Agrafa, V 6/2024 (str. 219-233)
AUTOR(I) / AUTHOR(S): Bajro Salkunić
DOI: https://doi.org/10.46793/Agrafa6.219S
SAŽETAK / ABSTRACT:
Gojaznost je bolest koja može da indukuje pojavu i drugih psihičkih i fizičkih bolesti, a gojazne osobe su često stigmatizovane i diskriminisane. Gojaznost se najčešče definiše kao stvar izbora što čitav pritisak stavlja na gojaznog pojedinca, pa se stoga javljaju osećanja stida, (samo)krivice, usamljenosti, izolovanosti. Pored farmakoterapije i hirurških intervencija, u lečenju gojaznosti jako bitnu ulogu igra i promena životnog stila. Uloga psihoterapije jeste da pomogne gojaznoj osobi da promeni životni stil u smislu promene ponašanja u ishrani, povećanja fizičke aktivnosti i prilagođavanja neaktivnosti, kao i poboljšanje imidža tela, samopoštovanja i samopotvrđivanja. Cilj ovog rada jeste predstaviti različite psihoterapijske modalitete, njihovo razumevanje i pristupanje lečenju gojaznosti. Integracija različitih psihoterapijskih modaliteta omogućava bolje razumevanje i shvatanje pojma gojaznosti, a samim tim i bolji pristup u lečenju gojaznih osoba.
KLJUČNE REČI / KEYWORDS:
gojaznost, lečenje gojaznosti, promena životnog stila, psihoterapijski modaliteti, integrativni pristup.
ACKNOWLEDGEMENT / PROJEKAT:
LITERATURA / REFERENCES:
- Alaimo, S, (2018). Hunger for Relationship. From Desensitizing One’s Own
- Bodily Boundaries to Contacting the Other. A Gestalt Vision of Binge Eating Disorder Related to Obesity, The Aesthetic of Otherness. Meeting at the Boundary in a Desensitized World – Proceedings, Institusio de Gestalt HCC Italy.
- Alison, D, Faith, M, (1996). Hypnosis as an Adjunct to Cognitive-Behavioral Psychotherapy for Obesity: A Meta-Analytic Reappraisal, Journal of Consulting and Clinical Psychology, Vol. 64, No. 3.
- Andereggen, L, and Christ, E, (2024). Commentary: Clinical characteristics of male prolactinoma patients mainly presenting with severe obesity and the metabolic response to dopamine agonist therapy. Front. Endocrinol. 15:1371468.
- Blum, K, Thanos, P, Gold, M.S, (2014). Dopamine and glucose, obesity, and reward deficiency syndrome, Frontiers in Psychology, Vol. 5, Article 919.
- Cawley, J. (ed.), (2012). The Oxford Handbook of the Social Science of Obesity, Oxford Handbooks.
- Célis Alvim Altobelli, A, Fernandes da Motta, I, (2018). The Clinical Treatment of Obesity from a Psychoanalytical Perspective,Journal of Health Science 6.
- Cicuéndez, B, Pérez-García, J, Folgueira, C. A, (2024). Combination of a Dopamine Receptor 2 Agonist and a Kappa Opioid Receptor Antagonist Synergistically Reduces Weight in Diet-Induced Obese Rodents. Nutrients 2024.
- DiFeliceantonio, A.G, Small, D.M, (2019). Dopamine and diet-induced obesity, Nature Neuroscience, Vol. 22.
- Eren, İ, Erdi, O, (2003). The frequency of psychiatric disorders in obese patients. J Clin Psychiatry 6
- Ganley, R, (1986). Epistemology, Family Patterns, and Psychosomatics: The Case of Obesity, Family Process, Vol. 25:
- GBD 2019 Risk Factor Collaborators. “Global Burden of 87 Risk Factors in 204 Countries and Territories, 1990–2019: a systematic analysis for the global burden of disease study 2019”. Lancet. 2020.
- Janssen, L.K, Horstmann, A, (2022). Molecular Imaging of Central Dopamine in Obesity: A Qualitative Review across Substrates and Radiotracers. Brain Science, 12, 486.
- Kandemir, Ç.N, Düşgör, B, (2024). Obez Kadınlarda Kadınsı Özdeşimlerin Projektif Testlerle Değerlendirilmesi, AYNA Klinik Psikoloji Dergisi, 11(2).
- Kumar et al. (2023). The Effectiveness of Integrating Psychotherapy Into Overweight/Obesity Interventions on Youth’s Weight Status and Depressive Symptoms: A Narrative Review, URNCST Journal, Volume 7, Issue 10.
- Marques Seixas, C, (2019), Clinical Dimensions of the Act in Obesity: Compulsion to Eat and Symptom in the Psychoanalitic Perspective, Psicol. estud., Vol. 24, e40350.
- Ministarstvo zdravlja Rebublike Srbije, „Lečenje gojaznosti“, u Nacionalni vodič dobre kliničke prakse, Beograd, 2022.
- Pak, K, Seok, J.W, Lee, M.J, Kim, K, & Kim, I.J, (2023). Dopamine receptor and dopamine transporter in obesity: A meta-analysis. Synapse, 77, e22254.
- Rashid, R, Condon, L, Gluud, C, et al. (2020). Psychotherapy versus treatment as usual and other control interventions in children and adolescents with overweight and obesity: a protocol for systematic review with meta- analysis and
- Trial Sequential Analysis. BMJ Open 2020, 10, e036058.
- Slochower, J, (1987). The Psychodynamics of Obesity: A Review. Psychoanal. Psychol., 4.
- Solms, M, Turnbul, O, Mozak i unutrašnji svet, Clio, Beograd, 2019,
- Turkey Healthy Nutrition and Moving Life Program, (2013-2017). TC Ministry of Health Turkish Public Health Authority, Ankara.
- van Galen, K.A, Schrantee, A, ter Horst, K.W et al, (2023). Brain responses to nutrients are severely impaired and not reversed by weight loss in humans with obesity: a randomized crossover study. Nat Metab 5.
- Https://www.scribd.com/presentation/572277094/Psiholoski–aspekti–ishrane
- https://ec.europa.eu/eurostat/statistics–explained/index.php?title=Overweight_and_obesity__BMI_statistics#Obesity_in_the_EU:_gender_differences
- https://www.worldobesity.org/news/economic-impact-of-overweight-andobesity-to-surpass-4-trillion-by-2035