Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: Wiener klinische Wochenschrift 5-6/2020

09.12.2019 | original article

Relationship between psychological stress and metabolism in morbidly obese individuals

verfasst von: Friedrich Riffer, Ph.D. Manuel Sprung, Hannah Münch, Elmar Kaiser, Lore Streibl, Kathrin Heneis, Alexandra Kautzky-Willer

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 5-6/2020

Einloggen, um Zugang zu erhalten
share
TEILEN

Summary

Background

Despite evidence for a bidirectional relationship between obesity and stress-related mental disorders, the general relationship between psychological stress and metabolism is still controversial. Only few studies have addressed this relationship in morbidly obese individuals.

Methods

The present study investigated the relationship between psychological distress, health-related quality of life (HRQL), eating behavior, negative emotions and body mass index (BMI), body composition and biomedical parameters of metabolism in an adult sample of 123 (94 females) morbidly obese individuals.

Results

No significant relationship was found between psychological distress and BMI, body composition or any of the parameters of metabolism; however, there was a strong and robust association between HRQL in the physical domain and BMI, body composition and several biomedical parameters of sugar and fat metabolism. The results also showed an interesting dissociation in the relationship between BMI and HRQL in the physical and psychology domains. Only little evidence was found for a relationship between eating behavior (e.g. restraint) or negative emotions (e.g. anger) and BMI, body composition and parameters of metabolism. There was, however, a significant gender difference in restraint eating. Other commonly reported gender differences in BMI, body composition, fat metabolism and liver values were also observed in this sample of morbidly obese individuals.

Conclusion

Results from the present study highlight the relationship between HRQL in the physical domain and metabolism. Implications of these findings for weight loss treatment are discussed, emphasizing HRQL as an important treatment goal and the need for long-term psychological monitoring.

Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:

Abo für kostenpflichtige Inhalte

Fußnoten
1
Results from independent samples T-test
t=T-test value(df=degrees of freedom)
 
