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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Bruch H.: The importance of overweight. New York, Norton, 1957.
Bruch H.: Psychological aspects of overeating and obesity. Psychosomatics, 5, 269–274, 1964.
Molinari E., Morosin A., Riva G.: Alessitimia e psicopatologia in un campione clinico di soggetti obesi. Minerva Psichiatrica, 36, 133–138, 1995.
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.
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.
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.
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.
Valtolina G.: Weight loss and psychopathology: A three-cluster MMPI typology. Percept. Mot. Skills, 82, 275–281, 1996.
Wadden T.A., Stunkard A.J.: Psycho pathology and obesity. Ann. N.Y. Acad. Sci., 499, 55–65, 1987.
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.
Alexander Mott L., Lumsden D.B.: Understanding eating disorders: Anorexia nervosa, bulimia nervosa, and obesity. Philadelphia, PA, Taylor & Francis, 1994.
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.
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.
Hallstrom T., Noppa H.: Obesity in women and relation to mental illness, social factors, and personality traits. J. Psychosom. Res., 25, 75–82, 1981.
Halmi K., Long M., Stunkard A.J., Mason E.: Psychiatric diagnosis of morbidly obese gastric bypass patients. Am. J. Psychiatry, 137, 470–472, 1980.
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.
Stunkard A.J., Wadden T.A.: Psychological aspects of severe obesity. Am. J. Clin. Nutr., 55, 524s–532s, 1992.
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.
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.
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.
Telch C.F., Agras W.S.: Obesity, binge eating and psychopathology: Are they related? Int. J. Eating Disord., 15, 53–61, 1994.
Mitchell J.E., Mussell M.P.: Comorbidity and binge eating disorder. Addict. Behav., 20, 725–732, 1995.
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.
Morosin A., Riva G.: Alexithymia in a clinical sample of obese women. Psychol. Rep., 80, 387–394, 1997.
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.
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.
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.
Friedman M.A., Brownell K.D.: Psychological correlates of obesity: Moving to the next research generation. Psychol. Bull., 117, 3–20, 1995.
Allon N.: Self-perceptions of the stigma of overweight in relationship to weight losing patients. Am. J. Nutr., 32, 470–480, 1979.
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.
Riva G.: Representations of eating among adolescent Italian girls. J. Social Psychology, 137, 205–218, 1997.
Beck A.T., Rush A.J., Shaw B.F., Emery G.: Cognitive therapy of depression. New York, Guilford Press, 1979.
Seligman M.E.P.: Helpness: On depression, development and death. New York, Freeman, 1975.
Butcher J.N., Williams C.L.: Essentials of MMPI-2 and MMPI-A interpretation. Minneapolis, MN, University of Minnesota Press, 1992.
Novaga M., Pedon A.: Questionario di autovalutazione A.S.Q. di Krug, Scheier, Cattel. Firenze, Organizzazioni Speciali, 1978.
Cuzzolaro M., Petrilli A.: Validazione della versione italiana dell’EAT. Psichiatria dell’infanzia e dell’adolescenza, 55, 209–217, 1988.
SPSS I.: SPSS user manual: advanced statistics. Chicago, IL, SPSS Inc., 1996.
SPSS I.: SPSS user manual: CHAID. Chicago, IL, SPSS Inc. 1996.
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.
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.
Vitousek K., Manke F.: Personality variables and disorders in anorexia nervosa and bulimia nervosa. J. Abnorm. Psychol., 103, 137–147, 1994.
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.
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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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DOI: https://doi.org/10.1007/BF03339992