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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.

Results

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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