Psychiatric symptoms, substance use, and other medical conditions in patients with obesity who seek treatment for weight loss

  1. Rodrigo Marín-Navarrete 1
  2. Javier Quintero 2
  3. Javier Correas-Lauffer 3
  4. Julio Cortés-Ramírez 4
  5. Luis Villalobos-Gallegos 1
  1. 1 Unidad de Ensayos Clínicos en Adicciones y Salud Mental. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
  2. 2 ervicio de Psiquiatría, Hospital Universitario Infanta Leonor, Universidad Complutense de Madrid
  3. 3 Hospital Universitario del Henares, Servicio de Psiquiatría y Salud Mental
  4. 4 Facultad de Psicología, Universidad Nacional Autónoma de México
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Revista:
Salud mental

ISSN: 0185-3325

Año de publicación: 2016

Volumen: 39

Número: 3

Páginas: 109-116

Tipo: Artículo

DOI: 10.17711/SM.0185-3325.2016.008 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Salud mental

Resumen

INTRODUCCIÓN: El incremento en el grado de obesidad se asocia con comorbilidades médicas y los síntomas psiquiátricos. La ansiedad y la depresión afectan la adherencia al tratamiento de la obesidad y la reducción de peso corporal. OBJETIVO: El estudio tuvo tres objetivos principales: a) Evaluar la prevalencia de síntomas psiquiátricos; b) evaluar las interacciones entre grados de obesidad, variables demográficas y síntomas psiquiátricos; c) analizar las interacciones entre grados de obesidad, síntomas psiquiátricos y comorbilidades médicas. MÉTODO: A través de revisión de expedientes médicos de 22 clínicas de reducción de peso entre enero-diciembre de 2014. Se analizó a través de regresión logística univariada y evaluando interacciones de segundo y tercer orden. RESULTADOS: La muestra total fue de 13305, mayormente mujeres (82.04%) la mayoría son casados (53.66%) con escolaridad de secundaria (38.6%) y preparatoria (36.7%), el IMC promedio fue de 34.94 (SD = 4.39). Las comorbilidades más prevalentes fueron síntomas de ansiedad (45.21%) y depresión (16.36%). Al analizar las interacciones los hombres con obesidad tipo II tuvieron mayor probabilidad de consumo de alcohol (OR 1.56 IC 95% 1.10-2.22), y los participantes con obesidad tipo III y casados tuvieron mayor probabilidad de diabetes (OR 1.53 IC 95% 1.06-2.19). DISCUSIÓN Y CONCLUSIÓN: Los resultados muestran la compleja relación entre variables demográficas, obesidad, síntomas psiquiátricos y comorbilidades, implicando la necesidad de desarrollar programas de tratamiento que tomen en cuenta dichas variables para promover la adherencia al tratamiento y la reducción de peso.

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Fuente de los datos: Dialnet