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Am J Psychiatry 1992; 149:227-234
Copyright © 1992 by American Psychiatric Association
Prevalence of mental disorder in 88 morbidly obese bariatric clinic patients
DW Black, RB Goldstein and EE Mason
Department of Psychiatry, University of Iowa College of Medicine, Iowa City 52242.
OBJECTIVE: The authors sought to determine the association between mental
disorder and morbid obesity, defined as weight at least 100% or 100 lb over
ideal body weight. METHOD: Eighty-eight morbidly obese subjects who had
come to a tertiary care center surgery clinic requesting vertical banded
gastroplasty were systematically interviewed with the National Institute of
Mental Health Diagnostic Interview Schedule (DIS) and the Structured
Interview for DSM-III Personality Disorders. A comparison group of 76
psychiatrically normal subjects who were matched in age (within 5 years)
and gender to the morbidly obese subjects were also interviewed. RESULTS:
Most of the morbidly obese subjects were women, were of low socioeconomic
status as indicated by method of payment for medical care, weighed more
than 300 lb, and had been obese for more than 14 years. The morbidly obese
subjects were more likely than the comparison group to have a lifetime
history of mood disorders, anxiety disorders, bulimia, and tobacco
dependence. The morbidly obese subjects were also more likely to meet
diagnostic criteria for one or more personality disorders. CONCLUSIONS:
Substantial psychopathology exists in morbidly obese individuals requesting
gastroplasty, a finding that has important clinical implications.
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