Bancheri Lara, Patrizi Barbara, Kotzalidis Giorgio D, Mosticoni Stefano, Gargano Trofimena, Angrisani Patrizia, Tatarelli Roberto, Girardi Paolo
Department of Psychiatry, La Sapienza University, 2nd Medical School, Sant'Andrea Hospital, Rome, Italy.
Obes Surg. 2006 Dec;16(12):1630-7. doi: 10.1381/096089206779319509.
Among the treatment options offered to patients with severe obesity are surgery and psychotherapy plus dieting. The treatment choice may reflect differences in the psychology of these patients. The objective was to assess the psychopathological differences between patients with obesity who choose surgery and those who choose non-surgical treatment to lose weight.
100 patients with obesity (50 in the non-surgical group [NS]; and 50 in the surgical group [S]; 41 women and 9 men in each group) completed the MMPI-2 and the EDI-2; for the latter, data from 21 S and 24 NS women were available. Comparisons were carried out through analysis of variance.
The NS group scored higher on the Pa (paranoia) and Pt (psychasthenia) scales of the MMPI-2 compared to the S group. No differences were found on the EDI-2; however, both groups scored higher on the drive-for-thinness and body-dissatisfaction scales, and the NS group scored higher on the bulimia and ineffectiveness scales.
The MMPI-2 was able to distinguish between the NS and S groups, while the EDI-2 found significant eating-related psychopathology in both.
为重度肥胖患者提供的治疗选择包括手术以及心理治疗加节食。治疗选择可能反映了这些患者心理上的差异。目的是评估选择手术的肥胖患者与选择非手术治疗来减肥的患者之间的心理病理学差异。
100名肥胖患者（非手术组[NS]50名；手术组[S]50名；每组41名女性和9名男性）完成了明尼苏达多项人格调查表第二版（MMPI - 2）和进食障碍问卷第二版（EDI - 2）；对于后者，有21名手术组女性和24名非手术组女性的数据。通过方差分析进行比较。
与手术组相比，非手术组在MMPI - 2的妄想狂（Pa）和精神衰弱（Pt）量表上得分更高。在EDI - 2上未发现差异；然而，两组在追求瘦身和身体不满量表上得分更高，并且非手术组在贪食和无效量表上得分更高。
MMPI - 2能够区分非手术组和手术组，而EDI - 2在两组中均发现了与饮食相关的显著心理病理学问题。
