Presurgical assessment of bariatric patients with the Patient Health Questionnaire (PHQ)—A screening of the prevalence of psychosocial comorbidity

Health and Quality of Life Outcomes

Volker Perlitz²  Ulf P. Neumann²  Klaus Mathiak⁴  Sabine Ernst⁵  Christian D. Klink²  Florian Ulmer²  Daniel Kaemmer¹  Maren K. Akkerman³  Patrick H. Alizai² 

[1] Department of Surgery, St. Elisabeth Hospital Geilenkirchen, Martin-Heyden-Str. 32, Geilenkirchen, 52511, Germany;Department of General-, Visceral- and Transplantation Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, Aachen, 52074, Germany;Department of Medicine, Luisenhospital Aachen, Academic teaching hospital of the RWTH Aachen University, Boxgraben 99, Aachen, 52064, Germany;Department of Psychiatry, Psychotherapy and Psychosomatics, RWTH Aachen University Hospital, Pauwelsstr. 30, Aachen, 52074, Germany;Institute of Medical Statistics, RWTH Aachen University Hospital, Pauwelsstr. 30, Aachen, 52074, Germany

关键词: Self reporting;    Mental health disorder;    Computerized;    Patient health questionnaire;    Bariatric surgery;    Obesity;   

Others  :  1219172
DOI  :  10.1186/s12955-015-0278-5

 received in 2014-05-27, accepted in 2015-05-28,  发布年份 2015

【 摘 要 】

Background

Bariatric surgery has gained increasing relevance due to the dramatic rise in morbid obesity prevalence. A sound body of scientific literature demonstrates positive long-term outcome of bariatric surgery in decreasing mental and physical health morbidity. Still, there is a need for a manageable presurgical screening to assess major mental disorders. The aim of this study was to assess the frequency of common psychiatric syndromes in bariatric surgery candidates using a computerized version of the Patient Health Questionnaire (PHQ).

Methods

In a prospective cohort study from August 2009 to July 2011 morbidly obese individuals seeking bariatric treatment were evaluated for mental health disorders using the PHQ (computerized German version).

Results

A total of 159 patients were included in this study. The median age of participants was 42 years, the median BMI was 49 kg/m². The PHQ revealed a prevalence of 84 % for mental health disorders, 50 % of the participants had three or more mental health disorders. A high somatic symptom burden (46 %), depressive syndromes (62 %) and anxiety disorders (29 %) were the most frequent psychiatric syndromes. The median number of psychiatric syndromes was 3 for women and 1 for men (p = 0.007). No correlation between BMI and a single syndrome or the sum of syndromes was observed.

Conclusion

84 % of the patients seeking bariatric treatment were screened positive for at least one mental health disorder. The computerized PHQ with automated reporting appears to be a useful instrument for presurgical assessment of bariatric patients in routine medical settings.

【 授权许可】

   
2015 Alizai et al.; licensee BioMed Central.

【 图 表 】

Fig. 1.

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