Charles S C
Department of Psychiatry, University of Illinois at Chicago.
Gastroenterol Clin North Am. 1987 Sep;16(3):415-32.
Psychiatric consultation should be integral to the overall evaluation of morbidly obese patients prior to any treatment but particularly before surgery. In addition to clarifying the presence or absence of diagnosable psychiatric illness, which then may affect the decision to proceed to surgery, psychiatric consultation can elicit data on psychological disturbances that are neurotic or indicative of a personality disorder or trait that may affect treatment. Important developmental and life history data contribute to an understanding of the patient and the role of eating behavior in the patient's life, which in turn aids the entire treatment team in establishing a more effective and mutually cooperative approach to treatment.
在对病态肥胖患者进行任何治疗之前，尤其是在手术前，精神科会诊应成为整体评估的一部分。除了明确是否存在可诊断的精神疾病（这可能会影响手术决策）外，精神科会诊还可以获取有关神经症性心理障碍的数据，或表明可能影响治疗的人格障碍或特质。重要的发育和生活史数据有助于了解患者以及饮食行为在患者生活中的作用，这反过来有助于整个治疗团队建立更有效且相互协作的治疗方法。
