A review of psychological assessment instruments for use in bariatric surgery evaluations.
Ryan J MarekLeslie J HeinbergMegan LaveryJulie Merrell RishKathleen AshtonPublished in: Psychological assessment (2017)
Bariatric surgery is a viable treatment option for patients with extreme obesity and associated medical comorbidities; however, optimal surgical outcomes are not universal. Surgical societies, such as the American Society for Metabolic and Bariatric Surgery (ASMBS), recommend that patients undergo a presurgical psychological evaluation that includes reviewing patients' medical charts, conducting a comprehensive clinical interview, and employing some form of objective psychometric testing. Despite numerous societies recommending the inclusion of self-report assessments, only about 2/3 of clinics actively use psychological testing-some of which have limited empirical support to justify their use. This review aims to critically evaluate the psychometric properties of self-report measures when used in bariatric surgery settings and provide recommendations to help guide clinicians in selecting instruments to use in bariatric surgery evaluations. Recommended assessment batteries include use of a broadband instrument along with a narrowband eating measure. Suggestions for self-report measures to include in a presurgical psychological evaluation in bariatric surgery settings are also provided. (PsycINFO Database Record
Keyphrases
- bariatric surgery
- weight loss
- obese patients
- end stage renal disease
- ejection fraction
- patient reported outcomes
- healthcare
- chronic kidney disease
- newly diagnosed
- type diabetes
- psychometric properties
- peritoneal dialysis
- metabolic syndrome
- physical activity
- primary care
- adipose tissue
- body mass index
- clinical practice
- emergency department
- depressive symptoms
- patient reported
- electronic health record
- combination therapy