The Utility of the Beck Depression Inventory in a Bariatric Surgery Population

Krukowski, Rebecca A.; Friedman, Kelli E.; Applegate, Katherine L.

doi:10.1007/s11695-008-9717-2

Cited by 43 publications

(33 citation statements)

References 27 publications

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“…The sociodemographic results of our study are in line with the findings in earlier trials, that is, similar percentage of women (3/4 of the study population), median BMI and age [37,40,47,48]. Krukowski et al [37] found a similar BMI (49 kg/m 2 ) in predominantly female patients (84%) with a mean age of 43 years, but higher rates of minimal and mild depression in their investigation on the utility of Beck's Depression Inventory in bariatric patients. 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%).…”

Section: Discussionsupporting

confidence: 91%

“…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%

“…Depressive symptoms among bariatric surgery candidates are higher when they are assured that their diagnostic assessment is independent from the suitability rating before bariatric surgery, suggesting that rates of depression are much higher than reported in the respective literature [26,[29][30][31]. As the preoperative diagnosis of depressive or anxiety disorders as well as binge eating disorder is associated with lower weight loss after surgery [32][33][34][35][36], concomitant screening for depressive and other psychiatric disorders during assessment process and follow-up phases has been fostered by additional use of self-reported symptom screening questionnaires, for example, Beck Depression Inventory [23,[37][38][39]. The PHQ (Patient Health Questionnaire) has been investigated in bariatric surgery candidates in only one study so far.…”

Section: Introductionmentioning

confidence: 99%

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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: 91%

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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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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“…The BDI is a 21-item scale and has been used already in bariatric surgery patient populations [20]. Individual items are rated from 0 to 3 to indicate severity and are summed to create a total score.…”

Section: Psychosocial Measuresmentioning

confidence: 99%

The Association between Attachment Avoidance and Quality of Life in Bariatric Surgery Candidates

Sockalingam¹,

Wnuk²,

Strimas³

et al. 2011

Obes Facts

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Objective: Patients presenting for bariatric surgery have high rates of psychiatric co-morbidity and reduced health-related quality of life (HRQOL) compared to the general population. In this study, we aimed to determine the relationship between insecure attachment styles and HRQOL in bariatric surgery candidates. Methods: We assessed depression, social support, attachment avoidance, attachment anxiety, HRQOL (SF-36), and eating disorder psychopathology in 70 consecutive patients assessed for bariatric surgery. SF-36 physical (PCS) and mental component scores (MCS) were compared to a normative sample and analyzed using t-tests. Predictors of HRQOL were analyzed using multiple linear regression analyses. Results: SF-36 PCS and MCS in this pre-bariatric surgery sample were significantly lower than in an age-matched reference population. Depression, attachment anxiety, attachment avoidance and eating disorder psychopathology scores were negatively correlated with SF-36 MCS. Depression was associated with lower SF-36 PCS (p = 0.015). SF-36 MCS were significantly predicted by BDI scores (p < 0.001) and attachment avoidance (p = 0.024) in our multiple regression model. Conclusion: This is the first study to demonstrate an association between attachment avoidance and poor mental HRQOL in bariatric surgery candidates. Future studies are needed to examine the effect of attachment avoidance on post-bariatric surgery outcomes.

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“…In addition, Krukowski et al [28] found that the BDI effectively predicted which obese individuals had depression. Furthermore, Castellini et al [29] demonstrated that the BDI had high prevalence rates when symptoms of depression and anxiety were present.…”

Section: Strength and Weakness In Relation To Other Studies And A Dismentioning

confidence: 99%

The Relationship between Depression and Severe Obesity: A Case-Control Study

Koski¹,

Naukkarinen²

2017

OJPsych

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Objectives: This study investigated the relationship between depression and obesity in severely obese retired individuals using the case-control method. Methods: The subject group consisted of 112 individuals receiving a permanent disability pension primarily due to obesity. The prevalence of depression was measured with a personal psychiatric interview and the Beck Depression Inventory (21). Male and female controls were selected separately, with five controls for male subjects and three controls for female subjects. The controls were matched with the subjects according to place of residence, age, time that pension was granted, and occupation. The statistical analyses included χ 2 tests, means, t-tests for paired variables, a conditional logistic linear model, correlation coefficients and the percent distributions. Results: Depression was diagnosed more often in the subject group than in the control group according to the psychiatric interview. Based on the conditional logistic linear model, individuals with severe obesity had a higher risk of depression than those in the control group. The most common disturbance was chronic depression in both groups. Additionally, there were significant findings regarding the outcome of depression for every classification in the psychiatric interview. According to the Beck Depression Inventory, depression was more common in subjects than in controls. However, slight depression was most common in the study group. Seven percent of the subjects had masked depression. The questions on the Beck Depression Inventory that measure irritability, indecisiveness, body image and ability to work were nearly significant. Regarding weight changes, the Beck Depression Inventory questions on both weight loss (p = 0.014) and weight gain (p = 0.017) were statistically significant. In the study group, individuals with BMI over 40 kg/m 2 gained the most weight; however, weight loss was very low overall. Regarding changes in appetite, the majority of the study group responded that they had a poorer appetite than previously. Conclusion:

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The Utility of the Beck Depression Inventory in a Bariatric Surgery Population

Cited by 43 publications

References 27 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

The Association between Attachment Avoidance and Quality of Life in Bariatric Surgery Candidates

The Relationship between Depression and Severe Obesity: A Case-Control Study

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