An update on obesity: Mental consequences and psychological interventions

Chu, Dinh‐Toi; Nguyệt, Nguyễn Thị Minh; Nga, Vu Thi; Lien, Nguyen Vu Thai; Vo, Duc Duy; Ngọc, Võ Trương Như; Sơn, Lê Hoàng; Le, Duc-Hau; Nga, Vu Bich; Tu, Pham Van; To, Ta Van; Ha, Luu Song; Tao, Yang; Pham, Van Huy

doi:10.1016/j.dsx.2018.07.015

Cited by 128 publications

(105 citation statements)

References 90 publications

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“…CBT, when used in combination with dietary or exercise interventions, led to more weight loss than when only using dietary or exercise interventions [49]. Furthermore, CBT can help maintain weight loss more efficiently than behavioral therapy [50]. Recently, the Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology Hepatology and Nutrition recommended CBT, which may be beneficial for treating childhood obesity [8].…”

Section: Cognitive Behavioral Therapy For Pediatric Obesitymentioning

confidence: 99%

An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity

Kang

Kwack

2020

Pediatr Gastroenterol Hepatol Nutr

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Prevalence of pediatric obesity has increased worldwide in the last 20 years. Obese children suffer not only physical complications but also mental health problems such as depression, attention deficit hyperactivity disorder (ADHD), and eating disorders, as well as psychosocial impairments, such as school adjustment problems, bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/ anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.

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Section: Cognitive Behavioral Therapy For Pediatric Obesitymentioning

confidence: 99%

An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity

Kang

Kwack

2020

Pediatr Gastroenterol Hepatol Nutr

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“…On the other hand, different studies have also linked psychological disorders and mental health problems such as depression and anxiety [ 54 ] to obesity [ 55 , 56 , 57 , 58 ] ( Figure 3 ). Such problems could either be directly related to obesity or rather be a consequence of how society—Including healthcare professionals—Behaves toward obese patients [ 59 ], and thus could be described as a sociopsychological consequence.…”

Section: Beyond the Energy Balance: Sleep Shortage And Psychologicmentioning

confidence: 99%

Broken Energy Homeostasis and Obesity Pathogenesis: The Surrounding Concepts

Ghanemi

Yoshioka²,

St‐Amand

2018

JCM

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Obesity represents an abnormal fat accumulation resulting from energy imbalances. It represents a disease with heavy consequences on population health and society economy due to its related morbidities and epidemic proportion. Defining and classifying obesity and its related parameters of evaluation is the first challenge toward understanding this multifactorial health problem. Therefore, within this review we report selected illustrative examples of the underlying mechanisms beyond the obesity pathogenesis which is systemic rather than limited to fat accumulation. We also discuss the gut-brain axis and hormones as the controllers of energy homeostasis and report selected impacts of obesity on the key metabolic tissues. The concepts of “broken energy balance” is detailed as the obesity starting key step. Sleep shortage and psychological factors are also reported with influences on obesity development. Importantly, describing such mechanistic pathways would allow clinicians, biologists and researchers to develop and optimize approaches and methods in terms of diagnosis, classification, clinical evaluation, treatment and prognosis of obesity.

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“…Moreover, we found also a strong positive association between weight status and the other mental health variables 6 (low interest, depression, tiredness, sense of failure, low concentration), except of slow moving/slow speaking. In the medical literature, Chu et al (2019) show that obesity, besides physical consequences, has negative psychological effects, including also depression, low self-esteem, stress and eating disorders, which are correlated with age and gender.…”

Section: Empirical Evidence: the Nexus Between Weight Status And Mentmentioning

confidence: 99%

Weight Status and Mental Health in Italy: Evidence From EHIS2 Microdata

Barone

Barra

2019

SSRN Journal

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This paper tested the association between weight status (proxied by BMI) and mental health in Italy, using EHIS2 microdata, which provide the usual information (demographic, socioeconomic , etc.), and also information on weight/height, and eight mental health variables (low interest, depression, sleep disorders, tiredness, eating disorders, sense of failure, low concentration, slow moving/speaking). The empirical results show that there is a strong positive association between weight status and all mental health variables (except of slow moving/slow speaking) with an interesting gender difference in the association between weight status and sleep disorders and eating disorders in that females suffer more than males. Moreover, the empirical results reveal that between weight status there is: a negative association with a high level of education, a high source of income and a high type of dwelling; a positive association with the marital status, a poor social network to count on in case of difficulty and a high degree of urbanization. Finally, the empirical findings sustain that a) there is a positive association between weight status and health variables (chronic anxiety and chronic diseases) and b) the association between weight status and the living area is negative when Northern italian regions are taken into account. The positive association between weight status and new emerging types of mental health problems such as sleep disturbances and eating disturbances suggests some considerations on the higher economic costs, at individual and social level, because of these new mental health problems associated to weight status. Moreover, the negative association between weight status and a high level of education suggests that educational policies could help individuals to raise barriers against obesity and sleep/eating disturbances associated to it.

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An update on obesity: Mental consequences and psychological interventions

Cited by 128 publications

References 90 publications

An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity

An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity

Broken Energy Homeostasis and Obesity Pathogenesis: The Surrounding Concepts

Weight Status and Mental Health in Italy: Evidence From EHIS2 Microdata

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