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Análise Psicológica

Print version ISSN 0870-8231


ROCHA, Carla  and  COSTA, Eleonora. Aspectos psicológicos na obesidade mórbida: Avaliação dos níveis de ansiedade, depressão e do auto-conceito em obesos que vão ser submetidos à cirurgia bariátrica. Aná. Psicológica [online]. 2012, vol.30, n.4, pp.451-466. ISSN 0870-8231.

Obesity is a public health problem, in view of its high prevalence, the difficulty in the control and in the raised index of relapse. Methodology: This is a study with a correlacional design which was developed in a Hospital Center of the Region North of Portugal (CHAA), with a non-random sample of 100 participants, of both genders, with morbid obesity and candidates to bariatric surgery. The objective of this study is to assess levels of anxiety, depression and self-concept in obese patients about to undergo bariatric surgery, specifically, to characterize the emotional state (anxiety, depression) of users morbidly obese candidates for bariatric surgery, verify the relationship between levels of anxiety, depression and self-concept, analyzing whether there are significant relationships between dimensions of self-concept (acceptance/rejection of social self-efficacy, psychological maturity, impulsivity/ activity) and anxiety and depression. Another objective is to assess the relationship between BMI and anxiety, depression, and evaluate the relationship between BMI) and self-concept. For the realization of this study was administrated a socio-demographic and clinical questionnaire, the Hospital Anxiety and Depression Scale (HADS) of Zigmond and Snaith (1983) and the Clinical Inventory of Self-Concept (ICAC) of Vaz Serra (1986). Results: The results indicate a statistical significant association between levels of anxiety and depression and the self-concept in individuals with morbid obesity. It was also verified that it does not exist a statistical significant correlation between the body mass index (BMI) and the levels of anxiety, depression and self-concept. It was also verified that anxiety is present in individuals with morbid obesity but there are not significant correlations between anxiety, depression, self-concept and BMI. Although some studies show that obese individuals have a higher predisposition to express some degree of psychopathology, however this does not indicate that all the subjects present significant degrees of psychological disturbances. We hope to help expand the knowledge and understanding of the psychological aspects of this disease, associated with the dimensions of analysis - depression, anxiety and self-concept that has been studied mainly in terms of medical, nutritional and aesthetic, but only incidentally by psychology, thus contributing to the further development of this area and future plans for intervention in the practice of Clinical Psychology and Health.

Keywords : Anxiety; Bariatric surgery; Depression; Morbid obesity; Self-concept.

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