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DSM 5 Lifetime Psychiatric Diagnoses in Two Bariatric Surgery Programs.
Leslie J Heinberg1, James E Mitchell2, Christine Peat3
1Cleveland Clinic Lerner College of Medicine, 9500 Euclid Ave./M61, Cleveland, OH, 44195, USA. heinbel@ccf.org.
Obesity Surgery
|February 8, 2021
Summary
Bariatric surgery patients show similar or lower lifetime psychiatric disorder rates when assessed with the DSM-5 criteria compared to older DSM-IV studies. Further research is needed to fully understand this population.
Area of Science:
- Psychiatry
- Bariatric Surgery
- Mental Health
Background:
- Bariatric surgery candidates often have high rates of psychiatric disorders.
- Previous research utilized older diagnostic criteria (DSM-IV).
Purpose of the Study:
- To assess lifetime psychiatric disorder frequencies in bariatric surgery candidates using the latest DSM-5 criteria.
- To compare these frequencies with previous studies using DSM-IV.
Main Methods:
- 131 participants undergoing pre-surgical evaluation for bariatric surgery were assessed.
- The Structured Clinical Interview for DSM-5 (SCID-5) was administered.
- Lifetime estimates were compared to prior US and international studies using DSM-IV.
Main Results:
- The overall frequency of psychiatric disorders was found to be similar or lower than reported in prior studies.
- Diagnostic criteria changes between DSM-IV and DSM-5 may contribute to observed differences.
Conclusions:
- Lifetime psychiatric disorder prevalence in bariatric surgery candidates appears comparable or lower with DSM-5 criteria.
- Future research should further investigate diagnostic criteria impact and population characteristics.
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