Comorbidity between depression, anxiety and obesity and treatment complications

Authors

DOI:

https://doi.org/10.33448/rsd-v10i1.11489

Keywords:

Obesity; Mental disorders; Anxiety; Depression; Comorbidities.

Abstract

Mental disorders such as Major Depressive Disorder and Anxiety Disorders, along with obesity, have grown substantially in the last century. The increase in the consumption of foods rich in fats and sugars and sedentary lifestyle, as well as genetic and everyday factors seem to explain, to some degree, the incidence of metabolic diseases and obesity. Nevertheless, a better understanding of risk factors related to the onset of psychic disorders in certain populations lead to changes in the treatment of these pathologies, favoring comprehensive and multidisciplinary care. Within this scope, the present study aims to analyze whether there is a correlation between depression, anxiety and obesity, when it comes to the multidisciplinary treatment of these pathologies. An integrative bibliographic review was made using articles from the last 10 years (2010-2020) from the databases of Latin American and Caribbean Literature on Health Sciences - LILACS, PubMed, Cochrane and Online Scientific Electronic Library - SciELO, with the descriptors: "Obesity"; "Mental Disorders"; "Anxiety"; "Depression"; "Comorbidities." The literature presents disagreements in the association between obesity, anxiety and depression. Some studies show that there is no statistically significant correlation between BMI, depression and anxietyon. Likewise, other studies show that the correlati between obesity and mood disorders is influenced by the use of psychotropic drugs used in psychiatric treatment, with the potential to influence weight gain. The causal relationships involving depression, anxiety and obesity are still controversial and require more research.

References

Almeida, S., Zanatta, D., & Rezende, F. (2012). Imagem corporal, ansiedade e depressão em pacientes obesos submetidos à cirurgia bariátrica. Estudos de Psicologia (Natal), 17(1),153-160. 10.1590/s1413-294x2012000100019

Amaral, A. D. (2014). Comparação entre SNRI e SSRI na indução da remissão da perturbação depressiva major: uma revisão baseada na evidência. Revista Portuguesa de Medicina Geral e Familiar, 30(3), 174-180.

American PsychiatricAssociation. (2014). Manual diagnóstico e estatístico de transtornos mentais: DSM-5 (5a ed.), Artmed.

Apovian, C. M. (2016). Obesity: Definition, comorbidities, causes, and burden. Am. J. Manag. Care, 22, S176–S185.

Associação Brasileira de Psiquiatria. Transtornos de ansiedade: Diagnóstico e Tratamento (2008) https://diretrizes.amb.org.br/_BibliotecaAntiga/transtornos-de-ansiedade-diagnostico-e-tratamento.pdf.

Balaram, K., Marwaha, R., & Agoraphobia. Treasure Island: Statpearls Publishing (2020). https://www.ncbi.nlm.nih.gov/books/NBK554387/.

Bandelow, B., & Michaelis, S. (2015) Epidemiology of anxiety disorders in the 21st century. Dialogues ClinNeurosci, 17(3): 327-335.

Chagas, M. H. N., Nardi, A. E., Manfro, G. G., Hetem, L. A. B., Andrada, N. C., Levitan, M. N., Salum, G. A., Isolan, L., Ferrari, M. C. F., & Crippa, J. A. S. (2010). Diretrizes da Associação Médica Brasileira para o diagnóstico e diagnóstico diferencial do transtorno de ansiedade social. Brazilian Journal of Psychiatry, 32(4), 444-452. Epub October 15, 2010. https://dx.doi.org/10.1590/S1516-44462010005000029

CID-10. Classificação de Transtornos Mentais e de Comportamento da CID-10: Descrições clínicas e diretrizes diagnósticas. 1993: Artmed.

Costa, C. O. da., Branco, J. C., Vieira, I. S., Souza, L. D. de M., & Silva, R. A. da. (2019). Prevalência de ansiedade e fatores associados em adultos. Jornal Brasileiro de Psiquiatria, 68(2), 92-100. https://doi.org/10.1590/0047-2085000000232

Daré, P. K., & Caponi, S. N. (2017). Cuidado ao indivíduo com depressão na atenção primária em saúde. ECOS-Estudos Contemporâneos Da Subjetividade, 7(1). https://www.periodi-coshumanas.uff.br/ecos/article/view/1858.

