Impression management or real change? Reports of depressive symptoms before and after the preoperative psychological evaluation for bariatric surgery

Autor: Christopher J. Combs, Anthony N. Fabricatore, Jennifer L. Krasucki, Thomas A. Wadden, David B. Sarwer
Rok vydání: 2007
Předmět:
Zdroj: Obesity Surgery. 17:1213-1219
ISSN: 1708-0428
0960-8923
DOI: 10.1007/s11695-007-9204-1
Popis: Many bariatric surgery programs require that candidates undergo a preoperative mental health evaluation. Candidates may be motivated to suppress or exaggerate psychiatric symptoms (i.e., engage in impression management), if they believe doing so will enhance their chances of receiving a recommendation to proceed with surgery.237 candidates for bariatric surgery completed the Beck Depression Inventory-II (BDI-ll) as part of their preoperative psychological evaluation (Time 1). They also completed the BDI-II approximately 2-4 weeks later, for research purposes, after they had received the mental health professional's unconditional recommendation to proceed with surgery (Time 2).There was a small but statistically significant increase in mean BDI-II scores from Time 1 to Time 2 (11.4 vs 12.7, P.001). Clinically significant changes, defined as a change from one range of symptom severity to another, were observed in 31.2% of participants, with significant increases in symptoms occurring nearly twice as often as reductions (20.7% vs 10.5%, P.008). Demographic variables were largely unrelated to changes in BDI-II scores from Time 1 to Time 2.Approximately one-third of bariatric surgery candidates reported a clinically significant change in depressive symptoms after receiving psychological "clearance" for surgery. Possible explanations for these findings include measurement error, impression management, and true changes in psychiatric status.
Databáze: OpenAIRE
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