Introduction: Large literature evidenced correlation between psychiatric disorders and overweight/obese (BMI>25) conditions, management and treatment. There should be involved axis 1 psychiatric diseases but also temperamental and personality traits. Our study, born from the collaboration between Psychiatric Clinic and Plastic Surgery Clinic of Padua University, wants to detect psychiatric disorders, temperamental traits and body image perception in overweight and obese patients who seek surgical liposuction or abdominoplastic. We focused on personality traits of these patients. Methods: We studied, from March 2008 to June 2011, 28 consecutive patients who refer to the Obesity outpatient Clinic for surgical enhancement with an age of 18-60 years and a BMI not superior of 34.9 at the moment of the recruitment. Excluded patients presented: organic disorders or pharmachotheraphy that could interfere with obesity; cognitive deficit; sensorial disorders and psychosis. Thirty patients refused psychiatric evaluation. This clinical population has been compared to a control group (N=25) with the same clinical and demographic features from the general population. Results: Psychiatric evaluation was based on acquisition of clinical and anamnestic information; Mini-International Neuropsychiatric Interview (MINI); Beck Depression Inventory (BDI); Yale Brown Scale (YBOCS); Paykel Life Events Scale; NEO Five Factory Inventory (NEO-FFI); Tridimensional Personality Questionnaire (TPQ); Body Shape Questionnaire (BSQ). Case group evidenced, concerning personality traits, TPQ higher score in subscale RD4 (dependence vs. independence) and control one higher NEO-FFI Openeness to experience; significant higher case presence at YBOCS of obsessive and compulsive personality characteristics. Conclusions: It is unmistakable that the axis I affective sphere is relevant for these patients, but also obsessive-compulsive traits, negative body shape perception and others particular temperamental and personality ones. These aspects are implicated in medical/surgical outcome and in adhesion of treatments. The possibility to individuate the patients who present those traits or particularly psychic characteristics is an important instrument to avoid early post-treatment relapse and to give patients the possibility to refer also to a psychiatric care not only before but also after surgery.

Temperamental and personality traits in a group of overweight/obese patients who refers to Plastic Surgery

VINDIGNI, VINCENZO;Bassetto F. °;PAVAN, CHIARA
2012

Abstract

Introduction: Large literature evidenced correlation between psychiatric disorders and overweight/obese (BMI>25) conditions, management and treatment. There should be involved axis 1 psychiatric diseases but also temperamental and personality traits. Our study, born from the collaboration between Psychiatric Clinic and Plastic Surgery Clinic of Padua University, wants to detect psychiatric disorders, temperamental traits and body image perception in overweight and obese patients who seek surgical liposuction or abdominoplastic. We focused on personality traits of these patients. Methods: We studied, from March 2008 to June 2011, 28 consecutive patients who refer to the Obesity outpatient Clinic for surgical enhancement with an age of 18-60 years and a BMI not superior of 34.9 at the moment of the recruitment. Excluded patients presented: organic disorders or pharmachotheraphy that could interfere with obesity; cognitive deficit; sensorial disorders and psychosis. Thirty patients refused psychiatric evaluation. This clinical population has been compared to a control group (N=25) with the same clinical and demographic features from the general population. Results: Psychiatric evaluation was based on acquisition of clinical and anamnestic information; Mini-International Neuropsychiatric Interview (MINI); Beck Depression Inventory (BDI); Yale Brown Scale (YBOCS); Paykel Life Events Scale; NEO Five Factory Inventory (NEO-FFI); Tridimensional Personality Questionnaire (TPQ); Body Shape Questionnaire (BSQ). Case group evidenced, concerning personality traits, TPQ higher score in subscale RD4 (dependence vs. independence) and control one higher NEO-FFI Openeness to experience; significant higher case presence at YBOCS of obsessive and compulsive personality characteristics. Conclusions: It is unmistakable that the axis I affective sphere is relevant for these patients, but also obsessive-compulsive traits, negative body shape perception and others particular temperamental and personality ones. These aspects are implicated in medical/surgical outcome and in adhesion of treatments. The possibility to individuate the patients who present those traits or particularly psychic characteristics is an important instrument to avoid early post-treatment relapse and to give patients the possibility to refer also to a psychiatric care not only before but also after surgery.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11577/2484824
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