Psychiatric co-morbidity and attachment styles in obese adults: A comparative study with healthy volunteers
Makaleler > Tam Makale · 2018
Yazarlar: Demet Guleç Öyekçin, Erkan Melih Şahin, Ebru Aldemir
Journal of Clinical Psychiatry, Uluslararası, Scopus, 2018, cilt 21, ss 326-333
Özet
Objective: Psychiatric co-morbidity and attachment issues are prevalent in obese patients.A possible relationship between insecure attachment styles and eating disorder risk has been proposed.The aim of this study is to determine the psychiatric co-morbidity, attachment styles and related risk factors in obese patients.Method: Obese patients with body mass index of 30 kg/m2 or higher and non-obese controls matched for age, sex and education were included with a total sample of 173 participants.Diagnostic assessment using Structured Clinical Interview for DSM-IV Axis I Disorders and the Adult Attachment Scale, Hamilton Depression and Hamilton Anxiety scales were carried out.Attachment styles were classified as-anxious/ambivalent, avoidant and secure.The anxious/ambivalant and avoidant groups were combined and compared with the secure group.Results: Fifty three (40.8%)obese patients had psychiatric disorders including major depression (n=44; 33.8%).Anxiety was found to be a risk factor with obesity and BMI in both patients with or without any psychiatric co-morbidity.Psychiatric co-morbidity was significantly higher in obese patients (40.8%) than controls (18.6%).55.4% of the participants had insecure attachment styles, it was significantly higher in obese patients.Insecure attachment styles were higher with psychiatric co-morbidity.Discussion: Psychiatric co-morbidity and insecure attachment styles were prevalent in obese patients, and the symptom of anxiety was found to be a predictor of obesity and body mass index.Psychiatric examinations including attachment styles and anxiety will help to advance better treatment strategies for obese patients.