Psychological care as a complement of multidisciplinary medical approach to patients before bariatric surgery operation
Authors:
Jana Kubešová 1; Michal Toběrný 2; Eliška Kalinová 3
Authors place of work:
Oddělení klinické psychologie Nemocnice na Homolce, Praha
1; Oddělení všeobecné chirurgie Nemocnice Na Homolce, Praha
2; Interna – obezitologická ambulance Nemocnice Na Homolce, Praha
3
Published in the journal:
Čas. Lék. čes. 2011; 150: 240-243
Category:
Review Article
Summary
Bariatric surgery has complemented the medical care of patients with obesity at Hospital Na Homolce since 2004. Multidisciplinary cooperation becomes essential. The bariatric team consists not only of a surgeon, a nurse and an anaesthetist, but also an internist, a nutritionist, a psychologist, and possibly a psychiatrist. Our article brings contributions of the psychologist in the bariatric team, and describes the possibilities and importance of his psychological intervention and treatment, both preoperatively and postoperatively. The article offers a review of the methods used in the psychodiagnostic examination prior to surgery, and also mentions the risk factors, such as in cases of deeper pathology in eating behaviour, a personality disorder, low probability of the patient’s postoperative compliance and so on, which can decrease the effectiveness of bariatric treatment. In cases where there is psychological contraindication for surgery, the psychologist should offer suitable psychotherapeutic or psychiatric alternative treatment.
Key words:
obesity, bariatric surgery, psychodiagnostic examination, binge eating disorder, night-eating syndrome, grazing.
Zdroje
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Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
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