scholarly journals A study of personality subtypes in treatment seeking obese patients

2014 ◽  
Vol 16 (2) ◽  
pp. 85-92 ◽  
Author(s):  
Salvatore Gullo ◽  
Gianluca Lo Coco ◽  
Laura Salerno ◽  
Federica La Pietra ◽  
Vincenzo Bruno
Keyword(s):  
Psychosocial Functioning ◽  
Eating Behaviors ◽  
Dietary Treatment ◽  
Obese Patients ◽  
Millon Clinical Multiaxial Inventory ◽  
Causal Pathways ◽  
Related Quality ◽  
Weight Problems ◽  
Personality Subtypes ◽  
Future Work

Previous research has not been able to identify a distinct personality style that refers specifically to obese individuals. The purpose of this investigation was to explore whether different personality-based groups can be identified in obese individuals, as has been shown with eating disorder patients. Data were collected from 149 obese patients (BMI = 37.3, ± 6.4; 83% female) seeking dietary treatment and psychological support for their weight problems. Participants completed the Millon Clinical Multiaxial Inventory III (MCMI-III; Millon, 1997) and a battery of eight measures assessing psychological distress, mood states, eating behaviors, obesity-related quality of life, and interpersonal problems. The MCMI-III personality scales were cluster analysed to classify participants into personality subtypes. Three personality clusters were retained (externalizing, internalizing, high-functioning), and several differences in the validating variables emerged across the three personality subtypes. The internalizing group reported the greatest level of personality distress and an increased likelihood of poor psychosocial functioning and high eating behavior symptoms. Findings support the clinical utility of personality subtypes in obesity. Future work is needed to identify causal pathways between personality typologies and eating disorders in obese individuals.

scholarly journals Psychological Aspects of Obesity and Obesity Surgery: A Simple Review

2021 ◽  
pp. 299-308
Author(s):  
Manal Mohammed E. Alhawiti ◽  
Sarah Muqbil B. Altmimi ◽  
Alanoud Abdullah M. Alzahrani ◽  
Hezam Shalan Alshahrani ◽  
Ghaiah Jaber A. Alharbi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychosocial Functioning ◽  
Psychological Functioning ◽  
Eating Behaviors ◽  
Well Being ◽  
Obese Patients ◽  
Abnormal Eating ◽  
Liposuction Surgery ◽  
The Impact

Grade III and IV obese patients had higher levels of depression than grade II obese patients, lower self-esteem, and lower quality of life. Thus, an important but often overlooked outcome is the assessment of the impact of surgery on mental health. This is an important outcome measure because it can contribute to a patient's concept of overall well-being. Although British Columbia has an edge in managing obesity, psychosocial and behavioral factors can influence postoperative outcomes. According to some authors, mental illness severe enough to require treatment may be a negative predictor of surgical outcome. This review reviews the literature on the impact of liposuction surgery on the psychological functioning of patients with obesity. Most studies have shown that people with obesity, especially those requiring surgery, report significantly worse quality of life. This may be due to impaired physical and psychosocial functioning, discrimination and psychiatric consequences, or it may be due to overweight and associated morbidity. Finally, most research and clinical experience shows that people with obesity who seek surgical treatment for obesity are more likely to have psychological problems, abnormal eating behaviors, and quality of life. Life declines more than the average person, but bariatric surgery can help improve your mental state. Patients, improve the patient's quality of life.

Impact of a paediatric cardiac rehabilitation programme upon patient quality of life

2021 ◽  
pp. 1-8
Author(s):  
Kristin H. Kroll ◽  
Joshua R. Kovach ◽  
Salil Ginde ◽  
Roni M. Jacobsen ◽  
Michael Danduran ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiac Rehabilitation ◽  
Exercise Capacity ◽  
Psychosocial Functioning ◽  
Rehabilitation Programme ◽  
Self Concept ◽  
Cardiac Rehabilitation Programme ◽  
Patient Reported ◽  
Related Quality

