Psychiatric distress and health-related quality of life in obesity
| Autor: | G, Marchesini, M, Bellini, S, Natale, C, Belsito, S, Isacco, C, Nuccitelli, F, Pasqui, L, Baraldi, G, Forlani, N, Melchionda |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Health Status Respiratory Tract Diseases Statistics as Topic Pain Coronary Disease Motor Activity Severity of Illness Index Body Mass Index Risk Factors Sickness Impact Profile Surveys and Questionnaires Diabetes Mellitus Prevalence Humans Obesity Bulimia Psychiatric Status Rating Scales Anthropometry Middle Aged Physical Fitness Multivariate Analysis Quality of Life Female Stress Psychological |
| Zdroj: | Diabetes, nutritionmetabolism. 16(3) |
| ISSN: | 0394-3402 |
| Popis: | Health-related quality of life (HRQL) is poor in obese patients and not necessarily related to the severity of disease. In a large proportion of patients psychopathological distress is also present and its role on poor HRQL has never been quantified.In 207 patients entering a University-based weight-reducing programme (38 males, 169 females), a package of self-administered questionnaires was submitted to measure HRQL (Short-Form 36) and psychopathological distress [general: Symptom Check-List 90 (SCL-90); depression: Beck Depression Inventory (BDI); binge eating: Binge Eating Scale (BES)]. Several clinical and anthropometric data were also recorded.HRQL, both in its physical and mental component, was significantly reduced in obesity when related to Italian population norms. SCL-90 identified psychopathological distress in 53 patients (26%), the BDI was indicative of depression in 89 cases (43%), whereas high scores of the BES were measured in 88 cases. Logistic regression analysis identified psichopathological distress as the major factor associated with poor HRQL.Psychiatric disturbances significantly contribute to poorly perceived health status. Only a comprehensive treatment including a specific approach to psychiatric symptoms may be effective in improving the perceived health status of obese patients seeking treatment. |
| Databáze: | OpenAIRE |
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