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Psychological assessment of candidates for bariatric surgery

Published online by Cambridge University Press:  13 June 2014

Mark Davies
Mark Davies*
Affiliation:
Department of Clinical Psychology, Belfast City Hospital Trust, 95 Lisburn Road, Belfast BT9 7AE, Northern Ireland
*
Correspondence Email: [email protected]
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Abstract

Objectives: National Institute of Clinical Excellence guidelines indicate that pre-surgical assessment of patients wishing to undergo bariatric surgery should include consideration of psychological factors. This paper describes the psychological characteristics of a cohort of 59 patients.

Method: Patients were interviewed and completed the following psychometric assessments: the Hospital Anxiety and Depression Scale, the Dieting Belief Scale, the Binge Eating Scale, the Emotional Eating Scale, the Generalised Self Efficacy Scale, and the Social Support Questionnaire.

Results: High levels of psychological distress and binge eating were reported. Men more commonly reported a history of alcohol misuse. There was evidence to suggest that psychological distress predated obesity in the majority of cases.

Conclusion: Compulsive eating leading to obesity appears to be both a consequence and a cause of psychological distress. Replacing compulsive eating represents a major post-surgical challenge in the majority of cases. Psychological assessment and follow-up should be offered to each patient.

Type
Brief Report
Information
Irish Journal of Psychological Medicine , Volume 24 , Issue 3 , September 2007 , pp. 99 - 102
Copyright
Copyright © Cambridge University Press 2007

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References

1.National Institute of Clinical Excellence. Technology Appraisal Guidance No 46. Guidance on use of surgery to aid weight reduction for people with morbid obesity. NICE, 2002.Google Scholar
2.Herpetz, S, Kielmann, R, Wolf, AM, Hebebrand, J, Senf, W.Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obesity Research 2002; 12: 1554–1569.Google Scholar
3.Hsu, LK, Sullivan, SP, Benotti, PN. Eating disturbance and outcome of gastric bypass surgery: A pilot study. Int J Eat Dis 2002; 21: 385–390.3.0.CO;2-Y>CrossRefGoogle Scholar
4.Powers, PS, Perez, A, Boyd, F, Rosemurgy, A.Eating pathology before and after bariatric surgery: A prospective study. Int J Eat Dis 1997; 25: 293–300.Google Scholar
5.Bocchieri, LE, Meana, M, Fisher, BL. A review of psychosocial outcomes of surgery for morbid obesity. J Psychosomatic Res 2005; 52: 155–165.Google Scholar
6.Gonder-Frederick, LA, Cox, DJ, Ritterband, LM. Diabetes and behavioural medicine: the second decade. J Consult Clin Psychology 2002; 70: 611–625CrossRefGoogle ScholarPubMed
7.Snaith, RP, Zigmond, AS. The Hospital Anxiety and Depression Scale. Acta Psych Scand 1983; 67: 361–70.Google Scholar
8.Stotland, S, Zuroff, DC. A measure of new locus of control: The Dieting Belief Scale. J Personality Assess 1990; 54: 191–203.Google Scholar
9.Gormally, J, Black, S, Daston, S, Rardin, D.The assessment of binge eating severity amongst obese persons. Addictive Behav 1982; 5: 219–226.Google Scholar
10.Arnow, B, Kenardy, J, Agras, WS. The Emotional Eating Scale: the development of a measure to assess coping with negative emotional affect by eating. Int J Eat Dis 2005; 18: 79–90.3.0.CO;2-V>CrossRefGoogle Scholar
11.Schwarzer, R, Jerusalem, M.Generalised Self-Efficacy scale. In: Weinman, J, Wright, S, Johnston, M (Eds). Measures in health psychology: A user's portfolio. Windsor, UK: NFER-NELSON1, 1995Google Scholar
12.Sarason, IG, Levine, HM, Basham, RB, Sarason, BR. Assessing social support: the Social Support Questionnaire. J Personality Soc Psychol 1983; 44: 127–139.Google Scholar
13.Schwarzer, R.Measurement of perceived self-efficacy: psychometric scales for cross-cultural research. Berlin: Freie Universitat, 1993.Google Scholar
14.Dymek, MP, le Grange, D, Neven, K, Alverdy, J.Quality of life after gastric bypass surgery: a cross sectional study. Obesity Res 2002; 10: 1135–1142.CrossRefGoogle ScholarPubMed
15.Santry, HP, Gillen, DL, Lauderdale, DS. Trends in bariatric surgical procedures. JAMA 2005; 294: 1909–1917.CrossRefGoogle ScholarPubMed
16.Tuthill, A, Slawik, H, O'Rhailly, S, Finer, N.Psychiatric co-morbidities in patients attending specialist obesity services in the UK. OJM 2006; 99: 317–325.Google ScholarPubMed
17.Carroll, BT, Kathol, RG, Noyes, R, Wald, TG, Clamon, GH. Screening for depression and anxiety in cancer patients using the Hospital Anxiety and Depression Scale. Gen Hosp Psychiatry 1993; 15: 69–74.Google Scholar
18.Kent, A, Waller, G, Dagnan, D.A greater role of emotional abuse than physical or sexual abuse in predicting disordered eating attitudes: the role of mediating variables. Int J Eat Dis 1999; 25: 159–167.3.0.CO;2-F>CrossRefGoogle ScholarPubMed