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Type: Artigo de periódico
Title: Psychological Characteristics Of Patients Submitted To Bariatric Surgery [características Psicológicas De Pacientes Submetidos A Cirurgia Bariátrica]
Author: Magdaleno Jr. R.
Chaim E.A.
Turato E.R.
Abstract: Introduction: The great number of patients submitted to bariatric surgery who have psychological and psychiatric complications during the postoperative period require a thorough preoperative investigation and a categorization with the purpose of predicting possible complications and personalizing psychological care that might favor patient compliance. Psychodynamic assessment may provide data for such categorization and, thus, suggest effective pre- and postoperative approach strategies. Therefore, the objective of this study was to identify personality structures that may be useful in the postoperative follow-up, as well as additional inclusion and exclusion criteria for the surgical procedure. Methods: Report of empirical survey conducted during psychotherapy sessions with an open group of patients who underwent bariatric surgery. Discussion: After surgery, patients may experience phases of emotional restructuring, such as an initial phase of feeling triumphant, followed by a phase when there is risk of melancholic behavior and new addictions. We identified three categories of psychological structures: melancholic structure (patients seem to be more likely to develop other postoperative addictive behaviors, mainly eating disorders, since they cannot tolerate the frustration of the loss); dementalized structure (due to the lack of elaborative capacity, patients are unable to reorganize themselves in face of the challenge of keeping their weight under control); and perverse structure (patients comply with the scheduled weight loss; however, their behavior makes the health team experience uncomfortable situations). Establishing psychological categories may be crucial in order to suggest postoperative management strategies, including referral to a psychotherapist with the purpose of providing personalized care, thus increasing specific therapeutic success. Copyright © Revista de Psiquiatria do Rio Grande do Sul - APRS.
Rights: aberto
Identifier DOI: 10.1590/S0101-81082009000100013
Date Issue: 2009
Appears in Collections:Unicamp - Artigos e Outros Documentos

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