Psychological Assessment and Psychosocial Outcomes in Bariatric Surgery Candidates: A Retrospective Study

作者：Maria Rosaria Magurano, Daniele Napolitano, Mattia Bozzetti, Alessio Lo Cascio, Lorenzo Oppo, Laura Antonella Fernandez Tayupanta, Serena Ferrazzoli, Lucia Lopasso, Emanuela Rellini, Marco Raffaelli, Daniela Chieffo · 发表于：Healthcare · 年份：2025 · DOI：10.3390/healthcare13111294 · 被引用次数：4 · 研究领域：Obesity and Health Practices、Bariatric Surgery and Outcomes、Body Contouring and Surgery

Background/Objectives: Psychological vulnerability in individuals with obesity represents a significant concern in the context of bariatric surgery. This study aimed to assess psychosocial functioning and identify the psychological, clinical, and sociodemographic predictors of impairment among patients undergoing preoperative evaluation. Methods: A retrospective observational study was conducted on patients referred for bariatric surgery at a single academic medical center. Data were collected through clinical interviews and validated psychometric tools: the Clinical Impairment Assessment (CIA), the Patient Health Questionnaire-9 (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7). Robust multiple regression analysis determined associations between CIA scores and psychological and demographic factors. Results: A total of 688 patients were evaluated (median age: 46 years; 70.3% female). Most had a high school education (56.9%) and were employed (69%). Elevated scores on the Clinical Impairment Assessment (CIA) were significantly associated with female gender (β = 1.075, p = 0.029), moderate anxiety (GAD-7 ≥ 10; β = 3.85, p < 0.001), and severe depressive symptoms (PHQ-9 ≥ 15; β = 16.67, p < 0.001). Other significant predictors included prior psychotherapy (β = 1.18, p = 0.044), aesthetic motivation for surgery (β = 0.92, p = 0.120), and expectations that weight loss would improve self-esteem (β = 2.11, p = 0.001) or social relationships (β = 1.98, p = 0.002). Convers...