Bariatric surgery: behavioral patterns and personality disorders in the preoperative period
DOI:
https://doi.org/10.15649/cuidarte.2921Keywords:
Psychiatric Nursing, Bariatric Surgery, Personality Disorders, BehaviorAbstract
Highlights
- The increase in the prevalence of obesity in Brazil since 2019 reinforces the idea that this study has great importance in the field of public health.
- Changes in behavior patterns and personality disorders can impair preoperative preparation for the procedure and full postoperative recovery, contributing to undesirable results.
- Proper screening for personality disorders and preoperative behavior patterns are crucial to promoting patients' mental health and the success of the intervention.
- Half of the participants in this study had high or very high scores for a greater propensity to develop depression and anxiety, with a close relationship with personality disorders.
Introduction: Bariatric surgery has become an increasingly common procedure, especially for patients with morbid obesity who have obtained unsatisfactory results from conventional treatments. Objective: To evaluate the occurrence of behavioral patterns and personality disorders in patients in the preoperative period of bariatric surgery. Materials and methods: Cross-sectional study carried out with 146 patients from a medium-sized clinic, a reference in the execution of bariatric surgeries in the Midwest region of Minas Gerais, Brazil. Data collection was performed using the psychological instrument entitled Factorial Personality Battery. Descriptive analysis and data association were performed. Results: Half of the participants presented high or very high scores for greater propensity to develop depression and anxiety, showing a close relationship with personality disorders, especially with behavioral patterns of effort and dedication. Discussion: The patterns of effort and dedication behavior are protective factors in the postoperative period, taking into account the adaptations and new habits necessary for a good recovery and maintenance of weight loss. Conclusions: The dysfunctional patterns of behavior that stood out most are related to greater difficulty in perceiving the positive side and ease in perceiving the negative side, leading to a more intense experience of suffering, in addition to difficulty in making decisions and facing routine challenges. Screening behavioral patterns and personality disorders preoperatively is necessary for adequate patient monitoring and successful bariatric surgery.
How to cite this article: Mata, Michelle Diniz da; Rodrigues, Samuel Barroso; Almeida, Camila Souza de; Duarte, Sebastião Júnior Henrique; Cavalcante, Ricardo Bezerra; Machado, Richardson Miranda. Bariatric surgery: behavioral patterns and personality disorders in the preoperative period. Revista Cuidarte. 2024;15(1):e2921. http://dx.doi.org/10.15649/cuidarte.2921
References
World Health Organization. Obesity and overweight. Geneva: WHO. [Internet] 2021 [Cited: March 07, 2024]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Silva LES, Oliveira MM, Stopa SR, Gouvea ECDP, Ferreira KRD, Santos RO, et al. Temporal trend of overweight and obesity prevalence among Brazilian adults, according to sociodemographic characteristics, 2006-2019. Epidemiol Serv Saúde. 2021;30(1): e2020294. https://doi.org/10.1590/S1679-49742021000100008
Malta DC, Silva AG, Tonaco LAB, Freitas MIF, Velasquez-Melendez G. Tendência temporal da prevalência de obesidade mórbida na população adulta brasileira entre os anos de 2006 e 2017. Cad Saúde Pública. 2019;35(9):e00223518. https://doi.org/10.1590/0102-311X00223518
Francisco LV, Diez-Garcia RW. Therapeutic approach to obesity: between concepts and prejudices. Demetra. 2015;10(3):705-16. https://doi.org/10.12957/demetra.2015.16095
Bordignon S, Aparício MJG, Bertoletti J, Trentini CM. Personality characteristics and bariatric surgery outcomes: a systematic review. Trends Psychiatry Psychother. 2017;39(2):124-34. https://doi.org/10.1590/2237-6089-2016-0016
Giulietti C, Menculini G, Brufani F, Barbi M, Valentini E, Pomili G, et al. Psychiatric Comorbidity in Bariatric Surgery: A Retrospective Study in a General Hospital. Psychiatr Danub. 2021;33(9):75-79. https://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol33_noSuppl%209/dnb_vol33_noSuppl%209_75.pdf
Mazer AK, Macedo BBD, Juruena MF. Transtornos da personalidade. Medicina (Ribeirão Preto). 2017;50(1):85-97. https://doi.org/10.11606/issn.2176-7262.v50isupl1.p85-97
Dixon-Gordon KL, Conkey LC, Whalen DJ. Recent advances in understanding physical health problems in personality disorders. Curr Opin Psychol. 2018;21:1-5. https://doi.org/10.1016/j.copsyc.2017.08.036
Nunes CHS, Hutz CS, Nunes MFO. Bateria Fatorial de Personalidade: manual técnico. 2ª ed. São Paulo: Pearson Clinical Brasil; 2013.>
American Psychiatric Association. Manual diagnóstico e estatístico de transtornos mentais: DSM-5. 5. ed. Nascimento MIC, trad. Porto Alegre: Artmed; 2014.
