Background: As the number of surgeries increases and the elapsed time of the realization increases as well, the postoperative evaluations would become increasingly necessary. Aim: To assess the psychological profile before and after surgery. Methods: Were evaluated 281 patients from the public service of bariatric surgery. In this study, 109 patients completed the evaluations before surgery (T0) and up to 23 months after surgery (T1); 128 completed the evaluations in T0 and between 24 months and 59 months after surgery (T2); and 44 completed the evaluations in T0 and 60 months after surgery (T3). A semi-structured interview, the Beck Depression Inventory (BDI), Beck Anxiety (BAI), and the Binge Eating Scale (BES) were used. Results: There was a higher prevalence of female (83%), patients with less than 12 years of education (83%), and patients who have a partner (64%). Analyzing all times of evaluation, regarding anxiety, depression, and binge eating, there was a reduction in all symptoms in T1, pointing to significant improvements in the first 23 months after surgery. Already, in T2 and T3, there was an increase in all indicators of anxiety, depression, and binge eating pointing to the transient impact of weight loss or bariatric surgery on these symptoms. Conclusions: This study shows the importance of the continuous psychological evaluation and needs for the appropriate interventions for these patients who have undergone bariatric surgery, even after weight loss.
Background: The psychologist who works in bariatric surgery has a role to receive, evaluate,
prepare and educate the patient who will undergo the surgical procedure.
Psychological evaluation becomes important in so far as allows us to obtain data
on personal and familiar history and allow tracing of possible psychopathology.
Aim: To collect data on psychological evaluations of patients in a bariatric surgery
service of a public hospital in order to describe the psychological profile of
patients in this service. Method: Data were collected from 827 patients between 2001 and 2015, using data from an
interview, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Binge
Eating Scale (BES). Results: The mean age of patients before surgery was 39 years+/- 10, the mean BMI was 51
kg/m²+7, and most patients (81%) were female. The average score on the BDI was
14.8+8 and women had significantly higher scores than men. On the BAI the average
score was 11+8 and on the ECAP was 14+8, both with no difference between groups.
Conclusions: Psychosocial characteristics of the patients points to the significant presence of
indicators of depression, with low levels of anxiety and binge eating.
The body perception seems to comply with own body size, even after weight loss. As longer postoperative period, the participants were more aware of the real possibilities of weight loss. There were signs of dissatisfaction with the body size and shape, mainly in the PO-1 and PO-2, which can lead to frustration and little use of the benefits of the surgery for health and quality of life.
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