Bariatric surgery exclusion: Psychiatric causes

Abstract

IntroductionThe psychopathological causes that advise against a bariatric surgical procedure include any state that puts at risk the modification of habits and beliefs regarding eating behavior, wich condition weight loss and health improvement.ObjectivesTo Study the psychiatric profile of patients rejected for bariatric surgery at the Complejo Hospitalario Asistencial de León (León, Spain).MethodsRetrospective observational study. All patients for whom bariatric surgery procedure has been contraindicated for psychopathological reasons are included. 145 patients were evaluated in the context of the protocol for bariatric surgery. The following diagnostic scales were used as support: Salamanca Questionnaire, Plutchik Impulsivity Scale, Attitudes towards change in patients with eating disorders (ACTA), Bulimia Investigatory Test Edinburgh e, and European Quality of Life-5 Dimensions.Results41 Patients were rejected for psychiatric reasons (28.28%). The most frequent diagnoses are impulse control disorder (39%), followed by eating disorder (27%). Other diagnoses found are: depressive disorder (10%), adjustment disorder (5%), personality disorders, intellectual disability and generalized anxiety disorder (3%) 78% of them are women.ConclusionsUncontrolled psychiatric pathology is a contraindication to bariatric surgery. Impulse control disorder and eating disorder are related to overweight and obesity, so a diagnosis and treatment are necessary prior planning surgical procedure. Psychopathological variables determine the success of bariatric surgery procedures and it is mandatory to consider them in the process.DisclosureNo significant relationships.

Evidencias de validez y fiabilidad de una Escala de Impulsividad en adolescentes del Ecuador

“…Si bien es cierto que tradicionalmente se representa como un modelo de cuatro factores, no queda claro que estos factores cuenten o no con relación interfactorial, es decir, que el modelo sea oblicuo o en su defecto ortogonal (sin relación interfactorial); y dado que generalmente a la medida se la califica sumando todos los valores de las respuestas de los ítems para obtener una valoración global e interpretación (e.g. Martín et al, 2021;Moyano et al, 2020;Romero-Martínez et al, 2021), no hay evidencia psicométrica de un factor global o único para la ejecución de tal procedimiento.…”