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首页> 外文期刊>Nordic journal of psychiatry. >Prevalence of psychiatric disorders before and 1 year after bariatric surgery: The role of shame in maintenance of psychiatric disorders in patients undergoing bariatric surgery
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Prevalence of psychiatric disorders before and 1 year after bariatric surgery: The role of shame in maintenance of psychiatric disorders in patients undergoing bariatric surgery

机译：减肥手术之前和之后一年的精神疾病患病率：减肥手术在患者精神疾病维持中的羞耻感

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Lier HO, Biringer E, Stubhaug B, Tangen T. Prevalence of psychiatric disorders before and 1 year after bariatric surgery: The role of shame in maintenance of psychiatric disorders in patients undergoing bariatric surgery. Nord J Psychiatry 2013; 67: 89-96. Objective: The present study examined prevalence of psychiatric disorders before and 1 year after weight loss surgery. Furthermore, we studied if level of pre-operative shame could be a maintaining factor for psychiatric disorders at 1-year follow-up. Method: One-hundred and twenty-seven patients (F/M: 94/33) with mean body mass index (BMI) +/- standard deviation (s) = 45.3 +/- 5.2 kg/m(2) and mean age 41.3 +/- 10.3 years participated in the study. Eighty-seven patients met for follow-up 1 year after surgery. Psychiatric disorders were assessed by the Mini International Neuropsychiatric Interview (M.I.N.I.) and the Structured Clinical Interview (SCID-II). Levels of depression, anxiety and shame were assessed by the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI) and the Internalized Shame Scale (ISS). Results: Sixty-one patients (48%) at pre-operative assessment and 16 patients (18%) at 1-year follow-up had a comorbid psychiatric disorder. The strongest predictor of post-operative psychiatric disorder was pre-operative psychiatric disorder, odds ratio of 27.7 (95% CI for EXP (B) 3.2-239.8, P = 0.003). Pre-operative level of shame (higher than 50-point ISS score) was also a significant predictor for post-operative psychiatric disorders, odds ratio of 9.1 (95% CI for EXP (B) 1.8-44.4, P = 0.007). Conclusion: There was a significant reduction in prevalence of psychiatric disorders from pre-operative assessment to follow-up 1 year after surgery. Level of shame at pre-operative assessment was associated with maintenance of psychiatric problems. This finding is of clinical importance, since psychiatric disorders persisting after bariatric surgery have strong impact on the course of weight loss and quality of life.
机译：Lier HO，Biringer E，Stubhaug B，Tangen T.减肥手术之前和之后1年的精神疾病患病率：在进行减肥手术的患者中，羞耻感在维持精神疾病中的作用。 Nord J精神病学2013; 67：89-96。目的：本研究检查了减肥手术前后的精神疾病患病率。此外，我们研究了在1年的随访中，术前羞耻程度是否可能是精神疾病的维持因素。方法：一百二十七名患者（F / M：94/33）的平均体重指数（BMI）+/-标准差（s）= 45.3 +/- 5.2 kg / m（2）并且平均年龄41.3 +/- 10.3年参加了这项研究。术后1年，有87例患者进行了随访。精神疾病由Mini International Neuropsychiatric Interview（M.I.N.I.）和结构化临床访谈（SCID-II）进行评估。通过贝克抑郁量表（BDI），贝克焦虑量表（BAI）和内在羞耻量表（ISS）评估抑郁，焦虑和羞耻感水平。结果：术前评估的61例患者（48％）和1年随访时的16例患者（18％）患有合并症精神病。术后精神障碍的最强预测因子是术前精神障碍，优势比为27.7（EXP（B）的95％CI（B）3.2-239.8，P = 0.003）。术前羞耻程度（高于50分ISS评分）也是术后精神疾病的重要预测指标，优势比为9.1（EXP（B）为95％CI，B为1.8-44.4，P = 0.007）。结论：从术前评估到术后1年随访，精神疾病的患病率显着降低。术前评估中的羞耻程度与维持精神疾病有关。该发现具有临床意义，因为减肥手术后持续存在的精神疾病对减肥过程和生活质量具有重要影响。

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