Literatur
1.
Zurück zum Zitat Gallus S, et al. Overweight and obesity in 16 European countries. European J Nutrition. 2015;54(5):679–89. CrossRef Gallus S, et al. Overweight and obesity in 16 European countries. European J Nutrition. 2015;54(5):679–89. CrossRef
2.
Zurück zum Zitat Rust P, Hasenegger V, König J. Österreichischer Ernährungsbericht 2017. Wien: Universität Wien und Bundesministerium für Gesundheit und Frauen; 2017. Rust P, Hasenegger V, König J. Österreichischer Ernährungsbericht 2017. Wien: Universität Wien und Bundesministerium für Gesundheit und Frauen; 2017.
3.
Zurück zum Zitat Ng M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81. PubMedPubMedCentralCrossRef Ng M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81. PubMedPubMedCentralCrossRef
4.
Zurück zum Zitat Sturm R, Hattori A. Morbid obesity rates continue to rise rapidly in the United States. Int J Obes. 2013;37(6):889–91. CrossRef Sturm R, Hattori A. Morbid obesity rates continue to rise rapidly in the United States. Int J Obes. 2013;37(6):889–91. CrossRef
5.
Zurück zum Zitat Finkelstein EA, et al. Obesity and Severe Obesity Forecasts Through 2030. Am J Prev Med. 2012;42(6):563–70. PubMedCrossRef Finkelstein EA, et al. Obesity and Severe Obesity Forecasts Through 2030. Am J Prev Med. 2012;42(6):563–70. PubMedCrossRef
6.
Zurück zum Zitat Guh DP, et al. The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. Bmc Public Health. 2009;9(1):88. PubMedPubMedCentralCrossRef Guh DP, et al. The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis. Bmc Public Health. 2009;9(1):88. PubMedPubMedCentralCrossRef
8.
Zurück zum Zitat LeBlanc ES, et al. Behavioral and pharmacotherapy weight loss interventions to prevent obesity-related morbidity and mortality in adults: Updated evidence report and systematic review for the us preventive services task force. JAMA. 2018;320(11):1172–91. PubMedCrossRef LeBlanc ES, et al. Behavioral and pharmacotherapy weight loss interventions to prevent obesity-related morbidity and mortality in adults: Updated evidence report and systematic review for the us preventive services task force. JAMA. 2018;320(11):1172–91. PubMedCrossRef
9.
Zurück zum Zitat Albuquerque D, et al. Current review of genetics of human obesity: from molecular mechanisms to an evolutionary perspective. Mol Genet Genomics. 2015;290(4):1191–221. PubMedCrossRef Albuquerque D, et al. Current review of genetics of human obesity: from molecular mechanisms to an evolutionary perspective. Mol Genet Genomics. 2015;290(4):1191–221. PubMedCrossRef
10.
Zurück zum Zitat Heymsfield SB, Wadden TA. Mechanisms, Pathophysiology, and Management of Obesity. N Engl J Med. 2017;376(3):254–66. PubMedCrossRef Heymsfield SB, Wadden TA. Mechanisms, Pathophysiology, and Management of Obesity. N Engl J Med. 2017;376(3):254–66. PubMedCrossRef
11.
Zurück zum Zitat Paeratakul S, et al. The relation of gender, race and socioeconomic status to obesity and obesity comorbidities in a sample of US adults. Int J Obes. 2002;26:1205. CrossRef Paeratakul S, et al. The relation of gender, race and socioeconomic status to obesity and obesity comorbidities in a sample of US adults. Int J Obes. 2002;26:1205. CrossRef
12.
Zurück zum Zitat Drewnowski A, et al. Food environment and socioeconomic status influence obesity rates in Seattle and in Paris. Int J Obes. 2014;38(2):306–14. CrossRef Drewnowski A, et al. Food environment and socioeconomic status influence obesity rates in Seattle and in Paris. Int J Obes. 2014;38(2):306–14. CrossRef
14.
Zurück zum Zitat Bouter KE, et al. Role of the gut Microbiome in the pathogenesis of obesity and obesity-related metabolic dysfunction. Gastroenterology. 2017;152(7):1671–8. PubMedCrossRef Bouter KE, et al. Role of the gut Microbiome in the pathogenesis of obesity and obesity-related metabolic dysfunction. Gastroenterology. 2017;152(7):1671–8. PubMedCrossRef
15.
