Literature evidenced correlation between psychiatric disorders and overweight/obese (BMI>25) conditions, management and treatment. There are involved psychiatric diseases and temperamental traits. Our study, born from collaboration between Psychiatric and Plastic Surgery Clinic of Padua University, wants to detect psychiatric disorders, temperamental traits and body image perception in overweight-obese patients who seek surgical liposuction or abdominoplastic. We studied (March 2008June 2011), 28 consecutive patients who refer for surgical enhancement (age 1860 years) with BMI <34.9 at the recruitment. Exclusion criteria are: organic disorders or drugs that could interfere with obesity; cognitive deficit and psychosis. Thirty patients refused psychiatric evaluation. This clinical population has been compared to a control group (n=25) from general population. Psychiatric evaluation was based on clinical information, Mini-International Neuropsychiatric Interview, Beck Depression Inventory, Yale Brown Scale, Paykel Life Events Scale, NEO Five Factory Inventory, Tridimensional Personality Questionnaire, Body Shape Questionnaire. Case group evidenced higher scores in lifetime depression and BQ6 scores with a moderate/mild concern with body shapes; focus on personality traits, TPQ revealed higher score in subscale dependence/independence and significant higher presence at YBS for obsessive-compulsive characteristics; NEO-FFI Openness to experience is higher in control. Its unmistakable that affective sphere is relevant but also obsessive-compulsive and temperamental traits and negative body shape perception. These aspects are implicated in treatments adhesion and clinical outcome. Possibility to individuate patients who present those characteristics is an instrument to avoid early post-treatment relapse and give the possibility to refer to psychiatric care before and after surgery.
Declaration of interest: The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.
Funding: This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.
05 - 09 May 2012
European Society of Endocrinology