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Open Access Highly Accessed Research article

Psychiatric disorders of patients seeking obesity treatment

Hung-Yen Lin1, Chih-Kun Huang2, Chi-Ming Tai3, Hung-Yu Lin4, Yu-Hsi Kao5, Ching-Chung Tsai6, Chin-Feng Hsuan3, Su-Long Lee7, Shu-Ching Chi8 and Yung-Chieh Yen19*

Author Affiliations

1 Department of Psychiatry, E-Da Hospital, Yi-Da Road, Yan-Chau District, Kaohsiung, 824, Taiwan

2 Bariatric & Metabolic International Surgery Center, E-Da Hospital, Kaohsiung, Taiwan

3 Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan

4 Department of Urology, E-Da Hospital, Kaohsiung, Taiwan

5 Department of Endocrinology and Metabolism, E-Da Hospital , Kaohsiung, Taiwan

6 Department of Pediatrics, E-Da Hospital, Kaohsiung, Taiwan

7 Department of Obstetrics and Gynecology, E-Da Hospital, Kaohsiung, Taiwan

8 Nursing Department, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan

9 School of Medicine, I-Shou University, Kaohsiung, Taiwan

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BMC Psychiatry 2013, 13:1  doi:10.1186/1471-244X-13-1

Published: 2 January 2013

Abstract

Background

Obese and overweight people have a higher risk of both chronic physical illness and mental illness. Obesity is reported to be positively associated with psychiatric disorders, especially in people who seek obesity treatment. At the same time, obesity treatment may be influenced by psychological factors or personality characteristics. This study aimed to understand the prevalence of mental disorders among ethnic Chinese who sought obesity treatment.

Methods

Subjects were retrospectively recruited from an obesity treatment center in Taiwan. The obesity treatments included bariatric surgery and non-surgery treatment. All subjects underwent a standardized clinical evaluation with two questionnaires and a psychiatric referral when needed. The psychiatric diagnosis was made thorough psychiatric clinic interviews using the SCID. A total of 841 patients were recruited. We compared the difference in psychiatric disorder prevalence between patients with surgical and non-surgical treatment.

Results

Of the 841 patients, 42% had at least one psychiatric disorder. Mood disorders, anxiety disorders and eating disorders were the most prevalent categories of psychiatric disorders. Females had more mood disorders and eating disorders than males. The surgical group had more binge-eating disorder, adjustment disorder, and sleep disorders than the non-surgical group.

Conclusion

A high prevalence of psychiatric disorders was found among ethnic Chinese seeking obesity treatment. This is consistent with study results in the US and Europe.

Keywords:
Obesity; Psychiatric disorders; Bariatric surgery