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Predicting One and Three Month Postoperative Somatic Concerns, Psychological Distress, and Maladaptive Eating Behaviors in Bariatric Surgery Candidates with the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF)

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An Erratum to this article was published on 11 February 2014

Abstract

Background

Presurgical psychological screening of bariatric surgery candidates includes some form of standardized psychological assessment. However, associations between presurgical psychological screening and postoperative outcome have not been extensively studied. Here, we explore associations between presurgical Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) scores and early postoperative Somatic Concerns, Psychological Distress, and Maladaptive Eating Behaviors.

Methods

The sample consisted of male (n = 238) and female (n = 621) patients who were administered the MMPI-2-RF at their presurgical psychological evaluation and received bariatric surgery. Patients were evaluated at their 1- and 3-month postoperative appointments.

Results

Confirmatory factor analysis indicated that three latent constructs—somatic concerns, psychological distress, and maladaptive eating behaviors—were represented by responses to a postoperative assessment and that these constructs could be measured consistently over time. Presurgical scores on MMPI-2-RF scales measuring internalizing dysfunction were associated with more psychological distress at postoperative follow-ups, scores on scales measuring somatization were associated with more postoperative somatic concerns, and scores on scales assessing emotional/internalizing, behavioral/externalizing, cognitive complaints, and thought dysfunction prior to surgery were associated with maladaptive eating behaviors after surgery.

Conclusions

In conjunction with a presurgical psychological interview, the MMPI-2-RF provides information that can assist in anticipating postoperative outcomes and inform efforts to prevent them.

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Conflict of Interest

Yossef Ben-Porath is a paid consultant to the MMPI-2-RF publisher, the University of Minnesota and Distributor, Pearson. As co-author of the MMPI-2-RF, he receives royalties on sales of the test.

Disclosure

Portions of this manuscript were presented at the 75th Annual Society for Personality Assessment (March 2013) in San Diego, CA, as part of an integrated paper session titled: Using Advanced Quantitative Methods to Examine the Validity of MMPI-2-RF Scale Scores.

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Authors and Affiliations

  1. Department of Psychology, Kent State University, Kent, OH, 44242, USA

    Ryan J. Marek & Yossef S. Ben-Porath

  2. Cleveland Clinic Lerner College of Medicine, 9500 Euclid Avenue/M61, Cleveland, OH, 44195, USA

    Julie Merrell, Kathleen Ashton & Leslie J. Heinberg

Authors
  1. Ryan J. Marek
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  2. Yossef S. Ben-Porath
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  3. Julie Merrell
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  4. Kathleen Ashton
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  5. Leslie J. Heinberg
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Correspondence to Ryan J. Marek.

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Marek, R.J., Ben-Porath, Y.S., Merrell, J. et al. Predicting One and Three Month Postoperative Somatic Concerns, Psychological Distress, and Maladaptive Eating Behaviors in Bariatric Surgery Candidates with the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF). OBES SURG 24, 631–639 (2014). https://doi.org/10.1007/s11695-013-1149-y

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