Background: The onset of some types of obesity may correlate with specific familial relational patterns, and expressed emotion (EE), the family life’s ‘emotional temperature’, may play a role in obesity treatment compliance and outcome. Objective: The aim of this study is to address the current gap in the literature about EE and obesity, assessing EE in a sample of patients with overweight or obesity and their relatives. A further objective is to assess patients’ weight loss, patients’ and relatives’ anxiety, perceived stress and their possible correlation with EE and diet compliance. Design: A total of 220 patients with overweight or obesity and 126 relatives were recruited; their socio-demographic and clinical features were collected; and Level of Expressed Emotion Scale (LEE), State-Trait Anxiety Inventory 1 and 2 (STAI-Y1 and STAI-Y2) and Paykel Scale of Stressful Life Events were administered. Results: Patients’ baseline body mass index (BMI) was negatively correlated with educational level, but we failed to find any correlation between BMI and the other variables assessed. We found a positive correlation between EE median and stressful life events, as well as between median EE and state and trait anxiety. Conclusions: Our results seem to suggest that other factors than the psychological ones we investigated may play a role in treatment adherence and outcome in patients with overweight and obesity.

No correlation among expressed emotion, anxiety, stress and weight loss in patients with overweight and obesity

Gualano, Maria Rosaria;Marchetti, Marco;
2019-01-01

Abstract

Background: The onset of some types of obesity may correlate with specific familial relational patterns, and expressed emotion (EE), the family life’s ‘emotional temperature’, may play a role in obesity treatment compliance and outcome. Objective: The aim of this study is to address the current gap in the literature about EE and obesity, assessing EE in a sample of patients with overweight or obesity and their relatives. A further objective is to assess patients’ weight loss, patients’ and relatives’ anxiety, perceived stress and their possible correlation with EE and diet compliance. Design: A total of 220 patients with overweight or obesity and 126 relatives were recruited; their socio-demographic and clinical features were collected; and Level of Expressed Emotion Scale (LEE), State-Trait Anxiety Inventory 1 and 2 (STAI-Y1 and STAI-Y2) and Paykel Scale of Stressful Life Events were administered. Results: Patients’ baseline body mass index (BMI) was negatively correlated with educational level, but we failed to find any correlation between BMI and the other variables assessed. We found a positive correlation between EE median and stressful life events, as well as between median EE and state and trait anxiety. Conclusions: Our results seem to suggest that other factors than the psychological ones we investigated may play a role in treatment adherence and outcome in patients with overweight and obesity.
2019
Anxiety
Expressed emotion
Obesity
Overweight
Stress
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.14245/2465
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