Zusammenfassung
Übergewicht und Adipositas sind in allen Industrienationen weit verbreitet und zählen in diesen Ländern zu den wichtigsten Gesundheitsproblemen. Bevölkerungsbasierte Studien in Deutschland haben ergeben, dass zwischen 12 und 18 % der erwachsenen Bevölkerung adipös ist. Übergewicht und Adipositas gehen mit einem Spektrum von Gesundheitsstörungen und massiven psychosozialen Belastungen einher. Neben den Erbanlagen wird die komplexe Ätiologie der Adipositas vornehmlich bestimmt durch den Lebensstil, in den u. a. intra- und interindividuelle Aspekte einfließen. Innerhalb des Gesamtkollektivs adipöser Menschen stellt die „psychogene Adipositas” eine Subgruppe dar, bei der psychiatrische Störungen zu einer Veränderung des Ess- und Bewegungsverhaltens führen, deren Folge eine anhaltende positive Energiebilanz mit Übergewicht und Adipositas ist. Die Arbeit beschreibt die psychosozialen Probleme von adipösen Menschen, wobei insbesondere die kontrovers diskutierte Frage der psychiatrischen Komorbidität im Allgemeinen und der Essstörungen im Besonderen herausgestellt wird. Die Ergebnisse bisheriger vornehmlich verhaltenstherapeutisch orientierter Behandlungskonzepte werden dargestellt und schulenübergreifende Konzepte diskutiert. Schließlich wird die Problematik psychiatrischer/psychologischer Diagnostik bei adipösen Patienten mit dem Anliegen einer operativen Gewichtsreduktion im Spannungsfeld von Kostenträgern und Chirurgen aufgezeigt.
Psychosomatic Aspects of Obesity
Overweight and obesity are widespread in industrial countries and are considered to be serious health problems in these countries. Population-based studies in Germany have shown that between 12 and 18 % of the adult population is obese. Overweight and obesity are accompanied by a large spectrum of health disorders and extreme psychosocial burdens. Besides the hereditary disposition, the life style including both intra- and inter-individual aspects determines the complex etiology of obesity. Within the collective sample of the obese, one sub-sample is the „psychogenic obese” i. e. in which psychiatric disorders lead to a change in both eating and exercise behavior, the result then being a continuous positive energy reserve in the form of overweight and obesity. The paper describes the psychosocial problems of obese persons; especially the controverse question with regard to psychiatric morbidity in general and eating disorders in particular are emphasized. The results of past, mainly behavioral oriented treatment concepts are presented and various concepts beyond single school orientation are discussed. Finally, the problems with psychiatric psychological diagnostics in those obese patients with the request for surgical weight reduction within the context of insurance coverage and the surgeons are presented.
Key words
Obesity - Epidemiology - Etiology - Risk factors - Psychiatric comorbidity - Obesity surgery
Literatur
-
1
Abbott D W, de Zwaan M, Mussell M P, Raymond N, Seim H, Crow S J, Crosby R D, Mitchell J E.
Onset of binge eating and dieting in overweight women: implications for etiology, associated features and treatment.
Journal of Psychosomatic Research.
1998;
44
367-374
-
2
Adam O, Arnold R, Forth W.
Pharmakologische Bewertung von Adipositas-Therapeutika.
Deutsches Ärzteblatt.
1999;
96
2606-2610
-
3 Allon N. The stigma of overweight in everyday life. In: Wolman B (ed) Psychological aspects of obesity: a handbook. New York; Van Nostrand Reinhold 1992: 130-174
-
4 Association Diagnostic and Statistical Manual of Mental Disorders. 3rd. Washington DC; American Psychiatric Association 1980
-
5 American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington DC; American Psychiatric Association (deutsch: Saß H, Wittchen HU, Zaudig M. Diagnostische Kriterien DSM-IV, Göttingen, Bern, Toronto, Seattle: Hogrefe 1998)
-
6
Anderson T, Barker O G, Stokholm K H.
Randomized trial of diet and gastroplasty compared with diet alone in morbid obesity.
N Engl J Med.
1984;
310
352-356
-
7 Arbeitsgruppe M 7. „Krankenhaus” Grundsatzstellungnahme zu „Gastric Banding” - abgestimmte Schlussversion. 1999
-
8
Assmann G, Schulte H, Cullen P.
New and classical risk factors - The Münster Heart Study (PROCAM).
Eur J Med Res.
