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两个减肥手术项目中的 DSM-5 终身精神科诊断。

DSM 5 Lifetime Psychiatric Diagnoses in Two Bariatric Surgery Programs.

机构信息

Cleveland Clinic Lerner College of Medicine, 9500 Euclid Ave./M61, Cleveland, OH, 44195, USA.

Department of Psychiatry and Behavioral Science, Sanford Center for Biobehavioral Research, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.

出版信息

Obes Surg. 2021 Jun;31(6):2812-2816. doi: 10.1007/s11695-021-05236-w. Epub 2021 Feb 8.

Abstract

Patients presenting for bariatric surgery have been shown to have high rates of psychiatric disorders. These studies have utilized structured interviews using older versions of the DSM. This study examined whether similar lifetime frequencies would be similar using the recent DSM-5. Participants (N = 131) were evaluated as part of a longitudinal study examining post-operative weight loss at two sites. Participants were administered the Structured Clinical Interview for DSM-5 (SCID5) pre-surgically. Lifetime estimates using the SCID5 were compared to the range and mean of 3 prior US studies and 2 international studies using the DSM-IV. Overall, frequency of psychiatric disorders was similar or lower than prior studies. Changes to diagnostic criteria may explain differences although future studies are needed to better characterize this population.

摘要

前来接受减重手术的患者已被证实存在较高比例的精神疾病。这些研究使用了旧版 DSM 的结构化访谈。本研究使用最近的 DSM-5 版本,检验了是否会出现类似的终生发病率。参与者(N=131)作为一项纵向研究的一部分接受评估,该研究检查了两个地点的术后减重情况。参与者在术前接受了 DSM-5 结构临床访谈(SCID5)。使用 SCID5 进行的终生发病率估计与 3 项美国先前研究和 2 项使用 DSM-IV 的国际研究的范围和平均值进行了比较。总体而言,精神疾病的发病率与先前的研究相似或更低。尽管需要进一步的研究来更好地描述这一人群,但诊断标准的变化可能解释了这些差异。

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