Predicting Outcome of Gastric Bypass Surgery Utilizing Personality Scale Elevations, Psychosocial Factors, and Diagnostic Group Membership
Tóm tắt
Researchers have traditionally relied upon various presurgical biopsychosocial measures to predict weight loss success following bariatric surgery. The present study proposed a diagnostic grouping system to predict postsurgical outcome. It was hypothesized that psychosocial and Minnesota Multiphasic Personality Inventory (MMPI)/Millon Clinical Multiaxial Inventory (MCMI) psychometric variables could be used to identify gastric bypass surgery candidates requiring additional preoperative and postoperative services. Of 143 candidates for surgical treatment of morbid obesity, 120 women and 23 men underwent psychological evaluation prior to approval for gastric bypass. Each was placed into one of four diagnostic groups based upon results of personality measures and a preoperative semistructured interview. Results support the K scale of the MMPI-2 as a significant predictor of postsurgical outcome; MCMI scores on the schizoid, schizotypal, and compulsive scales appeared to be better overall predictors of outcome.
Tài liệu tham khảo
Bouchard CB. Genetics of obesity: overview and research direction. In: Bourchard CB, editor. The genetics of obesity. Boca Raton: CRC; 1994. p. 223–34.
Bray GA. Contemporary diagnosis and management of obesity. Newton: Handbooks in Healthcare; 1998.
Price RA. Genetics and common obesities: background, current status, strategies and future prospects. In: Wadden TA, Stunkard AJ, editors. Handbook of obesity treatment. New York: Guilford; 2002. p. 72–94.
Horgen KB, Brownell KD. Policy change as a means for reducing the prevalence and impact of alcoholism, smoking, and obesity. In: Miller WR, Heather N, editors. Treating addictive behaviors. 2nd ed. New York: Plenum; 1998. p. 105–17.
Horgen KB, Brownell KD. Confronting the toxic environment: environmental, public health actions in a world crisis. In: Wadden TA, Stunkard AJ, editors. Handbook of obesity treatment. New York: Guilford; 2002. p. 95–105.
Wadden TA, Brownell KD, Foster GD. Obesity: responding to the global epidemic. J Counsel Clin Psychol. 2000;70:510–25.
Kalarchian MA, Marcus MD, Levine MD, et al. Psychiatric disorders among bariatric surgery candidates: relationship to obesity and functional health status. AM J Psychiatry. 2007;164(2):328–35.
Walfish S, Vance D, Fabricatore AN, et al. Psychological evaluation of bariatric surgery applicants: procedures and reasons for delay or denial of surgery. Obes Surg. 2007;17(12):1578–83.
Mitchell JE, Swan-Kremeier L, Myers T. Psychiatric aspects of bariatric surgery. In: Yager J, Powers PS, editors. Clinical manual of eating disorders. Washington, DC: American Psychiatric; 2007. p. 225–53.
Valley V, Grace MD. Psychosocial risk factors in gastric surgery for obesity: identifying guidelines for screening. Int J Obes. 1986;11:105–13.
Hsu LKG, Benotti PN, Dwyer J, et al. Nonsurgical factors that influence the outcome of bariatric surgery: a review. Psychosom Med. 1998;60(3):338–46.
Kalarchian MA, Marcus MD, Levine MD, et al. Relationship of psychiatric disorders to 6-month outcomes after gastric bypass. Surg Obes Rel Dis. 2008;4(4):544–9.
Lanyon R, Maxwell BM, Karoly P, et al. Utility of the Multidimensional Health Profile-Psychosocial Functioning Scales (MHP-P) for assessing psychosocial adjustment in gastric bypass surgery patients. J Clin Psychol Med S. 2006;13(1):57–66.
Wadden TA, Stunkard AJ, editors. Handbook of obesity treatment. New York: Guilford; 2002.
Monteforte MJ, Turkelson CM. Bariatric surgery for morbid obesity. Obes Surg. 2000;10:391–401.
Albrecht RJ, Pories WJ. Surgical intervention for the severely obese. Bailliere’s Clin Endocrinol Metab. 1999;13:149–72.
Kral JG. Surgical treatment of obesity. In: Bray GA, Bouchard C, James WPT, editors. Handbook of obesity. New York: Marcel Dekker; 1998. p. 977–93.
Mitchell JE, Lancaster KL, Burgard MA, et al. Long-term follow-up of patients’ status after gastric bypass. Obes Surg. 2001;11:464–8.
Sugerman HJ, Londrey GL, Kellum JM. Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment. Am J Med. 1989;157:93–102.
Kinzel JF, Schrattenecker M, Traweger C, et al. Psychosocial predictors of weight loss after bariatric surgery. Obes Surg. 2006;16(12):1609–14.
Powers PS, Perez A, Boyd F, et al. Eating pathology before and after bariatric surgery: a prospective study. Int J Eat Disord. 1999;25(3):293–300.
