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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2016, Number 3

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Salud Mental 2016; 39 (3)

Factores psicológicos y/o psiquiátricos presentes en pacientes desertores de protocolo de preparación para cirugía bariátrica

Hernández ASV, Esquivias ZH, Maldonado RMC, Ruiz-Velasco AS, Reséndiz BAM

Language: Spanish
References: 31
Page: 131-139
PDF size: 194.47 Kb.


ABSTRACT

Introduction Severe obesity is the chronic disease with the highest prevalence around the world. It affects the life quality of patients in terms of physical and mental health. Although there are a variety of treatments for severe obesity, dropout rates are between 40% to 80%.
Objective To identify the psychological and/or psychiatric factors presented in the initial evaluation of patients with severe obesity who deserted the preparation protocol for bariatric surgery and stablish differences between them and those who didn’t defected.
Method An analytical observational open study of cases (deserters) and controls (non deserters), retrospective, transversal, with a sample of 286 files of patients candidates for bariatric surgery from General Hospital “Dr. Manuel Gea Gonzalez” in Mexico City selected by simple random sampling fulfilling desertion variable, with a BMI of 44.77 kg/m2 ± 7.47 and 37.45 ± 9.94 years old and were selected by non-probabilistic convenience sample.
Results Significant differences were found: gender (men drop out more), deserters patients showed a higher prevalence in post-traumatic stress disorder, attention deficit hyperactivity disorder, binge eating, isolation, impaired cognitive function and greater family and social dysfunction than non-deserters. A multivariate analysis of these factors showed that being male, having little social support, present a binge eating disorder, have a greater number of absences to appointments during treatment, are factors contributing to attrition.
Discussion and conclusion There are psychological/psychiatric variables that could be established as risk factors for dropping out, increasing the possibility of affecting the patient’s physical and emotional well-being.


REFERENCES

  1. The State of Food and Agriculture. Food and Agriculture Organization of the united nations. Roma: 2013.

  2. Sandoval M. Obesidad: definición, clasificación, sintomatología y diagnóstico. En: Morales J (ed). Obesidad. Un enfoque multidisciplinario. México: Ciencia al Día; 2010.

  3. Silencio J. Enfermedades y fármacos que favorecen la obesidad. En: Morales J (ed). Obesidad. Un enfoque multidisciplinario. México: Ciencia al Día; 2010.

  4. Castillo R, Azuara H, Ruiz J, Garza M et al. Tratamiento quirúrgico de la obesidad y control de peso. Rev Salud Tabasco 2004;10:233-242.

  5. Abilés V, Rodríguez S, Abilés J, Mellado C et al. Psychological characteristics of morbidly obese candidates. Obes Surg 2010;20:161-167.

  6. Sierra M, Vite A, Ramos V, López J et al. Psychosocial profile of bariatric surgery candidates and the correlation between obesity level and psychological variables. Int J Psychol Psychol Ther 2012;12:405-414.

  7. Vázquez V. ¿Cuáles son los problemas psicológicos, sociales y familiares que deben ser considerados en el diagnóstico y tratamiento del paciente obeso? Rev Endocrinol Nutr 2004;2:136-142.

  8. Rodríguez L, Vega M. Cirugía bariátrica: tratamiento de elección para la obesidad mórbida. Acta Méd Costarric 2006;48:162-171.

  9. LeMont D, Moorehead M, Parish M, Reto C et al. Suggestions for the pre-surgical psychological assessment of bariatric surgery candidates. American Society for Bariatric Surgery; 2004; https://asmbs.org/wp/ uploads/2014/05/PsychPreSurgicalAssessmet.pdf

  10. Brosens C. Barreras en la adherencia al tratamiento de la obesidad. Evid Actual Práct Ambul 2009;12:116-117.

  11. Huisman S, Maes S, De Gucht V, Chatrou M et al. Low goal ownership predicts drop-out from a weight intervention study in overweight patients with type 2 diabetes. Int J Behav Med 2010;17:176-181.

