Strategies for early detection of psychopathologies in candidates for post-bariatric plastic surgery
Introduction: The increase in demand for post-bariatric plastic surgery has revealed a high prevalence of psychopathologies in patients undergoing the procedure, requiring the need to diagnose these diseases in the preoperative period. The use of specific psychological screening tools has been promo...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2020-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2704/en_v35n1a16.pdf |
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| author | Daniel Nunes E Silva Marcelo Rosseto Kleber Francisco Meneghel Vargas Agliberto Augusto Barsaglini Marcondes Rezende Evelyn Gaspar Balbino Thaisa Richards de Andrade Heytor Jóse de Oliveira Cabral |
| author_facet | Daniel Nunes E Silva Marcelo Rosseto Kleber Francisco Meneghel Vargas Agliberto Augusto Barsaglini Marcondes Rezende Evelyn Gaspar Balbino Thaisa Richards de Andrade Heytor Jóse de Oliveira Cabral |
| author_sort | Daniel Nunes E Silva |
| collection | DOAJ |
| description | Introduction: The increase in demand for post-bariatric plastic surgery has revealed a high prevalence of psychopathologies in patients undergoing the procedure, requiring the need to diagnose these diseases in the preoperative period. The use of specific psychological screening tools has been promoted; however, a gold-standard method has not yet been fully established.
Objective: To carry out a review of the literature for alternatives available for the preliminary psychological evaluation of patients who are candidates for post-bariatric plastic surgery, presenting the method recommended in the Post-Bariatric Plastic Surgery outpatient clinic of the Federal University of Mato Grosso do Sul (UFMS).
Methods: We reviewed the clinical trials which employed psychological screening tools preoperatively in patients who were candidates for post-bariatric plastic surgery; the MEDLINE/PubMed database was searched using keywords such as “bariatric surgery”, “body image”, “quality of life”, “obesity”, “plastic surgery” and “psychiatry”, for clinical trials published in the last 20 years. Herein, we discuss the findings and analyze the most common methodologies used.
Results: Only four clinical trials used psychopathology screening tools in postbariatric plastic surgeries preoperatively, and one method could not be identified.
Conclusion: The use of appropriate strategies to screen for psychopathologies helps prevent significant losses in the postoperative period, but the tools still lack validation in the post-bariatric population. Besides possessing extensive clinical-surgical technical knowledge, the plastic surgeon must remain attentive to the signs and psychopathological symptoms in these patients, referring them for psychological and psychiatric evaluation when indicated. |
| format | Article |
| id | doaj-art-d5eb4be81da8418082f27d078117fb68 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-d5eb4be81da8418082f27d078117fb682025-08-20T03:57:39ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352020-03-01350110110810.5935/2177-1235.2020RBCP0016Strategies for early detection of psychopathologies in candidates for post-bariatric plastic surgeryDaniel Nunes E SilvaMarcelo RossetoKleber Francisco Meneghel VargasAgliberto Augusto Barsaglini Marcondes RezendeEvelyn Gaspar Balbino0Thaisa Richards de Andrade1Heytor Jóse de Oliveira Cabral2Universidade Federal de Mato Grosso do Sul, Hospital Universitário Maria Aparecida Pedrossian, Campo Grande, MS, BrazilUniversidade Federal de Mato Grosso do Sul, Faculdade de Medicina UFMS, Campo Grande, MS, BrazilUniversidade para o Desenvolvimento do Estado e da Região do Pantanal, Campo Grande, MS, BrazilIntroduction: The increase in demand for post-bariatric plastic surgery has revealed a high prevalence of psychopathologies in patients undergoing the procedure, requiring the need to diagnose these diseases in the preoperative period. The use of specific psychological screening tools has been promoted; however, a gold-standard method has not yet been fully established. Objective: To carry out a review of the literature for alternatives available for the preliminary psychological evaluation of patients who are candidates for post-bariatric plastic surgery, presenting the method recommended in the Post-Bariatric Plastic Surgery outpatient clinic of the Federal University of Mato Grosso do Sul (UFMS). Methods: We reviewed the clinical trials which employed psychological screening tools preoperatively in patients who were candidates for post-bariatric plastic surgery; the MEDLINE/PubMed database was searched using keywords such as “bariatric surgery”, “body image”, “quality of life”, “obesity”, “plastic surgery” and “psychiatry”, for clinical trials published in the last 20 years. Herein, we discuss the findings and analyze the most common methodologies used. Results: Only four clinical trials used psychopathology screening tools in postbariatric plastic surgeries preoperatively, and one method could not be identified. Conclusion: The use of appropriate strategies to screen for psychopathologies helps prevent significant losses in the postoperative period, but the tools still lack validation in the post-bariatric population. Besides possessing extensive clinical-surgical technical knowledge, the plastic surgeon must remain attentive to the signs and psychopathological symptoms in these patients, referring them for psychological and psychiatric evaluation when indicated.http://www.rbcp.org.br/export-pdf/2704/en_v35n1a16.pdfplastic surgerybariatric surgerybody imagequality of lifeobesitypsychiatry |
| spellingShingle | Daniel Nunes E Silva Marcelo Rosseto Kleber Francisco Meneghel Vargas Agliberto Augusto Barsaglini Marcondes Rezende Evelyn Gaspar Balbino Thaisa Richards de Andrade Heytor Jóse de Oliveira Cabral Strategies for early detection of psychopathologies in candidates for post-bariatric plastic surgery Revista Brasileira de Cirurgia Plástica plastic surgery bariatric surgery body image quality of life obesity psychiatry |
| title | Strategies for early detection of psychopathologies in
candidates for post-bariatric plastic surgery |
| title_full | Strategies for early detection of psychopathologies in
candidates for post-bariatric plastic surgery |
| title_fullStr | Strategies for early detection of psychopathologies in
candidates for post-bariatric plastic surgery |
| title_full_unstemmed | Strategies for early detection of psychopathologies in
candidates for post-bariatric plastic surgery |
| title_short | Strategies for early detection of psychopathologies in
candidates for post-bariatric plastic surgery |
| title_sort | strategies for early detection of psychopathologies in candidates for post bariatric plastic surgery |
| topic | plastic surgery bariatric surgery body image quality of life obesity psychiatry |
| url | http://www.rbcp.org.br/export-pdf/2704/en_v35n1a16.pdf |
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