Abstract
Pinpointing behavioral and psychological/psychiatric predictive factors in bariatric surgery has been a major concern throughout surgical teams around the world. Despite extensive research and considerable amount of data, literature remains somehow contradictory.
To the present, obesity is not classified as a psychiatric disorder. However, it is frequently studied from a similar theoretical standpoint, since it shares several of the psychiatric disorders’ characteristics, such as chronicity, multifactorial etiologies, some common pathophysiological pathways, and a strong and widespread associated social stigma, in addition to being frequently a comorbid situation.
The negative stereotype of obese people is understandable (however indefensible) as the result of a prior lack of evidence on genetic, epigenetic, biological, metabolic, and environmental causation of the syndrome.
In relation to preoperative evaluation, there is an almost mystical expectation involving preoperative psychiatric and psychological evaluations for BS: some people implicitly believe that these professionals, i.e., psychiatrists and psychologists, can effectively read minds and/or predict the future.
Despite not being as common and pervasive as psychological evaluations, preoperative psychiatric evaluation for BS is important and necessary. However, it should not be yet another source of prejudice against the patient. Arguably, psychiatric evaluation should be an item to be included on global treatments which will have as aim obtaining excellence in patient care.
It is very important to stress out that psychiatric and psychological evaluations and treatments are not interchangeable. The use of psychopharmacological and other biological tools and the changes in their efficacy after surgeries are central aspects of that difference.
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The author would like to thank Rodrigo Rezende and Nathalie Gil for their English revision.
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Segal, A., Kussunoki, D.K. (2020). Psychiatric Assistance in Bariatric Surgery. In: Ettinger, J., et al. Gastric Bypass. Springer, Cham. https://doi.org/10.1007/978-3-030-28803-7_26
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DOI: https://doi.org/10.1007/978-3-030-28803-7_26
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