Zurück zum Zitat Scott KM, et al. Obesity and mental disorders in the general population: results from the world mental health surveys. Int J Obes. 2008;32(1):192–200. CrossRef Scott KM, et al. Obesity and mental disorders in the general population: results from the world mental health surveys. Int J Obes. 2008;32(1):192–200. CrossRef
16.
Zurück zum Zitat de Wit L, et al. Depression and obesity: a meta-analysis of community-based studies. Psychiatry Res. 2010;178(2):230–5. PubMedCrossRef de Wit L, et al. Depression and obesity: a meta-analysis of community-based studies. Psychiatry Res. 2010;178(2):230–5. PubMedCrossRef
17.
Zurück zum Zitat Gariepy G, Nitka D, Schmitz N. The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis. Int J Obes. 2009;34:407. CrossRef Gariepy G, Nitka D, Schmitz N. The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis. Int J Obes. 2009;34:407. CrossRef
18.
Zurück zum Zitat Cortese S, et al. Association between ADHD and obesity: a systematic review and meta-analysis. Am J Psychiatry. 2015;173(1):34–43. PubMedCrossRef Cortese S, et al. Association between ADHD and obesity: a systematic review and meta-analysis. Am J Psychiatry. 2015;173(1):34–43. PubMedCrossRef
19.
Zurück zum Zitat Darby A, et al. The rising prevalence of comorbid obesity and eating disorder behaviors from 1995 to 2005. Int J Eat Disord. 2009;42(2):104–8. PubMedCrossRef Darby A, et al. The rising prevalence of comorbid obesity and eating disorder behaviors from 1995 to 2005. Int J Eat Disord. 2009;42(2):104–8. PubMedCrossRef
20.
Zurück zum Zitat Gerlach G, Loeber S, Herpertz S. Personality disorders and obesity: a systematic review. Obes Rev. 2016;17(8):691–723. PubMedCrossRef Gerlach G, Loeber S, Herpertz S. Personality disorders and obesity: a systematic review. Obes Rev. 2016;17(8):691–723. PubMedCrossRef
21.
Zurück zum Zitat Yamamoto K, Okazaki A, Ohmori S. The relationship between psychosocial stress, age, BMI, CRP, lifestyle, and the metabolic syndrome in apparently healthy subjects. J Physiol Anthropol. 2011;30(1):15–22. PubMedCrossRef Yamamoto K, Okazaki A, Ohmori S. The relationship between psychosocial stress, age, BMI, CRP, lifestyle, and the metabolic syndrome in apparently healthy subjects. J Physiol Anthropol. 2011;30(1):15–22. PubMedCrossRef
22.
Zurück zum Zitat Chen Y, Qian L. Association between lifetime stress and obesity in Canadians. Prev Med. 2012;55(5):464–7. PubMedCrossRef Chen Y, Qian L. Association between lifetime stress and obesity in Canadians. Prev Med. 2012;55(5):464–7. PubMedCrossRef
23.
Zurück zum Zitat Istvan J, Zavela K, Weidner G. Body weight and psychological distress in NHANES I. Int J Obes Relat Metab Disord. 1992;16(12):999–1003. PubMed Istvan J, Zavela K, Weidner G. Body weight and psychological distress in NHANES I. Int J Obes Relat Metab Disord. 1992;16(12):999–1003. PubMed
24.
Zurück zum Zitat Dallman MF. Stress-induced obesity and the emotional nervous system. Trends Endocrinol Metab. 2010;21(3):159–65. PubMedCrossRef Dallman MF. Stress-induced obesity and the emotional nervous system. Trends Endocrinol Metab. 2010;21(3):159–65. PubMedCrossRef
25.
Zurück zum Zitat Hamer M, Stamatakis E. U‑shaped association between body mass index and psychological distress in a population sample of 114,218 British adults. Mayo Clin Proc. 2017;92(12):1865–6. PubMedCrossRef Hamer M, Stamatakis E. U‑shaped association between body mass index and psychological distress in a population sample of 114,218 British adults. Mayo Clin Proc. 2017;92(12):1865–6. PubMedCrossRef
26.
Zurück zum Zitat Petroni ML, et al. Psychological distress in morbid obesity in relation to weight history. Obes Surg. 2007;17(3):391–9. PubMedCrossRef Petroni ML, et al. Psychological distress in morbid obesity in relation to weight history. Obes Surg. 2007;17(3):391–9. PubMedCrossRef
27.
