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Psychopathology in severely obese women from a Canadian bariatric setting

Bibliographic Data

ID12928222
AuthorsRachel Strimas (Homewood Research Institute, corresponding author), Michelle M Dionne (Toronto Metropolitan University), Stephanie E Cassin (0000-0003-4930-4681, Toronto Metropolitan University), Susan Wnuk (0000-0002-1321-0547, University of Toronto), Marlene Taube-Schiff, Marlene Taube‐schiff (0000-0001-6381-6865, Toronto Western Hospital), Sanjeev Sockalingam (0000-0002-9626-1509, Toronto Western Hospital)
EditorsValerie H Taylor (0000-0002-8948-638X)
Year2014
Volume7
Issue2
Pages72-85
Publication date2014-06-10
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueEthnicity and Inequalities in Health and Social Care (JOURNAL)
Journal identifiersISSN: 1757-0980 • E-ISSN: 2042-8367
PublisherEmerald Publishing Limited (PUBLISHER • GB)
DOI10.1108/eihsc-10-2013-0033
OpenAlexW2052426853
LanguageEN
References cited45

Purpose – Evidence suggests high rates of psychiatric disorders in bariatric surgery candidates (e.g. Mitchell et al. , 2012), although no rigorous studies have examined the prevalence in a Canadian sample. Improved understanding of the prevalence of psychopathology among female patients is an important area of study, as females comprise approximately 80 percent of surgical candidates (Martin et al. , 2010; Padwal, 2005). The purpose of this paper is to assess the prevalence of Axis I disorders and associations with quality of life in a Canadian sample of female bariatric surgery candidates. Design/methodology/approach – Female patients ( n =257) were assessed using a structured psychodiagnostic interview and completed a health-related quality of life questionnaire. Findings – Results indicated that 57.2 percent of patients met DSM-IV-TR criteria for a lifetime psychiatric disorder and 18.3 percent met criteria for a current psychiatric disorder. Major depressive disorder was the most common lifetime psychiatric disorder (35.0 percent) and binge eating disorder was the most prevalent current psychiatric disorder (6.6 percent). Patients scored significantly lower than Canadian population norms on all domains of the SF-36 (all p 's<0.001). Patients with a current Axis I disorder also reported significantly worse functioning on four mental health domains and one physical health domain ( p 's<0.01) compared to patients without a current Axis I disorder. Originality/value – Results confirm high rates of psychiatric disorders in Canadian female bariatric surgery candidates and provide evidence for associated functional health impairment. Further study is needed to elucidate how pre-operative psychopathology may impact female patients’ post-operative outcomes

Binge-eating disorder · Bulimia nervosa · Eating disorders · Major depressive disorder · Mental health · Mood · Population · Psychiatry · Psychopathology · Quality of life (healthcare · Bariatric Surgery and Outcomes · Eating Disorders and Behaviors · Medicine · Obesity and Health Practices

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Citation velocityhistorical
Highly citedNo

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