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[Psychological approaches to the obese].
1Unité d'Endocrinologie-Nutrition, Hôpital Saint Michel, Paris. Bernard.Waysfeld@wanadoo.fr
Summary
Psychological factors are crucial for understanding and treating obesity, despite declining research interest. A multidisciplinary approach, particularly between nutritionists and psychiatrists, is essential for effective long-term obesity management.
Area of Science:
- Psychology and Psychiatry
- Obesity Research
- Behavioral Medicine
Context:
- Interest in psychological factors of obesity has significantly declined over the past 30 years.
- Obesity is a complex, multifactorial condition requiring integrated management.
- Healthcare professionals often lack cross-disciplinary training, hindering effective collaborative care.
Purpose:
- To emphasize the fundamental role of psychological approaches in understanding obesity's causes and long-term therapeutic outcomes.
- To advocate for a theoretical framework that supports multidisciplinary management of obesity.
- To highlight the importance of the nutritionist-psychiatrist collaboration in treating obese individuals.
Summary:
- The psychological approach remains essential for obesity treatment, despite waning research interest.
- A collaborative care model, particularly the nutritionist-psychiatrist dyad, is proposed as optimal for managing obesity, including those with eating disorders.
- Therapeutic interventions should be tailored to individual patient characteristics, including background, environment, and mentalization capacity, with various psychological modalities available.
Impact:
- Reintegrates psychological factors into obesity research and clinical practice.
- Promotes a multidisciplinary, collaborative care model for improved obesity management.
- Encourages personalized therapeutic strategies based on patient-specific needs and clinician expertise.