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超重和肥胖患者的家庭功能及其临床相关性。

Family functioning and its clinical correlates in overweight and obese patients.

机构信息

Department of Psychiatry, Dicle University School of Medicine, 21280 Diyarbakir, Turkey.

出版信息

Eat Weight Disord. 2011 Dec;16(4):e257-62. doi: 10.1007/BF03327469. Epub 2011 Nov 16.

Abstract

AIM

Our aim is to evaluate the differences in family functioning and anxiety between normal, overweight, and obese subjects.

METHOD

Overweight and obese patients were selected from the outpatient clinic of internal medicine department of a university hospital. Patients were classified into three groups as normal weight (N=82), overweight (N=33) and obese (N=50) patients. The normal weight group included healthy subjects. The individuals were examined by the same psychiatrist (MA). Beck Anxiety Inventory and Family Assessment Device were applied to all groups.

RESULTS

When compared to normal weight patients, obese and overweight patients had significantly higher anxiety scores and higher scores in general functions, problem solving, communication, roles, affective responsiveness, and behavior control dimensions which reflect increased dysfunctions in their families. The total level of dysfunction that patients experience was predicted by alcohol dependence in the family during childhood period, any medical disorder in the current family, anxiety level and body mass index.

CONCLUSION

When treating them clinicians should keep in mind that families of obese and overweight patients may have higher levels of dysfunctions.

摘要

目的

评估正常体重、超重和肥胖受试者家庭功能和焦虑的差异。

方法

从一所大学医院内科门诊选择超重和肥胖患者。患者分为三组:正常体重组(N=82)、超重组(N=33)和肥胖组(N=50)。正常体重组包括健康受试者。由同一位精神科医生(MA)对所有组进行检查。对所有组都应用贝克焦虑量表和家庭评估工具。

结果

与正常体重患者相比,肥胖和超重患者的焦虑评分明显更高,家庭功能、解决问题、沟通、角色、情感反应和行为控制等维度的评分也更高,这反映出他们的家庭功能障碍增加。患者经历的总功能障碍水平可由童年时期家庭中的酒精依赖、当前家庭中的任何医疗疾病、焦虑水平和体重指数预测。

结论

临床医生在治疗时应牢记,肥胖和超重患者的家庭可能存在更高水平的功能障碍。

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