Morbidity persistence and comorbidity of mood, anxiety, and eating disorders among preoperative bariatric patients.

Autor: Duarte-Guerra LS; Department and Institute of Psychiatry (LIM-23), University of São Paulo Medical School, São Paulo, SP, Brazil., Coêlho BM; Department and Institute of Psychiatry (LIM-23), University of São Paulo Medical School, São Paulo, SP, Brazil., Santo MA; Department of Surgery, University of São Paulo Medical School, São Paulo, SP, Brazil., Lotufo-Neto F; Department and Institute of Psychiatry (LIM-23), University of São Paulo Medical School, São Paulo, SP, Brazil., Wang YP; Department and Institute of Psychiatry (LIM-23), University of São Paulo Medical School, São Paulo, SP, Brazil. Electronic address: gnap_inbox@hotmail.com.
Jazyk: angličtina
Zdroj: Psychiatry research [Psychiatry Res] 2017 Nov; Vol. 257, pp. 1-6. Date of Electronic Publication: 2017 Jul 10.
DOI: 10.1016/j.psychres.2017.07.020
Abstrakt: The current study investigates the patterns of disease persistence and comorbidity of psychiatric disorders among patients with class III obesity in pre-operative period. For 393 treatment-seeking patients with severe obesity recruited from a bariatric center, we ascertained their psychiatric diagnosis through Structured Clinical Interview for DSM-IV (SCID-I). Following, the frequency, persistence and comorbidity pattern of psychiatric disorders in this sample were determined. Current psychiatric disorders were observed in over half of patients during preoperative period, being anxiety disorders the most frequent diagnosis. For lifetime disorders, mood disorders were the most frequent diagnosis. Most of the sample presented 2 or more concurrent lifetime psychiatric disorders. While mood and eating disorders were frequent conditions, anxiety disorders were the most persistent conditions (the highest one month-to-lifetime prevalence ratio) and were significantly correlated with bipolar, depressive and eating disorders. Psychiatric disorders are frequent and enduring conditions among patients looking for bariatric surgery. Comorbid anxiety, mood, and eating disorders are remarkable features in treatment-seeking patients with obesity. Prognostic implications of preoperative psychiatric disorders on surgery outcome should be demonstrated prospectively in intervention studies.
(Copyright © 2017 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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