Psychiatric Causes of Bariatric Surgery Exclusion: A Descriptive Study
Introduction The psychopathological causes that advise against a bariatric surgical procedure include any state that puts at risk the modification of habits and beliefs regarding eating behavior, wich condition weight loss and health improvement. Objectives To Study the psychiatric profile of pati...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822015012/type/journal_article |
| _version_ | 1797616156302901248 |
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| author | C. Vilella Martín P. García Vázquez Y. Barrera García P. Fernández Perea A. Serrano García C. Franch Pato R. Gómez Martínez |
| author_facet | C. Vilella Martín P. García Vázquez Y. Barrera García P. Fernández Perea A. Serrano García C. Franch Pato R. Gómez Martínez |
| author_sort | C. Vilella Martín |
| collection | DOAJ |
| description |
Introduction
The psychopathological causes that advise against a bariatric surgical procedure include any state that puts at risk the modification of habits and beliefs regarding eating behavior, wich condition weight loss and health improvement.
Objectives
To Study the psychiatric profile of patients rejected for bariatric surgery at the Complejo Hospitalario Asistencial de León (León, Spain).
Methods
Retrospective observational study. All patients for whom bariatric surgery procedure has been contraindicated for psychopathological reasons are included. 145 patients were evaluated in the context of the protocol for bariatric surgery. The following diagnostic scales were used as support: Salamanca Questionnaire, Plutchik Impulsivity Scale, Attitudes towards change in patients with eating disorders (ACTA), Bulimia Investigatory Test Edinburgh e, and European Quality of Life-5 Dimensions.
Results
41 Patients were rejected for psychiatric reasons (28.28%). The most frequent diagnoses are impulse control disorder (39%), followed by eating disorder (27%). Other diagnoses found are: depressive disorder (10%), adjustment disorder (5%), personality disorders, intellectual disability and generalized anxiety disorder (3%) 78% of them are women.
Conclusions
Uncontrolled psychiatric pathology is a contraindication to bariatric surgery. Impulse control disorder and eating disorder are related to overweight and obesity, so a diagnosis and treatment are necessary prior planning surgical procedure. Psychopathological variables determine the success of bariatric surgery procedures and it is mandatory to consider them in the process.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:37:23Z |
| format | Article |
| id | doaj.art-c0d9877316104e10a8141b14b9419298 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:37:23Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-c0d9877316104e10a8141b14b94192982023-11-17T05:09:19ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S586S58610.1192/j.eurpsy.2022.1501Psychiatric Causes of Bariatric Surgery Exclusion: A Descriptive StudyC. Vilella Martín0P. García Vázquez1Y. Barrera García2P. Fernández Perea3A. Serrano García4C. Franch Pato5R. Gómez Martínez6Complejo Asistencial Universitario de León, Psychiatry, LEÓN, SpainComplejo Asistencial Universitario de León, Psychiatry, LEÓN, SpainComplejo Asistencial Universitario de León, Psychiatry, LEÓN, SpainComplejo Asistencial Universitario de León, Psychiatry, LEÓN, SpainComplejo Asistencial Universitario de León, Psychiatry, LEÓN, SpainComplejo Asistencial Universitario de León, Psychiatry, LEÓN, SpainComplejo Asistencial Universitario de León, Psychiatry, LEÓN, Spain Introduction The psychopathological causes that advise against a bariatric surgical procedure include any state that puts at risk the modification of habits and beliefs regarding eating behavior, wich condition weight loss and health improvement. Objectives To Study the psychiatric profile of patients rejected for bariatric surgery at the Complejo Hospitalario Asistencial de León (León, Spain). Methods Retrospective observational study. All patients for whom bariatric surgery procedure has been contraindicated for psychopathological reasons are included. 145 patients were evaluated in the context of the protocol for bariatric surgery. The following diagnostic scales were used as support: Salamanca Questionnaire, Plutchik Impulsivity Scale, Attitudes towards change in patients with eating disorders (ACTA), Bulimia Investigatory Test Edinburgh e, and European Quality of Life-5 Dimensions. Results 41 Patients were rejected for psychiatric reasons (28.28%). The most frequent diagnoses are impulse control disorder (39%), followed by eating disorder (27%). Other diagnoses found are: depressive disorder (10%), adjustment disorder (5%), personality disorders, intellectual disability and generalized anxiety disorder (3%) 78% of them are women. Conclusions Uncontrolled psychiatric pathology is a contraindication to bariatric surgery. Impulse control disorder and eating disorder are related to overweight and obesity, so a diagnosis and treatment are necessary prior planning surgical procedure. Psychopathological variables determine the success of bariatric surgery procedures and it is mandatory to consider them in the process. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822015012/type/journal_articlebariatricexclusionsurgeryimpulsive |
| spellingShingle | C. Vilella Martín P. García Vázquez Y. Barrera García P. Fernández Perea A. Serrano García C. Franch Pato R. Gómez Martínez Psychiatric Causes of Bariatric Surgery Exclusion: A Descriptive Study European Psychiatry bariatric exclusion surgery impulsive |
| title | Psychiatric Causes of Bariatric Surgery Exclusion: A Descriptive Study |
| title_full | Psychiatric Causes of Bariatric Surgery Exclusion: A Descriptive Study |
| title_fullStr | Psychiatric Causes of Bariatric Surgery Exclusion: A Descriptive Study |
| title_full_unstemmed | Psychiatric Causes of Bariatric Surgery Exclusion: A Descriptive Study |
| title_short | Psychiatric Causes of Bariatric Surgery Exclusion: A Descriptive Study |
| title_sort | psychiatric causes of bariatric surgery exclusion a descriptive study |
| topic | bariatric exclusion surgery impulsive |
| url | https://www.cambridge.org/core/product/identifier/S0924933822015012/type/journal_article |
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