DEFINITION OF PSYCHOLOGIC DIAGNOSIS IN EXTREME OBESITY

As a result of the increased prevalence of psychiatric and psychosocial disorders in extremely obese kids and adolescents, an extended psychologic or psychiatric examination paying attention out to these following points, looks out to be suggestive for most cases :

• eating disorders ( icd-10 : f50 )
• intrapsychic or intrafamiliar conflicts
• excessive demand at school/work
• affective disorders ( icd-10 : f30–f39 )
• anxiety disorders, particularly social phobia ( icd : f41–f41. 9, f40. 1 )
• traumatizing experiences, e. g. sexual abuse
• posttraumatic belastungsstörung ( icd-10 : f43. 1 )
• autoaggression
• substance abuse ( icd 10 : f1 )
• störung des sozialverhaltens ( icd 10 : f91 )
• delinquency
• low self esteem
• high-risk sexual behaviour
• enuresis nocturna ( icd 10 : f98 )