Abstract Introduction: Cardiac rehabilitation programmes for paediatric patients with congenital heart disease (CHD) have been shown to promote emotional and physical health without any associated adverse events. While prior studies have demonstrated the effectiveness of these types of interventions, there has been limited research into how the inclusion of psychological interventions as part of the programme impacts parent-reported and patient-reported quality of life. Materials and methods: Patients between the ages of 7 and 24 years with CHD completed a cardiac rehabilitation programme that followed a flexible structure of four in person-visits with various multidisciplinary team members, including paediatric psychologists. Changes in scores from the earliest to the latest session were assessed regarding exercise capacity, patient functioning (social, emotional, school, psychosocial), patient general and cardiac-related quality of life, patient self-concept, and patient behavioural/emotional problems. Results: From their baseline to final session, patients exhibited significant improvement in exercise capacity (p = 0.00009). Parents reported improvement in the patient’s emotional functioning, social functioning, school functioning, psychosocial functioning, cognitive functioning, communication, and overall quality of life. While patients did not report improvement in these above areas, they did report perceived improvement in certain aspects of cardiac-related quality of life and self-concept. Discussion: This paediatric cardiac rehabilitation programme, which included regular consultations with paediatric psychologists, was associated with divergent perceptions by parents and patients on improvement related to quality of life and other aspects of functioning despite improvement in exercise capacity. Further investigation is recommended to identify underlying factors associated with the differing perceptions of parents and patients.

scholarly journals An Innovative Approach to Designing Digital Health Solutions Addressing the Unmet Needs of Obese Patients in Europe

2021 ◽  
Vol 18 (2) ◽  
pp. 579
Author(s):  
Roberta Patalano ◽  
Vincenzo De Luca ◽  
Jess Vogt ◽  
Strahil Birov ◽  
Lucia Giovannelli ◽  
...  
Keyword(s):  
Unmet Needs ◽  
Negative Impact ◽  
Digital Health ◽  
Integrated Approach ◽  
World Health ◽  
Obese Patients ◽  
Unhealthy Lifestyle ◽  
Significant Negative Impact ◽  
Related Quality ◽  
Health Organization

According to the World Health Organization (WHO), the worldwide obesity rate has tripled since 1975. In Europe, more than half of the population is overweight and obese. Around 2.8 million people die each year worldwide as a result of conditions linked to being overweight or obese. This study aimed to analyze the policies, approaches, and solutions that address the social and health unmet needs of obese patients, at different levels, in order to simulate the definition of an integrated approach, and to provide and share examples of innovative solutions supporting health promotion, disease prevention, and integration of services to improve the collaboration between the different health and care stakeholders involved across the country and in the lives of obese patients. A collaborative approach involving various levels of government and regional experts from different European countries was applied to identify, explore, and evaluate different aspects of the topic, from the innovation perspective and focusing on a European and a regional vision. Currently, people prefer more foods rich in fats, sugars, and salt/sodium than fruits, vegetables, and fiber. This behavior leads to a significant negative impact on their health-related quality of life. Changes in healthcare systems, healthy policy, and approaches to patient care and better implementation of the different prevention strategies between all the stakeholders are needed, taking advantage of the digital transformation of health and care. Such changes can support obese patients in their fight against an unhealthy lifestyle and at the same time reduce healthcare costs.

scholarly journals Neuropsychological and Psychosocial Functioning of Children with Perinatal HIV-Infection in The Netherlands

Viruses ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 1947
Author(s):  
Stefanie E. M. van van Opstal ◽  
Emma J. Dogterom ◽  
Marlies N. Wagener ◽  
Femke K. Aarsen ◽  
Harald S. Miedema ◽  
...  
Keyword(s):  
The Netherlands ◽  
Executive Functioning ◽  
Psychosocial Functioning ◽  
Normative Data ◽  
Control Group ◽  
Social Emotional ◽  
Cross Sectional ◽  
Perinatal Hiv ◽  
Related Quality ◽  
Health Related

Advances in antiretroviral treatment improved the life expectancy of perinatally HIV-infected children. However, growing up with HIV provides challenges in daily functioning. This cross-sectional cohort study investigated the neuropsychological and psychosocial functioning of a group of perinatally HIV-infected children in the Netherlands and compared their outcomes with Dutch normative data and outcomes of a control group of uninfected siblings. The children’s functioning was assessed with internationally well-known and standardized questionnaires, using a multi-informant approach, including the perspectives of caregivers, teachers, and school-aged children. In addition, we explored the associations of socio-demographic and medical characteristics of the HIV-infected children with their neuropsychological and psychosocial functioning. Caregivers reported compromised functioning when compared to Dutch normative data for HIV-infected children in the areas of attention, sensory processing, social-emotional functioning, and health-related quality of life. Teachers reported in addition compromised executive functioning for HIV-infected children. A comparison with siblings revealed differences in executive functioning, problems with peers, and general health. The concurrent resemblance between HIV-infected children and siblings regarding problems in other domains implies that social and contextual factors may be of influence. A family-focused approach with special attention to the child’s socio-environmental context and additional attention for siblings is recommended.