Didoné, L. S., Jesus, I. T. M. de., Santos-Orlandi, A. A., Pavarini, S. C. I., Orlandi, F. de S., Costa-Guarisco, L. P., Gratão, A. C. M., Gramany-Say, K., Cominetti, M. R., Gomes, G. A. de O., & Zazzetta, M. S. (2020). Factors associated with depressive symptoms in older adults in context of social vulnerability. Revista Brasileira de Enfermagem, 73(Suppl. 1), e20190107.https://doi.org/10.1590/0034-7167-2019-0107

Frontzek, L. G. M., Bernardes, L. R., & Modena, C. M. (2017). Obesidade infantil: compreender para melhor intervir. Revista da Abordagem Gestáltica, 23(2), 167-174.

Garcia, G., Pompeo, D., Eid, L., Cesarino, C., Pinto, M., & Gonçalves, L. (2018). Relationship between anxiety, depressive symptoms and compulsive overeating disorder in patients with cardiovascular diseases. Revista Latino-Americana De Enfermagem, 26(0). 10.1590/1518-8345.2567.3040

Guimarães, A., Feijó, I., Soares, A., Fernandes, S., Machado, Z., & Parcias, S. (2012). Excesso de peso e obesidade em escolares: associação com fatores biopsicológicos, socioeconômicos e comportamentais. Arquivos Brasileiros de Endocrinologia & Metabologia, 56(2),142-148. 10.1590/s0004-27302012000200008.

Maron, E., & Nutt D. (2017). Biological markers of generalized anxiety disorder. Dialogues ClinNeurosci, 19(2), 147-158.

Park, M., Cuijpers, P., van Straten, A., & Reynolds, C. F. (2014). The effects of psychotherapy for adult depression on social support: A meta-analysis. Cognitive therapy and research, 38(6), 600–611. https://doi.org/10.1007/s10608-014-9630-z

Pereira, C., Brandão, I. (2014). Uma perspetiva da psicopatologia da obesidade. Arq Med [Internet], 28(5), 152-159.

Ravindran, L. N., & Stein, M. B. (2010). The pharmacologic treatment of anxiety disorders: a review of progress. The Journal of clinical psychiatry, 71(7), 839–854. https://doi.org/10.4088/JCP.10r06218blu

Rocha C, & Costa E. (2012). Aspectos psicológicos na obesidade mórbida: Avaliação dos níveis de ansiedade, depressão e do auto-conceito em obesos que vão ser submetidos à cirurgia bariátrica. Análise Psicológica, 30(4):451-466.10.14417/ap.604

Santos, H. G. B., Marcon, S. R., Espinosa, M. M., Baptista, M. B., & Paulo, P. M. C. (2017). Fatores associados à presença de ideação suicida entre universitários. Revista Latino-Americana de Enfermagem, 25(2878), p.1-8. 10.1590/1518-8345.1592.2878

Smits, J., Rosenfield, D., Mather, A., Tart, C., Henriksen, C. &, Sareen, J. (2010). Psychotropic medication use mediates the relationship between mood and anxiety disorders and obesity: Findings from a nationally representative sample. J Psychiatr Res, 44(15):1010-1016. 10.1016/j.jpsychires.2010.04.007

Wanderley, E., & Ferreira, V. (2010). Obesidade: uma perspectiva plural. Ciência & Saúde Coletiva, 15(1):185-194. 10.1590/s1413-81232010000100024

Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. J AdvNurs, 52(5):546-553. 10.1111/j.1365-2648.2005.03621.x

WHO (2020). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization.

Published

06/01/2021

How to Cite

CASSELLI, D. D. N. .; SILVA, E. de S. M. e .; FIGUEIRA , G. M. .; DEMARCHI, M. E. .; SOUZA, J. C. . Comorbidity between depression, anxiety and obesity and treatment complications. Research, Society and Development, [S. l.], v. 10, n. 1, p. e16210111489, 2021. DOI: 10.33448/rsd-v10i1.11489. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11489. Acesso em: 27 jan. 2021.

Issue

Section

Health Sciences