Axis I and II Disorders and Quality of Life in Bariatric Surgery Candidates

2008 ◽  
Vol 69 (2) ◽  
pp. 295-301 ◽  
Author(s):  
Mauro Mauri ◽  
Paola Rucci ◽  
Alba Calderone ◽  
Ferruccio Santini ◽  
Annalisa Oppo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Axis I

scholarly journals Emotion Regulation Difficulties And Psychopathology In Bariatric Surgery Candidates

2021 ◽  
Author(s):  
Rachel Strimas
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Emotion Regulation ◽  
Eating Disorder ◽  
Psychiatric Disorder ◽  
Difficulties In Emotion Regulation ◽  
Current Axis ◽  
Axis I ◽  
A Current

Evidence suggests high rates of psychiatric disorders in bariatric surgery candidates (e.g., Kalarchian et al., 2007; Mitchell et al., in press), although no rigorous studies have examined the prevalence in a Canadian sample. As such, the first purpose of this study was to assess the prevalence of Axis I disorders, and associations with quality of life, in a sample of consecutively referred bariatric surgery candidates at the Toronto Western Hospital Bariatric Surgery Program. In light of emerging evidence linking emotion regulation difficulties with diverse psychiatric symptoms, the second purpose of this study was to examine whether emotion regulation difficulties were common or specific determinants of mood, anxiety, and eating psychodiagnostic categories, as such information would help inform interventions. Three hundred and twenty-one bariatric surgery candidates (80.1% female; M age = 44.37 years) were assessed using a structured psychodiagnostic interview and completed questionnaires of health-related quality of life and emotion regulation difficulties. Results indicated that 54.5% of patients met DSM-IV-TR criteria for a lifetime psychiatric diagnosis and 18.4% met criteria for a current psychiatric disorder. Major depressive disorder was the most common lifetime psychiatric disorder and binge eating disorder was the most prevalent current psychiatric disorder. Compared to patients without a current Axis I disorder, participants diagnosed with a current Axis I disorder reported significantly worse functioning on most mental and physical health domains (p’s < .01). Overall, a series of regression analyses revealed that difficulties regulating emotions accounted for unique variance in current mood and anxiety disorder status (p’s < .001). Difficulties in emotion regulation were not significantly associated with current eating disorder status after Bonferroni correction. Taken together, these results confirm the high rates of psychiatric disorders in a Canadian sample of bariatric surgery candidates and provide evidence for associated functional health impairment. The data also add to the growing body of literature demonstrating emotion regulation difficulties across psychodiagnostic categories and are consistent with suggestions that psychosocial interventions for bariatric patients might benefit from directly targeting difficulties in emotion regulation. Further study of these associations is needed to replicate these findings and elucidate how difficulties in emotion regulation interact with psychopathology to affect patients’ post-operative outcomes.

Psychopathology in severely obese women from a Canadian bariatric setting

2014 ◽  
Vol 7 (2) ◽  
pp. 72-85 ◽  
Author(s):  
Rachel Strimas ◽  
Michelle M. Dionne ◽  
Stephanie E. Cassin ◽  
Susan Wnuk ◽  
Marlene Taube-Schiff ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Content Type ◽  
Female Patients ◽  
Current Axis ◽  
Axis I ◽  
A Current

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.

scholarly journals Emotion Regulation Difficulties And Psychopathology In Bariatric Surgery Candidates

2021 ◽  
Author(s):  
Rachel Strimas
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Emotion Regulation ◽  
Eating Disorder ◽  
Psychiatric Disorder ◽  
Difficulties In Emotion Regulation ◽  
Current Axis ◽  
Axis I ◽  
A Current