scholarly journals Parental alcohol abuse and eating behaviors in adolescents

2015 ◽  
Vol 125 (4) ◽  
pp. 194-196
Author(s):  
Anna Cur ◽  
Kinga Szymona ◽  
Marek Domański ◽  
Aneta Opolska ◽  
Mariusz Jojczuk
Keyword(s):  
Eating Disorders ◽  
Alcohol Abuse ◽  
Eating Behaviors ◽  
Mental Health Problems ◽  
Preventive Measures ◽  
Problem Drinking ◽  
Eating Disorder Inventory ◽  
The Family ◽  
Future Work ◽  
Parental Alcohol

AbstractIntroduction.Parental alcohol abuse hinders a child’s development, which means that these children are more exposed to mental health problems.Aim.The aim of this study was to analyze the link between the intensity of eating disorders in youngsters and family alcoholism.Material and methods.The study was conducted among adolescents in the Lubelskie province. 1766 students, aged 12 to 22 were participants in the study. The authors used a method called Eating Disorder Inventory, as well as a self-designed questionnaire that included assessing the characteristics of every family.Results.The findings of this study show that increased symptoms of eating disorders in children and teenagers correlates with alcohol dependency in the family. Adolescent children of alcoholics have higher levels of conflict identifying feelings and emotions (hunger, security) correctly. They were more likely to deem their actions as ineffective, as well as they were more frequently prone to binge eating than individuals who were not affected by drinking parents.Conclusions.There is a need for some future work and preventive measures to be taken in families affected by problem drinking.

scholarly journals Cognition, Health-Related Quality of Life, and Psychosocial Functioning After GH/GnRHa Treatment in Young Adults Born SGA

2018 ◽  
Vol 103 (11) ◽  
pp. 3931-3938 ◽  
Author(s):  
Wesley Jim Goedegebuure ◽  
Manouk van der Steen ◽  
Justine Lenneke de With ◽  
Anita Hokken-Koelega
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Psychosocial Functioning ◽  
Reference Population ◽  
Study Group ◽  
Health Related Quality ◽  
Self Perception ◽  
Related Quality ◽  
Health Related

Abstract Background Children born small for gestational age (SGA) with a poor adult height (AH) expectation benefit from treatment with GH and additional gonadotropin-releasing hormone analog (GnRHa). Because both SGA birth and GnRHa treatment might negatively influence cognition, health-related quality of life (HRQoL), and psychosocial functioning, we assessed these outcomes at AH. Methods A randomized, dose-response GH study until AH involving 99 adolescents born SGA, of whom 61 children received 2 additional years of GnRHa treatment. At AH, the Wechsler Adult Intelligence Scale and TNO-AZL Adults Quality of Life questionnaire were administered to the study group. Additionally, the study group and 67 adolescents born SGA (19 GnRHa) from a second study group completed the Self-Perception Profile of Adolescents and Child/Adolescent Behavior Checklist at AH. Scores in GH-treated young adults with GnRHa treatment (GH/GnRHa group) were compared with GH-treated adolescents without GnRHa treatment (GH group) and a reference population. Results Mean age (SD) at AH was 17.5 (1.2) and 17.4 (1.4) years in the GH/GnRHa and GH group, respectively. Intelligence quotient scores were similar in GH/GnRHa and GH groups (96.33 vs 92.47). HRQoL was similar between both groups and also when compared with the reference population, but the GH/GnRHa group had a significantly lower perception of cognitive functioning. Self-perception and problem behavior were similar in the GH/GnRHa and GH groups. AH did not correlate with HRQoL, self-perception, or problem behavior. Conclusion Combined GH/GnRHa treatment has no long-term negative effects on cognition, HRQoL, self-perception, and behavior in early adulthood, compared with GH treatment only.

scholarly journals Psychometrics and Validity of the Survey of Memory-Related Quality of Life in HIV Disease

2019 ◽  
Author(s):  
Kelli L Sullivan ◽  
Paulina A Kulesz ◽  
Steven Paul Woods
Keyword(s):  
Quality Of Life ◽  
Reliability And Validity ◽  
Self Report ◽  
Memory Problems ◽  
Incremental Value ◽  
Related Quality ◽  
And Performance ◽  
Future Work ◽  
The Impact

