Fabricatore Anthony N, Wadden Thomas A
Weight and Eating Disorders Program, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-3309, USA.
Clin Dermatol. 2004 Jul-Aug;22(4):332-7. doi: 10.1016/j.clindermatol.2004.01.006.
Obesity is a complex condition associated with a host of medical disorders. A common assumption is that obesity must also be related to psychological and emotional complications. Research on the psychosocial aspects of obesity has grown more sophisticated over the years, from purely theoretical papers to cross-sectional comparisons of people with and without obesity to prospective investigations of the temporal sequence of obesity and mood disturbance. These studies have shown that obesity, by itself, does not appear to be systematically associated with psychopathological outcomes. Certain obese individuals, however, are at greater risk of psychiatric disorder, especially depression. The present paper reviews the research findings and presents their clinical implications. Chiefly, treatment providers should not assume that a depressed or otherwise disturbed obese person needs only to lose weight in order to return to psychological health. Significant mood disturbances should be treated equally aggressively, regardless of a patient's weight status.
肥胖是一种与许多医学疾病相关的复杂状况。一个常见的假设是，肥胖也必定与心理和情绪并发症有关。多年来，关于肥胖心理社会方面的研究变得更加精细，从纯粹的理论论文到肥胖者与非肥胖者的横断面比较，再到对肥胖与情绪障碍时间顺序的前瞻性调查。这些研究表明，肥胖本身似乎与精神病理结果没有系统性关联。然而，某些肥胖个体患精神疾病尤其是抑郁症的风险更高。本文回顾了研究结果并阐述了其临床意义。主要的是，治疗提供者不应假定抑郁或有其他心理问题的肥胖者只需减肥就能恢复心理健康。无论患者的体重状况如何，严重的情绪障碍都应同样积极地进行治疗。
