Expertos Invitados




Artículos relacionadosArtículos relacionadosArtículos relacionados
Artículos afines de siicsalud publicados en los últimos 4 meses
FATIGA EN PACIENTES CON ARTRITIS REUMATOIDE
Advances in Rheumatology 64(66):1-8
Difundido en siicsalud: 4 oct 2024
FACTORES PSICOLÓGICOS Y CALIDAD DE VIDA EN EL SÍNDROME DE INTESTINO IRRITABLE
JGH open : an open access journal of gastroenterology and hepatology 8(3):1-9
Difundido en siicsalud: 10 oct 2024

COMORBILIDAD PSIQUIATRICA EN PACIENTES CON OBESIDAD MORBIDA INTERVENIDOS DE CIRUGIA BARIATRICA

(especial para SIIC © Derechos reservados)
Los pacientes con obesidad mórbida que son sometidos a cirugía bariátrica para perder peso tienen alta tasa de trastornos mentales, por lo que se muestran como una población de riesgo necesitada de estudio y, a menudo, de tratamiento.
guisado9.jpg Autor:
Juan antonio Guisado macías,
Columnista Experto de SIIC
Artículos publicados por Juan antonio Guisado macías,
Coautor
Francisco José Vaz Leal* 
Doctor en Medicina y Cirugía. Médico Especialista en Psiquiatría. Facultad de Medicina. Universidad de Extremadura*
Recepción del artículo
27 de Febrero, 2004 		Aprobación
30 de Marzo, 2004
Primera edición
18 de Mayo, 2004 		Segunda edición, ampliada y corregida
7 de Junio, 2021

COMORBILIDAD PSIQUIATRICA EN PACIENTES CON OBESIDAD MORBIDA INTERVENIDOS DE CIRUGIA BARIATRICA

Resumen
El objetivo fue estudiar la prevalencia de trastornos mentales en pacientes con obesidad mórbida sometidos a cirugía gástrica para perder peso y analizar predictores clínicos de respuesta al tratamiento quirúrgico. La muestra estaba compuesta de 100 pacientes con obesidad mórbida (85 mujeres, 15 hombres) sometidos a gastroplastia vertical con bandas. La valoración psiquiátrica se realizó 18 meses tras la cirugía y comprendió una entrevista clínica y cuestionarios para valorar calidad de vida, conducta alimentaria, estado psicopatológico, personalidad y relaciones de pareja. Un 29% de la muestra presentaba trastornos psiquiátricos (fundamentalmente trastornos del estado de ánimo y de ansiedad) con una alta tasa de disfunciones de pareja. Los pacientes con enfermedades mentales presentaban una disminución en la calidad de vida, una conducta alimentaria más desestructurada, peor estado psicopatológico, más rasgos disfuncionales de personalidad y peores relaciones de pareja. Los pacientes con obesidad mórbida que son sometidos a cirugía bariátrica para perder peso tienen alta tasa de trastornos mentales, por lo que se muestran como una población de riesgo necesitada de estudio y, a menudo, de tratamiento.

Palabras clave
Obesidad mórbida, cirugía bariátrica, calidad de vida, trastornos mentales, conducta alimentaria


Artículo completo
(castellano)
Extensión:  +/-14.72 páginas impresas en papel A4
Exclusivo para suscriptores/assinantes
Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Salud Mental
Relacionadas: Cirugía, Endocrinología y Metabolismo, Epidemiología, Gastroenterología, Medicina Interna, Nutrición



