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Obesity, psychopathology and eating attitudes: Are they related?

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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

The aim of this study was to verify the link between psychopathological disorders and eating attitude in a clinical sample of 195 female obese subjects. A battery of psychologica tests, including the Italian versions of the MMPI 2, ASQ and EAT scales were administered to al the patients. We analyzed the link between psychopathological traits and eating attitudes by using both Multiple Regression analysis and non-parametric Segmentation Modeling. The results showed that psychopathological aspects, and depression in particular, are strongly linked to the eating attitude of clinically obese subjects. This is an important result also for therapeutic purposes, as it highlights the need for psychological support in diet therapy to intervene on the psychological perceptions and experiences of the patient.

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References

  1. Bruch H.: The importance of overweight. New York, Norton, 1957.

    Google Scholar 

  2. Bruch H.: Psychological aspects of overeating and obesity. Psychosomatics, 5, 269–274, 1964.

    Article  CAS  PubMed  Google Scholar 

  3. Molinari E., Morosin A., Riva G.: Alessitimia e psicopatologia in un campione clinico di soggetti obesi. Minerva Psichiatrica, 36, 133–138, 1995.

    CAS  PubMed  Google Scholar 

  4. de Zwaan M., Mitchell J.E., Seim H.C., Specker S.M., Pyle R.L., Raymond N.C., Crosby R.B.: Eating related and general psychopathology in obese females with binge eating disorder. Int. J. Eating Disord., 15, 43–52, 1994.

    Article  Google Scholar 

  5. de Zwaan M., Bach M., Mitchell J.E., Ackard D., et al.: Alexithymia, obesity, and binge eating disorder. Int. J. Eat. Disord., 17, 135–140, 1995.

    Article  PubMed  Google Scholar 

  6. Molinari E., Ragazzoni P., Morosin A.: Psychopathology in obese subjects with and without binge-eating disorder and in bulimic subjects. Psychol. Rep., 80, 1327–1335, 1997.

    Article  CAS  PubMed  Google Scholar 

  7. Ricca V., Mannucci E., Di Bernardo M., Mezzani B.: Caratteristiche psicopatologiche e cliniche di una popolazione ambulatoriale di pazienti obesi. Minerva Psichiatrica, 37, 53–58, 1996.

    CAS  PubMed  Google Scholar 

  8. Valtolina G.: Weight loss and psychopathology: A three-cluster MMPI typology. Percept. Mot. Skills, 82, 275–281, 1996.

    Article  CAS  PubMed  Google Scholar 

  9. Wadden T.A., Stunkard A.J.: Psycho pathology and obesity. Ann. N.Y. Acad. Sci., 499, 55–65, 1987.

    Article  CAS  PubMed  Google Scholar 

  10. O’Neill P.M., Jarrel P.M.: Psychological aspects of obesity and dieting. In: Wadden T.A., Van Itallie T.B. (Eds.), Treatment of seriously obese patients. New York, Guilford Press, 1992, pp. 252–270.

    Google Scholar 

  11. Alexander Mott L., Lumsden D.B.: Understanding eating disorders: Anorexia nervosa, bulimia nervosa, and obesity. Philadelphia, PA, Taylor & Francis, 1994.

    Google Scholar 

  12. Carmody T.P., Brunner R.L., St Jeor S.T.: Dietary helplessness and disinhibition in weight cyclers and maintainers. Int. J. Eating Disord., 18, 247–256, 1995.

    Article  CAS  Google Scholar 

  13. Riva G.: The role of emotional and sociocognitive patterns in obesity: Eating attitudes in obese adolescents before and after a dietary-behavioural therapy. Psychol. Rep., 79, 35–46, 1996.

    CAS  PubMed  Google Scholar 

  14. Hallstrom T., Noppa H.: Obesity in women and relation to mental illness, social factors, and personality traits. J. Psychosom. Res., 25, 75–82, 1981.

    Article  CAS  PubMed  Google Scholar 

  15. Halmi K., Long M., Stunkard A.J., Mason E.: Psychiatric diagnosis of morbidly obese gastric bypass patients. Am. J. Psychiatry, 137, 470–472, 1980.

    CAS  PubMed  Google Scholar 

  16. Stunkard A.J., Stinnett J.L., Smoller J.W.: Psychological and social aspects of the surgical treatment of obesity. Am. J. Psychiatry, 143, 417–429, 1986.

    CAS  PubMed  Google Scholar 

  17. Stunkard A.J., Wadden T.A.: Psychological aspects of severe obesity. Am. J. Clin. Nutr., 55, 524s–532s, 1992.

    CAS  PubMed  Google Scholar 

  18. Black D.W., Goldstein R.B., Mason E.E.: Prevalence of mental disorders in 88 morbidly obese bariatric clinic patients. Am. J. Psychiatry, 149, 227–237, 1992.

    CAS  PubMed  Google Scholar 

  19. Dalle Grave R., Todisco P., Oliosi M., Marchi, S.: Binge eating disorder and weight cycling in obese women. Eating Disorders The Journal of Treatment and Prevention, 4, 67–73, 1996.