Evidence suggests high rates of psychiatric disorders in bariatric surgery candidates (e.g., Kalarchian et al., 2007; Mitchell et al., in press), although no rigorous studies have examined the prevalence in a Canadian sample. As such, the first purpose of this study was to assess the prevalence of Axis I disorders, and associations with quality of life, in a sample of consecutively referred bariatric surgery candidates at the Toronto Western Hospital Bariatric Surgery Program. In light of emerging evidence linking emotion regulation difficulties with diverse psychiatric symptoms, the second purpose of this study was to examine whether emotion regulation difficulties were common or specific determinants of mood, anxiety, and eating psychodiagnostic categories, as such information would help inform interventions. Three hundred and twenty-one bariatric surgery candidates (80.1% female; M age = 44.37 years) were assessed using a structured psychodiagnostic interview and completed questionnaires of health-related quality of life and emotion regulation difficulties. Results indicated that 54.5% of patients met DSM-IV-TR criteria for a lifetime psychiatric diagnosis and 18.4% met criteria for a current psychiatric disorder. Major depressive disorder was the most common lifetime psychiatric disorder and binge eating disorder was the most prevalent current psychiatric disorder. Compared to patients without a current Axis I disorder, participants diagnosed with a current Axis I disorder reported significantly worse functioning on most mental and physical health domains (p’s < .01). Overall, a series of regression analyses revealed that difficulties regulating emotions accounted for unique variance in current mood and anxiety disorder status (p’s < .001). Difficulties in emotion regulation were not significantly associated with current eating disorder status after Bonferroni correction. Taken together, these results confirm the high rates of psychiatric disorders in a Canadian sample of bariatric surgery candidates and provide evidence for associated functional health impairment. The data also add to the growing body of literature demonstrating emotion regulation difficulties across psychodiagnostic categories and are consistent with suggestions that psychosocial interventions for bariatric patients might benefit from directly targeting difficulties in emotion regulation. Further study of these associations is needed to replicate these findings and elucidate how difficulties in emotion regulation interact with psychopathology to affect patients’ post-operative outcomes.

Quality of life in patients undergoing bariatric surgery

2019 ◽  
Author(s):  
Sara Merino-Molina ◽  
Angel Rebollo-Roman ◽  
Aura-Dulcinea Herrera-Martinez ◽  
Maria-Dolores Alcantara-Laguna ◽  
Concepcion Munoz-Jimenez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery

The impact of bariatric surgery on the quality of life of obese individuals in Saudi Arabia

2021 ◽  
pp. 29-36
Author(s):  
Khaled Alghamdi ◽  
Feras Aljohani ◽  
Ala Alrehaili ◽  
Ahmed Alhusayni ◽  
Turki Alrehaili ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Saudi Arabia ◽  
The Impact

scholarly journals Does Bariatric Surgery Improve Faecal Incontinence? A Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Fardowsa Mohamed ◽  
Megna Jeram ◽  
Christin Coomarasamy ◽  
Melanie Lauti ◽  
Don Wilson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Faecal Incontinence ◽  
Meta Analysis ◽  
One Anastomosis Gastric Bypass ◽  
Significant Difference ◽  
Post Bariatric Surgery

Abstract Introduction Obesity increases the risk of pelvic floor disorders in individuals with obesity, including faecal incontinence. Faecal incontinence (FI) is a condition with important clinical and psychosocial consequences. Though it is associated with obesity, the effect of bariatric surgery on the prevalence and severity of FI is not well reported. Objective To assess the effect of bariatric surgery on the prevalence and severity of FI in adult patients with obesity. Methods This systematic review was conducted in accordance with the PRISMA statement. Two independent reviewers performed a literature search in MEDLINE, PubMed, Cochrane and Embase from 1 January 1980 to 12 January 2019. We included published English-language randomized control trials and observational studies assessing pre- and post-bariatric surgery prevalence or severity of FI. Random-effects models with DerSimonian and Laird’s variance estimator were used for meta-analysis. Results Thirteen studies were included, eight assessing prevalence (678 patients) and 11 assessing severity of FI (992 patients). There was no significant difference in prevalence post-operatively overall, though it trended towards a reduction [pooled OR=0.55; =0.075]. There was a significant reduction of FI prevalence in women post-bariatric surgery [95% CI 0.22 to 0.94, p=0.034]. There was a statistically significant reduction in FI prevalence following Roux-en-Y gastric bypass and one anastomosis gastric bypass [0.46, 95% CI 0.26 to 0.81; p=0.007]. There was no significant reduction of incontinence episodes post-operatively [pooled mean difference =−0.17, 95% CI −0.90 to 0.56; p=0.65]. Quality of life (QOL) was not significantly improved post-bariatric surgery [mean differences for the following facets of QOL: behaviour −0.35, 95% CI −0.94 to 0.24; depression 0.04, 95% CI −0.12 to 0.2; lifestyle −0.33, 95% CI −0.98 to 0.33; p values of 0.25, 0.61 and 0.33, respectively]. Discussion There was a significant reduction in FI prevalence in women and those who underwent Roux-en-Y or one anastomosis gastric bypass. Our results for FI prevalence overall, FI severity and impact on quality of life were not statistically significant. Larger studies are needed in this under-researched area to determine the true effect of bariatric surgery on FI. Graphical abstract