Zurück zum Zitat Mannucci E, et al. Clinical and psychological correlates of health-related quality of life in obese patients. Health Qual Life Outcomes. 2010;8(1):90. PubMedPubMedCentralCrossRef Mannucci E, et al. Clinical and psychological correlates of health-related quality of life in obese patients. Health Qual Life Outcomes. 2010;8(1):90. PubMedPubMedCentralCrossRef
28.
Zurück zum Zitat Fontaine KR, Barofsky I. Obesity and health-related quality of life. Obes Rev. 2001;2(3):173–82. PubMedCrossRef Fontaine KR, Barofsky I. Obesity and health-related quality of life. Obes Rev. 2001;2(3):173–82. PubMedCrossRef
29.
Zurück zum Zitat Katz DA, McHorney CA, Atkinson RL. Impact of obesity on health-related quality of life in patients with chronic illness. J Gen Intern Med. 2000;15(11):789–96. PubMedPubMedCentralCrossRef Katz DA, McHorney CA, Atkinson RL. Impact of obesity on health-related quality of life in patients with chronic illness. J Gen Intern Med. 2000;15(11):789–96. PubMedPubMedCentralCrossRef
30.
Zurück zum Zitat Kolotkin RL, Crosby RD, Williams GR. Health-related quality of life varies among obese subgroups. Obes Res. 2002;10(8):748–56. PubMedCrossRef Kolotkin RL, Crosby RD, Williams GR. Health-related quality of life varies among obese subgroups. Obes Res. 2002;10(8):748–56. PubMedCrossRef
31.
Zurück zum Zitat Kolotkin RL, Andersen JR. A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life. Clin Obes. 2017;7(5):273–89. PubMedPubMedCentralCrossRef Kolotkin RL, Andersen JR. A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life. Clin Obes. 2017;7(5):273–89. PubMedPubMedCentralCrossRef
32.
Zurück zum Zitat Nigatu YT, et al. The combined effects of obesity, abdominal obesity and major depression/anxiety on health-related quality of life: the lifelines cohort study. Plos One. 2016;11(2):e148871. PubMedPubMedCentralCrossRef Nigatu YT, et al. The combined effects of obesity, abdominal obesity and major depression/anxiety on health-related quality of life: the lifelines cohort study. Plos One. 2016;11(2):e148871. PubMedPubMedCentralCrossRef
33.
Zurück zum Zitat Karlsson J, et al. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. Int J Obes. 2000;24:1715. CrossRef Karlsson J, et al. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. Int J Obes. 2000;24:1715. CrossRef
34.
Zurück zum Zitat Provencher V, et al. Eating behaviors and indexes of body composition in men and women from the Québec Family Study. Obes Res. 2003;11(6):783–92. PubMedCrossRef Provencher V, et al. Eating behaviors and indexes of body composition in men and women from the Québec Family Study. Obes Res. 2003;11(6):783–92. PubMedCrossRef
35.
Zurück zum Zitat Cappelleri JC, et al. Psychometric analysis of the Three-Factor Eating Questionnaire-R21: results from a large diverse sample of obese and non-obese participants. Int J Obes. 2009;33:611. CrossRef Cappelleri JC, et al. Psychometric analysis of the Three-Factor Eating Questionnaire-R21: results from a large diverse sample of obese and non-obese participants. Int J Obes. 2009;33:611. CrossRef
36.
Zurück zum Zitat de Lauzon-Guillain B, et al. Is restrained eating a risk factor for weight gain in a general population? Am J Clin Nutr. 2006;83(1):132–8. PubMedCrossRef de Lauzon-Guillain B, et al. Is restrained eating a risk factor for weight gain in a general population? Am J Clin Nutr. 2006;83(1):132–8. PubMedCrossRef
37.
Zurück zum Zitat Waller G, et al. Anger and core beliefs in the eating disorders. Int J Eat Disord. 2003;34(1):118–24. PubMedCrossRef Waller G, et al. Anger and core beliefs in the eating disorders. Int J Eat Disord. 2003;34(1):118–24. PubMedCrossRef
38.
Zurück zum Zitat Fassino S, et al. Mood, eating attitudes, and anger in obese women with and without Binge Eating Disorder. J Psychosom Res. 2003;54(6):559–66. PubMedCrossRef Fassino S, et al. Mood, eating attitudes, and anger in obese women with and without Binge Eating Disorder. J Psychosom Res. 2003;54(6):559–66. PubMedCrossRef
