Advisor(s)
Abstract(s)
A obesidade foi definida pela Organização Mundial de Saúde, como a epidemia do século XXI, devido à sua elevada prevalência e pelas várias implicações médicas, psicológicas e sociais que afetam os sujeitos (OMS, 2010). Na população obesa há um aumento de predomínio de sintomas psicológicos, tais como sintomas depressivos, ansiosos e alimentares (Segal,1999). OBJETIVO: O presente estudo tem 2 objetivos: (1) avaliar a frequência de comportamentos auto-flagelatórios e tentativas de suicídio, em pacientes obesos candidatos à cirurgia bariátrica e pacientes que já foram submetidos a essa mesma cirurgia; (2) caracterizar os indicadores de psicopatologia associados à obesidade. MÉTODO: Participaram nesta investigação 100 sujeitos, 68 candidatos à cirurgia bariátrica e 32 sujeitos que já tinham sido submetidos a essa mesma cirurgia. Para a realização do presente estudo foi administrado um Questionário Sócio Demográfico; o Exame das Perturbações do Comportamento Alimentar - Questionário (EDE-Q) (Fairburn & Beglin, 1994, traduzido e adaptado por Machado et al., 2002) e o Inventário dos Sintomas Psicopatológicos (BSI) (Derogátis, 1993; adaptação Portuguesa por Canavarro, 1999). RESULTADOS: Obtiveram-se resultados estatisticamente significativos entre os 2 grupos, relativamente aos itens: (1) peso; (2) índice de massa corporal; (3) Ingestão alimentar excessiva e compulsiva; (4) preocupação com a forma; (5) preocupação com a comida; (6) preocupação com o peso e (7) restrição. No grupo de sujeitos candidatos à cirurgia bariátrica registaram-se diferenças significativas, entre os que tinham parecer favorável para a cirurgia e os que tinham parecer desfavorável/adiado, relativamente aos itens (1) ocupação e (2) tempo livre. DISCUSSÃO: Não foram encontrados comportamentos auto-flagelatórios em nenhum dos grupos dos sujeitos obesos. Conclui-se ainda que existem alguns indicadores de psicopatologia, principalmente no grupo candidato à cirurgia, em contrapartida o grupo que já tinha realizado a cirurgia apresentou taxas mais elevadas de tentativas de suicídio.
Obesity was classified by World Health Organization as the 21st century epidemic, due to its high prevalence and its implications for the various medical, psychological and social factors which affect subjects (WHO, 2010). Among the obese, psychological symptoms such as depression, anxiety and eating disorders prevail (Segal, 1999). OBJECTIVE: This study has two objectives: (1) assess the frequency of self-injury behaviors and suicide attempts, in obese bariatric surgery candidates and patients who have already undergone the same surgery; (2) characterize psychopathology indicators associated with obesity. METHOD: The investigation involved 100 subjects, 68 of whom had applied for bariatric surgery and 32 who had undergone the same surgery. A Socio Demographic Questionnaire - Eating Disorders Examination – Questionnaire (EDE-Q) (Fairburn & Beglin, 1994, translated and adapted by Machado et al., 2002) and Brief Symptom Inventory (BSI) (Derogátis, 1993; Portuguese adaptation by Canavarro, 1999) - was administered to the subjects. RESULTS: Statistically significant results were observed between the two groups, for the items: (1) weight; (2) body mass index; (3) compulsive overeating; (4) body shape concerns; (5) preoccupation with food; (6) preoccupation with weight and (7) restriction. Among the candidates for bariatric surgery there were significant differences between those who had a favorable opinion for surgery and those who had an unfavorable opinion/postponed, with regard to items (1) occupation and (2) free time. DISCUSSION: Self–injury behavior was not found in any group of obese subjects. We also conclude that there are some psychopathology indicators, especially in the group candidate for surgery, however the group that had undergone the surgery had higher rates of suicide attempts.
Obesity was classified by World Health Organization as the 21st century epidemic, due to its high prevalence and its implications for the various medical, psychological and social factors which affect subjects (WHO, 2010). Among the obese, psychological symptoms such as depression, anxiety and eating disorders prevail (Segal, 1999). OBJECTIVE: This study has two objectives: (1) assess the frequency of self-injury behaviors and suicide attempts, in obese bariatric surgery candidates and patients who have already undergone the same surgery; (2) characterize psychopathology indicators associated with obesity. METHOD: The investigation involved 100 subjects, 68 of whom had applied for bariatric surgery and 32 who had undergone the same surgery. A Socio Demographic Questionnaire - Eating Disorders Examination – Questionnaire (EDE-Q) (Fairburn & Beglin, 1994, translated and adapted by Machado et al., 2002) and Brief Symptom Inventory (BSI) (Derogátis, 1993; Portuguese adaptation by Canavarro, 1999) - was administered to the subjects. RESULTS: Statistically significant results were observed between the two groups, for the items: (1) weight; (2) body mass index; (3) compulsive overeating; (4) body shape concerns; (5) preoccupation with food; (6) preoccupation with weight and (7) restriction. Among the candidates for bariatric surgery there were significant differences between those who had a favorable opinion for surgery and those who had an unfavorable opinion/postponed, with regard to items (1) occupation and (2) free time. DISCUSSION: Self–injury behavior was not found in any group of obese subjects. We also conclude that there are some psychopathology indicators, especially in the group candidate for surgery, however the group that had undergone the surgery had higher rates of suicide attempts.