Rosen L W, Aniskiewicz A S
Int J Obes. 1983;7(1):53-9.
Fourteen morbidly obese women who were candidates for intestinal bypass surgery were compared in terms of psychosocial functioning and dietary behavior to 14 morbidly obese women who elected not to undergo the bypass procedure. Each patient underwent a psychiatric evaluation which included a developmental and dietary history, a mental status exam, and the administration of the MMPI. Diagnoses were based on the DSM-III multi-axial system. There was no difference between the bypass group and the non-bypass group on the Axis I diagnoses, however the bypass group did have a significantly higher frequency of Axis II diagnoses. The bypass group demonstrated significantly higher levels of psychosocial stressors (Axis IV) and lower levels of adaptive functioning (Axis V) when compared to the non-bypass group. The bypass patients also had a significantly higher frequency of past suicide attempts. On the MMPI, the bypass group had significantly higher elevations on scales 2 (depression), 4 (psychopathic deviate), 6 (paranoia), and 0 (social introversion). There were no significant differences between the groups in terms of dietary history and behavior, except that significantly fewer bypass patients could place a numerical estimate on their daily energy intake. These results were discussed in terms of their implications for the assessment and treatment of morbidly obese patients.
将14名符合肠道搭桥手术条件的病态肥胖女性与14名选择不接受搭桥手术的病态肥胖女性在心理社会功能和饮食行为方面进行了比较。每位患者都接受了一次精神病学评估，包括发育和饮食史、精神状态检查以及明尼苏达多相人格调查表（MMPI）测试。诊断基于《精神疾病诊断与统计手册》第三版（DSM-III）的多轴系统。在轴I诊断方面，搭桥组和非搭桥组之间没有差异，然而搭桥组在轴II诊断上的频率显著更高。与非搭桥组相比，搭桥组表现出显著更高水平的心理社会压力源（轴IV）和更低水平的适应功能（轴V）。搭桥患者过去自杀未遂的频率也显著更高。在MMPI测试中，搭桥组在量表2（抑郁）、量表4（精神病态偏差）、量表6（偏执）和量表0（社会内向）上的得分显著更高。在饮食史和行为方面，两组之间没有显著差异，只是能够对每日能量摄入进行数值估计的搭桥患者明显较少。讨论了这些结果对病态肥胖患者评估和治疗的意义。