39.
Zurück zum Zitat Appelhans BM, et al. Response style and vulnerability to anger-induced eating in obese adults. Eat Behav. 2011;12(1):9–14. PubMedCrossRef Appelhans BM, et al. Response style and vulnerability to anger-induced eating in obese adults. Eat Behav. 2011;12(1):9–14. PubMedCrossRef
40.
41.
Zurück zum Zitat Gnauer S, et al. Behandlungsprogramm für hochgradige Adipositas und psychische Komorbiditäten. JATROS Neurol Psychiatr. 2015;23(5):50–1. Gnauer S, et al. Behandlungsprogramm für hochgradige Adipositas und psychische Komorbiditäten. JATROS Neurol Psychiatr. 2015;23(5):50–1.
42.
Zurück zum Zitat Gnauer S, et al. Adipositas-Therapie im Psychosomatischen Zentrum Waldviertel – Lebensstilprogramm „Schwerelos“. In: Riffer F, et al., editor. Die Vielgestaltigkeit der Psychosomatik. Psychosomatik im Zentrum. Berlin, Heidelberg: Springer; 2017. pp. 109–19. CrossRef Gnauer S, et al. Adipositas-Therapie im Psychosomatischen Zentrum Waldviertel – Lebensstilprogramm „Schwerelos“. In: Riffer F, et al., editor. Die Vielgestaltigkeit der Psychosomatik. Psychosomatik im Zentrum. Berlin, Heidelberg: Springer; 2017. pp. 109–19. CrossRef
43.
Zurück zum Zitat Franke GH, Derogatis LR. Die Symptom-Checkliste von Derogatis-Deutsche Version. Göttingen: Beltz; 1995. Franke GH, Derogatis LR. Die Symptom-Checkliste von Derogatis-Deutsche Version. Göttingen: Beltz; 1995.
44.
Zurück zum Zitat Bullinger M, Kirchberger I, Ware J. Der deutsche SF-36 Health Survey. Übersetzung und psychometrische Testung eines krankheitsübergreifenden Instruments zur Erfassung der gesundheitsbezogenen Lebensqualität. Z Gesundheitswiss. 1995;3(1):21. CrossRef Bullinger M, Kirchberger I, Ware J. Der deutsche SF-36 Health Survey. Übersetzung und psychometrische Testung eines krankheitsübergreifenden Instruments zur Erfassung der gesundheitsbezogenen Lebensqualität. Z Gesundheitswiss. 1995;3(1):21. CrossRef
45.
Zurück zum Zitat Pudel V, Westenhoefer J. Fragebogen zum Essverhalten. Three-Factor Eating Questionnaire-German Version. Göttingen: Hogrefe; 1989. Pudel V, Westenhoefer J. Fragebogen zum Essverhalten. Three-Factor Eating Questionnaire-German Version. Göttingen: Hogrefe; 1989.
46.
Zurück zum Zitat Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985;29(1):71–83. PubMedCrossRef Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985;29(1):71–83. PubMedCrossRef
47.
Zurück zum Zitat Schwenkmezger P, Hodapp V, Spielberger C. Das State-Trait-Ärgerausdrucks-Inventar (STAXI). Mannheim: Huber; 1992. Schwenkmezger P, Hodapp V, Spielberger C. Das State-Trait-Ärgerausdrucks-Inventar (STAXI). Mannheim: Huber; 1992.
48.
Zurück zum Zitat Flegal KM, et al. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309(1):71–82. PubMedPubMedCentralCrossRef Flegal KM, et al. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309(1):71–82. PubMedPubMedCentralCrossRef
49.
Zurück zum Zitat Heneghan HM, et al. Weighing the evidence for an association between obesity and suicide risk. Surg Obes Relat Dis. 2012;8(1):98–107. PubMedCrossRef Heneghan HM, et al. Weighing the evidence for an association between obesity and suicide risk. Surg Obes Relat Dis. 2012;8(1):98–107. PubMedCrossRef
50.
Zurück zum Zitat Peterhänsel C, et al. Risk of completed suicide after bariatric surgery: a systematic review. Obes Rev. 2013;14(5):369–82. PubMedCrossRef Peterhänsel C, et al. Risk of completed suicide after bariatric surgery: a systematic review. Obes Rev. 2013;14(5):369–82. PubMedCrossRef
51.
Zurück zum Zitat Rader S, et al. Effects of a web-based follow-up intervention on self-efficacy in obesity treatment for women. Wien Klin Wochenschr. 2017;129(13):472–81. PubMedPubMedCentralCrossRef Rader S, et al. Effects of a web-based follow-up intervention on self-efficacy in obesity treatment for women. Wien Klin Wochenschr. 2017;129(13):472–81. PubMedPubMedCentralCrossRef
52.