1997;
2
37-46
-
9
Basdevant A, Pouillon M, Lahlou N, Le Barzie M, Billant M, Guy-Grand B.
Prevalence of Binge Eating Disorder in different populations of French women.
Int J Eat Disord.
1995;
18
309-315
-
10
Bender R, Trautner C, Spraul M, Berger M.
Assessment of excess mortality in obesity.
American Journal of Epidemiology.
1998;
147
42-48
-
11
Beneke W M, Paulson B L.
Long-term efficacy of a behavior modification weight loss program: A comparison of two follow-up maintenance strategies.
Behav Ther.
1979;
10
8-13
-
12
Bennett G A.
Behavior therapy for obesity: a quantitative review of the effects of selected treatment characteristics on outcome.
Behav Ther.
1986;
17
554-562
-
13
Benotti P N, Bistian B, Benotti J R, Balckburn G, Forse R A.
Heart disease and hypertension in severe obesity: the benefits of weight reduction.
Am J Clin Nutr.
1992;
55
586-590
-
14
Berman W H, Berman E R, Heymsfield S, Fauci M, Ackerman S.
The incidence and comorbidity of psychiatric disorders in obesity.
Journal of Personality Disorders.
1992;
6
168-175
-
15
Birketvedt G S, Florholmen J, Sundsfjord J, Osterud B, Dinges D, Biler W, Stunkard A.
Behavioral and neuroendocrine characteristics of the night-eating syndrome.
JAMA.
1999;
18
657-663
-
16
Björntorp P.
The associations between obesity, adipose tissue distribution and disease.
Acta Med Scand.
1988;
723, Suppl
121-134
-
17
Björntorp P.
Abdominal fat distribution and diesease: An overview of epidemiological data.
Ann Med.
1992;
24
15-18
-
18
Björntorp P.
Visceral fat accumulation: The missing link between psychosocial factors and cardiovascular disease.
J Intern Med.
1991;
230
195-201
-
19
Björntorp P.
Visceral obesity: A „civilization syndrome”.
Obesity Research.
1993;
1
206-222
-
20
Björvell H, Rössner S.
Long-term treatment of severe obesity: four year follow-up of results of combined behavioural modification programme.
British Medical Journal.
1985;
291
379-382
-
21
Björvell H, Rössner S.
A ten year follow-up of weight change in severely obese subjects treated in a behavioural modificationlike program (abstr).
Int J Obes.
1990;
14
88
-
22
Black D W, Yates W R, Reich J H, Bell S, Goldstein R B, Mason E E.
DSM-III personality disorder in bariatric clinic patients.
Annals of Clinical Psychiatry.
1989;
1
33-37
-
23
Black D W, Goldstein R B, Mason E E.
Prevalence of mental disorder in 88 morbidly obese bariatric clinic patients.
American Journal of Psychiatry.
1992;
149
227-234
-
24
Bouchard C, Pérusse L, Leblanc C, Tremblay A, Thériault G.
Inheritance of the amount and distribution of human body fat.
Int J Obes.
1988;
12
205-215
-
25
Brabant G, Mönig H, Ziegler A.
Adipositas.
internist prax.
1999;
39
745-754
-
26
Brody M L, Walsh B T, Devlin M Y.
Binge eating disorder. Reliability and validity of a new diagnostic category.
Journal of Consulting and Clinical Psychology.
1995;
62
381-386
-
27
Brownell K D, Jefery R W.
Improving long-term weight loss: Pushing the limits of treatment.
Behavior Therapy.
1987;
18
353-357
-
28
Bruce B, Agras W S.
Binge eating in females: A population-based investigation.
Int J Eat Disord.
1992;
12
365-373
-
29
Bruch H.
Psychological aspects of overeating and obesity.
Psychosomatics.
1964;
5
269
-
30 Bruch H. Eating Disorders. New York; Basic Books Inc 1973
-
31
Bullinger M.
Gesundheitsbezogene Lebensqualität und subjektive Gesundheit. Überblick über den Stand der Forschung zu einem neuen Evaluationskriterium in der Medizin.
Psychother Psychosom Med Psychol.
1997;
47
76-91
-
32
Canning H, Mayer J.
Obesity - its possible effects on college admissions.
New Engl J Med.
1966;
275
1172-1174
-
33
Cash T F.
Body-image attitudes among obese enrollees in a commercial weight-control program.
Perceptual and Motor Skills.
1993;
77
1099-1103
-
34
Castelnuovo-Tedesco P, Schiebel D.
