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Obesity: The influence of expressed emotion, anxiety and life events

Published online by Cambridge University Press:  23 March 2020

E. Di Tullio ,
E. Gattoni ,
C. Gramaglia ,
V. Ruggiero ,
G. Biroli ,
F. D’andrea ,
S. Gili ,
M.R. Gualano ,
R. Siliquini  and
P. Zeppegno
E. Di Tullio*
Affiliation:
Università del piemonte orientale, medicina traslazionale, Novara, Italy
E. Gattoni
Affiliation:
Università del piemonte orientale, medicina traslazionale, Novara, Italy
C. Gramaglia
Affiliation:
Università del piemonte orientale, medicina traslazionale, Novara, Italy
V. Ruggiero
Affiliation:
Università del piemonte orientale, medicina traslazionale, Novara, Italy
G. Biroli
Affiliation:
Azienda ospedaliero universitaria maggiore della carità, dipartimento dei servizi, Novara, Italy
F. D’andrea
Affiliation:
Azienda ospedaliero universitaria maggiore della carità, dipartimento dei servizi, Novara, Italy
S. Gili
Affiliation:
Università del piemonte orientale, medicina traslazionale, Novara, Italy
M.R. Gualano
Affiliation:
Università degli studi di torino, Dipartimento di Scienze della Sanità Pubblica e Pediatrica, Torino, Italy
R. Siliquini
Affiliation:
Università degli studi di torino, Dipartimento di Scienze della Sanità Pubblica e Pediatrica, Torino, Italy
P. Zeppegno
Affiliation:
Università del piemonte orientale, translational medicine, Novara, Italy
*
*Corresponding author.

Abstract

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Background

Expressed Emotion (EE) can be described as a measure of the emotional temperature of the family climate and plays a role in disease course and outcome, especially in chronic illnesses. Overweight and obesity are severe problems with serious implications as far as health risks are concerned. The literature suggests having a high EE caregiver correlates with a worse treatment compliance in obese patients.

Objectives

To measure level of EE, stressful events and anxiety in obese patients and their caregivers; to investigate the possible correlations between treatment compliance and EE.

Methods

We recruited 190 obese patients and 125 caregivers. Socio-demographic features were recorded. Assessment included: Level of Expressed Emotion Scale (LEE), one version for patients and one for relatives in order to evaluate 4 dimensions: Intrusiveness, Emotional Response, Attitude toward Disease, Tolerance and Expectation; the Paykel's Interview for Recent Life Events; STAI Y1 concerning state anxiety and STAI Y2 concerning trait anxiety; BMI (Body Mass Index) was measured at T0 and after 3,6 and 9 months.

Results

We have found a correlation between gender and trait anxiety, and an inverse correlation between age and trait anxiety both in patients and caregivers. The decrease of BMI during follow-up is statistically significant and this reduction seems to be affected by tolerance and expectation perceived by patients and the emotional response on behalf of caregivers.

Conclusions

Levels of EE should be considered when planning treatment interventions to enhance compliance in obese patients and to support change in their life-style.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW201
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S162
Copyright
Copyright © European Psychiatric Association 2016
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