Morbidity persistence and comorbidity of mood, anxiety, and eating disorders among preoperative bariatric patients

Autor(es)

Duarte-Guerra, Leorides Severo ^[1] ; Coelho, Bruno Mendonca ^[1] ; Santo, Marco Aurelio ^[2] ; Lotufo-Neto, Francisco ^[1] ; Wang, Yuan-Pang ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Med Sch, Dept & Inst Psychiat LIM 23, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Med Sch, Dept Surg, Sao Paulo, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: PSYCHIATRY RESEARCH; v. 257, p. 1-6, NOV 2017.
• Citações Web of Science: 7

Resumo

The current study investigates the patterns of disease persistence and comorbidity of psychiatric disorders among patients with class III obesity in pre-operative period. For 393 treatment-seeking patients with severe obesity recruited from a bariatric center, we ascertained their psychiatric diagnosis through Structured Clinical Interview for DSM-IV (SCID-I). Following, the frequency, persistence and comorbidity pattern of psychiatric disorders in this sample were determined. Current psychiatric disorders were observed in over half of patients during preoperative period, being anxiety disorders the most frequent diagnosis. For lifetime disorders, mood disorders were the most frequent diagnosis. Most of the sample presented 2 or more concurrent lifetime psychiatric disorders. While mood and eating disorders were frequent conditions, anxiety disorders were the most persistent conditions (the highest one month-to-lifetime prevalence ratio) and were significantly correlated with bipolar, depressive and eating disorders. Psychiatric disorders are frequent and enduring conditions among patients looking for bariatric surgery. Comorbid anxiety, mood, and eating disorders are remarkable features in treatment-seeking patients with obesity. Prognostic implications of preoperative psychiatric disorders on surgery outcome should be demonstrated prospectively in intervention studies. (AU)

• Processo FAPESP: 12/17498-9 - Espectro do transtorno bipolar entre pacientes obesos candidatos à cirurgia bariátrica
• Beneficiário: Leorides Severo Duarte Guerra
• Modalidade de apoio: Bolsas no Brasil - Mestrado
• Processo FAPESP: 12/17435-7 - Espectro do transtorno bipolar entre pacientes obesos candidatos a cirurgia bariátrica: transtornos mentais e obesidade
• Beneficiário: Wang Yuan Pang
• Modalidade de apoio: Auxílio à Pesquisa - Regular