Studies of superobesity: Psychological characteristics of superobese patients.
Int'l Psychiatry in Medicine.
1975;
6
465-480
-
35
Chow W-H, Blot W J, Vaughan T L, Risch H A, Gammon M D, Stanford J L, Dubrow R, Schoenberg J B, Mayne S T, Farrow D C, Ahsan H, West A B, Rotterdam H, Niwa S, Fraumeni J F.
Body Mass Index and risk of Adenocarcinomas of the esophagus and gastric cardia.
Journal of the National Cancer Institute.
1998;
90
150-155
-
36
Chu S Y, Lee N C, Wingo P A, Senie R T, Greenberg R S, Peterson H B.
The relationship between body mass and breast cancer among women enrolled in the cancer and steroid hormone study.
J Clin Epidemiol.
1991;
44
1197-1206
-
37
Cook D J, Sackett D L, Spitzer W O.
Methodological guidelines for systematic reviews of randomized control trials in health care from the Potsdam Consultation on Meta-Analyses.
J Clin Epidemiol.
1995;
48
167-171
-
38
Crisp A H, McGuiness B.
Jolly fat: Relation between obesity and psychoneurosis in the general population.
British Journal of Medicine.
1976;
3
7-9
-
39
de Zwaan M, Nutzinger D O, Schönbeck G.
Binge eating in overweight females.
Compr Psychiatry.
1992;
33
256-261
-
40
Desaive C.
A critical review of a personal series of 1000 gastroplasties.
International Journal of Obesity.
1995;
3
56-60
-
41
Deutsche Adipositas Gesellschaft.
Richtlinien zur Therapie der Adipositas.
Adipositas.
1995;
5
6-10
-
42
Dubovsky S L, Haddenhorst A, Murphy J, Liechty R D, Coyle D A.
A preliminy study of the relationship between preoperative depression and weight loss following surgery for morbid obesity.
Int'l J Psychiatry in Medicine.
1985 - 1986;
15
185-196
-
43 Ellrott T, Pudel V. Adipositastherapie. Stuttgart; Thieme 1998
-
44 Epstein F H, Higgins M. Epidemiology of obesity. In: Björntorp P, Brodoff BN (eds) Obesity. Philadelphia; Lippincott 1992: 330-342
-
45
Felson D T, Abdersib H, Naunark A, Walker A M, Meenan R F.
Obesity and knee-osteoarthritis. The Framigham Study.
Ann Int Med.
1988;
109
18
-
46
Fitzgibbon M L, Stolley M R, Kirschbaum D S.
Obese people who seek treatment have different characteristics than those who do not seek treatment.
Health Psychology.
1993;
12
346-353
-
47
Floderus B.
Psycho-social factors in relation to coronary heart desease and associated risk factors.
Nord Hyg Tidskr.
1974;
12 Suppl 6
25-28
-
48
Friedman J M.
Obesity in the new millennium.
Nature.
2000;
404
632-634
-
49
Friedman M A, Brownell K D.
Psychological correlatives of obesity: moving to the next research generation.
Psychological Bulletin.
1995;
117
3-20
-
50
Garfinkel L.
Overweight and cancer.
Annals of Internal Medicine.
1985;
103
1034-1036
-
51 Garrow J S. Obesity and related diseases. Edingburgh; Churchill Livingstone 1988: 329
-
52
Gentry K, Halverson J D, Heisler S.
Psychologic assessment of morbidly obese patients undergoing gastric bypass: A comparison of preoperative and postoperative adjustment.
Surgery.
1984;
95
215-220
-
53
Gertler R, Ramsey-Stewart G.
Pre-operative psychiatric assessment of patients presenting for gastric bariatric surgery (surgical control of morbid obesity).
Aust N Z J Surg.
1986;
56
157-161
-
54
Goldblatt P B, Moore M E, Stunkard A J.
Social factors in obesity.
JAMA.
1965;
192
97-102
-
55
Goodman N, Dornbusch S M, Richardson S A, Hastorf A H.
Variant reactions to physical disabilities.
Am Sociol Rev.
1963;
28
429-435
-
56
Goodrick G K, Foreyt J P.
Why treatments for obesity don't last.
J Am Diet Assoc.
1991;
91
1243-1247
-
57
Gortmaker S I, Must A, Perrin J M, Sobol A M, Dietz W H.
Social and economic consequences of overweight in adolescence and young adulthood.
N Engl J Med.
1993;
329
1008-1012
-
58
Götestam K G.
