Featured Research

from universities, journals, and other organizations

One In Five Bariatric Surgery Candidates Not Psychologically Cleared For Surgery

Date:
October 15, 2007
Source:
Lifespan
Summary:
Researchers reported that 18 percent of 500 candidates for bariatric surgery did not receive the initial psychiatry clearance for the surgery. The study is the first to examine the reliability of decisions to clear candidates for surgery, and the largest to determine the percentage of candidates who are not cleared, and detail the reasons for exclusion.

A new study by Rhode Island Hospital and Brown University researchers reported that 18 percent of 500 candidates for bariatric surgery did not receive the initial psychiatric clearance for the surgery. The study is the first to examine the reliability of decisions to clear candidates for surgery, and the largest to determine the percentage of candidates who are not cleared and detail the reasons for exclusion.

Findings indicate the most common reasons for not receiving psychiatric clearance were frequent overeating to cope with stress/emotional distress, a current eating disorder and uncontrolled psychiatric disorders. Researchers also found that the decision to clear candidates for bariatric surgery is made with high reliability, meaning independent reviews of available information by independent psychiatrists will result in the same decision.

Most bariatric surgery programs include psychiatric evaluations as part of the pre-operative screening procedure. Some of the psychological factors considered important in determining appropriate surgical candidates include the presence of eating, mood psychotic, personality and substance abuse disorders; eating to regulate negative affect (using food as a method to cope with psychological stress); history of noncompliance with treatment; and inappropriate expectations of life change due to surgery.

Lead author Mark Zimmerman, MD, director of outpatient psychiatry at Rhode Island Hospital and associate professor of psychiatry and human behavior at The Warren Alpert Medical School of Brown University, emphasized, "The goal of the psychiatric evaluation is not to keep patients from having the surgery. Rather, the goal is to determine if there are any problems that might interfere with the success of surgery, and have the patient get treatment for these problems." Zimmerman continues, "In so doing, the patient is more likely to have a positive outcome from surgery that is delayed to allow time to address the problems."

Caren Francione, a post-doctoral fellow and co-author of the report, noted that they have conducted a follow-up study of the patients who were initially screened out from having the surgery. Preliminary analysis of the data found that most of these patients followed the psychiatrists' recommendation to have counseling before surgery and subsequently went on to have surgery.

The report is from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) Project, for which Zimmerman is the principal investigator. Zimmerman said, "The MIDAS project is unique in its integration of research quality diagnostic methods into a community-based outpatient practice affiliated with an academic medical center."

This research was published in the October edition of the Journal of Clinical Psychiatry.


Story Source:

The above story is based on materials provided by Lifespan. Note: Materials may be edited for content and length.


Cite This Page:

Lifespan. "One In Five Bariatric Surgery Candidates Not Psychologically Cleared For Surgery." ScienceDaily. ScienceDaily, 15 October 2007. <www.sciencedaily.com/releases/2007/10/071015081520.htm>.
Lifespan. (2007, October 15). One In Five Bariatric Surgery Candidates Not Psychologically Cleared For Surgery. ScienceDaily. Retrieved October 1, 2014 from www.sciencedaily.com/releases/2007/10/071015081520.htm
Lifespan. "One In Five Bariatric Surgery Candidates Not Psychologically Cleared For Surgery." ScienceDaily. www.sciencedaily.com/releases/2007/10/071015081520.htm (accessed October 1, 2014).

Share This



More Health & Medicine News

Wednesday, October 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Cases Keep Coming for Monrovia's Island Hospital

Ebola Cases Keep Coming for Monrovia's Island Hospital

AFP (Oct. 1, 2014) A look inside Monrovia's Island Hospital, a key treatment centre in the fight against Ebola in Liberia's capital city. Duration: 00:34 Video provided by AFP
Powered by NewsLook.com
Ebola Puts Stress on Liberian Health Workers

Ebola Puts Stress on Liberian Health Workers

AP (Oct. 1, 2014) The Ebola outbreak is putting stress on first responders in Liberia. Ambulance drivers say they are struggling with chronic shortages of safety equipment and patients who don't want to go to the hospital. (Oct. 1) Video provided by AP
Powered by NewsLook.com
Doctors Reassure Public Ebola Patient Won't Cause Outbreak

Doctors Reassure Public Ebola Patient Won't Cause Outbreak

Newsy (Sep. 30, 2014) After the announcement that the first U.S. patient had been diagnosed with Ebola, doctors were quick to say a U.S. outbreak is highly unlikely. Video provided by Newsy
Powered by NewsLook.com
TX Hospital Confirms Patient Admitted With Ebola

TX Hospital Confirms Patient Admitted With Ebola

AP (Sep. 30, 2014) Medical officials from Texas Health Presbyterian Hospital confirm they are treating a patient with the Ebola virus, the first case found in the US. (Sept. 30 Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins