Psychological gender differences in bariatric surgery candidates
Psychological gender differences in bariatric surgery candidates
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DOI：
10.1007/s11695-007-9245-5
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发表时间：
2008-05-01
期刊：
影响因子：
2.9
通讯作者：
Mahony, David
中科院分区：
文献类型：
--
作者：
Mahony, David
背景：2006年进行了超过17.7万例减肥手术。大多数患者需要接受术前心理清除，尽管没有经验验证的心理手术危险因素。为了建立可疑风险因素的规范性数据，本研究旨在确定男性和女性在心理外科风险因素上是否存在差异。方法361名连续接受减肥手术的患者在私人诊所接受心理评估。他们接受了PsyBari（一种检测和测量心理外科风险因素的测试）和贝克抑郁量表（BDI-2）。结果男性bmi明显高于女性（p = 0.035）。女性尝试的饮食明显多于男性（p < 0.000）。女性报告抑郁史的可能性明显高于男性（p < 0.000）。女性在心理抑郁指数上的得分明显高于男性（p < 0.000）。女性BDI-2评分明显高于男性（p < 0.001）。女性报告焦虑史的可能性明显高于男性（p = 0.004）。女性在PsyBari社交焦虑指数上的得分明显高于男性（p = 0.038）。结论男性和女性在疑似心理外科危险因素上存在显著差异。对减肥手术候选人的评估应该认识到男性和女性在心理外科危险因素方面有不同的基线。对减肥手术候选人的进一步研究应按性别分开报告结果。
Background Over 177,000 bariatric surgeries were performed in 2006. Most patients are required to receive presurgical psychological clearance, although there are no empirically validated psycho-surgical risk factors. In an effort to establish normative data on suspected risk factors, the present study was conducted to determine if males and females differ on psycho-surgical risk factors.Methods Subjects consisted of 361 consecutive bariatric surgery candidates undergoing a psychological evaluation in a private practice setting. They were administered the PsyBari, a test that detects and measures psycho-surgical risk factors, and the Beck Depression Inventory (BDI-2).Results The results indicate that males have significantly higher BMIs than females (p = 0.035). Females have tried significantly more diets than males (p < 0.000). Females are significantly more likely to report a history of depression than males (p < 0.000). Females received significantly higher scores on the PsyBari Depression Index than males (p < 0.000.). Females received significantly higher BDI-2 scores than males (p < 0.001). Females are significantly more likely to report a history of anxiety than males (p = 0.004). Females received significantly higher scores on the PsyBari Social Anxiety Index than males (p = 0.038).Conclusion The results indicate that males and females differ significantly on suspected psycho-surgical risk factors. Assessments of bariatric surgery candidates should recognize that males and females have different baselines for psycho-surgical risk factors. Further research on bariatric surgery candidates should report results separated by gender.