Psychiatric and psychosocial morbidity 1 year after epilepsy surgery

2020 ◽  
pp. 1-8
Author(s):  
S. Patel ◽  
M. Clancy ◽  
H. Barry ◽  
N. Quigley ◽  
M. Clarke ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Epilepsy Surgery ◽  
Refractory Epilepsy ◽  
Post Surgery ◽  
Axis I ◽  
Patients With Epilepsy ◽  
The Impact

Abstract Objectives: There is a high rate of psychiatric comorbidity in patients with epilepsy. However, the impact of surgical treatment of refractory epilepsy on psychopathology remains under investigation. We aimed to examine the impact of epilepsy surgery on psychopathology and quality of life at 1-year post-surgery in a population of patients with epilepsy refractory to medication. Methods: This study initially assessed 48 patients with refractory epilepsy using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), the Hospital Anxiety and Depression Scale (HADS) and the Quality of Life in Epilepsy Inventory 89 (QOLIE-89) on admission to an Epilepsy Monitoring Unit (EMU) as part of their pre-surgical assessment. These patients were again assessed using the SCID-I, QOLIE-89 and HADS at 1-year follow-up post-surgery. Results: There was a significant reduction in psychopathology, particularly psychosis, following surgery at 1-year follow-up (p < 0.021). There were no new cases of de novo psychosis and surgery was also associated with a significant improvement in the quality of life scores (p < 0.001). Conclusions: This study demonstrates the impact of epilepsy surgery on psychopathology and quality of life in a patient population with refractory surgery. The presence of a psychiatric illness should not be a barrier to access surgical treatment.

scholarly journals Quality of life in young and middle age adult temporomandibular disorders patients and asymptomatic subjects: a systematic review and meta-analysis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Lucas Bozzetti Pigozzi ◽  
Duziene Denardini Pereira ◽  
Marcos Pascoal Pattussi ◽  
Carmen Moret-Tatay ◽  
Tatiana Quarti Irigaray ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Diagnostic Criteria ◽  
Latin American ◽  
Temporomandibular Disorders ◽  
Meta Analysis ◽  
Group I ◽  
Axis I ◽  
Group Ii

Abstract Aims To compare the difference in the quality of life between temporomandibular disorders (TMD) patients and non-TMD subjects diagnosed with the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) or the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Methods Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica database (EMBASE) and Latin American and Caribbean Health Sciences Literature (LILACS) databases were searched in studies published in English and Portuguese. The search was performed by two independent reviewers in duplicate. A manual search and the gray literature were also included. The inclusion criteria were clinical studies that used the RDC/TMD axis I and quality of life with standard questionnaires in young and middle-aged adult population (18–55 years). The data were analyzed quantitatively by combining the results in a meta-analysis using forest plots. The measure of effect used was the standardized mean difference (SMD) in depression levels. The Newcastle–Ottawa Scale (NOS) was used to evaluate the quality of the studies. The publication bias was assessed by funnel plots. The initial search included 806 articles without duplications. Results Twenty-four articles were included in the final systematic review. Of these, 9 were included in the meta-analysis, where it was shown a statistically significant in all axis I groups: (a) global TMD—groups I, II and III combined, N = 3829, SMD (95% CI) = 1.06 (0.65–1.51), p = 0.000; (b) group I—muscle disorders, N = 3,056, SMD (95% CI) = 0.82 (0.45–1.18), p = 0.000; (c) group II—disc displacements, N = 3,184, SMD (95% CI) = 0.59 (0.26–0.91), p = 0.000; and (d) group III—arthralgia/arthritis/arthrosis, N = 2781, SMD (95% CI) = 0.98 (0.59–1.36), p = 0.000. When compared to controls. Conclusions Quality of life is affected in all axis I TMD patients, especially in groups I and III with higher pain intensity and disability as compared to group II.

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