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跨学科生活方式疗法可改善巴西肥胖成年人的暴饮暴食症状和身体形象不满状况。

Interdisciplinary lifestyle therapy improves binge eating symptoms and body image dissatisfaction in Brazilian obese adults.

作者信息

Carvalho-Ferreira Joana Pereira de, Cipullo Marcos Alberto Taddeo, Caranti Danielle Arisa, Masquio Deborah Cristina Landi, Andrade-Silva Stephan Garcia, Pisani Luciana Pellegrini, Dâmaso Ana Raimunda

机构信息

Obesity Study Group, Graduate Program in Interdisciplinary Health Sciences, Universidade Federal de São Paulo, Santos, SP, Brazil.

Obesity Study Group, Department of Health, Education, and Society, UNIFESP.

出版信息

Trends Psychiatry Psychother. 2012;34(4):223-33. doi: 10.1590/s2237-60892012000400008.

Abstract

INTRODUCTION

Obesity is related to numerous negative consequences for physical and mental health. It is often associated with the presence of binge eating disorder, body image dissatisfaction, and general psychopathology.

OBJECTIVE

To assess the effects of an interdisciplinary lifestyle therapy on binge eating symptoms, depression, anxiety, body dissatisfaction, and quality of life in obese adults.

METHODS

A total of 49 obese adults (body mass index = 37.35±5.82 kg/m²; age = 44.14±10.00 years) participated in a weight-loss program for 6 months. Symptoms suggestive of binge eating, body dissatisfaction, depression, anxiety, and quality of life were measured using self-reported questionnaires. Food intake was assessed using a 3-day dietary record. Data were analyzed using analysis of variance (ANOVA).

RESULTS

ANOVA results showed a reduction in binge eating symptoms and in body dissatisfaction results. Depression and anxiety symptoms also decreased, and an increase was observed in quality of life scores. After therapy, a significant improvement was observed in dietary patterns, as well as significant weight loss. A positive correlation was found between variation of anxiety symptoms and lipid intake. Binge eating symptoms were associated with anxiety symptoms and body image dissatisfaction, and body image dissatisfaction correlated positively with anxiety symptoms in males only. In females, a positive correlation was observed between depression and binge eating symptoms.

CONCLUSION

The interdisciplinary therapy was effective in promoting positive physical and psychological changes and in improving the quality of life of obese adults.

摘要

引言

肥胖与身心健康的诸多负面后果相关。它常与暴饮暴食症、身体形象不满及一般精神病理学状况并存。

目的

评估跨学科生活方式疗法对肥胖成年人暴饮暴食症状、抑郁、焦虑、身体不满及生活质量的影响。

方法

共有49名肥胖成年人(体重指数 = 37.35±5.82千克/平方米;年龄 = 44.14±10.00岁)参加了为期6个月的减肥项目。使用自我报告问卷测量暴饮暴食、身体不满、抑郁、焦虑及生活质量的相关症状。通过3天饮食记录评估食物摄入量。数据采用方差分析(ANOVA)进行分析。

结果

方差分析结果显示暴饮暴食症状和身体不满结果有所减少。抑郁和焦虑症状也有所减轻,生活质量得分有所提高。治疗后,饮食模式有显著改善,体重也显著减轻。焦虑症状变化与脂质摄入量之间存在正相关。暴饮暴食症状与焦虑症状及身体形象不满相关,且身体形象不满仅在男性中与焦虑症状呈正相关。在女性中,抑郁与暴饮暴食症状之间存在正相关。

结论

跨学科疗法在促进肥胖成年人积极的身体和心理变化以及改善其生活质量方面是有效的。

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