Psychiatric co-morbidities in patients attending specialist obesity services in the UK

Tuthill, Antoinette

doi:10.1093/qjmed/hcl041

Cited by 64 publications

(66 citation statements)

References 43 publications

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“…The individual's weight history is also relevant, with a history of weight cycling and childhood onset of obesity both being potential risk factors for later psychological suffering. The high prevalence of psychological comorbidities in obese patients was highlighted recently by Tuthill et al 1 In a study of patients seeking treatment at two specialist weight management clinics in the United Kingdom, questionnaire data were collected from 253 obese individuals (men and women) at the initial clinic visit. Elevated scores for depression were found in 48% of the patients and elevated scores for anxiety in 56% of the patients.…”

mentioning

confidence: 99%

Psychological correlates of obesity in women

Merwe

2007

Int J Obes

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Psychological comorbidity is high in patients with obesity and is associated with a variety of medical and dietary problems as well as demographic, social and cognitive risk factors. Young overweight and obese women are at particular risk for developing sustained depressive mood, which is an important gateway symptom for major depressive disorder. Increased knowledge of behavioural risk factors has enabled patients with obesity to be classified on a psychological basis and this needs to be considered as part of a patient's clinical assessment and treatment strategy. Increased awareness of abnormal eating behaviour, together with profiling of personality traits, could improve treatment selection for obese women and improve the outcome of weight-loss programmes. Individualised antiobesity drug therapy may be required depending on the patient's psychological characteristics. International Journal of Obesity (2007) 31, S14-S18; doi:10.1038/sj.ijo.0803731Keywords: psychological correlates; comorbidity; psychogenic classification; depression; sibutramine As rates of obesity have risen, concern has principally focused on obesity-related comorbidities such as type 2 diabetes and cardiovascular disease. The relationship between obesity and psychological health has long been controversial and remains poorly understood. More recently, the emphasis has shifted to looking at the causal relationships between body weight and psychological distress and how this may affect treatment outcome.A number of potential risk factors for psychological suffering in obese individuals have been identified. These can be related to demographic factors, dietary behaviour, social/environment factors and cognitive factors (Table 1).Demographic risk factors include gender and age (with problems specifically occurring in young women), the degree of obesity, Hispanic ethnicity and lower socioeconomic class. In terms of eating/dietary behaviour, important psychological sequelae of obesity are dieting and restrained eating, binge eating and a high level of disinhibition with subjective feelings of constant hunger.Social and environmental risk factors include societal pressure to be thin, a long-standing history of stigmatisation in relation to obesity, discrimination, negative reactions from both family and peers, and poor interpersonal relationships. These can result in abnormal cognitive factors, with up to 74% of obese patients having body image dissatisfaction and distortion.1 Low self-concept and negative global attributions towards life are prominent. The individual's weight history is also relevant, with a history of weight cycling and childhood onset of obesity both being potential risk factors for later psychological suffering. The high prevalence of psychological comorbidities in obese patients was highlighted recently by Tuthill et al.

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confidence: 99%

Psychological correlates of obesity in women

Merwe

2007

Int J Obes

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“…Because one of the major reasons that clinicians advise obese patients to lose weight is to better manage hypertension, studies should be conducted with rimonabant in overweight/obese patients with hypertension, who are taking antihypertensive drugs, to examine potential benefits such as reduction in the number of BP medications and/or doses required. Because the prevalence of depression is quite high in obese patients seeking treatment for this problem in clinical settings, 101 studies examining the efficacy and safety of rimonabant in this population will provide much needed practical knowledge about this drug to clinicians. Studies enrolling greater proportions of blacks and Hispanics will likely enhance the generalizability of the findings of RIO trials.…”

Section: Future Directionsmentioning

confidence: 99%

Cannabinoid-1 Receptor Antagonist, Rimonabant, for Management of Obesity and Related Risks

Gadde

Allison

2006

Circulation

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“…The difference between the individual perception of his/her current body size and ideal body size is related to body satisfaction [86] . Up to 74% of obese patients have body image dissatisfaction and distortion [11] , so this construct has been frequently assessed in pre-treatment psychological batteries. Several instruments are available to measure body image, concerns about body shape and body satisfaction.…”

Section: Expectationsmentioning

confidence: 99%

“…Psychiatric disorders and psychological features have been also reported as conditions which may play a significant role in developing obesity. With respect to psychiatric disorders, the highest comorbidity rates have been obviously reported for Binge Eating Disorder and other atypical Eating Disorders [10,11] .…”

Section: Introductionmentioning

confidence: 99%

Assessment of psychological predictors of weight loss: How and what for?

Lazzeretti¹,

Rotella²,

Pala³

et al. 2015

WJP

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Obesity is a multifactorial disease and the prominent factors playing a role in its pathogenesis are biological, environmental and psychological. There is a growing interest in understanding psychological functioning of obese subjects and the influence of psychological factors on treatment outcome. The aim of the present narrative review is to critically analyze the current literature, in order to point out the most common psychological constructs studied in obesity and to give an overview of the main existing tools investigating psychological features which have been considered significant for the prediction of success in weight loss and maintenance programs in obese patients. In this framework, the most common psychological constructs studied are: self-motivation, self-efficacy, locus of control, health related quality of life, self-esteem, self-control, concerns about body image, outcome expectations, and personality traits. These features have been explored through a wide variety of psychometric instruments. However, as an overall, studies evaluating the association between psychological features and treatment outcome failed to give consistent results. A possible explanation may consist on the fact that many tools widely used to explore psychological features were not specifically designed for obese patients and none of them was comprehensive of all possible psychological features involved. The identification of well-defined subgroups of patients and the validation of more reliable and comprehensive tools, specifically designed for obese subjects, should be forecasted in order to reach a better knowledge of psychological functioning of obese individuals and to improve the outcome of weight loss programs.

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Psychiatric co-morbidities in patients attending specialist obesity services in the UK

Abstract: Psychological co-morbidities are common in obese individuals attending specialist weight-management clinics, and may merit consideration at (or before) commencement of a weight loss programme.

Cited by 64 publications

References 43 publications

Psychological correlates of obesity in women

Psychological correlates of obesity in women

Cannabinoid-1 Receptor Antagonist, Rimonabant, for Management of Obesity and Related Risks

Assessment of psychological predictors of weight loss: How and what for?

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