Perfil sociodemográfico, epidemiológico e prevalência de transtornos mentais em pacientes do Ambulatório Municipal de Obesidade de Francisco Beltrão - Paraná: um com intervenção em terapia cognitivo-comportamental

Abstract

Obesity is a public health problem with multifactorial complexity, involving both physical and psychological aspects. Mental disorders such as anxiety and depression have been frequently associated with obesity, making the understanding of how psychotherapeutic interventions can assist in the treatment of these patients a relevant clinical and research issue. This study aimed to outline the sociodemographic and epidemiological profile and to investigate the prevalence of mental disorders in patients undergoing treatment at the Municipal Obesity Outpatient Clinic of Francisco Beltrão – Paraná, proposing an intervention and evaluation of anxiety and depressive symptoms. This is a cross sectional study with both quantitative and qualitative approaches, in which electronic medical records were used for data collection. Simultaneously, a group intervention based on cognitive-behavioral therapy was carried out with patients from the obesity outpatient clinic. The main characteristics of the participants were: women, aged between 25 and 44 years, with completed high school education, a family income between two and four minimum wages, living with a partner, denying tobacco or alcohol use, considering themselves physically active, and reporting non-restorative sleep. The sample revealed a prevalence of grade III obesity, the presence of emotional disorders, and the use of psychiatric medication. Regarding the intervention group, the results of the BDI-II and BAI tests showed a decrease in self-reported symptoms in both instruments. Even among those who had a slight increase in scores, the levels of anxiety and depressive symptoms remained stable.