The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale predicts binge eating, quality of life and weight regain following bariatric surgery
Autor: | Thiyake Rajaratnam, Sanjeev Sockalingam, Raed Hawa, Molly E. Atwood, Stephanie E. Cassin |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
030309 nutrition & dietetics Endocrinology Diabetes and Metabolism Psychological intervention Bariatric Surgery 030209 endocrinology & metabolism Weight Gain 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) medicine Humans Disordered eating Retrospective Studies 0303 health sciences Binge eating business.industry Reproducibility of Results Surgery Obesity Morbid Inter-rater reliability Scale (social sciences) Quality of Life medicine.symptom business Psychosocial Binge-Eating Disorder Patient education |
Zdroj: | Clinical obesityREFERENCES. 11(1) |
ISSN: | 1758-8111 |
Popis: | Presurgical psychosocial evaluations are an important component of bariatric care; yet, bariatric programs vary widely in their assessment and interpretation of psychosocial risk. There is a need for validated clinical tools that help to standardize and streamline the assessment of variables relevant to surgical outcomes. The present study contributes to the validation of the Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS), a novel presurgical psychosocial evaluation tool, by: (a) examining the psychometric properties and optimal cutoff score, and; (b) examining the ability of the BIPASS tool to predict outcomes 1 and 2 years postsurgery, including weight regain, quality of life, psychiatric symptoms and adherence to postsurgical follow-up appointments. The BIPASS was applied retrospectively to the charts of 179 consecutively referred patients to a metropolitan bariatric surgery programme. Internal consistency for the BIPASS was acceptable, and interrater reliability was excellent. Higher BIPASS scores predicted higher binge eating symptomatology and lower mental health-related quality of life at 1 year postsurgery, and weight regain at 2 years (all P < .01). The BIPASS did not predict adherence to postsurgical follow-up appointments. Findings suggest that the BIPASS can be used to identify patients at increased risk of disordered eating, poor quality of life and weight regain early in the postsurgical course, thereby facilitating patient education and appropriate interventions. |
Databáze: | OpenAIRE |
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