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Psychiatric disorders in bariatric surgery candidates: a review of the literature and results of a German prebariatric surgery sample
General Hospital Psychiatry, 08/03/09
Mühlhans B et al. – About one half of the bariatric surgery candidates in Germany presented with a current Axis I disorder. Prevalence rates reported in the literature so far are based on different premises. Details for example about the evaluation should be taken into account when interpreting the results.
Methods- Structured clinical interviews (SCID) were conducted in 146 consecutive bariatric surgery candidates [71.9% women; mean age: 38.7 years (S.D.=10.0); mean BMI: 49.3 kg/m2 (S.D.=7.8)] between September 2004 and January 2007 at the University Hospital of Erlangen.
- Assessments were administered independently of the preoperative screening and approval process.
- The overall prevalence of current Axis I disorders was 55.5%; 72.6% had a lifetime history of at least one Axis I disorder.
- The authors compared the study results with the findings of the three published studies having used structured clinical interviews to assess psychiatric comorbidity in bariatric surgery candidates.
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