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COMORBILIDAD PSIQUIATRICA EN PACIENTES CON OBESIDAD MORBIDA INTERVENIDOS DE CIRUGIA BARIATRICA

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COMORBILIDAD PSIQUIATRICA EN PACIENTES CON OBESIDAD MORBIDA INTERVENIDOS DE CIRUGIA BARIATRICA

(especial para SIIC © Derechos reservados)
Los pacientes con obesidad mórbida que son sometidos a cirugía bariátrica para perder peso tienen alta tasa de trastornos mentales, por lo que se muestran como una población de riesgo necesitada de estudio y, a menudo, de tratamiento.
guisado9.jpg Autor:
Juan Antonio Guisado Macías,
Columnista Experto de SIIC
Artículos publicados por Juan Antonio Guisado Macías,
Coautor
Francisco José Vaz Leal* 
Doctor en Medicina y Cirugía. Médico Especialista en Psiquiatría. Facultad de Medicina. Universidad de Extremadura*
Recepción del artículo
27 de Febrero, 2004 		Aprobación
30 de Marzo, 2004
Primera edición
18 de Mayo, 2004 		Segunda edición, ampliada y corregida
7 de Junio, 2021

COMORBILIDAD PSIQUIATRICA EN PACIENTES CON OBESIDAD MORBIDA INTERVENIDOS DE CIRUGIA BARIATRICA

Resumen
El objetivo fue estudiar la prevalencia de trastornos mentales en pacientes con obesidad mórbida sometidos a cirugía gástrica para perder peso y analizar predictores clínicos de respuesta al tratamiento quirúrgico. La muestra estaba compuesta de 100 pacientes con obesidad mórbida (85 mujeres, 15 hombres) sometidos a gastroplastia vertical con bandas. La valoración psiquiátrica se realizó 18 meses tras la cirugía y comprendió una entrevista clínica y cuestionarios para valorar calidad de vida, conducta alimentaria, estado psicopatológico, personalidad y relaciones de pareja. Un 29% de la muestra presentaba trastornos psiquiátricos (fundamentalmente trastornos del estado de ánimo y de ansiedad) con una alta tasa de disfunciones de pareja. Los pacientes con enfermedades mentales presentaban una disminución en la calidad de vida, una conducta alimentaria más desestructurada, peor estado psicopatológico, más rasgos disfuncionales de personalidad y peores relaciones de pareja. Los pacientes con obesidad mórbida que son sometidos a cirugía bariátrica para perder peso tienen alta tasa de trastornos mentales, por lo que se muestran como una población de riesgo necesitada de estudio y, a menudo, de tratamiento.

Palabras clave
Obesidad mórbida, cirugía bariátrica, calidad de vida, trastornos mentales, conducta alimentaria


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Especialidades
Principal: Salud Mental
Relacionadas: Cirugía, Endocrinología y Metabolismo, Epidemiología, Gastroenterología, Medicina Interna, Nutrición



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Bibliografía del artículo
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