da Luz Felipe Q, Sainsbury Amanda, Hay Phillipa, Roekenes Jessica A, Swinbourne Jessica, da Silva Dhiordan C, da S Oliveira Margareth
The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Sydney Medical School, Charles Perkins Centre, The University of Sydney, NSW 2006, Australia.
School of Psychology, Faculty of Science, The University of Sydney, NSW 2006, Australia.
Behav Sci (Basel). 2017 Feb 28;7(1):10. doi: 10.3390/bs7010010.
Dysfunctional cognitions may be associated with unhealthy eating behaviors seen in individuals with obesity. However, dysfunctional cognitions commonly occur in individuals with poor mental health independently of weight. We examined whether individuals with morbid obesity differed with regard to dysfunctional cognitions when compared to individuals of normal weight, when mental health status was controlled for. 111 participants-53 with morbid obesity and 58 of normal weight-were assessed with the Mini-Mental State Examination, Young Schema Questionnaire, Cognitive Distortions Questionnaire, Depression, Anxiety and Stress Scale, and a Demographic and Clinical Questionnaire. Participants with morbid obesity showed higher scores in one (insufficient self-control/self-discipline) of 15 early maladaptive schemas and in one (labeling) of 15 cognitive distortions compared to participants of normal weight. The difference between groups for insufficient self-control/self-discipline was not significant when mental health status was controlled for. Participants with morbid obesity showed more severe anxiety than participants of normal weight. Our findings did not show clinically meaningful differences in dysfunctional cognitions between participants with morbid obesity or of normal weight. Dysfunctional cognitions presented by individuals with morbid obesity are likely related to their individual mental health and not to their weight.
功能失调的认知可能与肥胖个体中出现的不健康饮食行为有关。然而，功能失调的认知在心理健康状况不佳的个体中普遍存在，与体重无关。我们研究了在控制心理健康状况的情况下，与正常体重个体相比，病态肥胖个体在功能失调的认知方面是否存在差异。111名参与者——53名病态肥胖者和58名正常体重者——接受了简易精神状态检查表、青年图式问卷、认知扭曲问卷、抑郁、焦虑和压力量表以及一份人口统计学和临床问卷的评估。与正常体重的参与者相比，病态肥胖的参与者在15种早期适应不良图式中的一种（自我控制/自律不足）和15种认知扭曲中的一种（贴标签）上得分更高。在控制心理健康状况后，两组在自我控制/自律不足方面的差异不显著。病态肥胖的参与者比正常体重的参与者表现出更严重的焦虑。我们的研究结果并未显示病态肥胖参与者或正常体重参与者在功能失调的认知方面存在具有临床意义的差异。病态肥胖个体出现的功能失调认知可能与其个体心理健康有关，而非与其体重有关。
