title: Psychological and Psychiatric Traits in Post-bariatric Patients Asking for Body-Contouring Surgery.
abstract: BACKGROUND
  Obese patients, mainly females, feel uncomfortable and unsatisfied with their physical appearance; they have a wrong perception of their image and consequently diminish their self-esteem, sometimes showing difficulties in functional areas such as work, relationship, social activity. Beside health concerns, improving their appearance and body image are often common motives for weight loss in obese individuals and after weight loss about 30% of bariatric surgery patients undergo plastic surgical correction of excessive skin. The authors investigated psychological and psychiatric traits in post-bariatric patients undergoing body-contouring surgery to underline the strong correlation between psychiatry and obesity and avoid unsatisfactory results in post-bariatric patients.
  
  
  METHODS
  The Mini International Neuropsychiatric Interview, Beck Depression Inventory II, Yale-Brown Obsessive Compulsive Scale modified for Body Dysmorphic Disorder Tridimensional Personality Questionnaire, Body Uneasiness Test, Barratt Impulsiveness Scale 11, and Binge Eating Scale were performed in 36 post-bariatric patients looking for plastic surgery and 21 controls, similar for clinical features, not seeking shape remodelling.
  
  
  RESULTS
  Much different psychiatric pathology characterizes cases, including current body dysmorphic disorder and previous major depression and anxiety disorders, impulsivity, binging and body uneasiness are other common traits.
  
  
  CONCLUSIONS
  In post-obesity rehabilitation, a strong collaboration between the plastic surgeon and psychiatrist is recommended to reduce the number of non-compliant patients. Preoperative psychological assessment of the body-contouring patient should be a central part of the initial plastic surgery consultation, as it should be for all plastic surgery patients.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266 .
authors.affiliation: Psychiatric Clinic, University of Padova, Padova, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Pavan
authors.affiliation: Psychiatric Clinic, University of Padova, Padova, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Marini
authors.affiliation: Department of Neurosciences, Clinic of Plastic Surgery, University of Padova, Via Giustiniani 2, 35100, Padova, Italy.
authors.forename: Eleonora
authors.initials: E
authors.lastname: De Antoni
authors.affiliation: Department of Neurosciences, Clinic of Plastic Surgery, University of Padova, Via Giustiniani 2, 35100, Padova, Italy.
authors.forename: Carlotta
authors.initials: C
authors.lastname: Scarpa
authors.affiliation: Department of Neurosciences, Clinic of Plastic Surgery, University of Padova, Via Giustiniani 2, 35100, Padova, Italy.
authors.forename: Tito
authors.initials: T
authors.lastname: Brambullo
authors.affiliation: Department of Neurosciences, Clinic of Plastic Surgery, University of Padova, Via Giustiniani 2, 35100, Padova, Italy.
authors.forename: Franco
authors.initials: F
authors.lastname: Bassetto
authors.affiliation: Psychiatric Clinic, University of Padova, Padova, Italy.
authors.forename: Annapina
authors.initials: A
authors.lastname: Mazzotta
authors.affiliation: Department of Neurosciences, Clinic of Plastic Surgery, University of Padova, Via Giustiniani 2, 35100, Padova, Italy. vincenzo.vindigni@unipd.it.
authors.forename: Vincenzo
authors.identifier: http://orcid.org/0000-0001-6638-9010
authors.initials: V
authors.lastname: Vindigni
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects* / Q000379:methods / Q000523:psychology; D057215:Body Dysmorphic Disorders / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001828:Body Image / Q000523:psychology*; D015992:Body Mass Index; D016022:Case-Control Studies; D062109:Dermatologic Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D009767:Obesity, Morbid / Q000175:diagnosis / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods; D012649:Self Concept; D013315:Stress, Psychological; D013518:Surgery, Plastic / Q000379:methods*; D015431:Weight Loss; D055815:Young Adult
keywords: Obesity; Plastic surgery; Post-bariatric; Psychiatry