A three year follow-up of a behavioral treatment for obesity.
Addict Behav.
1979;
4
179-183
-
59
Grana A S, Coolidge F L, Merwin M M.
Personality profiles of the morbidly obese.
Journal of Clinical Psychology.
1989;
45
762-765
-
60
Greenway F L.
Surgery for obesity.
Endocrinology and Metabolism Clinics of North America.
1996;
25
1005-1027
-
61 Gries A, Berchtold P P, Berger M. Adipositas. Berlin, Heidelberg, New York; Springer 1986
-
62
Gulliford M C, Rona R J, Chinn S.
Trends in body mass index in young adults in England and Scotland from 1973 to 1988.
J Epidemiol Comm Health.
1992;
46
187-190
-
63
Hafner R J, Watts J M, Rogers J.
Psychological status of morbidly obese women before gastric restriction surgery.
Journal for Psychosomatic Research.
1987;
31
607-612
-
64
Hallberg L, Hogdahl A-M, Nilsson L, Rybo G.
Fetma hos kvinnor: Sociala data, symtom och fynd.
Lakartidn.
1966;
63
621
-
65
Hällström T, Noppa H.
Obesity in women in relation to mental illness social factors and personality traits.
Journal of Psychosomatic Research.
1981;
25
75-82
-
66
Hauner H.
Gesundheitsrisiken von Übergewicht und Gewichtszunahme.
Deutsches Ärzteblatt.
1997;
93
2385-2389
-
67
Hauner H.
Strategie der Adipositastherapie.
Internist.
1997;
3
244-250
-
68
Hauner H, Berg A.
Körperliche Bewegung zur Prävention und Behandlung der Adipositas.
Deutsches Ärzteblatt.
2000;
97
12, 660-665
-
69
Hawke A, O'Brien P, Watts J, Hall J, Dunstan R E, Walsh J F, Slavotinek A H, Elmslie R G.
Psychosocial and physical activity changes after gastric restrictive procedures for morbid obesity.
Aust N Z J Surg.
1990;
60
755-758
-
70
Hebebrand J, Remschmidt H.
Das Körpergewicht unter genetischen Aspekten.
Medizinische Klinik.
1995;
90
403-410
-
71
Heitmann J, Schneider H, Grothe L, Peter J H.
Schlafapnoe und Adipositas.
Adipositas.
1993;
5
197
-
72
Held M L, Snow D L.
MMPI, internal-external control and Problem Check List scores of obese adolescent females.
Journal of Clincal Psychology.
1972;
28
523-525
-
73 Herpertz S. Nicht näher bezeichnete Essstörungen. In: Senf W, Broda M (Hrsg) Praxis der Psychotherapie. Stuttgart; Georg Thieme 2000: 501-505
-
74
Herpertz S, Albus C, Lichtblau K, Köhle K, Mann K, Senf W.
The relationship of weight and eating disorders in type-2 diabetic patients - a multicenter study.
International Journal of Eating Disorders.
2000a;
28
68-77
-
75
Herpertz S, Albus C, Lohff S, Michalski K, Masrour M, Lichtblau K, Köhle K, Mann K, Senf W.
Komorbidität von Diabetes mellitus und Essstörungen - ein Vergleich psychologischer Störungsmerkmale essgestörter und nichtessgestörter Patienten mit Diabetes mellitus.
Psychotherapie, Psychosomatik, medizinische Psychologie (PPmP).
2000b;
50
161-169
-
76
Herpertz S, Albus C, Wagener R, Kocnar M, Wagner R, Henning A, Best F, Foerster H, Schulze Schleppinghoff B, Thomas W, Köhle K, Mann K, Senf W.
Comorbidity of diabetes mellitus and eating disorders: Does diabetes control reflect disturbed eating behavior?.
Diabetes Care.
1998a;
21
1110-1116
-
77
Herpertz S, Wagener R, Albus C, Kocnar M, Wagner R, Best F, Schulze Schleppinghoff B, Filz H-P, Förster H, Mann K, Köhle K, Senf W.
Diabetes mellitus and eating disorders. A multicenter study on the comorbidity of the two diseases.
Journal of Psychosomatic Research.
1998b;
44
503-515
-
78
Hohage R, Haisch I.
Die Integration von verhaltenstherapeutischen und psychoanalytischen Therapieelementen bei der Gruppentherapie von Adipositas-Patienten.
Prax Psychother Psychosom.
1991;
36
132-141
-
79
Holland J, Masling J, Copley D.