Comprar este artículo
Extensión: 14.72 páginas impresas en papel A4

file05.gif (1491 bytes) Artículos seleccionados para su compra



Enviar correspondencia a:
Guisado Macías, Juan Antonio
Bibliografía del artículo
  1. Spilker B. Quality of life assessment in clinical trials. New York: Raven Press, 1990.
  2. Nordentoft M, Knudsen HC, Jessen-Petersen B, Krasnik A, Saelan H, Treufeldt P, Wetcher B. CCPP-Copenhagen Community Psychiatric Project. Implementation of community mental health centres in Copenhagen: effects of service utilization, social integration, quality of life and positive and negative symptoms. Social Psychiatry and Psychiatric Epidemiology 1996; 31: 336-344.
  3. Kral JG. Morbid obesity and related health risks. Annals of Internal Medicine 1985; 103: 1043-7.
  4. Kral JG, Sjöström LV, and Sullivan MBE. Assessment of quality of life before and after surgery for severe obesity. American Journal of Clinical Nutrition 1992; 55suppl: 611S-4S.
  5. Lang T, Hauser R, Schlumpf R, Klaghofer R, Buddeberg C. Psychological comorbidity and quality of life of patients with morbid obesity and requesting gastric banding. Schweizerische Medizinische Wochenschrift 2000; 20: 739-48.
  6. Reinhold RB. Critical analysis of long-term weight loss following gastric bypass. Surgery, Gynecology and Obstetrics 1982; 155:385-94.
  7. Mason EE, Maher JW, Scott DH, et al. Ten years of vertical banded gastroplasty for severe obesity. Probl Gen Surg 1992; 9:280-9.
  8. Weiner R, Datz M, Wagner D, Bockhorn H. Quality of life after laparoscopic adjustable gastric banding for morbid obesity. Obesity Surgery 1999; 9: 539-45.
  9. Schauer PR, Ikramuddin S, Gourash W, Ramanathan R, Luketich J. Outcomes after laparoscopic Roux- en-Y gastric bypass for morbid obesity. Annals of Surgery 2000; 232: 515-529.
  10. Hawke A, O'Brien P, Watts JM, et al: Psychosocial and physical activity changes after gastric restrictive procedures for morbid obesity. Australian and New Zealand Journal of Surgery 1990; 60:755-8.
  11. Larsen F. Psychosocial function before and after gastric banding surgery for morbid obesity. A prospective psychiatric study. Acta Psychiatrica Scandinavica 1990; supp 359: 82.
  12. Naslund I, Agren G. Social effects of gastric restrictive surgery for morbid obesity. International Journal of Obesity 1990; 14(suppl 2): 159.
  13. Hafner RJ, Rogers J and Watts McK. Psychological status before and after gastric restriction as predictors of weight loss in the morbidly obese. Journal of Psychosomatic Research 1990; 34: 295-302.
  14. NIH Technology Assessment Conference Statement 30 March-1April, 1992.
  15. Karlsson J, Sjöström L, and Sullivan M. Swedish obese subjects (SOS)-an intervention study of obesity. Two-year follow-up of health related quality of life (HRQL) ans eating behavior after gastric surgery for severe obesity. International Journal of Obesity 1998; 22: 113-126.
  16. Bull RH, Legorreta G. Outcome of gastric surgery for morbid obesity: weight changes and personality traits. Psychotherapy and Psychosomatic 1991; 56: 146-156.
  17. Wölfel R, Günter K, Rümenap T et al. Weight reduction after gastric bypass and horizontal gastroplasty for morbid obesity. Results after 10 years. European Journal of Surgery 1994; 160: 219-225.
  18. Le Pen C, Lévy E, Loos F, Banzet MN, Basdevant A. "Specific" scale compared with "generic" scale: a double measurement of the quality of life in a French community sample of obese subjects. Journal of Epidemiology and Community Health 1998; 52: 445-450.
