Low resilience in severe obesity: marker of adverse childhood experiences and current psychological disorders.

Autor: Mathieu J; Laboratoire INTERPSY, Campus LSH de Nancy - Université de Lorraine, 23 Boulevard Albert 1er, 54000, Nancy, France. joris.mathieu@univ-lorraine.fr.; Centre Spécialisé de l'Obésité (CSO) et Service d'Endocrinologie, Diabétologie et Nutrition (EDN), CHRU-Nancy, Rue du Morvan, 54511, Vandoeuvre-lès-Nancy, France. joris.mathieu@univ-lorraine.fr.; Département de Chirurgie Viscérale, Métabolique et Cancérologique (CVMC), Unité Multidisciplinaire de Chirurgie de l'Obésité, CHRU-Nancy, Rue du Morvan, 54511, Vandoeuvre-lès-Nancy, France. joris.mathieu@univ-lorraine.fr., Brunaud L; Département de Chirurgie Viscérale, Métabolique et Cancérologique (CVMC), Unité Multidisciplinaire de Chirurgie de l'Obésité, CHRU-Nancy, Rue du Morvan, 54511, Vandoeuvre-lès-Nancy, France., Reibel N; Département de Chirurgie Viscérale, Métabolique et Cancérologique (CVMC), Unité Multidisciplinaire de Chirurgie de l'Obésité, CHRU-Nancy, Rue du Morvan, 54511, Vandoeuvre-lès-Nancy, France., Moukah D; Département de Nutrition, Université de Lorraine, 54000, Nancy, France., Witkowski P; Centre Spécialisé de l'Obésité (CSO) et Service d'Endocrinologie, Diabétologie et Nutrition (EDN), CHRU-Nancy, Rue du Morvan, 54511, Vandoeuvre-lès-Nancy, France.; Département de Chirurgie Viscérale, Métabolique et Cancérologique (CVMC), Unité Multidisciplinaire de Chirurgie de l'Obésité, CHRU-Nancy, Rue du Morvan, 54511, Vandoeuvre-lès-Nancy, France., Lighezzolo-Alnot J; Laboratoire INTERPSY, Campus LSH de Nancy - Université de Lorraine, 23 Boulevard Albert 1er, 54000, Nancy, France., Quilliot D; Département de Chirurgie Viscérale, Métabolique et Cancérologique (CVMC), Unité Multidisciplinaire de Chirurgie de l'Obésité, CHRU-Nancy, Rue du Morvan, 54511, Vandoeuvre-lès-Nancy, France.; Département de Nutrition, Université de Lorraine, 54000, Nancy, France., Ziegler O; Centre Spécialisé de l'Obésité (CSO) et Service d'Endocrinologie, Diabétologie et Nutrition (EDN), CHRU-Nancy, Rue du Morvan, 54511, Vandoeuvre-lès-Nancy, France.; Département de Chirurgie Viscérale, Métabolique et Cancérologique (CVMC), Unité Multidisciplinaire de Chirurgie de l'Obésité, CHRU-Nancy, Rue du Morvan, 54511, Vandoeuvre-lès-Nancy, France.; Département de Nutrition, Université de Lorraine, 54000, Nancy, France.
Jazyk: angličtina
Zdroj: Eating and weight disorders : EWD [Eat Weight Disord] 2022 Dec; Vol. 27 (8), pp. 3507-3519. Date of Electronic Publication: 2022 Oct 09.
DOI: 10.1007/s40519-022-01488-2
Abstrakt: Purpose: Psychological disorders, early-age psychological traumas and eating disorders may contribute to the development of severe obesity in vulnerable individuals. Resilience may serve a protective role against binge eating disorder or depression. The current study aimed to investigate the relationship between adverse childhood experiences (ACE), resilience, and current psychological disorders. It also examined whether resilience plays a protective role in this pathway in a cohort of patients seeking bariatric surgery.
Methods: Two hundred patients (153 women, 47 men) with severe obesity scheduled for bariatric surgery at the CHRU Nancy were included between September 2016 and April 2017. Participants completed the Resilience Scale for Adults (RSA) questionnaire and underwent a structured interview on ACE and current psychological disorders.
Results: Mean total RSA score was 5.16 ± 0.87. The most frequent ACE were emotional neglect (90.5%) and emotional abuse (61%); 96% reported at least one ACE; 67% presented at least one current psychological disorder, the most frequent being anxiety (36%) and BED (35%). The number of psychological disorders, cumulative ACE and age explained 19.5% of the variance in total RSA score (p < 0.0001; adjusted R 2  = 0.19). The association of cumulative ACE and number of psychological disorders was mediated by resilience.
Conclusion: Our findings suggest that resilience is a relevant component of the psychosocial phenotype of severe obesity in bariatric surgery candidates. Resilience seems to play a partly mediation role in the relationship between ACE and psychological disorders. Low resilience becomes a marker that underscores the necessity to examine in greater depth ACE and psychological disorders.
Level of Evidence: Level III, cohort analytic study.
(© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
Externí odkaz: