RESUMEN
OBJECTIVE: The main purpose of this study is to evaluate the different aspects of the construct of alexithymia in a group of severe obese patients not affected by eating disorders. Moreover, we tested if in the same patients there was a relationship between alexithymic traits and depressive symptoms. METHOD: Forty-nine severe obese patients were evaluated through the Toronto Alexithymia Scale (TAS-20) and the Beck Depression Inventory (BDI). The results were compared with those of a normal weight control group. RESULTS: Obese patients were less able than control subjects in recognizing and labeling their own emotions. This deficit was positively associated with depressive symptoms. CONCLUSIONS: The data suggest that severe obese patients have more difficulties in recognizing their emotions and have more depressive symptoms than control subjects have.
Asunto(s)
Síntomas Afectivos/complicaciones , Depresión/complicaciones , Obesidad/psicología , Adulto , Síntomas Afectivos/psicología , Factores de Edad , Anciano , Análisis de Varianza , Índice de Masa Corporal , Estudios de Casos y Controles , Depresión/psicología , Trastornos de Alimentación y de la Ingestión de Alimentos/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Obesidad/complicaciones , Escalas de Valoración Psiquiátrica , Adulto JovenRESUMEN
We investigated if among adult subjects there is any correlation between body mass index (BMI), evaluation of current satiety after a standard meal and predicted satiety hypothesizing to have a second helping of the same food. One hundred and twenty-eight adult subjects randomly recruited during a village festival were included into the study; 20 were underweight, 74 normal weight and 34 overweight. Just after eating a highly caloric bean-soup, they were requested to evaluate current satiety and to predict their satiety before having a second helping of the same food they had just eaten to find out if there was any correlation between BMI and the evaluations. There was a significant negative correlation between participants' BMI and predicted satiety, no correlation was found between BMI and current satiety. The outcomes of the study give suggestions for prevention and treatment of overweight patients.
Asunto(s)
Índice de Masa Corporal , Peso Corporal , Ingestión de Alimentos , Sobrepeso/fisiopatología , Sobrepeso/psicología , Respuesta de Saciedad , Adulto , Anciano , Factores de Confusión Epidemiológicos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Sobrepeso/prevención & control , Sobrepeso/terapia , Valor Predictivo de las Pruebas , Proyectos de Investigación , Delgadez/fisiopatología , Delgadez/psicología , Factores de TiempoRESUMEN
The article reviews the international literature about psychopathological aspects and treatments of Night Eating Syndrome (NES). Studies were found using Medline; data from recent international books and conferences about ED are included, but single case descriptions are not included in the study. NES seems to be consistently related to mood disorders and anxiety. There is a low overlap between other eating disorders, including binge eating disorder (BED), and NES. The relationship between the syndrome and substance abuse is unclear and needs further study. Sleep architecture seems not to be severely altered among those with NES. A limited number of treatment studies for NES have been published or presented. Most of the literature focuses on pharmacological treatment, with fewer psychotherapeutic approaches reported at this time. Larger, multi-site treatment studies would serve to confirm the findings of this first wave of clinical trials.