垂直束带胃成形术后病态肥胖者的人格特征
Personality profiles of the morbidly obese after vertical banded gastroplasty.
作者信息
Guisado Juan A, Vaz Francisco J
机构信息
School of Medicine, University of Extremadura, Badajoz, Spain.
出版信息
Obes Surg. 2003 Jun;13(3):394-8. doi: 10.1381/096089203765887723.
BACKGROUND
The authors attempted to determine if mental status could predict personality profiles, 18 months after surgery in morbidly obese patients.
METHODS
Personality characteristics of 100 morbidly obese patients (85 female, 15 male) were analyzed after bariatric surgery (vertical banded gastroplasty). Patients were given the Millon Clinical Multiaxial Inventory-II (MCMI-II). Data were compared with a Spanish clinical population to validate the test in our country.
RESULTS
Significant differences were found in Schizoid scale (P<0.0001), Paranoid scale (P<0.001), Histrionic scale (P<0.0001), Compulsive scale (P<0.0001), and Delusional disorder scale (P<0.0001) between the two groups. When psychiatric comorbidity appeared, there were higher values on these scales.
CONCLUSIONS
Morbidly obese patients undergoing bariatric surgery show traits and personality disturbances, and the mental state impairs the personality structure.
背景
作者试图确定病态肥胖患者术后18个月时的精神状态是否能够预测其性格特征。
方法
对100例病态肥胖患者（85例女性，15例男性）进行减肥手术后的人格特征进行分析。患者接受了米隆临床多轴问卷第二版（MCMI-II）测试。将数据与西班牙临床人群进行比较，以验证该测试在我国的有效性。
结果
两组在分裂样量表（P<0.0001）、偏执量表（P<0.001）、表演型量表（P<0.0001）、强迫量表（P<0.0001）和妄想障碍量表（P<0.0001）上存在显著差异。当出现精神共病时，这些量表上的值更高。
结论
接受减肥手术的病态肥胖患者表现出性格特质和人格障碍，精神状态会损害人格结构。
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