Zusammenfassung
Dieses Kapitel befasst sich mit dem Zusammenhang von Adipositas und der mehrdimensionalen Persönlichkeitseigenschaft Impulsivität. Impulsives Essverhalten ist durch eine erhöhte Belohnungssensitivität gegenüber Nahrung, eine reduzierte Fähigkeit, die Nahrungsaufnahme zu unterdrücken oder zu stoppen sowie vermehrtes Essen in emotionalen Zuständen gekennzeichnet. Solch impulsives Essverhalten zeigt sich in bestimmten adipösen Subpopulationen wie beispielsweise bei Personen mit einer Binge-Eating-Störung. Insgesamt zeigt sich nur ein schwacher positiver Zusammenhang zwischen der Höhe des Body Mass Index und Impulsivität, aber Impulsivität scheint Einfluss auf den Erfolg von Therapiemaßnahmen zur Gewichtsreduktion zu nehmen. Speziell bei adipösen Patienten, die sich einer bariatrischen Operation unterziehen, ist die Studienlage zu Impulsivität bislang unzureichend. Bei bariatrischen Eingriffen sollte jedoch auf die Entwicklung der Impulsivität und mögliche Verlagerungen geachtet werden.
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Giel, K., Schag, K. (2019). Impulsivität im Adipositasspektrum. In: de Zwaan, M., Herpertz, S., Zipfel, S. (eds) Psychosoziale Aspekte der Adipositas-Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57364-8_6
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