Mental illness in lower class, normal, obese and hyperobese women.
Psychosom Med.
1970;
32
351-357
-
80
Hutzler J C, Keen J, Molinari V, Carey L.
Super-obesity: a psychiatric profile of patients electing gastic stapling for the treatment of morbid obesity.
J Clin Psychiatry.
1981;
42
458-462
-
81
Feldmann A.
Fat exess get slimmer paychecks.
Industry week.
1974;
180
21-24
-
82
International Fed. for the Surgery of Obesity.
Statement on morbid obesity and its treatment.
Obesity Surgery.
1997;
7
40
-
83
Isacsson A, Frederiksen S G, Nilsson P, Hedenbro J L.
Quality of life after gastroplasty is normal: a controlled study.
Eur J Surg.
1997;
163
181-186
-
84
James W PT.
What are the health risks? The medical consequences of obesity and its health risks.
Exp Clin Endocrinol Diabetes.
1998;
106
1-6
-
85
Jeffery R W, Bjornson-Benson W M, Rosenthal B S, Kurth C l, Dunn M M.
Effectiveness of monetary contracts with two payment schedules on weight reduction in men and women from self-referred and population samples.
Behav Ther.
1984;
15
272-279
-
86
Johnson S F, Swenson W M, Gastineau C F.
Personality characteristics in obesity, relation of MMPI profile and age of onset of obesity to success in weight reduction.
Am J Clin Nutr.
1976;
29
626-632
-
87
Kalarchian M A, Wilson G T, Brolin R E, Bradley L.
Binge eating in bariatric surgery patients.
Int J Eat Disord.
1998;
23
89-92
-
88
Kalucy R S, Crisp A H.
Some psychological and social implications of massive obesity.
Journal of Psychosomatic Research.
1974;
18
465-473
-
89
Karlsson J, Sjöström L, Sullivan M.
Swedish obese subjects (SOS): an intervention study of obesity. Two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity.
International Journal of Obesity.
1998;
22
113-126
-
90
Kassirer J P, Angell M.
Losing weight - an ill-fated New Year's resolution.
The New England Journal of Medicine.
1998;
338
52-54
-
91
Kittel F, Rustin R M, Dramaix M, de Backer G, Kornitzer M.
Psychosocial-biological correlates of moderate overweight in an industrial population.
J Psychosom Res.
1978;
22
145
-
92
Kuczmarski R J.
Prevalence of overweight and weight gain in the United States.
Am J Clin Nutr.
1992;
55
495-502
-
93
Kuczmarski R J, Flegal K M, Campell S M, Johnson C L.
Increasing prevalence of overweight among US adults: The National Health and Nutrition Examination Surveys, 1960 to 1991.
JAMA.
1995;
272
205-211
-
94
Kuskowska-Wolk A, Bergström R.
Trends in body mass index and prevalence of obesity in Swedish men 1980 - 1989.
J Epidemiol Comm Health.
1993;
47
103-108
-
95
Lapidus L, Bengtsson C, Larsson B, Pennert K, Rybo E, Sjöström L.
Distribution of adipose tissue and risk of cardiovascular disease and death: a 12 year follow up of participants in the population study of women in Gothenburg, Sweden.
BMJ.
1984;
189
1257-1261
-
96
Larsen F.
Psychosocial function before and after gastric banding surgery for morbid obesity.
Acta Psychiatrica Scand.
1990;
82 (suppl)
1-57
-
97 Larsson B. A population study of men, with special reference to the development and consequences for health. Doctoral Dissertation. Gotab. Kuglav, Schweden; University of Göteborg 1978
-
98
Larsson B, Svärsund K, Welin L, Wilhelmsen L, Björntorp P, Tibblin G.
Abdominal adipose tissue distribution, obesity, and risk of cardiovascular disease and death: 13 year follow-up of participants in the study of men born in 1913.
BMJ.
1984;
288
1401-1404
-
99
Lean M EJ, Han T S, Morrison C E.
Waist circumference as a measure for indicating need for weight management.
BMJ.
1995;
311
158
-
100
Lean M EJ.
Obesity - what are the current treatment options?.
Exp Clin Endocrinol Diabetes.
1998;
106
22-26
-
101
Leckie E V, Withers R FJ.
Obesity and depression.
Journal of Psychosomatic Research.
1967;
11
107-115
-
102
Lloyd C E, Wing R R, Orchard T J.
