Rodolico Alessandro, La Rosa Valentina Lucia, Romaniello Caterina, Concerto Carmen, Meo Valeria, Saitta Giulia, Sturiale Serena, Signorelli Maria Salvina, Wang Ray, Solhkhah Ramon, Phalen Catherine, Kelson Michael, Eugenio Aguglia, Terlecky Stanley R, Thomas Florian Patrick, Battaglia Fortunato
Psychiatry Unit, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Catania, Italy.
Front Nutr. 2024 Aug 13;11:1429906. doi: 10.3389/fnut.2024.1429906. eCollection 2024.
Psychiatric comorbidity is frequent in bariatric surgery candidates. This study aimed to classify bariatric surgery patients according to patterns of preoperative measures of the severity of the eating disorder (ED), depression, and personality traits.
In the present cross-sectional study, 115 adult candidates for bariatric surgery (75 females, 65.22% of sample; mean age 37) were considered for analysis. Patients' sociodemographic and psychopathological variables were collected. K-Means clustering analysis was adopted to classify bariatric surgery candidates according to their preoperative Eating Disorder Inventory-2 (EDI-2) scores. In addition, we assessed depression and personality traits using the Beck Depression Inventory-2 (BDI-2) and the Minnesota Multiphasic Personality Inventory-2 (MMPI-2).
Cluster analysis based on EDI-2 revealed two preoperative patterns: higher severity ( = 39), and low severity ( = 76). The more severe EDI-2 group had higher scores on the BDI-2 and presented higher scores on several MMPI-2 dimensions, particularly those related to anxiety (Psychasthenia, Anxiety, Fears, Obsessiveness), depression (Depression, including both content and clinical MMPI-2 subscales), externalizing symptoms (Anger, Cynicism, Type A Behavior), and social functioning (Social Introversion, Family Problems, Work Interference).
Eating disorders symptoms in candidates for bariatric surgery are closely related to depression and different psychological conditions assessed with MMPI-2. These psychological variables should be evaluated preoperatively and targeted with more specific psychological interventions.
肥胖症手术候选者中精神疾病共病情况很常见。本研究旨在根据饮食失调（ED）、抑郁和人格特质严重程度的术前测量模式对肥胖症手术患者进行分类。
在本横断面研究中，115名成年肥胖症手术候选者（75名女性，占样本的65.22%；平均年龄37岁）被纳入分析。收集了患者的社会人口统计学和心理病理学变量。采用K均值聚类分析根据术前饮食失调量表-2（EDI-2）得分对肥胖症手术候选者进行分类。此外，我们使用贝克抑郁量表-2（BDI-2）和明尼苏达多相人格调查表-2（MMPI-2）评估抑郁和人格特质。
基于EDI-2的聚类分析揭示了两种术前模式：严重程度较高（=39）和严重程度较低（=76）。EDI-2较严重组在BDI-2上得分更高，并且在MMPI-2的几个维度上得分更高，特别是与焦虑（精神衰弱、焦虑、恐惧、强迫观念）、抑郁（抑郁，包括内容和临床MMPI-2分量表）、外化症状（愤怒、愤世嫉俗、A型行为）和社会功能（社交内向、家庭问题、工作干扰）相关的维度。
肥胖症手术候选者的饮食失调症状与抑郁以及用MMPI-2评估的不同心理状况密切相关。这些心理变量应在术前进行评估，并针对更具体的心理干预措施。