  12. Sámano L. Abandono del tratamiento dietético en pacientes diagnosticados con en un consultorio privado de nutrición. Nutr Clín Diet Hosp 2011;31:15-19.

  13. Inelmen E, Toffanello E, Enzi G, Gasparini G et al. Predictors of dropout in overweight and obese outpatients. Int J Obesity 2005;29:122-128.

  14. Ahnis A, Riedl A, Figura A, Steinhagen-Thiessen E et al. Psychological and sociodemographic predictors of premature discontinuation of a 1-year multimodal outpatient weight-reduction program: an attrition analysis. Patient Preference Adherence 2012;6:165-177.

  15. Merrell J, Ashton K, Windover A, Heinberg L. Psychological risk may influence drop-out prior to bariatric surgery. Surg Obes Relat Dis 2012;8:463-469.

  16. Sockalingam S, Cassin S, Crawford SA, Pitzul K et al. Psychiatric predictors of surgery non-completion following suitability assessment for bariatric surgery. Obes Surg 2013;23:205-211.

  17. Beck AT, Steer RA, Garbin MC. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988;8:77-100.

  18. Jurado S, Villegas E, Méndez L, Rodríguez F et al. La estandarización del Inventario de Depresión de Beck para los residentes de la Ciudad de México. Salud Ment 1998;21:26-31.

  19. Taylor S, Zvolensky M, Cox B, Deacon B et al. Robust dimensions of anxiety sensitivity development and initial validation of the anxiety sensitivity Index-3. Psychol Assesment 2007;19:176-188.

  20. Riveros A, Sánchez-Sosa J, Del Águila M. Inventario de calidad de vida y salud (InCaViSa). México: Manual Moderno; 2009.

  21. Gómez Pérez-Mitre G. Escala de factores de riesgo asociados a trastornos de la conducta alimentaria. Prevención primaria y factores de riesgo de trastornos alimentarios, IN-305599 (PAPIT) UNAM, 34507 H (CONACYT): México; 2009.

  22. Sheehan D, Lecrubier Y. Mini International Neuropsychiatric Interview. Versión en español 5.0.0. México: Instituto Nacional de Psiquiatría; 2000.

  23. Reyes E, Cárdenas E, García K, Aguilar N et al. Validación de constructo de la escala de autorreporte del trastorno por déficit de atención con hiperactividad (TDAH) en el adulto de la Organización Mundial de la Salud en población universitaria mexicana. Salud Ment 2009;32:343- 350.

  24. Vargas F, Tiellet M. Razões expressas para o abandono de tratamento psicoterápico. Aletheia 2003;17-18:155-158.

  25. Vinkers C, Adriaanse M, De Ridder D. In it for the long haul: characteristics of early and late drop out in a self-management intervention for weight control. J Behav Med 2013;36:520-530.

  26. Halsey L, Curran-Everett D, Vowler S, Drummond G. The fickle P value generates irreproducible results. Nature Methods 2015;12:179-185.

  27. Orozco A. Factores que influyen en la adherencia a tratamientos farmacológicos y no farmacológicos en los pacientes inscritos en el Programa de control de la hipertensión arterial de la Unidad Básica de Atención de COOMEVA. Barranquilla: Salud Uninorte 2010;26:201-211.

  28. Morín R. Obesidad y sexualidad. Rev Trab Soc 2008;18:4-13.

  29. Hotz S, Kaptein A, Pruitt S, Sánchez-Sosa J et al. Behavioural mechanisms explaining adherence. What every health professional should know. En: Sabate E (ed.). Adherence to long term therapies: Evidence for action. Geneva: World Health Organization; 2003; pp. 135-139.

  30. Moore N. The neurotherapy of anxiety disorders. J Adult Dev 2005;12:147-154.

  31. Safer D, Telch C, Chen E. Dialectical behavior therapy for binge eating and bulimia. Nueva York: The Guilford Press; 2009.




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