Niego SH, Kofman MD, Weiss JJ, et al. Binge eating in the bariatric surgery population: a review of the literature. Int J Eat Disord. 2007;40:349–59.
Kalarchian MA, Marcus MD, Wilson GT, et al. Binge eating among gastric bypass patients at long-term follow-up. Obes Surg. 2002;12(2):270–5.
Brolin RE. Bariatric surgery and long-term control of morbid obesity. JAMA. 2002;288(22):2793–6.
Zimmerman M, Francione-Witt C, Chelminski I, et al. Pre-surgical psychiatric evaluations of candidates for bariatric surgery, part 1: reliability and reasons for and frequency of exclusion. J Clin Psychiatry. 2007;68(10):1557–62.
Kral JG. Surgical interventions for obesity. In: Brownell KD, Fairburn CG, editors. Eating disorders and obesity. New York: Guilford; 1995. p. 391–5.
Dymek MP, le Grange D, Neven K, et al. Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: a brief report. Obes Surg. 2001;11:32–9.
Ware J, Snow K, Kosinski M. SF-36 Health Survey: manual and interpretation guide. Lincoln: Quality Metric; 1993.
Han TS, Tijhuis MR, Lean MJ. Quality of life in relation to overweight and body fat distribution. Am J Public Health. 1998;88(12):1814–20.
Lean ME, Han TS, Seidell JC. Impairment of health and quality of life using new US federal guidelines for the identification of obesity. Arch Intern Med. 1999;159:837–43.
Hsu LKG, Bettancourt S, Sullivan SP. Eating disturbances before and after vertical banded gastroplasty; a pilot study. Int J Eat Disord. 1996;19:23–4.
Stunkard AJ, Wadden TA. Psychological aspects of severe obesity. Am J Clin Nutr. 1992;55:524–32.
Black DW, Goldstein RB, Mason EE. Prevalence of mental disorder in 88 morbidly obese bariatric clinic patients. Am J Psychiatry. 1992;149(2):227–334.
Dubovsky SL, Haddenhorst A, Murphy L. A preliminary study of the relationship between pre-operative depression and weight loss following surgery for morbid obesity. Int J Psychiatric Med. 1985;15:185–96.
Maddi SR, Khoshaba DM, Persico M, et al. Psychosocial correlates of psychopathology in a national sample of the morbidly obese. Obes Surg. 1997;7:397–404.
Sansone RA, Sansone LA, Morris DW. Prevalence of borderline personality symptoms in two groups of obese subjects. Am J Psychiatry. 1996;153(1):117–8.
Sansone RA, Wiederman MW, Sansone LA, et al. Obesity and borderline personality symptomatology comparison of psychiatric versus primary care sample. Int J Eat Disord. 2001;25:299–300.
Charles SC. The psychological status of morbidly obese patients. Integr Psychiatry. 1983;1:122–5.
Barrash J, Rodriguez EM, Scott DH, et al. The utility of MMPI subtypes for the prediction of weight loss after bariatric surgery. Int J Obes. 1987;11:115–28.
Millon T. Millon clinical multiaxial inventory—III. Minneapolis: National Computer Systems; 1994.
Rowe JL, Downey JE, Faust M, et al. Psychological and demographic predictors of successful weight loss following Silastic ring vertical stapled gastroplasty. Psychol Rep. 2000;86:1028–36.
Macias JAG, Leal FJV. Psychopathological differences between morbidly obese binge eaters and non-binge eaters after bariatric surgery. Eat Weight Disord. 2003;8(4):315–8.
Wygant DB, Boutacoff LI, Arbisi PA, et al. Examination of the MMPI-2 restructured clinical (RC) scales in a sample of bariatric surgery candidates. J Clin Psychol Med Settings. 2007;14(3):197–205.
Greene RL. The MMPI-2: an interpretive manual. 2nd ed. Needham Heights: Allyn & Bacon; 2000. p. 696.
Butcher JN, Dahlstrom W, Graham JR, et al. MMPI-2: manual for the administration and scoring. Minneapolis: University of Minnesota Press; 1989.
Haggard RA, Stowell AW, Bernstein D, et al. Relationship between the MMPI-2 and psychosocial measures in a heterogeneous pain population. Rehab Psychol. 2008;53:471–8.
Parker KC, Hanson RK, Hunsley J. MMPI, Rorschach, & WAIS: a meta-analytic comparison of reliability, stability, and validity. Psychol Bull. 1988;103:367–73.
Zalewski CE, Gottesman II. Man versus mean revisited: MMPI group data and psychiatric diagnosis. J Abnorm Psychol. 1991;100:562–8.
Benotti PN, Forse RA. The rate of gastric surgery in the multidisciplinary management of obesity. Am J Surg. 1995;169:361–7.
Hsu LKG, Benotti P, Dwyer M. Nonsurgical factors that affect the outcome on bariatric surgery: a review. Psychosom Med. 1998;60:338–46.
