. Conclusions: Self-reported weight of a group of overweight/obese individuals may be a valid and reliable indicator of actual weight, but self-reported weight of an overweight/obese individual can not be interpreted similarly. Further research is necessary to ensure reliable characterisation of under-, over-and correct reporters.

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confidence: 51%

The accuracy of self-reported weight by overweight and obese women in an outpatient setting

Rossouw

Senekal

Stander

2001

Public Health Nutr.

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“…There is empirical evidence for a higher risk for mental disorders, in particular depression, anxiety, and eating disorders, in obese individuals who present for treatment as well as obese individuals in the general population [3][4][5][6][7][8][9][10]. However, whether comorbid mental disorders, especially depression, influence the short-term and long-term course of weight after treatment is a controversial issue [10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Depression and Anxiety: Their Predictive Function for Weight Loss in Obese Individuals

et al. 2009

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Objective: To investigate the impact of current mental disorders on weight loss with special consideration of depressive and/or anxiety disorders as well as binge eating behavior in obese individuals undergoing different weight loss treatments. Methods: Three different samples of obese individuals were investigated in a prospective, longitudinal study: participants in a conventional weight loss treatment program (CONV TREAT; n = 250), obesity surgery patients (OBES SURG; n = 153), and obese control individuals (OC; n = 128). Current mental disorders and BMI were assessed at baseline and at 4-year follow-up. Results: OBES SURG patients with a depressive and/or anxiety disorder lost significantly less weight compared with those without a comorbid mental diagnosis. This result was not detected for CONV TREAT participants. A trend to gain weight was seen in OC participants with a depressive and/or anxiety disorder, whereas OC participants without current mental disorders at baseline lost some weight. Binge eating behavior at baseline did not predict weight loss at 4-year followup. Conclusions: These results underline the importance of addressing current depressive and anxiety disorders in obese patients, especially when such patients are undergoing obesity surgery.

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“…Most of these studies have addressed the relationship between personality pathology and either anorexia nervosa or bulimia nervosa (Piran et al 1988 ;Zanarini et al 1990;Herzog et al 1992;Norman et al 1993;Wiederman & Pryor, 1997 ;Goldner et al 1999). Fewer studies have examined personality disorders and traits among individuals with binge eating disorder (Yanovski et al 1993;Telch & Stice, 1998) or obesity (Berman et al 1992;Sansone et al 1996Sansone et al , 2000Golay et al 1997). It is difficult to draw conclusions from studies with regard to the comparative levels of personality pathology across bulimia nervosa, binge eating disorder and obesity, since they have usually examined either individual groups or only two of the three groups.…”

Section: Introductionmentioning

confidence: 99%

The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity

et al. 2003

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The study strongly indicates that personality disorder difficulties are present in patients who binge eat, while obese patients who do not binge eat display significantly less personality disorder pathology. Assessment of bulimia nervosa, binge eating disorder and obesity needs to address personality disorders and pathology. Dimensional markers of personality pathology can be used to supplement categorical diagnoses, providing information about the traits that underlie diagnosis.

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The Incidence and Comorbidity of Psychiatric Disorders in Obesity

Cited by 16 publications

References 10 publications

The accuracy of self-reported weight by overweight and obese women in an outpatient setting

The accuracy of self-reported weight by overweight and obese women in an outpatient setting

Depression and Anxiety: Their Predictive Function for Weight Loss in Obese Individuals

The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity

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