The traditional physical and cosmetic-centered model without paying serious attention on the underlying psychosocial issues of care are ill suited to successful treatment outcome of obesity. The objective of this article is to report a case of a retired Malay army sergeant who presented with night eating syndrome (NES) with morbid obesity and dysthymia, and to discuss the psychobiological aspect of the case including to evaluate the effectiveness of the combination treatment of pharmacotherapy and cognitive behavior therapy alongwith diet counseling. The diagnosis was made by using the Structured Clinical Interview Diagnosis (SCID) for DSM-III-R diagnosis and the severity of depression was assessed by Hamilton Depressive Rating Scale. The patient’s body mass index was 45, He was found to have dysthymia and the Hamilton Depressive Rating Scale score was 13. We found that the combination of pharmacotherapy, cognitive behavior therapy and nutritional education with the help of the physician proved to be effective in treating morbid obesity with NES and Dysthymia.
Night Eating Syndrome with Morbid Obesity and Dysthymia: A Case Report - A Psychobiological Approach
Abstrak
Tradisi memusatkan faktor kosmetik dan fisikal sebagai model tanpa memberi perhatian pada isu psikososial adalah rintangan untuk mencapai kejayaan dalam penjagaan rawatan obesiti. Objektif artikel ini adalah untuk melapurkan satu kes mengenai seorang pesara askar berpangkat sarjen yang menunjukkan sindrom makan malam(SMM) dan obesiti morbid serta distimia, dan juga untuk membincangkan aspek psikobiologi kes disamping untuk menilai keberkesanan kombinasi rawatan farmakoterapi, dan terapi kognitif tingkahlaku serta kaunseling pemakanan. Diagnosis klinikal di buat menggunakan Temuduga Klinikal Berjadual (TKB) untuk diagnosis DSM-III-R dan tahap kemurungan dinilai dengan Skala Penarafan Kemurungan Hamilton. Indeks massa badan pesakit adalah 45. Beliau didapati mengalami Distimia dan Skor Skala Penarafan Kemurungan Hamilton adalah 13. Kami mendapati kombinasi farmakoterapi, terapi kognitif tingkahlaku dan pendidikan pemakanan serta bantuan pakar perubatan telah terbukti berkesan dalam rawatan Sindron Makan Malam (SMM), Obesiti Morbid dan Distimia.
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