Psychopathology in a Sample of Candidate Patients for Bariatric Surgery.
Summary of "Psychopathology in a Sample of Candidate Patients for Bariatric Surgery."
Abstract Background. The prevalence of morbid obesity and the popularity of bariatric surgery have grown in recent years. Many surgical protocols require that the candidates undergo a pre-operative psychological evaluation. We describe the psychopathological characteristics of both clinical syndromes (Axis I of the DSM-IV), as well as personality disorders (Axis II of the DSM-IV), in a sample of morbidly obese patients accepted as bariatric surgery candidates and who participate in a specific surgery preparatory program, and we analyze its relationship with personality clusters. Methods. The Millon Clinical Multiaxial Inventory-III (MCMI-III) scores from 50 patients attending for bariatric surgery were cluster analyzed in hopes of identifying clinical subgroups corresponding to typical personality profiles. Results. With regard to personality disorders, the highest prevalence was found in the histrionic disorder, followed by obsessive-compulsive disorder. Cluster analysis revealed three personality profiles, which were validated by examining demographics, morphological variables, scores on anxiety and depression psychometric scales, and MCMI-III clinical scales scores. Groups were different in virtually all the MCMI-III clinical scores, as well as in depression and trait anxiety, with Cluster 3 presenting the worst scores. Conclusions. These findings suggest that morbidly obese patients are heterogeneous in their psychological profiles, highlighting Cluster C disorders.
Affiliation
Journal Details
This article was published in the following journal.
Name: International journal of psychiatry in clinical practice
ISSN: 1471-1788
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22746988
- DOI: http://dx.doi.org/10.3109/13651501.2012.704383
Medical and Biotech [MESH] Definitions
Bariatric Surgery
Surgical procedures aimed at producing major WEIGHT REDUCTION in patients with MORBID OBESITY.
Bariatrics
Activities related to WEIGHT REDUCTION in patients with OBESITY. Treatment methods include DIET; EXERCISE; BEHAVIOR MODIFICATION; medications; and BARIATRIC SURGERY.
Bariatric Medicine
The discipline concerned with WEIGHT REDUCTION in patients with OBESITY.
Sample Size
The number of units (persons, animals, patients, specified circumstances, etc.) in a population to be studied. The sample size should be big enough to have a high likelihood of detecting a true difference between two groups. (From Wassertheil-Smoller, Biostatistics and Epidemiology, 1990, p95)
Surgical Procedures, Elective
Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.
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