Original scientific paper
https://doi.org/10.20471/apr.2017.53.01.01
The impact of obesity on suicidality among female patients suffering from bipolar affective disorder: the indirect role of body dissatisfaction
Sandra Vuk Pisk
; Psychiatric Hospital Sveti Ivan, Zagreb, Croatia
Mate Mihanović
; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
Igor Filipčić
; Psychiatric Hospital Sveti Ivan, Zagreb, Croatia
Anamarija Bogović
; Psychiatric Hospital Sveti Ivan, Zagreb, Croatia
Nedjeljka Ruljančić
; Psychiatric Hospital Sveti Ivan, Zagreb, Croatia
Abstract
The aim of study is to evaluate the impact of body dissatisfaction and obesity on suicide attempts in patients suffering from Bipolar Affective Disorder (BAD). The study included a cross-sectional cohort of patients diagnosed with BAD who were treated at Sveti Ivan Psychiatric Hospital in Zagreb. The studied group was composed of female patients in the remission phase of BAD, aged 18 to 65 years. Through evaluation of the Body Mass Index (BMI), patients were divided into two groups: the study group (BMI>30), and a control group (BMI ranging from 18 to 25). Following this segmentation, the patients filled out two questionnaires: a schematic perception test (Figure Rating Scale) to determine body dissatisfaction, and a modified Beck Scale for Suicidal Ideation to determine suicidal intensity. The study established a difference in body dissatisfaction between obese patients and patients with average body weight suffering from BAD. Higher BMI corresponded with higher dissatisfaction with body appearance. In addition, the study determined a statistically significant difference in suicidal intensity according to the Beck scale with regard to the level of satisfaction with body appearance. A significant correlation between dissatisfaction with body appearance and suicidal intensity according to the Beck Scale for Suicidal Ideation indicates that evaluation of dissatisfaction with body appearance could be used in daily clinical work as an indicator for suicidality in patients suffering from BAD. Statistically significant body dissatisfaction and a generally higher level of dissatisfaction, which have been confirmed as predictors of suicidality, were found in obese patients.
Keywords
Bipolar Affective Disorder; body dissatisfaction; female; obesity; suicidality
Hrčak ID:
183310
URI
Publication date:
26.6.2017.
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