title: Identification of psychological dysfunctions and eating disorders in obese women seeking weight loss: cross-sectional study.
abstract: Objective. The aim of this study is to analyse associations between eating behaviour and psychological dysfunctions in treatment-seeking obese patients and identify parameters for the development of diagnostic tools with regard to eating and psychological disorders. Design and Methods. Cross-sectional data were analysed from 138 obese women. Bulimic Investigatory Test of Edinburgh and Eating Disorder Inventory-2 assessed eating behaviours. Beck Depression Inventory II, Spielberger State-Trait Anxiety Inventory, form Y, Rathus Assertiveness Schedule, and Marks and Mathews Fear Questionnaire assessed psychological profile. Results. 61% of patients showed moderate or major depressive symptoms and 77% showed symptoms of anxiety. Half of the participants presented with a low degree of assertiveness. No correlation was found between psychological profile and age or anthropometric measurements. The prevalence and severity of depression, anxiety, and assertiveness increased with the degree of eating disorders. The feeling of ineffectiveness explained a large degree of score variance. It explained 30 to 50% of the variability of assertiveness, phobias, anxiety, and depression. Conclusion. Psychological dysfunctions had a high prevalence and their severity is correlated with degree of eating disorders. The feeling of ineffectiveness constitutes the major predictor of the psychological profile and could open new ways to develop screening tools.
authors.affiliation: Service of Endocrinology, Diabetes and Metabolism, University Hospital CHUV, rue du Bugnon, 1011 Lausanne, Switzerland.
authors.forename: Maude
authors.initials: M
authors.lastname: Panchaud Cornut
authors.affiliation: Service of Endocrinology, Diabetes and Metabolism, University Hospital CHUV, rue du Bugnon, 1011 Lausanne, Switzerland.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Szymanski
authors.affiliation: Institute of Social and Preventive Medicine, University Hospital CHUV, rue du Bugnon, 1011 Lausanne, Switzerland.
authors.forename: Pedro
authors.initials: P
authors.lastname: Marques-Vidal
authors.affiliation: Service of Endocrinology, Diabetes and Metabolism, University Hospital CHUV, rue du Bugnon, 1011 Lausanne, Switzerland ; Département de Médecine, Hôpital Intercantonal de la Broye, 1470 Estavayer-le-Lac, Switzerland.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Giusti
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