Prevalence of psychiatric disorders before and 1 year after bariatric surgery: the role of shame in maintenance of psychiatric disorders in patients undergoing bariatric surgery

Nordic Journal of Psychiatry
Haldis Økland LierTone Tangen

Abstract

The present study examined prevalence of psychiatric disorders before and 1 year after weight loss surgery. Furthermore, we studied if level of pre-operative shame could be a maintaining factor for psychiatric disorders at 1-year follow-up. One-hundred and twenty-seven patients (F/M: 94/33) with mean body mass index (BMI) ± standard deviation (s) =45.3±5.2 kg/m(2) and mean age 41.3±10.3 years participated in the study. Eighty-seven patients met for follow-up 1 year after surgery. Psychiatric disorders were assessed by the Mini International Neuropsychiatric Interview (M.I.N.I.) and the Structured Clinical Interview (SCID-II). Levels of depression, anxiety and shame were assessed by the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI) and the Internalized Shame Scale (ISS). Sixty-one patients (48%) at pre-operative assessment and 16 patients (18%) at 1-year follow-up had a comorbid psychiatric disorder. The strongest predictor of post-operative psychiatric disorder was pre-operative psychiatric disorder, odds ratio of 27.7 (95% CI for EXP (B) 3.2-239.8, P =0.003). Pre-operative level of shame (higher than 50-point ISS score) was also a significant predictor for post-operative psychiatric disorders, odds ratio of...Continue Reading

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Citations

Dec 2, 2015·Journal of Clinical Nursing·Haldis Økland LierKristine Rørtveit
Jan 18, 2016·Obesity Research & Clinical Practice·Sandra JumbeJane Meyrick
Apr 12, 2015·Journal of Affective Disorders·Antonio MirijelloGiovanni Addolorato
Aug 3, 2014·International Journal of Psychiatry in Medicine·Shenelle A Edwards-HamptonKarl T Byrne
May 28, 2016·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·G GerlachS Herpertz
Aug 9, 2016·Obesity Research & Clinical Practice·Nattinee JantaratnotaiRoger S McIntyre
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Jul 19, 2014·Current Opinion in Psychiatry·Yung-Chieh YenChi-Ming Tai
Jan 30, 2020·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Dean SpirouEvelyn Smith
Jun 15, 2017·Trends in psychiatry and psychotherapy·Suelen BordignonClarissa Marceli Trentini

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