ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 45 of 67
УЖМБС 2020, 5(3): 337–343
Physical Therapy and Ergotherapy

The Role of Non-Drug Rehabilitation in the Correction of Signs of Depression in Obese Patients

Aravitska M. H.

Obesity and depression are frequent comorbid conditions in the practice of a physical therapist, they complicate each other, therefore, require an integrated approach in rehabilitation diagnosis and correction. The purpose of the study was to determine the effectiveness of a non-drug rehabilitation program according to the dynamics of signs of depression in patients with I-III degree of obesity. Material and methods. 288 people with exogenous obesity of I-III degree were interviewed according to the Patient Health Questionnaire–9. The comparison group consisted of individuals with a low level of rehabilitation compliance, they were informed about the complications of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of rehabilitation compliance. They were submitted to a year-long developed program for correcting body weight using measures to maintain the achieved level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and behavioral psychocorrection. The control group consisted of 60 people with normal body weight. Results and discussion. Men and women with I degree of obesity were diagnosed with mild subclinical depression. There were no differences (p> 0.05) in the absolute numerical parameters of the severity of changes in the depressed state between gender groups. But by the degree of self-esteem of the effect of depression symptoms on social functioning, only a quarter of men noted some influence; among women, this was reported by over 40%. In II degree of obesity, the signs observed was moderately depressed in both gender groups but was more pronounced in women than in men (p <0.05). Women also showed a high degree of influence of obesity on social functioning. We determined changes in the level of depression of moderate severity in both gender groups in patients with morbid obesity. Women, more often than men, showed the extreme impact of depressed mood on social functioning. After a rehabilitation program for obesity I degree reached the level of absence of signs of depression. Almost all surveyed patients believed that minimal signs of psycho-emotional oppression did not affect psycho-social functioning. In patients with II degree of obesity, male parameters statistically decreased significantly from baseline and reached normal levels. Women found a similar trend but stopped at the lower boundary of subclinical depression. Under the influence of a correction program the psycho-emotional state of patients with morbid obesity improved statistically significantly to the level of parameters of subclinical depression. But women, unlike men, as in the second degree of obesity, showed a pronounced effect of depression on social functions. Conclusion. In obese patients, depression was proportional to the degree of obesity. We determined a statistically significant decrease in the severity of signs of depression and, accordingly, an improvement in the quality of life in patients with all degrees of obesity.

Keywords: physical therapy, weight loss, rehabilitation, psycho-emotional state

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