Pre- and Postoperative Psychological Characteristics in Morbidly Obese Patients

Papageorgiou, George; Papakonstantinou, Alexandros; Mamplekou, Efterpi; Terzis, Ioannis; Melissas, John

doi:10.1381/096089202762252307

Cited by 49 publications

(22 citation statements)

References 15 publications

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“…Cassin et al [40] found similar BMI (48 kg/m 2 ) and a mean age (44 years), as well as a high proportion of female gender (77%). The elevated proportion of female gender, associated with higher depression severity, has been shown in various studies [37,40,49,50] and could be confirmed in our analysis. However, BMI was not correlated to depression severity or somatization in our study.…”

Section: Discussionsupporting

confidence: 90%

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Screening for Psychiatric Disorders in Bariatric Surgery Candidates with the German Version of the Patient Health Questionnaire

Palm

Thasler

Rittler

et al. 2014

Advances in Psychiatry

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Objective. Obesity has been linked to psychiatric disorders in several studies. Prevalence and severity of psychiatric disorders are high in patients undergoing bariatric surgery. Thus, psychiatric assessment of bariatric surgery candidates has become a standard procedure. However, socially desirable responding leads to biased results in self-reported questionnaires. Here, bariatric surgery candidates were screened with the Patient Health Questionnaire (PHQ-D) additionally to the psychiatric examination. Method. 355 bariatric surgery candidates filled in the PHQ-D before the psychiatric examination as a part of the surgery assessment procedure. PHQ-D results were compared to psychiatric diagnoses and body mass index (BMI). Results. Gender ratio, mean BMI, and age were comparable to earlier studies. Depressive and somatization symptoms did not correlate to BMI. However, females showed higher prevalence of psychiatric disorders with elevated syndrome severity in depressive and somatization disorders, as well as more frequent antidepressant intake. Eating disorders and addiction disorders were rarely reported. Conclusion. The findings suggest a socially desirable responding when filling in the PHQ-D before bariatric surgery. The use of the PHQ-D in this patient sample could be augmented by psychometric tests with internal correction and validation scales. Furthermore, psychiatric examination should be separated from the surgery evaluation process.

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Section: Discussionsupporting

confidence: 90%

“…Additionally, socioeconomic and culture-bound heterogeneity of the sample could have influenced subjective rating of obesity and psychological burden [58]. Another possible explanation could be an adaptation process of obese patients, leading to neutral subjective rating of objectively severe restraints and impairments [49].…”

Section: Limitationsmentioning

confidence: 99%

Screening for Psychiatric Disorders in Bariatric Surgery Candidates with the German Version of the Patient Health Questionnaire

Palm

Thasler

Rittler

et al. 2014

Advances in Psychiatry

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“…Depression and dysphoria appear to be consequences of being obese [17] . In the study of Papageorgiou et al [18] , a preponderance of female compared to male obese patients was found regarding depression, interpersonal sensitivity, paranoid ideation, somatization, obsessive-compulsive behavior, anxiety and hostility. Concerning family relationships morbidly obese patients more frequently had a history of parental loss, parental alcoholism, marital family dysfunction in their own lives and dissatisfying sexual relationships [19] .…”

Section: Psychopathologymentioning

confidence: 92%

Psychological Profile of Obese Patients

Lykouras

2008

Dig Dis

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Nowadays obesity is recognized to be one of the greatest public health problems worldwide. There is no indication that the huge increase in obesity seen the last decades is declining. The examination of psychological aspects of persons with morbid obesity is essential. Identification of the psychological factors associated with weight loss expands our knowledge about behaviors which are crucial in order to avoid failures in treatment. Most information on this is obtained preoperatively. Although there is no single personality type characteristic of the morbidly obese, they differ from the general population as their self-esteem and impulse control is lower. They have passive dependent and passive aggressive personality traits, as well as a trend for somatization and problem denial. Their thinking is usually dichotomous and catastrophic. Obese patients also show low cooperativeness and fail to see the self as autonomous and integrated. In the morbidly obese before undergoing surgical treatment, unusual prevalence of psychopathology, namely depression and anxiety disorders, is observed. They are subject to prejudice and discrimination and should be treated with concern to help alleviate their feelings of rejection and guilt. Information on the psychological profile of obese persons is limited. Future studies are warranted, since there is a pressured need for these people to built cognitive skills and control their body weight.

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“…Obesity discrimination, social isolation, and stigma experiences [7,8] start in the earliest social contacts [9], and this prejudice may contribute to depression, eating disorders, body image disturbance, and other suffering [2,10,11].…”

Section: Introductionmentioning

confidence: 99%

The Psychology of Bariatric Patient: What Replaces Obesity? A Qualitative Research with Brazilian Women

et al. 2009

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Pre- and Postoperative Psychological Characteristics in Morbidly Obese Patients

Abstract: Pre-existing psychopathology was more obvious among females, and improved significantly following successful weight loss 1 year postoperatively.

Cited by 49 publications

References 15 publications

Screening for Psychiatric Disorders in Bariatric Surgery Candidates with the German Version of the Patient Health Questionnaire

Screening for Psychiatric Disorders in Bariatric Surgery Candidates with the German Version of the Patient Health Questionnaire

Psychological Profile of Obese Patients

The Psychology of Bariatric Patient: What Replaces Obesity? A Qualitative Research with Brazilian Women

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