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P01-262 - Abnormal temperament in patients with morbid obesity seeking surgical treatment

Published online by Cambridge University Press:  17 April 2020

B. Amann
Affiliation:
Benito Menni, Research Unit, CASM, CIBERSAM, Sant Boi de Llobregat, Spain
R. Mergl
Affiliation:
University Hospital Leipzig, Leipzig, Germany
G. Perugi
Affiliation:
University Clinic of Pisa, Pisa, Italy
N. El-Gjamal
Affiliation:
Psychiatric Liasion Service, LMU Munich-Grosshadern, Germany
F. Padberg
Affiliation:
University Hospital LMU Munich, Munich, Germany
C. Torrent
Affiliation:
Bipolar Clinic, Hospital Clinico, Barcelona, Spain
G. Laakmann
Affiliation:
Psychiatric Liasion Service, LMU Munich-Grosshadern, Germany

Abstract

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Objectives

Obesity and its related disorders are growing epidemic across the world. As some forms of abnormal temperament are considered as subtype of the soft bipolar spectrum, we aimed to evaluate abnormal temperaments in morbid obese patients.

Methods

Using a short version of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego, we investigated abnormal depressive, cyclothymic, hyperthymic, irritable or anxious temperament in 213 patients with morbid obesity compared to a control group of 90 patients admitted prior to transplantation. Additionally, the Beck-Depression Inventory (BDI) and the Self-Report Manic Inventory (SRMI) were applied to assess the current mood states.

Results

The obese group showed statistically significant more psychiatric comorbidities compared to the control group. Abnormal temperaments were significantly more often observed in patients with morbid obesity rather than in controls. Cyclothymic, irritable and anxious temperaments showed specificity to obesity. Obese patients had significantly higher scores in BDI, while no difference for SRMI scores was registered among the whole groups. All temperaments were positively correlated with BDI and SRMI in the obese group.

Conclusions

Our results need replication but indicate an affective overlap in form of abnormal temperament and depressive symptoms in obese patients, whereas mood swings should be evaluated and early mood stabilization considered for patients with significant weight gain to prevent obesity or to reduce already existing overweight. Studies of mood stabilizers and prospective observations would shed further insight on this complex interface of a major clinical and public health issue.

Type
Consultation liaison psychiatry
Copyright
Copyright © European Psychiatric Association 2010
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