Izlaganje sa skupa
PSYCHIATRIC COMORBIDITY IN BARIATRIC SURGERY: A RETROSPECTIVE STUDY IN A GENERAL HOSPITAL
Cecilia Giulietti
; Department of Psychiatry, University of Perugia, Perugia, Italy
Giulia Menculini
; Department of Psychiatry, University of Perugia, Perugia, Italy
Francesca Brufani
; Department of Psychiatry, University of Perugia, Perugia, Italy
Marta Barbi
; School of Medicine, University of Perugia, Perugia, Italy
Eleonora Valentini
; Department of Psychiatry, University of Perugia, Perugia, Italy
Giorgio Pomili
; Department of Psychiatry, University of Perugia, Perugia, Italy
Valentina Pierotti
; Department of Psychiatry, University of Perugia, Perugia, Italy
Maria Teresa Paganelli
; Section of General Surgery, General Hospital of Perugia, Perugia, Italy
Patrizia Moretti
; Department of Psychiatry, University of Perugia, Perugia, Italy
Alfonso Tortorella
; Department of Psychiatry, University of Perugia, Perugia, Italy
Sažetak
Background: Candidates for bariatric surgery undergo a multidisciplinary evaluation in the pre-operative phase, including a
psychiatric visit aimed at the screening for psychiatric comorbidities, including feeding and eating disorders (FEDs), which are
shortcomings to the intervention or predictors of worse prognosis. The presence of FEDs, such as Binge Eating Disorder (BED) and
Bulimia Nervosa (BN), is associated with higher rates of other psychiatric disorders. Furthermore, there is evidence of the
association between obesity and Depressive Disorders, as well as B and C Cluster Personality Disorders. The aim of this study was
to evaluate the presence of psychiatric comorbidities among a population of candidates for bariatric surgery.
Subjects and methods: Subjects were recruited at the outpatient service of the Section of Psychiatry, Clinical Psychology and
Rehabilitation of the General Hospital/University of Perugia after being referred by surgeons. Psychiatric comorbidities were
investigated by means of the Structured Clinical Interview for DSM-5 Disorders. Subjects underwent specific assessment with scales
for the evaluation of FEDs, namely Binge Eating Scale, Obesity Questionnaire, Bulimia Test-Revised and Body Shape Questionnaire.
Results: The sample consisted of 101 subjects: 43 (42.6%) were diagnosed with at least one psychiatric disorder, including
FEDs. In particular, 30 subjects (29.7%) presented at least one FED, among which the most frequent were FED not otherwise
specified (24.1%) and BED (6.8%). Moreover, 26 subjects (25.7%) were diagnosed with at least one psychiatric disorder other than
FEDs, such as Personality Disorders (17.1%), with a higher prevalence of B and C Cluster Disorders. Depressive Disorders were
detected in 5% of the sample.
Conclusions: Subjects undergoing bariatric surgery often display psychiatric comorbidities, more frequently one or more FEDs.
The systematic screening of these conditions should be implemented in the clinical practice in order to provide early intervention
strategies and adequate monitoring.
Ključne riječi
bariatric surgery; psychiatric disorders; feeding and eating disorders; comorbidity; personality disorders
Hrčak ID:
274031
URI
Datum izdavanja:
16.9.2021.
Posjeta: 234 *