Defensive strategies in a big obese group [MECCANISMI DI DIFESA IN UN GRUPPO DI PERSONE CON OBESITA']

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Abstract

Aim. The aim of this study was to explore thèdefense mechanisms of people with moderateand severe obesity. In fact, thè defensivestructure is an effective predictor for thè bestmanagement of thè disease.Methods. 204 people (164 F-40 M) bave beenrecruited: 40 with BMI between 30 and 34.9,with moderate obesity, 36 with BMI between35 and 39.9, with severe obesity, and128 with BMI>40, with serious obesity, aliof them pertaining to thè clinic for obesitytreatment at University Hospital of Palermo.Ali subjects were administered thè DefenseMechanisms Inventory (DMI), a type of reactivethat explores defense mechanisms. Thepsychiatric comorbidity was excluded by thèDSM (SCIDI and II).semi-structured interview.Resiilts. The DMI profile of thè group ofobese people is significantly different fromnormative people. In fact, thè obese groupuses a typically defensive pattern that leadsto a faulty management of aggressiveness,either transformed into its opposite (conflictdenial-avoidance, thè inability to toleratenegative emotions) or redirected towardsthemselves (low self-esteem, self-devaluationand idealization of others). Age factors, sexand degree of obesity affect thè defensiveshape.Discussion and conclusion. The explorationof thè defense mechanisms in our groupof obese people provides some importantguidelines for treatment strategies.The prevailing use, in fact, of some specific defensivepatterns is both a significant predictor of thèperson's inability to adhere to thè cure and,consequently, of thè need to introduce treatmentaids which, in some way, can bypass thèsubject's compliance.
Original languageItalian
Pages (from-to)239-246
Number of pages8
JournalMinerva Psichiatrica
Volume54
Publication statusPublished - 2013

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

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