Mata MD, Rodrigues SB, Almeida CS, Duarte SJH, Cavalcante RB, Machado RM. Cirurgia bariátrica: padrões comportamentais e transtornos da personalidade no pré-operatório. Mendeley Data V1. 2024 https://doi.org/10.17632/3cs7x6w6pj.1
Mocanu V, Dang JT, Switzer N, Madsen K, Birch DW, Karmali S. Sex and Race Predict Adverse Outcomes Following Bariatric Surgery: an MBSAQIP Analysis. Obes Surg. 2020;30(3):1093-1101. https://doi.org/10.1007/s11695-020-04395-6
Cooper AJ, Gupta SR, Moustafa AF, Chao AM. Sex/Gender Differences in Obesity Prevalence, Comorbidities, and Treatment. Curr Obes Rep. 2021; 10:458–466. https://doi.org/10.1007/s13679-021-00453-x
Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of Obesity and Severe Obesity Among Adults: United States, 2017-2018. NCHS Data Brief. 2020;(360):1-8. https://www.cdc.gov/nchs/data/databriefs/db360-h.pdf
Cheng H, Montgomery S, Green A, Furnham A. Biomedical, psychological, environmental and behavioural factors associated with adult obesity in a nationally representative sample. J Public Health (Oxf). 2020;42(3):570-578. https://doi.org/10.1093/pubmed/fdz009
Bagnjuk J, König HH, Hajek A. Personality Traits and Obesity. Int J Environ Res Public Health. 2019;16(15):2675https://doi.org/10.3390/ijerph16152675
Vainik U, Dagher A, Realo A, Colodro-Conde L, Mortensen EL, Jang K, et al. Personality-obesity associations are driven by narrow traits: A meta-analysis. Obes Rev. 2019;20(8):1121-31. https://doi.org/10.1111/obr.12856
Olivo G, Gour S, Schiöth HB. Low neuroticism and cognitive performance are differently associated to overweight and obesity: A cross-sectional and longitudinal UK Biobank study. Psychoneuroendocrinology. 2019;101:167-74. https://doi.org/10.1016/j.psyneuen.2018.11.014
Konttinen H. Emotional eating and obesity in adults: the role of depression, sleep and genes. Proc Nutr Soc. 2020;79(3):283-9. https://doi.org/10.1017/S0029665120000166
VanderBroek-Stice L, Stojek MK, Beach SRH, VanDellen MR, MacKillop J. Multidimensional assessment of impulsivity in relation to obesity and food addiction. Appetite. 20171;112:59-68.https://doi.org/10.1016/j.appet.2017.01.009
Peluso MAM, Andrade LHSG. Transtornos da personalidade: epidemiologia. In: Louzã Neto MR, Cordás TA (Orgs). Transtornos da Personalidade. Porto Alegre: Artmed; 2011. p.25-38.
Agnol ECD, Meazza SG, Guimarães AN, Vendruscolo C, Testoni AK. Cuidado de enfermagem às pessoas com transtorno de personalidade borderline na perspectiva freireana. Rev Gaúcha Enferm. 2019;40:e20180084. https://doi.org/10.1590/1983-1447.2019.20180084
Published
How to Cite
Issue
Section
Categories
Altmetrics
Downloads
License
Copyright (c) 2023 Revista Cuidarte
This work is licensed under a Creative Commons Attribution 4.0 International License.
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.