    Article  Google Scholar 

  20. Fichter M.M., Quadflieg N., Brandl B.: Recurrent overeating: An empirical comparison of binge eating disorder, bulimia nervosa, and obesity. Int. J. Eating Disord., 14, 1–16, 1993.

    Article  CAS  Google Scholar 

  21. Telch C.F., Agras W.S.: Obesity, binge eating and psychopathology: Are they related? Int. J. Eating Disord., 15, 53–61, 1994.

    Article  CAS  Google Scholar 

  22. Mitchell J.E., Mussell M.P.: Comorbidity and binge eating disorder. Addict. Behav., 20, 725–732, 1995.

    Article  CAS  PubMed  Google Scholar 

  23. Grissett N.I., Fitzgibbon M.L.: The clinical significance of binge eating in an obese population: Support for BED and questions regarding its criteria. Addict. Behav., 21, 57–66, 1996.

    Article  CAS  PubMed  Google Scholar 

  24. Morosin A., Riva G.: Alexithymia in a clinical sample of obese women. Psychol. Rep., 80, 387–394, 1997.

    Article  CAS  PubMed  Google Scholar 

  25. Mussell M.P., Mitchell J.E., de Zwaan M., Crosby R.D., Seim H.C., Crow S.J.: Clinical characteristics associated with binge eating in obese females: a descriptive study. Int. J. Obes. Relat. Metab. Disord., 20, 324–331, 1996.

    CAS  PubMed  Google Scholar 

  26. Goldsmith S.J., Anger-Friedfeld K., Beren S., Rudolph D., Boeck M., Aronne L.: Psychiatric illness in patients presenting for obesity treatment. Int. J. Eating Disord., 12, 63–71, 1992.

    Article  Google Scholar 

  27. Friedman M.A., Wilfley D.E., Pike K.M., Striegel Moore R.H., Rodin J.: The relationship between weight and psychological functioning among adolescent girls. Obes. Res., 3, 57–62, 1995.

    Article  CAS  PubMed  Google Scholar 

  28. Friedman M.A., Brownell K.D.: Psychological correlates of obesity: Moving to the next research generation. Psychol. Bull., 117, 3–20, 1995.

    Article  CAS  PubMed  Google Scholar 

  29. Allon N.: Self-perceptions of the stigma of overweight in relationship to weight losing patients. Am. J. Nutr., 32, 470–480, 1979.

    CAS  Google Scholar 

  30. Harris M.B., Walters L.C., Waschull S.: Gender and ethnic differences in obesityrelated behaviors and attitudes in a college sample. J. Appl. Social Psychology, 21, 1545–1566, 1991.

    Article  Google Scholar 

  31. Riva G.: Representations of eating among adolescent Italian girls. J. Social Psychology, 137, 205–218, 1997.

    Article  CAS  Google Scholar 

  32. Beck A.T., Rush A.J., Shaw B.F., Emery G.: Cognitive therapy of depression. New York, Guilford Press, 1979.

    Google Scholar 

  33. Seligman M.E.P.: Helpness: On depression, development and death. New York, Freeman, 1975.

    Google Scholar 

  34. Butcher J.N., Williams C.L.: Essentials of MMPI-2 and MMPI-A interpretation. Minneapolis, MN, University of Minnesota Press, 1992.

    Google Scholar 

  35. Novaga M., Pedon A.: Questionario di autovalutazione A.S.Q. di Krug, Scheier, Cattel. Firenze, Organizzazioni Speciali, 1978.

    Google Scholar 

  36. Cuzzolaro M., Petrilli A.: Validazione della versione italiana dell’EAT. Psichiatria dell’infanzia e dell’adolescenza, 55, 209–217, 1988.

    Google Scholar 

  37. SPSS I.: SPSS user manual: advanced statistics. Chicago, IL, SPSS Inc., 1996.

    Google Scholar 

  38. SPSS I.: SPSS user manual: CHAID. Chicago, IL, SPSS Inc. 1996.

    Google Scholar 

  39. Pike K.M., Striegel Moore R.H.: Disordered eating and eating disorders. In: Sheryle J., Gallant G.P.K.R.R.-S. (Ed.), Health care for women: Psychological, social, and behavioral influences. American Psychological Association, Washington, DC, 1997, pp. 97–114.

    Chapter  Google Scholar 

  40. Shisslak C.M., Pazda S.L., Crago M.: Body weight and bulimia as discriminators of psychological characteristics among anorexic, bulimic, and obese women. J. Abnorm. Psychol., 99, 380–384, 1990.

    Article  CAS  PubMed  Google Scholar 

  41. Vitousek K., Manke F.: Personality variables and disorders in anorexia nervosa and bulimia nervosa. J. Abnorm. Psychol., 103, 137–147, 1994.

    Article  CAS  PubMed  Google Scholar 

  42. Herpertz Dahlmann B.M., Wewetzer C., Schulz E., Remschmidt R.: Course and outcome in adolescent anorexia nervosa. Int. J. Eating Disord., 19, 335–345, 1996.

    Article  CAS  Google Scholar 

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Riva, G., Ragazzoni, P. & Molinari, E. Obesity, psychopathology and eating attitudes: Are they related?. Eat Weight Disord 3, 78–83 (1998). https://doi.org/10.1007/BF03339992

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