Waist to hip ratio and psychosocial factors in adults with insulin-dependent diabetes mellitus: The Pittsburgh Epidemiology of Diabetes Comolications Study.
Metabolism.
1996;
45
268-272
-
103
Loro A D, Orleans S C.
Binge eating in obesity: Preliminary findings and guidelines for behavioral analysis and treatment.
Addictive Behaviors.
1981;
6
155-166
-
104
Maddox G L, Back K, Liederman V.
Overweight as social deviance and disability.
J Health Soc Behav.
1968;
9
287-298
-
105
Marcus M D, Wing R R.
Binge eating among the obese.
Annals of Behavioral Medicine.
1987;
9
23-27
-
106
Marcus M D, Wing R R, Hopkins J.
Obese binge eaters: Affect, cognitions and response to behavioral weight control.
J Cons Clin Psychol.
1988;
13
433-439
-
107
Marcus M D, Wing R R, Ewing L, Kern E, Gooding W, McDermontt M.
Psychiatric disorders among obese binge eaters.
Int J Eat Disord.
1990;
9
69-77
-
108 Margraf J. Mental disorders and obesity in young women. A representative epidemiologic study. International Congress: Obesity Research and clinical practice - a multidimensional perspective. Essen; March 2000: 23-25
-
109 Mason E E, Doherty C. Surgery in Obesity: Theory and Therapy. In: Stunkard AJ, Wadden TA (eds) The results of treatment for obesity. New York; Raven Press 1984: 313-325
-
110
Mason E E, Renquist K E, Jiang D.
Perioperative risks and safety of surgery for severe obesity.
Am J Clin Nutr.
1992;
55
573-576
-
111 Mehnert H. Die diätetische Behandlung des Diabetes mellitus. In: Mehnert H, Schöffling K (Hrsg) Diabetologie in Klinik und Praxis. Stuttgart; Thieme 1984: 186-219
-
112
Moore M E, Stunkard A J, Srole L.
Obesity, social class and mental illness.
J Am Assoc.
1962;
181
962-966
-
113
Murray D C.
Treatment of overweight: relationship between initial weight and weight change during behavior therapy of overweight individuals: analysis of data from previous studies.
Psychol Rep.
1975;
37
243-248
-
114
NHLBI.
Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults - the evidence report.
Obesity Reseach.
1998;
6, Suppl 2
-
115
NIH.
Conference Methods for voluntary weight loss and control. NIH Technology Assessment Conference Panel.
Ann Intern Med.
1992;
116
942-949
-
116
Perri M G, McAllister D A, Gange J J, Jordan R C, McAdoo W G, Nezu A M.
Effects of four maintenance programs on the long-term management of obesity.
J Consult Clin Psychol.
1988;
56
529-534
-
117
Pories W J, MacDonald K G, Morgan E J, Sinha M K, Dohm G L, Swanson M S, Barakat H A, Khazanie P G, Leggett-Frazier N, Long S D, O'Brien K F, Caro J F.
Surgical treatment of obesity and its effect on diabetes: 10-y follow-up.
Am J Clin Nutr.
1992;
55
582-585
-
118
Powers P S, Rosemurgy A, Perez A.
Outcome of gastric restriction procedures: weight, psychiatric diagnoses, and satisfaction.
Obesity Surgery.
1997;
7
471-477
-
119 Pudel V, Westenhöfer J. Ernährungspsychologie - Eine Einführung. 2. Auflage. Göttingen; Hogrefe 1997
-
120
Rand C SW, Stunkard A J.
Obesity and Psychoanalysis: treatment and four-year follow-up.
Am J Psychiatry.
1983;
140
1140-1144
-
121
Rascovsky A, de Rascovsky N W, Schlossberg T.
Basic psychic structure of the obese.
Int J Psycho-Anal.
1950;
5
144
-
122
Richardson S A, Goodman N, Hastorf A H.
Dornbusch SM. Cultural uniformity in reaction to physical disabilities.
Am Sociol Rev.
1961;
26
261-267
-
123
Robertson D N, Palmer R L.
The prevalence and correlates of binge eating in a British community sample of women with a history of obesity.
Int J Eat Disord.
1997;
22
323-327
-
124
Rössner S.
Obesity - as seen by the patient and his family.
Exp Clin Endocrinol Diabetes.
1998;
106
27-28
-
125
Sallade J A.
Comparison of the psychological adjustment of obese vs. non-obese children.
J Psychosom Res.
1973;
6
89-96
-
126
Schweiger U.
