Almanac of Clinical MedicineAlmanac of Clinical Medicine2072-05052587-9294Moscow Regional Research and Clinical Institute (MONIKI)11810.18786/2072-0505-2014-32-3-7BEHAVIORAL PECULIARITIES IN PATIENTS WITH SURPLUS BODY MASS AND OBESITYBobrovA. E.MD, PhD, Professor, Moscow Research Institute of Psychiatrybobrov2004@yandex.ruGegelN. V.<p>junior scientific worker, Moscow Research Institute of Psychiatry</p>fake@neicon.ruGurovaO. Yu.<p>PhD, Department of Endocrinology, I.M. Sechenov First Moscow State <br />Medical University</p>fake@neicon.ruRomantsovaT. I.<p>MD, PhD, Professor, Department of Endocrinology, I.M. Sechenov First Moscow State Medical University</p>fake@neicon.ruSavel’evaL. V.PhD, Research Center of Endocrinologyfake@neicon.ruMoscow Research Institute of Psychiatry3 Poteshnaya ul., Moscow, 107076, Russian FederationI.M. Sechenov First Moscow State Medical University8/2 Trubetskaya ul., Moscow, 119991, Russian FederationResearch Center of Endocrinology11 Dm. Ul’yanova ul., Moscow, 117036, Russian Federation1505201432371302201613022016Copyright © 2014, Bobrov A.E., Gegel N.V., Gurova O.Y., Romantsova T.I., Savel’eva L.V.2014<p>Background: Eating in obesity represents behavioral systems more powerful than conscious self-control. Aim: To study the obese patients’ behavior with the help of clinical-psychopathological and personal style criteria. Materials and methods: A total of 149 patients (aged 19-69 years), who sought medical help due to obesity or overweight were examined. Their physical condition was satisfactory and concomitant somatic diseases were compensated. Patients’ behavior was assessed by diagnostic criteria ICD-10 as well as with a Minnesota Multiphasic Personality Inventory (psychological testing). Results: It was established that psychical impairments existed in 98 (65.8%) patients. The anxiety disorders (in 65 patients, 43.6%) and affective ones (in 41 patients, 31.5%) were noted most frequently. Factor analysis of the psychological test data revealed 5 main styles of behavior in patients with overweight and obesity: borderline, hyperthymic, dysthymic, sensitive, and undifferentiated. Neither these behavioral styles nor the frequency of disorders corresponded to the degree of obesity. Conclusion: Disturbances of eating self-regulation in obesity are associated with different behavioral styles, which are not specific for mental disorders only. These behavioral styles are described in the study as well as corresponding psychological mechanisms of overeating.</p>surplus body massobesitybehaviorpsychical impairmentsbehavioral styleизбыточная масса телаожирениеповедениепсихические расстройстваповеденческий стиль[1. Vilhena E, Pais-Ribeiro J, Silva I, Cardoso H, Mendonça D. Predictors of quality of life in Portuguese obese patients: a structural equation modeling application. J Obes. 2014: 684919.][2. Dixon JB. The effect of obesity on health outcomes. Mol Cell Endocrinol. 2010;316(2):104-8.][3. Marcellini F, Giuli C, Papa R, Tirabassi G, Faloia E, Boscaro M, Polito A, Ciarapica D, Zaccaria M, Mocchegiani E. Obesity and body mass index (BMI) in relation to life-style and psycho-social aspects. Arch Gerontol Geriatr. 2009;49 Suppl 1:195-206.][4. Романцова ТИ. Эпидемия ожирения: очевидные и вероятные причины. Ожирение и метаболизм. 2011(1): 5-19. (Romantsova TI. [Obesity epidemic: obvious and probable causes]. Ozhirenie i metabolizm. 2011(1):5-19. Russian).][5. Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J. Medicare’s search for effective obesity treatments: diets are not the answer. Am Psychol. 2007;62(3):220-33.][6. Peterson CB, Thuras P, Ackard DM, Mitchell JE, Berg K, Sandager N, Wonderlich SA, Pederson MW, Crow SJ. Personality dimensions in bulimia nervosa, binge eating disorder, and obesity. Compr Psychiatry. 2010;51(1):31-6.][7. Гурова ОЮ, Бобров АЕ, Романцова ТИ, Роик ОВ. Метаболические и психопатологические особенности больных морбидным ожирением. Ожирение и метаболизм. 2007;(3):28-][32. (Gurova OYu, Bobrov AE, Romantsova TI, Roik OV. [Metabolic and psychopathologic features of the morbid obesity patients]. Ozhirenie i metabolizm. 2007;(3):28-32. Russian).][8. Всемирная организация здравоохранения. Международная классификация болезней (10-й пересмотр). Классификация психических и поведенческих расстройств. СПб.: АДИС; 1994. (World Health Organization. International Statistical Classification of Diseases and Related Health Problems. 10th revision (ICD-10). Saint Petersburg: ADIS; 1994. Russian).][9. Березин ФБ, Мирошников МП. Русский модифицированный вариант психологического теста MMPI и его применение в психиатрической практике. В кн.: Проблемы психоневрологии. М.: Наука; 1969. (Berezin FB, Miroshnikov MP. [Modified Russian variant of psychological test MMPI and its application in psychiatric practice]. In: [Problems of psychoneurology]. Mosсow: Nauka; 1969. Russian).][10. Березин ФБ, Мирошников МП, Соколова ЕД. Методика многостороннего исследования личности. Структура, основы интерпретации, некоторые области применения. М.: Березин Феликс Борисович; 2011. (Berezin FB, Miroshnikov MP, Sokolova ED. [A method of the versatile studying of a personality. Structure, interpretation bases, and some fields for application]. Moscow: Berezin Feliks Borisovich; 2011. Russian).][11. Carpiniello B, Pinna F, Pillai G, Nonnoi V, Pisano E, Corrias S, Orrù MG, Orrù W, Velluzzi F, Loviselli A. Psychiatric comorbidity and quality of life in obese patients. Results from a case-control study. Int J Psychiatry Med. 2009;39(1):63-78.][12. Petry NM, Barry D, Pietrzak RH, Wagner JA. Overweight and obesity are associated with psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychosom Med. 2008;70(3):288-97.][13. Pickering RP, Goldstein RB, Hasin DS, Blanco C, Smith SM, Huang B, Pulay AJ, Ruan WJ, Saha TD, Stinson FS, Dawson DA, Chou SP, Grant BF. Temporal relationships between overweight and obesity and DSM-IV substance use, mood, and anxiety disorders: results from a prospective study, the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2011;72(11):1494-502.][14. Ayensa JI, Calderon MJ. Psychopathological comorbidity of obesity. An Sist Sanit Navar. 2011;34(2):253-61.][15. Henriksen CA, Mather AA, Mackenzie CS, Bienvenu OJ, Sareen J. Longitudinal associations of obesity with affective disorders and suicidality in the Baltimore epidemiologic catchment area follow-up study. J Nerv Ment Dis. 2014;202(5):379-85.][16. Leombruni P, Rocca G, Fassino S, Gastaldi F, Nicotra B, Siccardi S, Lavagnino L. An exploratory study to subtype obese binge eaters by personality traits. Psychother Psychosom. 2014; 83(2):114-8.][17. Brambilla F, Samek L, Company M, Lovo F, Cioni L, Mellado C. Multivariate therapeutic approach to binge-eating disorder: combined nutritional, psychological, and pharmacological treatment. Int Clin Psychopharmacol. 2009;24(6):312-7.]