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Previous issue date: 2015-03-02 / Background: Obesity and psychiatric disorders are likely to exert considerably negative impact on the quality of life of patients. In this regard, one may observe a high incidence of anxiety disorders in obese patients, particularly among candidates for bariatric surgery. Anxiety and depressive symptoms, as well as substance abuse are a substantial threat to successful results following bariatric surgery.
Objectives: To evaluate the association between the intensity of anxiety symptoms and body mass index, depressive symptoms and alcohol and tobacco use in obese patients who apply for bariatric surgery.
Setting: Centro da Obesidade S?ndrome Metab?lica, Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, Brazil.
Methods: Cross-sectional study involving 425 patients that have applied to bariatric surgery. Levels of anxiety and depression were assessed by the Beck Anxiety Inventory and the Beck Depression Inventory. Alcohol use was assessed by Alcohol Use Disorders Test and tobacco use by the Fagerstr?m Test of Nicotine Dependence.
Results: Among the 425 patients, 33.4% scored BAI above the cut-off point, while 59.3% scored BDI above the cut-off point. There was a significant statistic association between anxiety and depressive symptoms (P <0.001).
There was a statistically significant, direct and weak correlation between BAI scores and BMI. No patient presented AUDIT above the cut-off point and 4.7% were smokers.
Conclusions: The high prevalence of anxiety and depressive symptoms detected is alarming and shows how much bariatric surgery candidates are subject to emotional suffering. The low prevalence of alcohol and tobacco use confirms findings of other studies. / Introdu??o: A obesidade e os transtornos psiqui?tricos exercem forte impacto negativo na qualidade de vida de seus portadores. Podemos observar uma alta incid?ncia de ansiedade em pacientes obesos, especialmente entre candidatos a cirurgia bari?trica. Sintomas de ansiedade e sintomas depressivos, assim como o abuso de subst?ncias representam uma amea?a substancial a resultados favor?veis no p?s-operat?rio de cirurgia bari?trica.
Objetivos: Avaliar a associa??o entre a intensidade da sintomatologia de ansiedade e ?ndice de massa corporal (IMC), sintomas depressivos e uso de ?lcool e tabaco em pacientes obesos candidatos a cirurgia bari?trica.
Local: Centro da Obesidade e S?ndrome Metab?lica, Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, Brazil.
M?todos: Estudo transversal envolvendo 425 pacientes candidatos a cirurgia bari?trica. Sintomas de ansiedade e depress?o foram avaliados atrav?s de Invent?rio de Ansiedade de Beck (BAI) e Invent?rio de Depress?o de Beck (BDI). Uso de ?lcool foi avaliado pelo Teste para identifica??o de problemas relacionados ao uso de ?lcool (AUDIT) e uso de tabaco pelo Question?rio de depend?ncia Nicot?nica de Fagerstr?m (FTND).
Resultados: Entre os 425 pacientes, 33,4% tiveram escore no BAI acima do ponto de corte, enquanto que 59,3% tiveram escore no BDI acima do ponto de corte. Houve associa??o estatisticamente significativa entre sintomas de ansiedade e depress?o
(P <0.001).
Houve associa??o estatisticamente significativa, direta e fraca entre escores no BAI e IMC
(r = 0.11 P = 0.030). Nenhum paciente apresentou escores no AUDIT acima do ponto de corte e 4,7% eram fumantes. Conclus?o: A alta preval?ncia de sintomas de ansiedade e depress?o detectados em nossa amostra ? alarmante e mostra o quanto os candidatos a cirurgia bari?trica est?o sujeitos a sofrimento ps?quico. A baixa preval?ncia de uso ?lcool e tabaco confirma achados de outros estudos.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6067 |
| Date | 02 March 2015 |
| Creators | Heberle, Luiza Schmidt |
| Contributors | Padoin, Alexandre Vontobel |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, Brasil, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | Portuguese |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 600, 600, 600, -8624664729441623247, -969369452308786627 |
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