Morbid obesity is a serious public health problem due to its increasing prevalence, increased morbidity and mortality and medical and psychological consequence. Obesity has a multifactorial etiology that includes genetic, environmental, dietary, cultural and psychosocial factors.The surgical treatment of obesity has been consistently shown to be effective in long-term marked weight loss and in bringing significant improvement to medical comorbidities. Surgery is indicated in patients with BMI greater than 35 kg/m2 with severe obesity-related comorbidity and for those with BMI greater than 40 kg/m2 with or without comorbidity. Surgery candidates should be selected and evaluated in order to achieve optimal outcomes.Psychological factors are thought to play an important role for maintaining the surgical weight loss. The findings suggest that pre-surgical cognitive function, personality, state of mental health, psychological variables and binge eating may predict post-surgical weight loss to the extent that these factors influence post-operative eating behaviour.The high prevalence of psychiatric disorders in surgery candidates is gaining more attention than before. Studies show that around 40% of all bariatric surgery patients have at least one psychiatric diagnosis. Depressive, anxiety, and binge eating disorders are the most common diagnoses and should be treated before surgery. The most common psychiatric conditions contraindicated to surgery are active psychosis, current substance abuse, heavy drinking, and multiple suicide attempts or a suicide attempt within the previous year.We made a review of literature on psychological predictors of surgical weight loss in order to clarify the role of pre-surgical psychiatric evaluation.
O Transtorno de ansiedade tem afetado os jovens com o isolamento social anulando assim a vida social das pessoas decorrendo assim o aumento das crises de ansiedade. Durante as epidemias, o número de pessoas cuja a saúde mental é afetada tende a ser maior que o número de pessoas com infecções (ORNELL et al. 2020). Segundo o Ministério da Saúde do Brasil (2020) um evento como esse ocasiona perturbações psicológicas e sociais que afetam a capacidade de enfrentamento de toda a sociedade, em variados níveis de intensidade e propagação. O objetivo foi entender como os jovens estão comportando-se com transtorno de ansiedade diante a pandemia. Este estudo uma revisão de literatura integrativa do tipo explicativa quantitativa. Esperou-se entender como os jovens estão comportando-se com o transtorno de ansiedade durante a pandemia SARS-CoV-2 bem como responder quais a consequências que a doença tem trago e se houve ocorrência dos aumentos de casos, tendo vista que os jovens tenham consciência da melhoria da qualidade de vida que o tratamento farmacoterapeutico possa lhe proporcionar.
IntroductionIllness anxiety disorder, or hypochondriasis, is one the most difficult and complex psychiatric disorders to treat.ObjectivesTo describe a case of a patient with illness anxiety disorder and summarize the most important aspects on this theme.MethodsInterviews with the patient and literature review searching the PubMed/MEDLINE were performed.ResultsA 42-year-old married man, dentist, Angolan citizen, who had recently arrived in Portugal, was referred to psychiatry assessment during his hospitalization in medicine service, after an exhaustive medical evaluation. He was excessively anxious and worried about having a severe heart disease because he has gradually become more aware of palpitations and chest pain. Although negative results of the examinations he was worried that “something has been missed”. After he had consulted several medical providers in Luanda, he decided to seek medical advice in Portugal. Patient believed that his symptoms exacerbated with activity and intake food, so he gradually restricted them. Due to his health anxiety, he stopped his work and lost 36 kilos. Shortly before the onset of the clinical picture, his daughter was hospitalized for the first time.ConclusionIllness anxiety disorder often begins in early to middle adulthood. Its core feature is the fear or idea of having a serious disease, based on the misinterpretation of bodily signs and sensations as evidence of disease, which persists despite appropriate medical evaluations and reassurance. This patient fulfills the DSM-5 criteria of Illness anxiety disorder and has a clinical profile similar to those found in literature.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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