Socially desirable responding by bariatric surgery candidates during psychological assessment
Socially desirable responding by bariatric surgery candidates during psychological assessment
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DOI：
10.1016/j.soard.2011.06.019
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发表时间：
2013-03-01
影响因子：
3.1
通讯作者：
O'Neil, Patrick M.
中科院分区：
文献类型：
--
作者：
Ambwani, Suman;Boeka, Abbe G.;O'Neil, Patrick M.
背景：在美国，大多数减肥手术项目要求对手术候选人进行术前心理评估。进行这些评估的人担心，许多患者从事“印象管理”或尽量减少痛苦的症状，以获得心理健康专业人员的建议进行手术。我们试图评估社会理想的反应和它的协会与减肥手术候选人在2个学术医疗centersintheUniteds.Methods的心理功能的措施之间的患病率：参与者是男性（n = 66）和女性（n = 293）减肥手术候选人谁提出的心理评估。参与者完成了2项社会期望反应风格的测量（Marlowe-Crowne Social Desirability Scale和Personality Assessment Inventory Positive Impression Management Scale）和焦虑、抑郁和酒精相关问题的标准化测量。参与者在社会期望指标上表现出更高的分数，33.3-39.8%的人在人格评估量表积极印象管理量表上的得分高于推荐的分数，62.3-67%的人在马洛量表上的得分高于标准化平均值1个标准差，Crowne Social Desibility Scale. Marlowe-Crowne社会满意度量表和人格评定量表积极印象管理量表的得分与焦虑和抑郁的临床测量呈负相关，社会满意度指数的高/低得分者在焦虑和抑郁方面表现出显著差异。因此，社会期望指数的分数升高与漏报的某些临床symptoms.Conclusion：减肥手术的候选人出现了相当大的比例，目前自己在一个过于有利的光在心理评估。这种反应方式与较少的心理问题报告有关，可能会干扰对患者功能的准确评估。(Surg肥胖相关疾病2013;9：300-305。(C)2013年美国代谢和减肥外科学会。爱思唯尔公司出版All rights reserved.
Background: Most bariatric surgery programs in the United States require preoperative psychological evaluations for candidates for surgery. Among those who perform these evaluations is concern that many patients engage in "impression management" or minimizing the symptoms of distress to receive a recommendation to proceed with surgery from the mental health professional. We sought to assess the prevalence of socially desirable responding and its associations with measures of psychological functioning among bariatric surgery candidates at 2 academic medical centers in the United States.Methods: The participants were male (n = 66) and female (n = 293) bariatric surgery candidates who presented for psychological evaluation. The participants completed 2 measures of socially desirable response styles (Marlowe-Crowne Social Desirability Scale and Personality Assessment Inventory Positive Impression Management scale) and standardized measures of anxiety, depression, and alcohol-related problems.Results: The participants exhibited elevated scores on the social desirability indicators, with 33.3-39.8% scoring above the recommended cut-score on the Personality Assessment Inventory Positive Impression Management scale and 62.3-67% scoring 1 standard deviation above the standardization mean on the Marlowe-Crowne Social Desirability Scale. Scores on the Marlowe-Crowne Social Desirability Scale and Personality Assessment Inventory Positive Impression Management scale correlated inversely with the clinical measures of anxiety and depression, and the high/low scorers on the social desirability indices exhibited significant differences in anxiety and depression. Thus, elevated scores on the social desirability indices were associated with underreporting of certain clinical symptoms.Conclusion: A substantial proportion of bariatric surgery candidates appear to present themselves in an overly favorable light during the psychological evaluation. This response style is associated with less reporting of psychological problems and might interfere with the accurate assessment of patient functioning. (Surg Obes Relat Dis 2013;9:300-305.) (C) 2013 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.