  19. Charles SC. Psychiatric evaluation of morbidly obese patients. Gastroenterology Clinics of North America 1987; 16: 3.
  20. Hsu L.K.G, Betancourt S, Sullivan S.P. Eating disturbances before ans after vertical banded gastroplasty: a pilot study. International Journal of Eating Disorders, 1996; 19: 23-34.
  21. Resch M, Jako P, Sido Z, Haasz P. The combined effect of psychotherapy and fluoxetine on obesity. Orvosi Hetilap 1999; 3: 2221-5.
  22. Stunkard AJ and Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. Journal of Psychosomatic Research, 1985; 29: 71-83.
  23. Stunkard AJ, Stinnet JL, Smoller AD. Psychological and social aspects of the surgical treatment of obesity. American Journal of Psychiatry 1986; 143:417-429.
  24. Sugerman HJ, Starkey JV, & Birkenhauer R. A randomized prospective trial of gastric bypass versus vertical banded gastroplasty for morbid obesity and their effects on sweets versus non-sweets eaters. American Surgery 1987; 205: 613-24.
  25. McLean LD, Rhode BM, & Forse RA. Late results of vertical banded gastroplasty for morbid and superobesity. Surgery 1990; 107: 20-27.
  26. Pories WJ. The surgical approach to morbid obesity. In D.C. Sabiston (ED.), Testbook of surgery (pp. 851-865). Philadelphia: W. B. Saunders. 1991.
  27. Hernández-Estefania R, González-Lamuno D, García-Ribes M, García-Fuentes M, Cagigas JC, Ingelmo A, Escalante C. Variables affecting BMI evolution at 2 and 5 years after vertical banded gastroplasty. Obesity Surgery 2000; 10: 160-6.
  28. Suter M, Jayet C, Jayet A. Vertical banded gastroplasty: long-term results comparing three different techniques. Obesity Surgery 2000; 10: 41-7.
  29. Yale CE, & Weiler SJ. Weight control after vertical banded gastroplasty for morbid obesity. American Journal of Psychiatry 1991; 62: 13-19.
  30. Kral JG, Gortz L, Hermansson G, & Wallin GS. Gastroplasty for obesity: Long-term weight loss improved by vagotomy. World Journal of Surgery 1993; 17: 75-79.
  31. Kriwanek S, Blauensteiner W, Lebisch E, Beckerhinn P, Roka R. Dietary changes after vertical banded gastroplasty. Obesity Surgery 2000; 10: 37-40.
  32. Halmi KA, Long M, Stunkard AJ & Mason E. Psychiatric diagnosis of morbidly obese gastric bypass patients. American Journal of Psychiatry 1980a; 137: 470-472.
  33. Black DW, Goldstein RB, M.S.W., M.P.H., and Mason EE. Prevalence of mental disorder in 88 morbidly obese bariatric clinic patients. American Journal of Psychiatry 1992; 149: 227-234.
  34. Gormally J, Black S, daston S & Rardin D. The assesment of binge eating severity among obese persons. Addictive Behaviors 1982; 7: 47-55.
  35. Thompson J.L., Maore M.M. y Thomas J.R.: Effects of diet and diet-plus-exercise programs on resting metabolic rate a meta-analysys. Int J Sports Nut. 6:41-61,1990 59.- US Departament of Health and Human Services. Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: Departament of Health and Human Services, Centers for Diseases Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion,1996.
  36. Halmi KA, Stunkard AJ, Masson EE. Emotional responses to weight reduction by three methods: gastric bypass, jejunoileal bypass, diett. American Journal of Clinical Nutrition 1980b; 33: 446-451.
  37. Rand CSW, MacGregor A, Hankins G. Gastric bypass surgery for obesity: weight loss, psychosocial outcome and morbidity one and three years later. Southern Medical Journal 1986; 79: 1511-1514.
  38. Kalucy RS, Crisp AH. Some psychological and social implications of massive obesity. Journal of Psichosomatic Research 1974; 18: 465-473.
  39. Espmark S. Psychological effects of intestinal and gastric bypass. In: Maxwell JC, Gazet J-C, Pilkington TRE, eds. Surgical management of obesity. London: Academic Press, 1980: 189-208.
