Impression management or real change? Reports of depressive symptoms before and after the preoperative psychological evaluation for bariatric surgery
Impression management or real change? Reports of depressive symptoms before and after the preoperative psychological evaluation for bariatric surgery
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DOI：
10.1007/s11695-007-9204-1
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发表时间：
2007-09-01
期刊：
影响因子：
2.9
通讯作者：
Krasucki, Jennifer L.
中科院分区：
文献类型：
--
作者：
Fabricatore, Anthony N.;Sarwer, David B.;Krasucki, Jennifer L.
背景：许多减肥手术项目要求候选人接受术前心理健康评估。候选人可能有动机抑制或夸大精神症状（即，从事印象管理），如果他们认为这样做将提高他们的机会，收到建议进行surgery.Method：237候选人减肥手术完成了贝克抑郁量表-II（BDI-II）的一部分，他们的术前心理评估（时间1）。他们还完成了BDI-II约2-4周后，为研究目的，他们已经收到了心理健康专业人士的无条件建议进行手术后（时间2）。结果：有一个小的，但统计学显着增加，平均BDI-II评分从时间1到时间2（11.4比12.7，P <0.01）。在31.2%的参与者中观察到临床显著变化，定义为症状严重程度从一个范围到另一个范围的变化，症状显著增加的发生率几乎是减少的两倍（20.7% vs 10.5%，P
Background: Many bariatric surgery programs require that candidates undergo a preoperative mental health evaluation. Candidates may be motivated to suppress or exaggerate psychiatric symptoms (i.e., engage in impression management), if they believe doing so will enhance their chances of receiving a recommendation to proceed with surgery.Method: 237 candidates for bariatric surgery completed the Beck Depression Inventory-II (BDI-II) as part of their preoperative psychological evaluation (Time 1). They also completed the BDI-II approximately 2-4 weeks later, for research purposes, after they had received the mental health professional's unconditional recommendation to proceed with surgery (Time 2).Results: There was a small but statistically significant increase in mean BDI-II scores from Time 1 to Time 2 (11.4 vs 12.7, P < 001). Clinically significant changes, defined as a change from one range of symptom severity to another, were observed in 31.2% of participants, with significant increases in symptoms occurring nearly twice as often as reductions (20.7% vs 10.5%, P