title: A review of psychological assessment instruments for use in bariatric surgery evaluations.
abstract: 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
authors.affiliation: Department of Psychological Sciences, Kent State University.
authors.forename: Ryan J
authors.identifier: 0000-0002-5658-0951
authors.initials: RJ
authors.lastname: Marek
authors.affiliation: Cleveland Clinic Lerner College of Medicine.
authors.forename: Leslie J
authors.initials: LJ
authors.lastname: Heinberg
authors.affiliation: Cleveland Clinic Bariatric and Metabolic Institute.
authors.forename: Megan
authors.initials: M
authors.lastname: Lavery
authors.affiliation: Office of Patient Experience, Cleveland Clinic Lerner College of Medicine.
authors.forename: Julie
authors.initials: J
authors.lastname: Merrell Rish
authors.affiliation: Cleveland Clinic Lerner College of Medicine.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Ashton
mesh_terms: D050110:Bariatric Surgery / Q000523:psychology*; D006801:Humans; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis; D009765:Obesity / Q000523:psychology* / Q000601:surgery; D011300:Preoperative Care; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D011594:Psychometrics; D057566:Self Report