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Mental disorders in patients with obesity in comparison with healthy probands

International Journal of Obesity volume 31, pages 1155–1164 (2007)Cite this article

Abstract

Objective:

Findings concerning the association of obesity and mental disorders are inconsistent. The present epidemiological study investigates adjusted 4-week, 12-month, and lifetime prevalence rates of mental disorders in obese individuals compared with physically healthy probands and overweight individuals. Correlates of the associations are examined.

Methods:

Prevalence rates were calculated from two large epidemiological surveys from both the general population of Germany and inpatient centers. The surveys investigated subjects with obesity (n=910) and overweight (n=1550), as well as physically healthy probands (n=495). The prevalence rates were based on the Munich-composite international diagnostic interview, a standardized interview for the assessment of mental disorders. Correlates of mental disorders in obese individuals were assessed using self-report questionnaires and medical examinations.

Results:

The adjusted odds ratios (OR) of obese inpatients and obese patients from the general population were significantly elevated in comparison with healthy probands for the 4-week (OR: 2.2; 2.3), 12-month (OR: 1.8; 2.7) and lifetime (OR: 1.4; 2.0) periods. Prevalence rates of overweight individuals were below those of obese individuals. Mood, anxiety and somatoform disorders were most frequent. In particular, sex, marital status and comorbid musculoskeletal diseases proved to be correlates of an increased risk for mental disorders in obese individuals. The presence of comorbid mental disorders was associated with significantly increased health care use and lower quality of life.

Conclusions:

There is a strong relationship between obesity and mental disorders. A future task is to improve care of mental disorders in patients with obesity.

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Acknowledgements

This work resulted from the research project ‘Epidemiology of Mental Disorders in Medical Rehabilitation’ (Grant 01 GD 9802/4 and 01 GD 0101) of the Freiburg/Bad Säckingen Rehabilitation Network (Principal Investigators: M Härter and J Bengel). The project was supported by the Federal Ministry of Education and Research (BMBF) and by the Federation of German Pension Insurance Institutes (VDR).

The authors thank the Max-Planck Institute for Psychiatry and the Department of Psychology and Psychotherapy of the TU Dresden for providing the GHS-MHS survey data43 and the Robert Koch Institute for providing the GHS-CS survey data.44

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Authors and Affiliations

  1. Department of Rehabilitation Psychology, Institute of Psychology, University of Freiburg, Germany

    H Baumeister

  2. Department of Psychiatry and Psychotherapy, Section of Clinical Epidemiology and Health Services Research, Freiburg University Medical Center, Freiburg, Germany

    M Härter

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Correspondence to H Baumeister.

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Baumeister, H., Härter, M. Mental disorders in patients with obesity in comparison with healthy probands. Int J Obes 31, 1155–1164 (2007). https://doi.org/10.1038/sj.ijo.0803556

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