Personality dimensions, depression, and eating behavior in individuals seeking bariatric surgery: a cluster analysis.

Autor:	Rodolico A; Psychiatry Unit, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy., La Rosa VL; Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Catania, Italy., Romaniello C; PerFormat - Scuola di Specializzazione in Psicoterapia, Pisa, Italy., Concerto C; Psychiatry Unit, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy., Meo V; Psychiatry Unit, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy., Saitta G; Psychiatry Unit, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy., Sturiale S; Psychiatry Unit, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy., Signorelli MS; Psychiatry Unit, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy., Wang R; Williams College, Williamstown, MA, United States., Solhkhah R; Endeavor Health, Department of Psychiatry and Behavioral Sciences, Evanston, IL, United States.; University of Chicago Pritzker School of Medicine, Chicago, IL, United States., Phalen C; Department of Medical Sciences, Hackensack Meridian School of Medicine, Nutley, NJ, United States., Kelson M; Department of Medical Sciences, Hackensack Meridian School of Medicine, Nutley, NJ, United States., Eugenio A; Psychiatry Unit, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy., Terlecky SR; Department of Medical Sciences, Hackensack Meridian School of Medicine, Nutley, NJ, United States., Thomas FP; Department of Neurology, Hackensack Meridian School of Medicine, Nutley, NJ, United States., Battaglia F; Department of Medical Sciences, Hackensack Meridian School of Medicine, Nutley, NJ, United States.; Department of Neurology, Hackensack Meridian School of Medicine, Nutley, NJ, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in nutrition [Front Nutr] 2024 Aug 13; Vol. 11, pp. 1429906. Date of Electronic Publication: 2024 Aug 13 (Print Publication: 2024).
DOI:	10.3389/fnut.2024.1429906
Abstrakt:	Introduction: 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. Methods: 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). Results: Cluster analysis based on EDI-2 revealed two preoperative patterns: higher severity ( n = 39), and low severity ( n = 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). Discussion: 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. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. (Copyright © 2024 Rodolico, La Rosa, Romaniello, Concerto, Meo, Saitta, Sturiale, Signorelli, Wang, Solhkhah, Phalen, Kelson, Eugenio, Terlecky, Thomas and Battaglia.)
Databáze:	MEDLINE
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