General psychopathology and impulsivity as the pre-treatment predictors of medical nutrition therapy outcome in the overweight and obese women
Background/Aim. Obesity is the chronic disease and health threatening condition. The number of obese people in the world has taken epidemic conditions. Medical nutritional therapy is the first choice in the treatment of obesity, but it is also accompanied with a great percentage of attrition and a s...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2019-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700184T.pdf |
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| author | Tepšić-Ostojić Vesna Ristić-Medić Danijela Mraović Tatjana Bukumirić Zoran Vasiljević Nađa Latas Milan |
| author_facet | Tepšić-Ostojić Vesna Ristić-Medić Danijela Mraović Tatjana Bukumirić Zoran Vasiljević Nađa Latas Milan |
| author_sort | Tepšić-Ostojić Vesna |
| collection | DOAJ |
| description | Background/Aim. Obesity is the chronic disease and health threatening condition. The number of obese people in the world has taken epidemic conditions. Medical nutritional therapy is the first choice in the treatment of obesity, but it is also accompanied with a great percentage of attrition and a significant weight regain. The aim of our study was to evaluate if psychiatric and specific psychological factors (impulsivity) could be the predictors of successful weight loss. Methods. A study sample consisted of 84 consecutive overweight/obesity women, 20 to 40 years old, who were willing to adhere to the medical nutrition therapy after the initial anthropometric measurements were performed. All participants received a personalized nutritional counseling and a daily diet treatment with 20% caloric restriction from estimated daily energy requirement. At the beginning of the study, the 90-item Symptom Check-list (SCL-90) and the 30-item Barratt Impulsiveness scale (BIS- 11) were administrated. At the end of six months of caloric restriction, the conventional diet therapy and control weight measurement, the patients were divided into two groups: the group I – 40 participants (48%) who lost ≥ 10% of their initial body weight (successful group) and the group II – 44 participants (52%) who lost < 10% of their initial weight (unsuccessful). Results. There were no significant differences between groups in the demographic data (age, education level, employment, marital status), baseline anthropometric measurements, and in the general psychopathology total score. Groups I and II were significantly different in the total BIS-11 score (p < 0.001) and in Factor II (motor impulsivity) (p < 0.05). Conclusion. Even though the successful and unsuccessful diet responded participatnts did not differ in the general psychopathology and symptom dimensions, our results pointed out impulsivity as a discriminative factor between them. The total impulsivity and Factor II (motor impulsivity) as an indicator of binge eating were higher in the unsuccessfully responding overweight/obese women on the conventional diet treatment. A focus on impulsivity in a psychotherapeutic work might leed to better outcomes in the medical nutrition therapy. [Project of the Serbian
Ministry of Education, Science and Technological Development, Grant no.
III41030] |
| format | Article |
| id | doaj-art-d8521fa6e772416c88a7bed5ef8e64bc |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-d8521fa6e772416c88a7bed5ef8e64bc2025-08-20T02:20:58ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176111103110910.2298/VSP171107184T0042-84501700184TGeneral psychopathology and impulsivity as the pre-treatment predictors of medical nutrition therapy outcome in the overweight and obese womenTepšić-Ostojić Vesna0Ristić-Medić Danijela1Mraović Tatjana2Bukumirić Zoran3Vasiljević Nađa4Latas Milan5Military Medical Academy, Clinic for Psychiatry, Belgrade, SerbiaCentre of Research Exellence in Nutrition and Metabolism, Institute for Medical Research, Belgrade, SerbiaMilitary Medical Academy, Institute of Hygiene and Medical Ecology, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Institute for Medical Statistics and Informatics, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Institute of Hygiene and Medical Ecology, Belgrade, SerbiaClinical Centre of Serbia, Clinic of Psychiatry, School of Medicine, Belgrade, SerbiaBackground/Aim. Obesity is the chronic disease and health threatening condition. The number of obese people in the world has taken epidemic conditions. Medical nutritional therapy is the first choice in the treatment of obesity, but it is also accompanied with a great percentage of attrition and a significant weight regain. The aim of our study was to evaluate if psychiatric and specific psychological factors (impulsivity) could be the predictors of successful weight loss. Methods. A study sample consisted of 84 consecutive overweight/obesity women, 20 to 40 years old, who were willing to adhere to the medical nutrition therapy after the initial anthropometric measurements were performed. All participants received a personalized nutritional counseling and a daily diet treatment with 20% caloric restriction from estimated daily energy requirement. At the beginning of the study, the 90-item Symptom Check-list (SCL-90) and the 30-item Barratt Impulsiveness scale (BIS- 11) were administrated. At the end of six months of caloric restriction, the conventional diet therapy and control weight measurement, the patients were divided into two groups: the group I – 40 participants (48%) who lost ≥ 10% of their initial body weight (successful group) and the group II – 44 participants (52%) who lost < 10% of their initial weight (unsuccessful). Results. There were no significant differences between groups in the demographic data (age, education level, employment, marital status), baseline anthropometric measurements, and in the general psychopathology total score. Groups I and II were significantly different in the total BIS-11 score (p < 0.001) and in Factor II (motor impulsivity) (p < 0.05). Conclusion. Even though the successful and unsuccessful diet responded participatnts did not differ in the general psychopathology and symptom dimensions, our results pointed out impulsivity as a discriminative factor between them. The total impulsivity and Factor II (motor impulsivity) as an indicator of binge eating were higher in the unsuccessfully responding overweight/obese women on the conventional diet treatment. A focus on impulsivity in a psychotherapeutic work might leed to better outcomes in the medical nutrition therapy. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. III41030]http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700184T.pdfbody mass indexdiet therapyimpulsive behaviourobesityoverweightsurveys and questionnairestreatment outcome |
| spellingShingle | Tepšić-Ostojić Vesna Ristić-Medić Danijela Mraović Tatjana Bukumirić Zoran Vasiljević Nađa Latas Milan General psychopathology and impulsivity as the pre-treatment predictors of medical nutrition therapy outcome in the overweight and obese women Vojnosanitetski Pregled body mass index diet therapy impulsive behaviour obesity overweight surveys and questionnaires treatment outcome |
| title | General psychopathology and impulsivity as the pre-treatment predictors of medical nutrition therapy outcome in the overweight and obese women |
| title_full | General psychopathology and impulsivity as the pre-treatment predictors of medical nutrition therapy outcome in the overweight and obese women |
| title_fullStr | General psychopathology and impulsivity as the pre-treatment predictors of medical nutrition therapy outcome in the overweight and obese women |
| title_full_unstemmed | General psychopathology and impulsivity as the pre-treatment predictors of medical nutrition therapy outcome in the overweight and obese women |
| title_short | General psychopathology and impulsivity as the pre-treatment predictors of medical nutrition therapy outcome in the overweight and obese women |
| title_sort | general psychopathology and impulsivity as the pre treatment predictors of medical nutrition therapy outcome in the overweight and obese women |
| topic | body mass index diet therapy impulsive behaviour obesity overweight surveys and questionnaires treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700184T.pdf |
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