David Mahony1. 1. Department of Psychiatry, Lutheran Medical Center, 150 55 St. Suite 2-45, Brooklyn, New York, NY 11220, USA. dmahony@lmcmc.com
Abstract
BACKGROUND: Over 177,000 bariatric surgeries were performed in 2006. Most patients are required to receive presurgical psychological clearance, although there are no empirically validated psycho-surgical risk factors. In an effort to establish normative data on suspected risk factors, the present study was conducted to determine if males and females differ on psycho-surgical risk factors. METHODS: Subjects consisted of 361 consecutive bariatric surgery candidates undergoing a psychological evaluation in a private practice setting. They were administered the PsyBari, a test that detects and measures psycho-surgical risk factors, and the Beck Depression Inventory (BDI-2). RESULTS: The results indicate that males have significantly higher BMIs than females (p=0.035). Females have tried significantly more diets than males (p<0.000). Females are significantly more likely to report a history of depression than males (p<0.000). Females received significantly higher scores on the PsyBari Depression Index than males (p<0.000.). Females received significantly higher BDI-2 scores than males (p<0.001). Females are significantly more likely to report a history of anxiety than males (p=0.004). Females received significantly higher scores on the PsyBari Social Anxiety Index than males (p=0.038). CONCLUSION: The results indicate that males and females differ significantly on suspected psycho-surgical risk factors. Assessments of bariatric surgery candidates should recognize that males and females have different baselines for psycho-surgical risk factors. Further research on bariatric surgery candidates should report results separated by gender.
BACKGROUND: Over 177,000 bariatric surgeries were performed in 2006. Most patients are required to receive presurgical psychological clearance, although there are no empirically validated psycho-surgical risk factors. In an effort to establish normative data on suspected risk factors, the present study was conducted to determine if males and females differ on psycho-surgical risk factors. METHODS: Subjects consisted of 361 consecutive bariatric surgery candidates undergoing a psychological evaluation in a private practice setting. They were administered the PsyBari, a test that detects and measures psycho-surgical risk factors, and the Beck Depression Inventory (BDI-2). RESULTS: The results indicate that males have significantly higher BMIs than females (p=0.035). Females have tried significantly more diets than males (p<0.000). Females are significantly more likely to report a history of depression than males (p<0.000). Females received significantly higher scores on the PsyBari Depression Index than males (p<0.000.). Females received significantly higher BDI-2 scores than males (p<0.001). Females are significantly more likely to report a history of anxiety than males (p=0.004). Females received significantly higher scores on the PsyBari Social Anxiety Index than males (p=0.038). CONCLUSION: The results indicate that males and females differ significantly on suspected psycho-surgical risk factors. Assessments of bariatric surgery candidates should recognize that males and females have different baselines for psycho-surgical risk factors. Further research on bariatric surgery candidates should report results separated by gender.
Authors: Anthony N Fabricatore; Canice E Crerand; Thomas A Wadden; David B Sarwer; Jennifer L Krasucki Journal: Obes Surg Date: 2006-05 Impact factor: 4.129
Authors: C Nickel; C Widermann; D Harms; P L Leiberich; K Tritt; C Kettler; C Lahmann; W K Rother; T H Loew; M K Nickel Journal: Int J Psychiatry Med Date: 2005 Impact factor: 1.210