Background: Early adverse experiences such as sexual, verbal, or physical abuse and parental neglect have been associated with a higher risk of weight or eating problems in adulthood, and death or prolonged separation from parents during childhood has been implicated as a correlate of adult psychiatric disorders that are widely represented in obese subjects seeking bariatric surgery. Objective: The aim of this study was to examine the rate of childhood parental loss in obese bariatric surgery candidates and explore its association with a psychiatric diagnosis and clinical and weight/eating-related characteristics. Methods: The current and lifetime psychiatric diagnoses of 120 consecutive bariatric patients undergoing pre-surgical psychiatric consultation were assessed using a modified version of the Structured Clinical Interview for DSM-IV (SCID-CV), and information relating to parental death or separation before the age of 17 years was collected using a semi-structured interview. The rate of childhood parental loss was compared with that of an always slender population sharing the same psychiatric diagnosis. Results: 91.7% of the obese subjects were diagnosed as having a bipolar spectrum disorder. Overall, 28% of the patients reported a childhood parental death or separation. Early parental loss was not equally distributed in the different diagnostic subgroups, being more frequent in those with bipolar II disorders; the always slender subjects with bipolar II disorders showed a lower rate of early parental loss. Conclusions: The study findings confirm the association between obesity and bipolar disorders and suggest that early parental loss may play a role in the development of obesity in bipolar II subjects.
Childhood parental loss and bipolar spectrum in obese bariatric surgery candidates / A. Alciati, F. Gesuele, A. Rizzi, P. Sarzi-Puttini, D. Foschi. - In: THE INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE. - ISSN 0091-2174. - 41:2(2011), pp. 155-171.
|Titolo:||Childhood parental loss and bipolar spectrum in obese bariatric surgery candidates|
|Parole Chiave:||bariatric surgery; binge eating; bipolar disorders; childhood loss; obesity; parental separation|
|Settore Scientifico Disciplinare:||Settore MED/18 - Chirurgia Generale|
|Data di pubblicazione:||2011|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.2190/PM.41.2.e|
|Appare nelle tipologie:||01 - Articolo su periodico|