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Journal ArticleDOI

The Incidence and Comorbidity of Psychiatric Disorders in Obesity

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TLDR
Assessment of psychiatric disorders may be of benefit both to patients seeking treatment for obesity and to providers of weight control programs.
Abstract
Obesity is a medical disorder with genetic, metabolic, and biochemical components. The role of psychiatric disorders, however, has been a matter of controversy. Although there is no evidence for a causal role for psychopathology in obesity, comorbid psychopathology could explain the high attrition and relapse rates found in obesity treatment. Using structured clinical diagnostic interviews (SCID-I and -II), the present study found a lifetime prevalence of 50% for Axis I disorders and a 55% prevalence for Axis II disorders in a population seeking treatment for their obesity. Assessment of psychiatric disorders may be of benefit both to patients seeking treatment for obesity and to providers of weight control programs.

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Citations
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Body image and psychosocial differences among stable average weight, currently overweight, and formerly overweight women: the role of stigmatizing experiences.

TL;DR: Correlations confirmed that, among overweight but not formerly overweight women, more frequent stigmatizing experiences during childhood, adolescence, and adulthood were significantly associated with currently poorer body image and psychosocial functioning.
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Adding cognitive therapy to dietetic treatment is associated with less relapse in obesity.

TL;DR: Cognitive therapy had enduring effects that lasted beyond the end of treatment, and might be a new strategy to combat the global epidemic of obesity.
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Depression and anxiety: their predictive function for weight loss in obese individuals.

TL;DR: The 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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Impact of Psychosocial Stress and Symptoms on Indication for Bariatric Surgery and Outcome in Morbidly Obese Patients

TL;DR: Great psychosocial stress in morbidly obese subjects should not be a contraindication for bariatric surgery, however, those patients should receive pre- and post-surgical counseling, to reduce anxiety before surgery and increase compliance after surgery.
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The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity.

TL;DR: Group differences in DSM-IV personality pathology are examined, indicating 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.
References
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Journal ArticleDOI

Obesity, social class, and mental illness.

TL;DR: Preliminary analysis revealed a striking relationship between obesity and socioeconomic status of origin, and the prevalence of obesity was 7 times higher among women rearing in the lowest social class category as compared with those reared in the highest category.
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Effects of being overweight.

TL;DR: It is found that 10 percent of this population are moderately overweight and 12 per cent are severely overweight (although 41 per cent perceive they are overweight), and information is provided on morbidity due to being overweight, and on what people are doing to try to lose weight.
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Irritable bowel syndrome and psychiatric illness.

TL;DR: The authors offer a pathophysiological model of irritable bowel syndrome that integrates many of the biological and psychosocial findings of earlier studies and suggests that psychiatric evaluation appears to be an important factor in the diagnosis and treatment of patients with irritating bowel syndrome.
Journal Article

Psychosocial risk factors in gastric surgery for obesity: identifying guidelines for screening.

TL;DR: Prior inpatient psychiatric history, MMPI scale elevations, negative life events, and low social support related significantly to medical complications and satisfaction with results of surgery, but not weight loss (outcome).
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