Night eating behavior and psychiatric comorbidity in patients with morbid obesity

The presence of NES facilitates the shift to obesity, whereas the NES is more common in obese individuals.12'13 It is suggested that NES decreases the response rates to surgical obesity treatments and increases the risk of relapse.14 In the literature, the frequency of NES is reported as 2-20%...

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Published inAnadolu psikiyatri dergisi Vol. 20; no. 6; pp. 1 - 612
Main Authors Atik, Levent, Saraçlı, Özge, Kardeş, Vildan, Mete, Melek, Atasoy, Nuray
Format Journal Article
LanguageEnglish
Published Sivas Anatolian Journal of Psychiatry 01.12.2019
Subjects
Anxiety
Body mass index
Comorbidity
Mental disorders
Obesity
Self esteem
Studies
Systematic review
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Summary:The presence of NES facilitates the shift to obesity, whereas the NES is more common in obese individuals.12'13 It is suggested that NES decreases the response rates to surgical obesity treatments and increases the risk of relapse.14 In the literature, the frequency of NES is reported as 2-20% in individuals with morbid obesity.15'16 In Turkey, the only study that investigated the eating disorders prior to bariatric surgery, the rate of NES was reported as 5.6%.17 The prevalence of the psychiatric disorders, especially depression and anxiety disorders, are more frequent and self-esteem is lower in the obese individuals seeking treatment.11'13'14'16'18'19 In addition to obesity, the presence of NES was associated with higher depression scores and lower self-esteem.14 It is speculated that the presence of the psychiatric disorder with obesity may increase the risk of NES by increasing maladaptive eating behaviors and by leading to impaired circadian rhythm.13'14 The aim of this study was to investigate the prevalence of the night eating syndrome and related factors in morbid obesity patients. According to the self-esteem subscale; 0-1 points are considered to have a high self esteem, 2-4 points in the moderate level, and 5-6 points in low selfesteem. According to this, the risk of developing NES in smokers increased by 3.05 fold; and a 1 unit increase in the BDI increases the risk of develop- ing NES by 1.05 fold. According to the meta-analysis results, the relationship between depression and obesity is bi-directional.
ISSN:1302-6631
DOI:10.5455/apd.28693