Butt Melissa, Wagner Allison, Rigby Andrea
Department of Public Health Sciences, Penn State College of Medicine, 500 University Drive, Mailcode HU14, Hershey, PA, 17033, USA.
Department of Minimally Invasive Surgery, Penn State College of Medicine, Hershey, PA, 17033, USA.
J Clin Psychol Med Settings. 2021 Jun;28(2):384-393. doi: 10.1007/s10880-020-09725-5.
Literature regarding mental health and quality of life (QOL) in bariatric patients has reported high occurrence of psychological disturbance and suggested that patients may provide socially desirable responses during pre-surgical assessments in order to minimize the apparent presence of psychological disturbance. We sought to evaluate the associations between socially desirable responding and clinical outcomes of significance and to compare self-reported psychopathology with clinically evaluated diagnoses. Data were retrospectively analyzed for patients undergoing bariatric surgery at one academic medical center. Cross-sectional self-report measures were given to patients prior to surgery. Measures assessed psychopathology, disordered eating, quality of life, and social desirability. Statistical methods included descriptive statistics, correlations and building of univariate linear regression models. Patient psychopathology, disordered eating, and QOL self-report scores were all significantly related to social desirability. Rates of psychopathology were underreported using self-report measures when compared to clinical evaluations by a licensed psychologist. Socially desirable responding may have a significant effect on preoperative assessment of psychopathology and disordered eating of patients preparing for surgical weight loss.
关于肥胖症患者心理健康和生活质量（QOL）的文献报道称，心理障碍的发生率很高，并表明患者可能在术前评估期间给出符合社会期望的回答，以尽量减少心理障碍的明显表现。我们试图评估符合社会期望的回答与重要临床结果之间的关联，并比较自我报告的精神病理学与临床评估诊断结果。对在一家学术医疗中心接受减肥手术的患者数据进行回顾性分析。在手术前，对患者进行横断面自我报告测量。测量内容包括精神病理学、饮食失调、生活质量和社会期望性。统计方法包括描述性统计、相关性分析和单变量线性回归模型构建。患者的精神病理学、饮食失调和生活质量自我报告得分均与社会期望性显著相关。与持牌心理学家的临床评估相比，使用自我报告测量时精神病理学发生率报告不足。符合社会期望的回答可能会对准备接受手术减肥患者的精神病理学和饮食失调的术前评估产生重大影响。
