Personality and psychopathology differences between bariatric surgery candidates, subjects with obesity not seeking surgery management, and healthy subjects
- 53 Downloads
To explore personological and psychopathological characteristics in individuals with obesity presenting for bariatric surgery compared with individuals with obesity not seeking bariatric surgery and healthy individuals to help clinician decision for surgical treatment.
379 participants [160 candidates for bariatric surgery (B) vs 219 not seeking bariatric surgery (NB)] and 304 healthy subjects (HS) were assessed with a battery of well-validated psychometric tests.
The B group showed an intermediate personality profile between HS and NB. They also exhibited lower depressive and anxiety scores. Eating and attachment impairment were found lower in the B group with respect to the NB.
Candidates for bariatric surgery display advantageous personality features and lower rates in psychopathology compared to other participants with obesity. These features may represent both traits facilitating the search for a bariatric treatment, and the preferred ones selected by the surgeon. Implications for clinicians addressing obese participants towards bariatric surgery and limitations concerning “impression management” are discussed.
Level of evidence
Level III, case-control analytic study.
KeywordsObesity Bariatric surgery Personality Psychopathology Treatment choice
The authors wish to thank Prof. Mauro Toppino for his cooperation in the recruitment of bariatric subjects and Dr. Luca Arletti for the English revision of the text.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
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 (Protocol number: CEI/17 0,028,836).
Informed consent was obtained from all individual participants included in the study.
The data sets analyzed during the current study are not publicly available, but are available from the corresponding author on reasonable request.
- 3.Sjöholm K, Anveden A, Peltonen M et al (2013) Evaluation of current eligibility criteria for bariatric surgery: diabetes prevention and risk factor changes in the Swedish obese subjects (SOS) study. Diabetes Care 36:1335–1340. https://doi.org/10.2337/dc12-1395 (Epub 2013 Jan 28) CrossRefGoogle Scholar
- 19.Derogatis LR, Lipman RS, Covi L (1973) SCL-90: an outpatient psychiatric rating scale–preliminary report. Psychopharmacol Bull 9:13–28Google Scholar
- 21.Gormally J, Black S, Daston S, Rardin D (1982) The assessment of binge eating severity among obese persons. Behav 7:47–55Google Scholar
- 28.Raman J, Smith E, Hay P (2013) The clinical obesity maintenance model: an integration of psychological constructs including mood, emotional regulation, disordered overeating, habitual cluster behaviours, health literacy and cognitive function. J Obes 2013:240128. https://doi.org/10.1155/2013/240128 (Epub 2013 Feb 14) CrossRefGoogle Scholar
- 30.Amianto F, Daga GA, Bertorello A, Fassino S (2013) Exploring personality clusters among parents of ED subjects. Relationship with parents’ psychopathology, attachment, and family dynamics. Compr Psychiatry 54:797–811. https://doi.org/10.1016/j.comppsych.2013.03.005 (Epub 2013 Apr 18) CrossRefGoogle Scholar