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Psychopathological similarities and differences between obese patients seeking surgical and non-surgical overweight treatments

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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

To compare the psychopathological characteristics of obese patients seeking bariatric surgery with those seeking a medical approach.

Methods

A total of 394 consecutive outpatients seeking bariatric surgery were compared with 683 outpatients seeking a medical treatment. All patients were referred to the same institution.

Results

Obesity surgery patients reported higher body mass index (BMI), objective/subjective binging and more severe general psychopathology, while obesity medical patients showed more eating and body shape concerns. Depression was associated with higher BMI among obesity surgery clinic patients, whereas eating-specific psychopathology was associated with higher BMI and objective binge-eating frequency among obesity medical clinic patients.

Conclusions

Patients seeking bariatric surgery showed different psychopathological features compared with those seeking a non-surgical approach. This suggests the importance for clinicians to consider that patients could seek bariatric surgery on the basis of the severity of the psychological distress associated with their morbid obesity, rather than criteria only based on clinical indication.

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Authors and Affiliations

  1. Psychiatric Unit, Department of Neuropsychiatric Sciences, Florence University School of Medicine, Largo Brambilla 3, 50134, Florence, Italy

    Giovanni Castellini, Lucia Godini, Silvia Gorini Amedei & Valdo Ricca

  2. Bariatric Surgery Unit, Careggi Hospital, Viale Morgagni 85, 50134, Florence, Italy

    Lucia Godini, Silvia Gorini Amedei, Giovanna Alpigiano, Elena Mugnaini, Marco Veltri & Marcello Lucchese

  3. Obesity Agency, Department of Clinical Pathophysiology, Florence University, Viale Morgagni 85, 50134, Florence, Italy

    Carlo Maria Rotella

  4. Department of Psychology, Florence University, Via San Niccolò, 93, 50125, Florence, Italy

    Valentina Galli & Carlo Faravelli

  5. Department of Psychology, University of Vermont, Burlington, VT, USA

    Alessandra H. Rellini

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  1. Giovanni Castellini
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  2. Lucia Godini
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  3. Silvia Gorini Amedei
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  4. Valentina Galli
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  5. Giovanna Alpigiano
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  6. Elena Mugnaini
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  7. Marco Veltri
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  8. Alessandra H. Rellini
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  9. Carlo Maria Rotella
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  10. Carlo Faravelli
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  11. Marcello Lucchese
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  12. Valdo Ricca
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Correspondence to Valdo Ricca.

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Castellini, G., Godini, L., Amedei, S.G. et al. Psychopathological similarities and differences between obese patients seeking surgical and non-surgical overweight treatments. Eat Weight Disord 19, 95–102 (2014). https://doi.org/10.1007/s40519-013-0058-3

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  • DOI: https://doi.org/10.1007/s40519-013-0058-3

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