Zurück zum Zitat Zillikens MC, et al. Sex-specific genetic effects influence variation in body composition. Diabetologia. 2008;51(12):2233–41. PubMedCrossRef Zillikens MC, et al. Sex-specific genetic effects influence variation in body composition. Diabetologia. 2008;51(12):2233–41. PubMedCrossRef
53.
Zurück zum Zitat Power ML, Schulkin J. Sex differences in fat storage, fat metabolism, and the health risks from obesity: possible evolutionary origins. Br J Nutr. 2008;99(5):931–40. PubMedCrossRef Power ML, Schulkin J. Sex differences in fat storage, fat metabolism, and the health risks from obesity: possible evolutionary origins. Br J Nutr. 2008;99(5):931–40. PubMedCrossRef
54.
Zurück zum Zitat Zlotnik A, et al. Determination of factors affecting glutamate concentrations in the whole blood of healthy human volunteers. J Neurosurg Anesthesiol. 2011;23(1):45–9. PubMedCrossRef Zlotnik A, et al. Determination of factors affecting glutamate concentrations in the whole blood of healthy human volunteers. J Neurosurg Anesthesiol. 2011;23(1):45–9. PubMedCrossRef
55.
Zurück zum Zitat Kautzky-Willer A, et al. Geschlechtsspezifische Aspekte für die klinische Praxis bei Prädiabetes und Diabetes mellitus. Wien Klin Wochenschr. 2016;128(2):151–8. CrossRef Kautzky-Willer A, et al. Geschlechtsspezifische Aspekte für die klinische Praxis bei Prädiabetes und Diabetes mellitus. Wien Klin Wochenschr. 2016;128(2):151–8. CrossRef
56.
Zurück zum Zitat Foster JA, McVey Neufeld K‑A. Gut–brain axis: How the microbiome influences anxiety and depression. Trends Neurosci. 2013;36(5):305–12. PubMedCrossRef Foster JA, McVey Neufeld K‑A. Gut–brain axis: How the microbiome influences anxiety and depression. Trends Neurosci. 2013;36(5):305–12. PubMedCrossRef
57.
Zurück zum Zitat Schachter J, et al. Effects of obesity on depression: a role for inflammation and the gut microbiota. Brain Behav Immun. 2018;69:1–8. PubMedCrossRef Schachter J, et al. Effects of obesity on depression: a role for inflammation and the gut microbiota. Brain Behav Immun. 2018;69:1–8. PubMedCrossRef
58.
Zurück zum Zitat Capuron L, Lasselin J, Castanon N. Role of adiposity-driven inflammation in depressive morbidity. Neuropsychopharmacology. 2017;42(1):115–28. PubMedCrossRef Capuron L, Lasselin J, Castanon N. Role of adiposity-driven inflammation in depressive morbidity. Neuropsychopharmacology. 2017;42(1):115–28. PubMedCrossRef
59.
Zurück zum Zitat Castanon N, Luheshi G, Laye S. Role of neuroinflammation in the emotional and cognitive alterations displayed by animal models of obesity. Front Neurosci. 2015;9:229. PubMedPubMedCentralCrossRef Castanon N, Luheshi G, Laye S. Role of neuroinflammation in the emotional and cognitive alterations displayed by animal models of obesity. Front Neurosci. 2015;9:229. PubMedPubMedCentralCrossRef
60.
Zurück zum Zitat Burkert NT, et al. Self-perceived health, quality of life, and health-related behavior in obesity: Is social status a mediator? Wien Klin Wochenschr. 2012;124(7):271–5. PubMedCrossRef Burkert NT, et al. Self-perceived health, quality of life, and health-related behavior in obesity: Is social status a mediator? Wien Klin Wochenschr. 2012;124(7):271–5. PubMedCrossRef
61.
Zurück zum Zitat Ciarrochi J, Deane FP, Anderson S. Emotional intelligence moderates the relationship between stress and mental health. Pers Individ Dif. 2002;32(2):197–209. CrossRef Ciarrochi J, Deane FP, Anderson S. Emotional intelligence moderates the relationship between stress and mental health. Pers Individ Dif. 2002;32(2):197–209. CrossRef
Metadaten
Titel
Relationship between psychological stress and metabolism in morbidly obese individuals
verfasst von
Friedrich Riffer
Ph.D. Manuel Sprung
Hannah Münch
Elmar Kaiser
Lore Streibl
Kathrin Heneis
Alexandra Kautzky-Willer
Publikationsdatum
09.12.2019
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 5-6/2020
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-019-01583-y