  40. Mills JK. A note on interpersonal sensitivity and psychotic symptomatology in obese adult outpatients with a history of chilhood obesity. The Journal of Psychology 1995a; 129: 345-348.
  41. Bruch H. Eating Disorders: Obesity, Anorexia Nervosa and the Person Within. New York: Basic. 1973.
  42. Blankmeyer BL, Smylie KD, Price DC, Costello RM, McFee AS, Fuller DS. A replicated five MMPI typology of morbidly obese female candidates for gastric bypass. International Journal of Obesity 1990; 4: 235-247.
  43. Castelnuovo-Tedesco P, Schiebel P. Studies of superobesity: I. Psychological characteristics of superobese parients. International Journal Psychiatry in Medicine 1975; 6: 465-480.
  44. Abram HS, Meixel SA, Webb WW, Scott HW. Psychological adaption to jejunoileal bypass for morbid obesity. Journal of Nervous and Mental Disease 1976; 162: 151-157.
  45. Larsen F and Torgersen S. Personality changes after gastric banding surgery for morbid obesity. A prospective study. Journal of Psychosomatic Research 1989; 33: 323-334.
  46. Castelnuovo-Tedesco P. Bypass surgery for superobesity. In Blacher RS(ed.): The Psychological Experience of Surgery. New York, John Wiley, 1987, pp 161-193.
  47. Fulop G, Strain JJ, Vita J, Lyons JS, Hammer JS. Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients: A preliminary report. American Journal of Psychiatry 1987; 144: 878-882.
  48. Cummings NA, Follette WT. Psychiatric services and medical utilization in a prepaid plan setting: Part II. Medical Care 1968; 6: 31-41.
  49. Barrash J, Rodriguez EM, Scott DH, Mason EE, Sines JO. The utility of MMPI subtypes for the prediction of weight loss after bariatric surgery. International Journal of Obesity 1987; 11: 115-128.
  50. Jonsson B, Bjorvell H, Levander S, Rossner S. Personality traits predicting weight loss outcome in obese patients. Acta Psychiatrica Scandinavica 1986; 74: 384-387.
  51. Wadden TA & Stunkard AJ. Social and psychological consequences of obesity. Annals of Internal Medicine 1985; 3: 1062-1067.
  52. Atkinson RM, Ringuette EL. A survey of biographical and psychological features in extraordinary fatness. Psychosomatic Medicine 1967; 29: 121-133.
  53. Getler R, Ramsey-Stewart G. Preoperative psychiatric assessment of patients presenting for gastric bariatric surgery. Australian and New Zealand Journal of Surgery 1986; 56: 157-161.
  54. Price RA, Cadoret RJ, Stunkard AJ, Troughton E. Genetic contribution to human fatness: an adoption study. American Journal of Psychiatry 1987; 144: 1003-1008.
  55. Hutzler JC, Keen J, Molinari V et al. Super-obesity: A psychiatric profile of patient electing gastric stapling for the treatment of morbid obesity. Journal of Clinical Psychiatry 1981; 42: 458-462.
  56. Rand CS, Kuldau JM, Robbins L: Surgery for obesity and marriage quality. The Journal of American Medical Association 1982; 247: 1419-1422.
  57. Hafner RJ, Watts JM, Rogers J. Quality of life after bypass for morbid obesity. International Journal of Obesity 1991; 15: 555-560.
  58. National Institute of Health (NIH). Gastrointestinal Surgery for Severe Obesity. Annals of Internal Medicine 1991; 115: 959-961.
  59. Fettes P, and Williams DE. Assessment and treatment of morbid obesity. In: Thompson JK. Body image, Eating disorders and Obesity. American Psychological Association. 1996.
  60. Garner DM, & Olmsted MP, & Polivy J. Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders 1983; 2: 15-34.
