Disability and psychological burden in severe obesity: results from a structured psychosomatic assessment of candidates for metabolic and bariatric surgery - Report - MDSpire
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Disability and psychological burden in severe obesity: results from a structured psychosomatic assessment of candidates for metabolic and bariatric surgery
Psychological Impact and Disability Associated with Severe Obesity
Overview
This study evaluated the psychological and functional burdens in 220 adults with severe obesity undergoing preoperative assessment for metabolic and bariatric surgery. Findings indicate a high prevalence of mental health issues and significant disability.
Background
Severe obesity is a chronic disease with substantial implications for physical health and psychological well-being. The prevalence of mental disorders among individuals with severe obesity is notably high, which can complicate treatment outcomes.
Data Highlights
Measure
Mean (SD)
Percentage with Significant Disability
WHODAS
20.3
76.7%
PHQ-9
-
Moderate-to-severe depressive symptoms: 47.1%
EDE-Q
3.3 (1.1)
-
Key Findings
69.1% of participants were female, with a mean age of 41.8 years.
37.7% reported a prior history of mental illness.
Over 60% met DSM-IV Axis I criteria for current psychopathology, primarily affective disorders.
76.7% of participants showed clinically significant disability based on WHODAS scores.
Moderate-to-severe depressive symptoms were observed in 47.1% of patients.
WHODAS scores correlated significantly with PHQ-9 and PHQ-15 but not with BMI.
Clinical Implications
The findings highlight the necessity of incorporating structured psychosomatic assessments in the preoperative evaluation for metabolic and bariatric surgery.
Conclusion
The study highlights the psychological and functional burdens faced by candidates for metabolic and bariatric surgery.
