[Interpersonal patterns in obese patients].
In the last decades the number of obese and pre-obese patients in Western industrial nations increased. Obese patients have been largely unsuccessful in losing weight over time, but the causes of their difficulties and the causes of their obesity have remained unclear. We examined whether the attachment style and its interaction with interpersonal processes would shed light on this question. We analyzed 107 obese or pre-obese patients before the start of a weight loss intervention program. We used the Adult Attachement Prototype Rating (AAPR)-interview and related questionnaires (Helping Alliance Questionnaire (HAQ), Inventory of Interpersonal Problems (IIP-D), Brief Symptom Inventory (BSI)). According to the AAPR-rating 54% of the patients were secure and 46% insecure attached. The results suggest that insecure attachment style has an impact on psychic strain in obese patients unrelated to weight, gender and age. Additionally the insecure attachment style influences the therapeutic alliance experienced by patients and the therapist.
Klinik und Poliklinik für Psychosomatik und Psychotherapie, Charité CBF, Berlin.
Sybille
S
Kiesewetter
Klinik und Poliklinik für Psychosomatik und Psychotherapie, Charité CBF, Berlin.
Andrea
A
Köpsel
Klinik und Poliklinik für Endokrinologie, Diabetologie und -Ernährungsmedizin, Charitè CBF, Berlin.
Andreas F
AF
Pfeiffer
Arzt für Psychosomatische Medizin und Psychotherapie, freie Praxis, Berlin.
Werner
W
Köpp
Klinik und Poliklinik für Psychosomatik und Psychotherapie, Charité CBF, Berlin.
Sabrina
S
Kastner
Dept. of Clinical Neuroscience, Karolinska Institut, Stockholm, Sweden.
Kristina
K
Orth-Gomér
Klinik und Poliklinik für Psychosomatik und Psychotherapie, Charité CBF, Berlin.
Hans-Christian
HC
Deter
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology* / Q000534:rehabilitation; D009769:Object Attachment; D011795:Surveys and Questionnaires; D015431:Weight Loss