Essstörungen, Übergewicht und seelische Gesundheit.
Nervenheilkunde.
2000;
3
139-142
-
127
Scott R L, Baroffio J R.
An MMPI analysis of similarities and differences in three classifications of eating disorders: Anorexia nervosa, bulimia, and morbid obesity.
Journal of Clinical Psychology.
1986;
42
708-713
-
128
Selberg O U, Süttmann U, Müller M J.
Value of the body mass index in the assessment of fatmass.
Int J Obes.
1993;
2, Suppl 17
24
-
129
Silverstone J T.
Psychosocial aspects of obesity.
Proc R Soc Med.
1968;
61
371-375
-
130
Sjöström L V.
Mortality of severely obese subjects.
Am J Clin Nutr.
1992a;
55
516-523
-
131
Sjöström L, Larsson B, Backman L, Bengtsson C, Bouchard C, Dahlgren S, Hallgren P, Jonsson E, Karlsson J, Lapidus L, Lindroos A-K, Lindstedt S, Lissner L, Narbro K, Näslund I, Olbe L, Sullivan M, Sylvan A, Wedel H, Ggren G.
Swedish obese subjects (SOS). Recruitment for an intervention study and a selected description of the obese state.
International Journal of Obesity.
1992;
16
465-479
-
132
Sobal J, Stunkard A J.
Socioeconomic status and obesity: a review of the literature.
Psychological Bulletin.
1989;
2
260-273
-
133
Spitzer R L, Devlin M, Walsh B T, Hasin D, Wing R, Marcus M, Stunkard A, Wadden T, Yanovski S, Agras S, Mitchell J, Nonas C.
Binge eating disorder: A multisite field trial of the diagnostic criteria.
Int J Eat Disord.
1992;
11
191-203
-
134
Spitzer R L, Yanovski S, Wadden T, Wing R, Marcus M D, Stunkard A, Devlin M, Mitchell J, Hasin D, Horne R L.
Binge eating disorder: its further validation in a multisite study.
Int J Eat Disord.
1993;
2
137-153
-
135
Spitzer R L, Kroenke K, Linzer M, Hahn S R, Williams J BW, deGruy F V, Davies M.
Health-related quality of life in primary care patients with mental disorders.
JAMA.
1995;
15
1511-1517
-
136
Stewart A L, Brook R H.
Effects of being overweight.
Am J Public Health.
1983;
73
171-178
-
137
Staffieri J R.
A study of social stereotype of body image in children.
J Pers Soc Psychol.
1967;
7
101-104
-
138
Strain G W, Zumoff W B.
The relationship of weight-height indices of obesity to body fat content.
J Amer Coll Nutr.
1992;
2
715-718
-
139
Strobel R J, Rosen R C.
Obesity and weight loss in obstuctive sleep apnea: A critical review.
Sleep.
1996;
19
104-122
-
140
Stunkard A J, Grace W J, Wolff H G.
The night-eating syndrome: a pattern of food intake among certain obese patients.
The American Journal of Medicine.
1955;
19
78-86
-
141
Stunkard A J.
New therapies for the eating disorders: behavior modification of obesity and anorexia nervosa.
Arch Gen Psychiat.
1972;
26
391-398
-
142
Stunkard A J, Penick S B.
Behavior modification in the treatment of obesity. The problem of maintaining weight loss.
Arch Gen Psychiat.
1979;
36
801-806
-
143
Stunkard A J, Stinnett J L, Smoller J W.
Psychological and social aspects of the surgical treatment of obesity.
Am J Psychiatry.
1986;
143
417-429
-
144
Stunkard A J, Sorensen T IA, Hanis C, Teasdale T W, Chakraborty R, Schull W J, Schulsinger F.
An adoption study of human obesity.
The New England Journal of Medicine.
1986;
314
193-198
-
145
Stunkard A J.
Conservative treatments for obesity.
Am J Clin Nutr.
1987;
45
1142-1154
-
146 Stunkard A J, Wadden T A. Psychological aspects of human obesity. In: Björntorp P, Brodoff BN (eds) Obesity. Philadelphia; Lippincott 1992: 352-360
-
147
Stunkard A J.
Current views on obesity.
The American Journal of Medicine.
1996;
100
230-236
-
148
Stunkard A J.
From explanation to action in psychosomatic medicine: the case of obesity.
Psychosom Med.
1997;
37
195-236
-
149
Sullivan M, Sullivan L, Kral J G.