Abstract Objective Retrospective and prospective memory deficits are associated with lower quality of life (QoL); however, there are no validated measures that comprehensively and directly assess the impact of memory problems on QoL. The Survey of Memory-Related Quality of Life (SMRQoL) was developed as a 30-item questionnaire to measure memory-related QoL. Method Both HIV+ (n = 195) and HIV− (n = 146) participants completed the SMRQoL, a neurocognitive research battery, and validated self-report questionnaires of memory, QoL, and mood. Participants were recruited into younger (age ≤ 40 years) and older (age ≥ 50 years) groups per the parent study design. Results The SMRQoL had a unidimensional factor structure and demonstrated measurement invariance across the HIV+ and HIV− participants. Analyses of 111 clinically stable participants (e.g., persons with no incident or remitting central nervous system disorders) who returned for a 14-month follow-up visit indicated that the SMRQoL had adequate test–retest stability. There was a significant interaction of age and HIV status on the SMRQoL, such that older HIV+ participants reported the lowest memory-related QoL. SMRQoL scores were associated with validated measures of mental and physical QoL, self-reported memory and cognitive symptoms, and performance-based memory and executive functions. Conclusions The SMRQoL shows evidence of reliability and validity as a measure of memory-related QoL that can be used to assess the impact of memory problems on everyday life, but future work is needed to demonstrate the measure’s incremental value in the context of diagnosis and treatment.

scholarly journals Associations Between Health-related Quality of Life, Eating Behavior and Gastrointestinal Tolerance Among Exclusively Breastfed Infant-Mother Dyads in the Philippines (P11-107-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Elvira Estorninos ◽  
Rachel Lawenko ◽  
Katherine Buluran ◽  
Yipu Chen ◽  
Jowena Lebumfacil ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Eating Behaviors ◽  
Maternal Mental Health ◽  
The Philippines ◽  
Infant Temperament ◽  
Related Quality ◽  
Mental Health Summary ◽  
Health Related ◽  
Positive Correlations

Abstract Objectives Breastmilk offers the most optimal nutrition for infants in first year of life, and breastfeeding may offer additional benefits promoting psychological well-being of infants and mothers. Relationships between infant and maternal quality of life (QoL), baby eating behaviors and gastrointestinal (GI) tolerance have not been widely studied. Methods Healthy term infants whose mothers had decided to exclusively breastfeed from birth until 6 months (m) of age, were enrolled at 21–26 days (d) of age from a single center in the Philippines. Parents completed the Infant Toddler Quality of Life Questionnaire (ITQoL), Short Form Health Survey (SF-36v2) (assessing maternal QoL), Baby Eating Behavior Questionnaire (BEBQ) (assessing appetite), and Infant Gastrointestinal Symptoms Questionnaire (assessing GI burden) at enrollment and when infants were 2.5 m, 4 m, and 6 m of age. Results Among 75 enrolled infants, 70 completed the study at age 6 m. At enrollment, only 1 statistically significant moderate correlation (ρ = 0.46, P < 0.01, Table 1) was seen between maternal Physical Health Summary with infant QoL Impact on Parents-Time. However, most infant QoL concepts became moderately associated with maternal Mental Health Summary scores at 6 m. Statistically significant moderate and positive correlations were detected between maternal Mental Health Summary with Satisfaction with Child's Overall Growth and Development, Temperament and Moods, Overall Health, and with 3 Child's Impacts on Parents concepts. At 6 m, statistically significant moderate and positive correlations were seen between BEBQ concepts (Enjoyment of Food and General Appetite) with Temperament and Moods (ρ = 0.47 and 0.40, respectively, P < 0.01). No moderate correlations between BEBQ concepts and maternal QoL were found. Surprisingly, no correlations between GI tolerance measures and maternal/infant QoL concepts was detected except 1 weak correlation between flatulence and infant QoL Impact on Parents-Emotional at enrollment. Conclusions In this cohort, relationships between infant and maternal health-related quality of life evolved as infants grew older. Infant temperament and moods positively correlated with both maternal mental and physical health and with infant eating behaviors, suggesting that infant temperament and mood may be an important factor affecting maternal and child health. Funding Sources Nestec Ltd. Supporting Tables, Images and/or Graphs

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