Are Morbid Obesity and Insomnia Related? Investigating Associated Factors in a Clinical Setting
- 33 Downloads
Disturbed sleep and (morbid) obesity are increasing health problems in industrial societies and play an important role in chronic illnesses. Conclusive evidence about their relationship is lacking. The aim of this study was to investigate the relationship between insomnia and obesity and if common associated factors such as psychological distress, self-control, attachment insecurity, and socioeconomic status are present to the same extent in both patient groups. The sample consisted of 177 patients referred to the Medical Psychology department of a general hospital (92 with morbid obesity and 85 with insomnia). Measures used were PSQI, HADS, BSCS, PSWQ, DERS, and ECR-M16. Results showed that morbid obesity and insomnia are largely unrelated health risks, with little overlap in associated factors and divided mainly by SES. This indicates that condition-oriented interventions rather than transdiagnostic interventions are likely to be more effective and that different population groups (high vs low SES) may benefit from different approaches.
KeywordsMorbid obesity Insomnia Relationship Associated factors
The authors earnestly thank the colleagues of the Department of Medical Psychology, as well as Z. Boonstra, psychology student who helped with collecting the data and SPSS and S.F. Fischer, head of the Department of Medical Psychology in Slotervaart Medical Center, Amsterdam, the Netherlands.
Compliance with Ethical Standards
Conflict of interest
Mariëtte van Buuren and Chris Hinnen declare that they do not have a conflict of interest.
All procedures for this cross-sectional comparative study were reviewed and approved by the accredited Ethics Committee (MREC) Slotervaart Hospital and Reade, based on the Dutch Medical Research Involving Human Subjects Act.
Informed consent was obtained from all patients for being included in the study.
- Aarts, F., Hinnen, C., Gerdes, V. E. A., Acherman, Y., & Brandjes, D. P. M. (2014). Coping style as a mediator between attachment and mental and physical health in patients suffering from morbid obesity. The International Journal of Psychiatry in Medicine, 47, 75–91. https://doi.org/10.2190/PM.47.1.g.CrossRefPubMedGoogle Scholar
- Anujuo, K., Stronks, K., Snijder, M. B., Jean-Louis, G., Rutters, F., van den Born, B. J., & Agyemang, C. (2015). Relationship between short sleep duration and cardiovascular risk factors in a multi-ethnic cohort—The helius study. Sleep Medicine, 16, 1482–1488. https://doi.org/10.1016/j.sleep.2015.08.014.CrossRefPubMedGoogle Scholar
- Bagley, E. J., Fuller-Rowell, T. E., Saini, E. K., Philbrook, L. E., & El-Sheikh, M. (2018). Neighborhood economic deprivation and social fragmentation: Associations with children’s sleep. Behavioral Sleep Medicine, 16, 542–552. https://doi.org/10.1080/15402002.2016.1253011.CrossRefPubMedGoogle Scholar
- Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult attachment: An integrative overview.Google Scholar
- Fernández-Mendoza, J., Vela-Bueno, A., Vgontzas, A. N., Ramos-Platón, M. J., Olavarrieta-Bernardino, S., Bixler, E. O., & De la Cruz-Troca, J. J. (2010). Cognitive-emotional hyperarousal as a premorbid characteristic of individuals vulnerable to insomnia. Psychosomatic Medicine, 72, 397–403. https://doi.org/10.1097/PSY.0b013e3181d75319.CrossRefPubMedGoogle Scholar
- Lo, C., Walsh, A., Mikulincer, M., Gagliese, L., Zimmermann, C., & Rodin, G. (2009). Measuring attachment security in patients with advanced cancer: psychometric properties of a modified and brief experiences in close relationships scale. Psycho-Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 18(5), 490–499.CrossRefGoogle Scholar
- Maras, D., Obeid, N., Flament, M., Buchholz, A., Henderson, K. A., Gick, M., & Goldfield, G. S. (2016). Attachment style and obesity: Disordered eating behaviors as a mediator in a community sample of Canadian Youth. Journal of Developmental and Behavioral Pediatrics, 37, 762–770. https://doi.org/10.1097/DBP.0000000000000361.CrossRefPubMedGoogle Scholar
- Stapper, M. (2013). Terugval na afronding van Cognitieve Gedrags Therapie Insomnie (2010).Google Scholar
- Taube-Schiff, M., Van Exan, J., Tanaka, R., Wnuk, S., Hawa, R., & Sockalingam, S. (2015). Attachment style and emotional eating in bariatric surgery candidates: The mediating role of difficulties in emotion regulation. Eating Behaviors, 18, 36–40. https://doi.org/10.1016/j.eatbeh.2015.03.011.CrossRefPubMedGoogle Scholar
- Timpano, K. R., Carbonella, J. Y., Bernert, R. A., & Schmidt, N. B. (2014). Obsessive compulsive symptoms and sleep dif fi culties: Exploring the unique relationship between insomnia and obsessions. Journal of Psychiatric Research, 57, 101–107. https://doi.org/10.1016/j.jpsychires.2014.06.021.CrossRefPubMedGoogle Scholar
- Troxel, W. M., DeSantis, A., Richardson, A. S., Beckman, R., Ghosh-Dastidar, B., Nugroho, A., … & Dubowitz, T. (2018). Neighborhood disadvantage is associated with actigraphy-assessed sleep continuity and short sleep duration. Sleep, 41, https://doi.org/10.1093/sleep/zsy140
- National Institute of Health. (2016). Classification of overweight and obesity by BMI, waist circumference, and associated disease risks. Retrieved 17 December, 2016, from https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmi_dis.htm.
- The Netherlands Institute for Social Research is a government agency which conducts research into the social aspects of all areas of government policy. The status scores were downloaded on 9-2-2018 and the most up to date scores were used. https://www.scp.nl/dsresource?objectid=31e1c5b0-f64d-41ff-9885-2fd62e171378&type=org&&.
- Volksgezondheid.info is a gateway to information about public health and health care. Percentage of adults with obesity in 2018 by gender and age. https://www.volksgezondheidenzorg.info/onderwerp/overgewicht/cijfers-context/huidige-situatie#!node-overgewicht-volwassenen.