Analysis of psychometric questionnaires used in patient selection for bariatric surgery

• Published in: Endocrinología, diabetes y nutrición. diabetes y nutrición., 2023-01, Vol.70 (1), p.21-28
• Main Authors: Serrano García, Antonio, Valbuena Álvarez, Pilar, Urioste Fondo, Ana, Vilella Martín, Carmen, Ballesteros Pomar, Maria Dolores
• Format: Article
• Language: English
• Subjects: Adult; Bariatric Surgery; Bulimia - psychology; Cirugía bariátrica; Female; Humans; Male; Middle Aged; Obesity - surgery; Obesity, Morbid - epidemiology; Obesity, Morbid - surgery; Patient Selection; Psicometría; Psicopatología; Psychometrics; Psychometry; Psychopathology; Retrospective Studies; Selección de pacientes; Surveys and Questionnaires; Young Adult
• ISSN: 2530-0180; 2530-0180
• DOI: 10.1016/j.endien.2022.09.002

In severe forms of obesity there is a high prevalence of psychopathological comorbidity. Psychiatric evaluation is an important component of comprehensive obesity care and contributes to optimizing therapeutic results after bariatric surgery. To assess the effectiveness of psychometric tests used in the protocol for selecting patients for bariatric surgery. Retrospective naturalistic observational study of 100 patients who were candidates for bariatric surgery. Patients who complete the psychometric protocol and the psychiatric interview between January 2019 and June 2021 are included. Two groups are formed: those considered unfit for any psychopathological reason and those considered fit. To evaluate the effectiveness of the tests used, ROC curves will be used. The sensitivity and specificity values of each test used will be obtained. 97 patients included, aged between 20 and 61 years, 64.9% women. 51.5% had a family history and 38.1% a personal history of any psychiatric disorder. Regarding the area under the curve, the scales that presented a value greater than 0.7 were the YFAS total score (0.771), HADS-D (0.757), the Edinburgh Bulimia total score (0.747), the severity score of YFAS (0.722) and Edinburgh Bulimia Severity Score (0.705). The most frequent diagnoses as a cause of exclusion were Food Addiction 8 (20.5%) and Generalized Anxiety Disorder (GAD) 6 (15.5%). The YFAS, BITE and HADS-A scales were useful to discriminate those patients considered unsuitable for bariatric surgery for any psychopathological cause. En las formas graves de obesidad existe alta prevalencia de comorbilidad psicopatológica. La evaluación psiquiátrica es un componente importante de la atención integral de la obesidad y contribuye a optimizar los resultados terapéuticos tras cirugía bariátrica. Valorar la efectividad de los test psicométricos empleados en el protocolo de selección de pacientes para cirugía bariátrica. Estudio observacional naturalístico retrospectivo de 100 pacientes candidatos a cirugía bariátrica. Se incluyen pacientes que completan el protocolo psicométrico y la entrevista psiquiátrica entre enero de 2019 y junio de 2021. Se conforman dos grupos: los considerados no aptos por razón psicopatológica y aquellos considerados aptos. Para evaluar la efectividad de los test empleados se utilizarán curvas ROC. Se obtendrán los valores de sensibilidad y especificidad de cada test empleado. 97 pacientes incluidos, con edades entre 20 y 61 años, 64,9% mujeres. El 5