Marieke Q Werrij1, Sandra Mulkens, Harm J Hospers, Anita Jansen. 1. Maastricht University, Faculty of Psychology, Department of Experimental Psychology, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. m.werrij@psychology.unimaas.nl
Abstract
OBJECTIVE: Comorbid depression has been found to increase morbidity in a variety of disorders. This study aimed to investigate whether the presence of depressive symptoms in overweight and obese people is related to increased specific eating psychopathology and decreased self-esteem. METHODS: Overweight/obese people seeking dietary treatment were grouped according to their scores on the Beck Depression Inventory (BDI), resulting in a mildly to moderately depressed group (BDI > or = 10; n = 66; the symptomatic group) and a non-depressed group (BDI < 10; n = 83). Eating psychopathology was measured by the Eating Disorder Examination-Questionnaire (EDE-Q); self-esteem was measured by the Rosenberg Self-Esteem Scale. RESULTS: Symptomatic people had more shape, weight and eating concerns (P-values < 0.001); scored higher on restraint (P < 0.01); had lower self-esteem (P < 0.001); and had a higher BMI (P < 0.05) than non-depressed people. Furthermore, the percentage of bingers was higher in the symptomatic group (P < 0.01). CONCLUSION: Symptomatic participants suffered more than non-depressed participants, and not only from their depression. PRACTICE IMPLICATIONS: For dieticians treating overweight and obese people, the BDI is a useful instrument for identifying the subgroup with depressive symptoms--the group that is at risk for (eating) psychopathology.
OBJECTIVE: Comorbid depression has been found to increase morbidity in a variety of disorders. This study aimed to investigate whether the presence of depressive symptoms in overweight and obesepeople is related to increased specific eating psychopathology and decreased self-esteem. METHODS: Overweight/obesepeople seeking dietary treatment were grouped according to their scores on the Beck Depression Inventory (BDI), resulting in a mildly to moderately depressed group (BDI > or = 10; n = 66; the symptomatic group) and a non-depressed group (BDI < 10; n = 83). Eating psychopathology was measured by the Eating Disorder Examination-Questionnaire (EDE-Q); self-esteem was measured by the Rosenberg Self-Esteem Scale. RESULTS: Symptomatic people had more shape, weight and eating concerns (P-values < 0.001); scored higher on restraint (P < 0.01); had lower self-esteem (P < 0.001); and had a higher BMI (P < 0.05) than non-depressed people. Furthermore, the percentage of bingers was higher in the symptomatic group (P < 0.01). CONCLUSION: Symptomatic participants suffered more than non-depressed participants, and not only from their depression. PRACTICE IMPLICATIONS: For dieticians treating overweight and obesepeople, the BDI is a useful instrument for identifying the subgroup with depressive symptoms--the group that is at risk for (eating) psychopathology.
Authors: Jun Ma; Veronica Yank; Nan Lv; Jeremy D Goldhaber-Fiebert; Megan A Lewis; M Kaye Kramer; Mark B Snowden; Lisa G Rosas; Lan Xiao; Andrea C Blonstein Journal: Contemp Clin Trials Date: 2015-06-19 Impact factor: 2.226