The predictive value of psychological assessment of candidates for gastric bypass: A medical chart review

Détails

ID Serval
serval:BIB_442237ED2D16
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The predictive value of psychological assessment of candidates for gastric bypass: A medical chart review
Périodique
European Journal of Psychiatry
Auteur(s)
Aubert Nathalie, Lyon-Pages Isabelle, Carrard Isabelle, Suter Michel, Stiefel Friedrich, Giusti Vittorio
ISSN
0213-6163
Statut éditorial
Publié
Date de publication
2010
Peer-reviewed
Oui
Volume
24
Numéro
2
Pages
114-123
Langue
anglais
Résumé
Background and Objectives: Guidelines for bariatric surgery demand a psychological evaluation of applicants. The aim of this study was to evaluate if the presence of "psychological risk factors" predicts postoperative weight loss after gastric bypass.
Methods: Medical records of obese women who underwent bariatric surgery between 2000 and 2004 were reviewed. Psychological assessment consisted of a one-hour semi-structured interview, summarized in a written report. Anthropometric assessment at baseline and 6,12,18 and 24 months after surgery included body weight, height and body mass index.
Results: The mean BMI of included patients (N = 92) was 46.2 + 6,3 kg/m(2) (range 38.4-69.7). Based on the psychological assessment, 27% (N = 25) of the patients were classified as having "psychological risk factors" and 28% (N = 26) were diagnosed with a psychiatric diagnosis, most often major depression. Two years after gastric bypass, 16% of patients with "psychological risk factors" achieved an excellent result (%EWL > 75) versus 39% of those without (p < 0.05). About 1 out of 4 patients was in postoperative psychiatric treatment, but only half of them were identified as having "psychological risk factors" at baseline. Weight loss of patients initiating a psychiatric treatment only after surgery was less than of patients who continued psychiatric treatment already initiated before surgery (55.7 + 14.8 versus 66.5 + 14.2 %EWL).
Conclusions: A single semi-structured psychological interview may identify patients who are at risk for diminished postoperative weight loss; however, psychological assessment did not identify those patients who were in need of a psychiatric postoperative treatment.
Mots-clé
Obesity, Bariatric surgery, Psychosocial assessment, Psychological profile, Predictor factors, Psychiatric disorders, BARIATRIC SURGERY CANDIDATES, MORBIDLY OBESE-PATIENTS, WEIGHT-LOSS, PSYCHOSOCIAL EVALUATION, CHILDHOOD MALTREATMENT, BOSTON INTERVIEW, METAANALYSIS, QUESTIONNAIRE, PREVALENCE, GUIDELINES
Web of science
Création de la notice
19/07/2010 14:54
Dernière modification de la notice
20/08/2019 13:48
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