Quality of life assessment in obesity: physical, psychological, and social function.
Gastroenterology Clinics of North America.
1987;
18
433-442
-
150
Sullivan M, Karlsson J, Sjöström L, Backman L, Bengtsson C, Bouchard C, Dahlgren S, Jonsson E, Larsson B, Lindstedt S, Näslund I, Olbe L, Wedel H.
Swedish obese subjects (SOS) - an intervention study of obesity. Baseline evaluation of health and psychosocial functioning in the first 1743 subjects examined.
International Journal of Obesity.
1993;
17
503-512
-
151
Suter P M.
Lieber übergewichtig und fit.
Therapeutische Umschau.
2000;
57
471-472
-
152
Thornley S J, Windsor J A.
The role of surgery in the management of obesity.
New Zealand Medical Journal.
1998;
111
445-448
-
153
Varnado P J, Williamson D A, Benzt B G, Ryan D H, Rhodes S K, O'Neill P M, Sebastian S B, Barker S E.
Prevalence of binge eating disorder in obese adults seeking weight loss treatment.
Eating Weight Disord.
1997;
2
117-124
-
154
Wadden T A, Foster G D, Brownell K D, Finley E.
Self-concept in obese and normal-weight children.
J Consult Clin Psychol.
1984;
52
1104-1105
-
155
Wadden T A, Stunkard A J.
Psychopathology and obesity. In: Wurtmann RJ, Wurtmann JJ (eds).
Annals of the New York Academy of Sciences.
1987;
55-65
-
156
Walker A P, Rimm E B, Ascherio A, Kawachi I, Stampfer M J, Willett A.
Body size and fat distribution as predictors of stroke among US men.
Am J Epidemiol.
1996;
144
1143
-
157
Webb W W, Morey L C, Castelnuovo-Tedesco P, Scott H W.
Heterogeneity of personality traits in massive obesity and outcome prediction of bariatric surgery.
International Journal of Obesity.
1990;
14
13-20
-
158
Wechsler J G.
Diätetische Therapie der Adipositas.
Deutsches Ärzteblatt.
1997;
94
1830-1836
-
159
Wilson G T, Brownell K D.
Behavior therapy for obesity: an evaluation of treatment outcome.
Adv Behav Res Ther.
1980;
3
49-86
-
160
Wilson G T, Nonas C A, Rosenblum G D.
Assessment of binge eating in obese patients.
Int J Eat Disord.
1993;
13
25-33
-
161
Wing R R, Jeffery R W.
Outpatient treatments of obesity: a comparison of methodology and clinical results.
International Journal of Obesity.
1979;
2
261-279
-
162
Wing R R, Marcus M D, Salata R, Epstein L H, Miaskiewicz S, Blair E H.
Effects of a very-low-calorie diet on long-term glycemic control in obese type 2 diabetic subjects.
Arch Intern Med.
1991;
151
1334-1340
-
163
Wing R R.
Weight cycling in humans: A review of the literature.
Annals of Behavioral Medicine.
1992;
14
113-119
-
164
Wing R R.
Behavioral treatment of obesity.
Diabetes Care.
1993;
16
193-199
-
165
Wing R R, Blair E, Marcus M, Epstein L H, Harvey J.
Year-long weight loss treatment of obese patients with type II diabetes: does including an intermittent very-low-calorie diet improve outcome?.
The American Journal of Medicine.
1994;
97
354-362
-
166 Wirth A. Adipositas. Berlin, Heidelberg, New York; Springer 1997: 175-177
-
167
Wise T N, Fernandez F.
Psychological profiles of candidates seeking surgical correction for obesity.
Obesity/Bariatric Med.
1979;
8
83-86
-
168 Wolf A M, Markiefka E, Kuhlmann H-W. Experiences in obesity surgery. In: Ditschuneit H, Gries FA, Hauner H, Schusdziarra V, Wechsler JG (eds) Obesity in Europe. London; Libbey 1993: 191-199
-
169
Yanovski S Z, Nelson J E, Dubbert B K, Spitzer R L.
Association of binge eating disorder and psychiatric comorbidity in obese subjects.
American Journal of Psychiatry.
1993;
150
1472-1479
-
170
Yanovski S Z, Sebring N G.
Recorded food intake of obese women with binge eating disorders before and after weight loss.
International Journal of Eating Disorders.
1994;
15
135-150
PD Dr. med. Stephan Herpertz
Klinik für Psychotherapie und Psychosomatik
Rheinische Kliniken Essen
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