TRABAJOS PRESENTADOS POR EL DR. ALBERTO CORMILLOT Y COLABORADORES EN CONGRESOS INTERNACIONALES

 

PSYCHOLOGICAL ASPECTS AND QUALITY OF LIFE OF OBESE SUBJECTS ATTENDING GROUPS. ONE YEAR OUTCOME

 

S.Gugliotta, R. Zukerfeld, A.Cormillot, E. Barinaga, M.Ventura, L.Dorin. Fundación ALCO, Buenos Aires, Argentina.

8th International Congress on Obesity, Paris, France. September 1998.

The purpose of this study was to compare anxiety, eating disorders and quality of life features in compliers and non-compliers in an obesity self-helpgroup system.

Method: During the first month of group intervention 40 patients (X age 42.2, X BMI 32.6) were administered the STAI-T, EAT-26 and structured interviews (0 = worst 100 = optimum) in order to obtain a Wellbeing and Health Index (WHI) measuring ten health and quality of life variables. Procedures were repeated one year later with patients localized.

Results: One year later 10 patients (25%) still attended groups regularly. Of the total dropout number (30 patients) we could get information from 14.

Baseline

One year follow-up

X(SD)

(n = 40)

Compliers

Non-Compliers

Weight Variation

--

-3.18kg

+11.6Kg

STAI-T

44.3(11.1)*

41.4(8.6)*

50.8(10.7)*

EAT-26

18.4(10.6)**

13.0(7.7)**

32.8(8.0)*

WHI

60.1(11.7)a

74.6/10.8)b

59.1(7.6)c


(Mnn-Whitney Test: p=NS,*p<0.05, a vs c, p=NS; a vs b p<0.05). Spearman correlation EAT vs WHI one year, r=-0.73.

Conclusions: No significant modification was found in anxiety features one year later. Changes were observed in the baseline magnitude of the eating disorder and dropout seemed to be associated with a worsening of this disorder. Quality of life seemed to improve in the patients who remained within the system. To reduce dropout it is, therefore, desirable to: 1) strenghten anxiety management strategies, 2) improve methods for early detection and treatment of eating disorders, 3) use wellbeing and quality of life indexes as confrontation and motivation, 4) develop patient empowerment as done in chronic disease treatments.