Resumen

GUISADO, Juan A. et al. Psychopathology in patients with morbid obesity after gastric surgery. Rev Cubana Endocrinol [online]. 2002, vol.13, n.1. ISSN 1561-2953.

It is known that morbid obesity is a complex disease that may be caused by biological, psychological or social factors and that certain metabolic and compartmental factors influence on it. The psychopathology of a group made up of 100 patients (85 women, 15 men) with morbid obesity that had undergone surgical treatment of gastric restriction (vertical banding gastroplasty) to lose weight was analyzed. Each patient completed the Symptom Check List-90-R (SCL-90-R). 18 months after surgery, 40 of them (40 %) fulfilled the ICD-10 criteria of psychiatric pathology. The most frequent psychiatric diagnoses were determined: affective disturbance, anxiety disorder and food disorder (disturbance due to gluttony, nervous anorexia and nervous bulimia) and alcohol dependence. The conflict of the couple was observed in 50 % of the patients with psychiatric pathology. The logistic regression study has shown a relationship between the existance of psychiatric pathology and the scales of depression, anxiety, hostility and index of general severity of the SCL-90-R. No relation was found between the age at onset and the detected psychopathology. It was proved that the patients with morbid disease present an important rate of psychiatric pathology and high levels of psychological malaise and such state is related to the index of general severity of the SCL-90-R.

Palabras clave : OBESITY, MORBID [surgery]; OBESITY, MORBID [psychology]; GASTROPLASTY; PSYCHOPATHOLOGY.

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