  61. Garner DM. Eating Disorder Inventory-2: Professional Manual. Odessa, FL: Psychological Assessment Resources. 1991.
  62. Derogatis LR. SCL-90 R version. Manual I. Baltimore: John Hopkins University School of Medicine, 1977.
  63. Beck AT & Beamesderfer A. Assessment of depression: The depression inventory. In: P. Pichot (Ed), Psychological measurement in psychopharmacology, 1974; vol 7. Paris: Kargel, Basel.
  64. Hamilton M. A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry 1960; 23: 26-62.
  65. Millon T. (1987). Millon Clinical Multiaxial Inventory-II: Manual for the MCMI-II. Minneapolis: National Computer Systems.
  66. Butcher JN, Dahlstrom WG, Graham JR, Tellegen A & Kaemer B. Minnesota Multiphasic Personality Inventory (MMPI-2). Manual for administration and scoring. Minneapolis: University of Minnesota Press. 1989.
  67. World Health Organization. International Personality Disorders Examination. Geneva 1996
  68. Halverson JD & Koehler RE: Gastric bypass: an analysis of weight loss and factors determining success. Surgery 1981; 90: 446-455.
  69. Harris MB & Green D: Psychosocial effects of gastric reduction surgery for obesity. International Journal of Obesity 1982; 6: 527-539.
  70. Solow C, Silerfarb PM, Swift K. Psychosocial effects of intestinal bypass surgery for severe obesity. New England Journal of Medicine 1974; 290: 300-304.
  71. Solow C. Psychosocial aspects of intestinal bypass surgery for massive obesity: Current status. American Journal of Clinical Nutrition 1977; 30: 103-108.
  72. La Manna A, Ricci GB, Giorgi I, Gossemberg M, La Manna L, Catona A. Psychological effects of vertical banded gastroplasty on pathologically obese patients. Obesity Surgery 1992; 2: 239-243.
  73. Chandarana P, Holliday R, Conlon P, Deslippe T. Psychosocial considerations in gastric stapling surgery. Journal of Psychosomatic Research 1988; 32: 85-92.
  74. Adami GF, Gandolfo P, Campostano A, Bauer B, Cocchi FH, & Scopinaro N. Eating Disorder Inventory in the assessment of psychosocial status in the obese patients prior to and at long term following biliopancreatic diversion for obesity. International Journal of Eating Disorders 1994; 15: 267-274.
  75. van Gemert WG, Severeijns RM, Greve JWM, Groenman N, and Soeters PB. Psychological functioning of morbidly obese patients after surgical treatment. International Journal of Obesity 1998; 22: 393-398.
  76. Gaite L, Vazquez-Barquero JL, et al. Quality of Life in Schizophrenia: Development, Reliability and Internal Consistency of the Lancashire Quality of Life Profile-European Version EPSILON Study. British Journal of Psychiatry 2000; Suppl 39: s49-s54.
  77. Henderson M & Freeman CPL: A self-rating scale for bulimia: the BITE. British Journal of Psychiatry 1987; 150: 18-24.
  78. Olson DH, Fournier DG, & Druckman JM. Enriching & Nurturing Relationship Issues, Communication & Happiness. In DH Olson, HI McCubbin, H. Barness, A. Larsen, M. Muxen, M. Wilson. Family Inventories. University of Minnesota. Second edition. 1992.
  79. Mendelson M, Weinberg N, Stunkard AJ: Obesity in men-a clinical study of 25 cases. Annals of Internal Medicine 1960; 54:660-671.
  80. Deurenger P, van Poppel G, Hautvast JGAG. Morbiditeit en subjectief welbevinden bij jonge volwassen met overgewicht. (Morbidity and subjective well-being of young overweight adults). Nederlands Tijdschrift Geneeskunde 1984; 128: 940-4.
  81. Martin LF, Tan TL, Holmes PA, et al. Preoperative insurance status influences postoperative complication rates for gastric bypass. American Journal of Surgery 1991; 161: 625-34.
