Relationship of psychiatric disorders to 6-month outcomes after gastric bypass

Relationship of psychiatric disorders to 6-month outcomes after gastric bypass
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DOI:
10.1016/j.soard.2008.03.003
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发表时间:
2008-07-01
影响因子:
3.1
通讯作者:
Wisinski, Meghan S. C.
Wisinski, Meghan S. C.
中科院分区:
医学2区
文献类型:
--
作者:
Kalarchian, Melissa A.;Marcus, Marsha D.;Wisinski, Meghan S. C.

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背景资料:虽然大多数减肥手术患者接受术前心理评估,但精神疾病对减肥的潜在影响尚不清楚。我们试图记录的关系;髋关节的术前精神疾病的6个月后Outcomes after gastric bypass.Methods:结构化临床访谈的诊断和统计手册的精神疾病(DSM-IV)被用来评估当前和终身轴I临床疾病。以及轴11人格障碍在手术前。我们使用线性回归模型来研究精神疾病与术后体重相关outcomes.Results的关系:样本(n = 207)是83.1%的女性和92.7%的白色。术前体重指数(BMI)为51.4 ± 9.6 kg/m2,年龄为45.8 ± 9.5岁。在调整了初始BMI、性别、种族和年龄后,终生轴I紊乱与BMI的较小下降相关(t =-3.7,df = 205,P
Background: Although most bariatric surgery patients undergo a preoperative psychological evaluation, the potential effect of psychiatric disorders on weight loss is not well understood. We sought to document the relations;hip of preoperative psychiatric disorders to the 6-month Outcomes after gastric bypass.Methods: The Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) was used to assess current and lifetime Axis I clinical disorders. as well as Axis 11 personality disorders. before surgery. We used linear regression models to examine the relationship of psychiatric disorders to postoperative weight-related outcomes.Results: The sample (n = 207) was 83.1% female and 92.7% white. The preoperative body mass index (BMI) was 51.4 +/- 9.6 kg/m(2) and age was 45.8 +/- 9.5 years. After adjusting for the initial BMI, gender, race, and age, a lifetime Axis I disorder was associated with a smaller decrease in BMI (t = -3.7, df = 205, P