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Psychiatric Disorders Among Obese Patients Seeking Bariatric Surgery: Results of Structured Clinical Interviews

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Abstract

Background

Obesity and psychiatric disorders are burdensome health problems commonly observed in general population and clinical samples. However, non-standardized assessment and small size of the sample might hamper conclusions of the investigations. The objective of this study is to replicate previous findings on frequency of psychiatric disorders and associated factors among obese patients seeking bariatric surgery, assessed through standardized interview.

Material and Method

The sample was comprised of 393 treatment-seeking obese patients (79.1 % women; mean age 43.0 years, mean BMI 47.8 kg/m2) recruited from a university-based bariatric center. Trained clinicians ascertained the psychiatric diagnosis of the participants through structured clinical interview for DSM-IV Axis I diagnosis (SCID-I).

Results

The current rate of any psychiatric disorders was 57.8 % (58.5 % men vs. 57.6 % women). The current anxiety disorders were the most frequent diagnosis (46.3 %) among those participants with current disorder. Age and educational level were associated with the likelihood of presenting current psychiatric disorders. The lifetime rate of any psychiatric disorders was 80.9 % (81.7 men vs. 80.7% women). Lifetime affective disorders were the most frequent diagnosis (total 64.9%; bipolar disorders 35.6% and depressive disorders 29.3%). About half of the sample presented 3 or more concurrent disorders among those respondents presenting any lifetime psychiatric disorders.

Conclusions

Psychiatric disorders are frequent conditions among obese patients before bariatric surgery. Systematic assessment of patients in the pre-surgical phase is recommended. Prognostic implications of psychiatric disorders on surgery outcome should be demonstrated in follow-up study.

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Conflict of Interest

The investigation received grant from the Foundation for Research Support of the State of São Paulo (FAPESP # 2012/17435-7); Y.-P. W. is the recipient of this grant. L. S. D. G. received a scholarship from the Foundation for Research Support of the State of São Paulo (FAPESP# 2012/17498-9). B. M. C. and M. A. S. declare no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

Statement of Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The ethics committee of the University of São Paulo Medical School approved the study.

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Authors and Affiliations

  1. Department & Institute of Psychiatry, University of São Paulo Medical School, Rua Dr. Ovídio Pires de Campos, no. 785, 05403-010, São Paulo, SP, Brazil

    Leorides Severo Duarte-Guerra, Bruno Mendonça Coêlho & Yuan-Pang Wang

  2. Department of Surgery, University of São Paulo Medical School, Av. Enéas de Carvalho Aguiar, no. 255, 05403-900, São Paulo, SP, Brazil

    Marco Aurélio Santo

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  1. Leorides Severo Duarte-Guerra
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Correspondence to Yuan-Pang Wang.

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Duarte-Guerra, L.S., Coêlho, B.M., Santo, M.A. et al. Psychiatric Disorders Among Obese Patients Seeking Bariatric Surgery: Results of Structured Clinical Interviews. OBES SURG 25, 830–837 (2015). https://doi.org/10.1007/s11695-014-1464-y

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