  82. Fontaine KR, Bartlett SJ, and Barofsky I. Health-Related Quality of Life Among Obese Persons Seeking and not Currently Seeking Treatment. International Journal of Eating Disorders 2000; 27: 101-105.
  83. Higgs ML, Wade T, Cescato M et al. Differences between treatment seekers in an obese population: medical intervention vs. Dietary restriction. Journal of Behavioral Medicine, 1997; 20: 391-405.
  84. Berman WH, Berman ER, Heymsfield S, Fauci M, Ackerman S. The incidence and comorbidity of psychiatric disorders in obese clinic patients. Journal of Personality Disorders 1992; 6:168-175.
  85. Hall JC, Horne K, O'Brien DE, Watts JMcK. Patient well-being after gastric bypass surgery for morbid obesity. Australian and New Zealand Journal of Surgery 1983; 53: 321-324.
  86. Gentry K, Halverson JD, and Heisler S. Psychologic assessment of morbidly obese patients undergoing gastric bypass: A comparison of preoperative and potoperative adjustment. Surgery 1984; 95 : 2.
  87. Valley V, & Grace DM. Psychological risk factors in gastric surgery for obesity: Identifying guidelines for screening. International Journal of Obesity 1987; 11: 105-113.
  88. Espmark S. Eridophobi och fetma. Stockholm: Karolinska Sjukhuset, 1976.
  89. Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastroplasty and roux-y gastric bypass for morbid obesity with selective versus random assignment. The American Journal of Surgery 1989; 157: 93-102.
  90. Ryden O, Olson SA, Danielson A, & Nilson-Ehle P. Weight loss after gastroplasty: Psychological sequelae in relation to clinical and metabolic observations. Journal of The American College of Nutrition 1989; 8: 15-23.
  91. DeWind LT & Payne JH: Intestinal bypass surgery for morbid obesity. The Journal of American Medical Association 1976; 236: 2298-2301.
  92. Olson SA, Ryden O, Danielsson A & Nilsson-Ehle P: Weight reduction after gastroplasty: the predictive value of surgical, metabolic, and psychological variables. International Journal of Obesity 1984; 8: 245-258.
  93. Mills MJ, and Stunkard AJ: Behavioral changes following surgery for obesity. American Journal of Psychiatry 1976; 133: 527-531.
  94. O'Leary JP: Jejunoileal bypass in the treatment of morbid obesity. International Journal of Obesity 1978; 2: 191-196.
  95. Napoleon A. The presentation of personalities in plastic surgery. Annals of Plastic Surgery 1993; 31: 193-208.
  96. Grana AS, Coolidge FL, and Merwin MM. Personality profiles of the morbidly obese. Journal of Clinical Psychology 1998; 45: 763-765.
  97. Björvell H, Aly A, Langius A et al. Indicators of changes in weight and eating bahaviour in severely obese patients treated in a nursing behavioural program. International Journal of Obesity 1994; 18: 521-525.
  98. Martin LF, Tan TL, Holmes PA, et al. Can morbidly obese patients safely lose weight preoperatively The American Journal of Surgery 1995; 169: 245-253.
  99. Mills JK. Interpersonal dependency in alcoholic and obese men. Psychological Reports, 1995b; 76: 737-738.
Título español
Resumen
 Palabras clave
 Bibliografía
 Artículo completo
(exclusivo a suscriptores)
 Autoevaluación
  Tema principal en SIIC Data Bases
 Especialidades

  English title
  Abstract
  Key words
Full text
(exclusivo a suscriptores)

Autor 
Artículos
Correspondencia
Patrocinio y reconocimiento
Imprimir esta página
 
 
 
 
 
 
 
 
 
 
 
 
Está expresamente prohibida la redistribución y la redifusión de todo o parte de los contenidos de la Sociedad Iberoamericana de Información Científica (SIIC) S.A. sin previo y expreso consentimiento de SIIC.
ua31618
Home

Copyright siicsalud © 1997-2024 ISSN siicsalud: 1667-9008