ORIGINAL PAPER
Personality profiles of candidate patients for surgical treatment of obesity in the context of recommendations for psychological interventions in the pre- and post-operative periods
 
More details
Hide details
1
Department of Clinical Psychology, University Hospital in Krakow, Krakow, Poland
 
2
Department of General, Oncological, Metabolic and Emergency Surgery, Centre for the Surgical Treatment of Obesity, University Hospital in Krakow, Krakow, Poland
 
3
Faculty of Psychiatry, Department of Medical Psychology, Jagiellonian University Medical College, Krakow, Poland
 
4
Institute of Psychology, Jagiellonian University, Krakow, Poland
 
5
2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland
 
 
Submission date: 2023-09-24
 
 
Final revision date: 2024-01-11
 
 
Acceptance date: 2024-01-16
 
 
Online publication date: 2024-03-11
 
 
Corresponding author
Barbara Bętkowska-Korpała   

Jagiellonian University Medical College, Department of Psychiatry, Department of Medical Psychology, Krakow, Poland
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Background:
The aim of the study was to investigate and identify similarities and differences in the severity of personality traits of candi-date patients for surgical treatment of obesity in the context of developing psychological recommendations in the pre- and post-operative period.

Participants and procedure:
The study included 101 patients (74 females, 27 males) aged between 22 and 64 (M = 40.46, SD = 9.25) undergoing evalua-tion for surgical treatment of obesity at the University Hospital in Krakow. An examination of personality traits with the NEO Personality Inventory-Revised (NEO-PI-R) was conducted. The results presented here are an extract from an ongoing longitudinal study. The data were statistically processed using cluster analysis.

Results:
Three clusters of personality traits were identified. The first cluster is characterised by low results in the factor Neuroticism and high results in the factors Extraversion, Openness to experience, Conscientiousness. The second cluster shows high val-ues in the Neuroticism factor and low values in the Extraversion and Conscientiousness factors. Third cluster is character-ised by low results in the factor Neuroticism and Extraversion, and high results in Openness to experience and Conscien-tiousness factors.

Conclusions:
The three identified clusters of personality traits of bariatric patients indicate a diversity of patients in terms of personality trait profiles. Due to the characteristics of these profiles and the resulting functioning modes, the first profile has been called ‘action-focused’, the second profile ‘emotion-focused’ and the third profile ‘avoidance-focused’. The results justify the need for an individualised approach in the surgical treatment of obesity. The results presented are of clinical value to the psychologist’s practice in the context of developing treatment-relevant recommendations for psychological interventions in the pre- and postoperative periods. The specific nature of the profiles provides a foundation for recommending, based on the principles of sound clinical practice, psychological interventions conducive to positive treatment outcomes.

 
REFERENCES (46)
1.
Armon, G., Melamed, S., Shirom, A., Shapira, I., & Berliner, S. (2013). Personality traits and body weight measures: Concurrent and across-time associations. European Journal of Personality, 27, 398–408. https://doi.org/10.1002/per.19....
 
2.
Bȩtkowska-Korpała, B., Ćwiȩk, A., Izydorczyk, B., Starowicz-Filip, A., & Major, P. (2021). Predictive role of body image in bulimic behaviors among obese patients qualified for bariatric surgery. Frontiers of Psychiatry, 12, 781323. https://doi.org/10.3389/fpsyt.....
 
3.
Brunault, P., Ducluzeau, P. H., Courtois, R., Bourbao-Tournois, C., Delbachian, I., Réveillère, C., & Ballon, N. (2018). Food addiction is associated with higher neuroticism, lower conscientiousness, higher impulsivity, but lower extraversion in obese patient candidates for bariatric surgery. Substance Use & Misuse, 53, 1919–1923. https://doi.org/10.1080/108260....
 
4.
Budzyński, A., Major, P., Głuszek, S., Kaseja, K., Kosztulski, T., Leśniak, S., Lewandowski, T., Lipka, M., Lisik, W., Makarewicz, W., Michalik, M., Myśliwiec, P., Ostrowska, L., Orłowski, M., Paluszkiewicz, R., Pastuszka, M., Paśnik, K., Pędziwiatr, M., Proczko-Stepaniak, M. … Wyleżoł, M. (2016). Polskie rekomendacje w zakresie chi-rurgii bariatrycznej i metabolicznej [Polish recommendations in the field of bariatric and metabolic surgery]. Medycyna Praktyczna. Chirurgia, 6, 13–25.
 
5.
Caltabiano, M. L. (2022). Personality, weight loss and obesity-related well-being post-bariatric surgery. Eating and Weight Disorders, 27, 199–206. https://doi.org/10.1007/s40519....
 
6.
Chang, S. H., Stoll, C. R., Song, J., Varela, J. E., Eagon, C. J., & Colditz, G. A. (2014). The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012. JAMA Surgery, 149, 275–287. https://doi.org/10.1001/jamasu....
 
7.
Cheroutre, C., Guerrien, A., & Rousseau, A. (2020). Contributing of cognitive-behavioral therapy in the context of bariatric surgery: a review of the literature. Obesity Surgery, 30, 3154–3166. https://doi.org/10.1007/s11695....
 
8.
Claes, L., Vandereycken, W., Vandeputte, A., & Braet, C. (2013). Personality subtypes in female pre-bariatric obese patients: Do they differ in eating disorder symptoms, psychological complaints and coping behaviour? European Eating Disorders Review, 21, 72–77. https://doi.org/10.1002/erv.21....
 
9.
Costa, P. T., Jr., & McCrae, R. R. (1992). NEO PI-R professional manual. Psychological Assessment Resources.
 
10.
Costa, P. T., Jr., & McCrae, R. R. (2005). Osobowość człowieka dorosłego. Perspektywa teorii pięcioczynnikowej [Adult personality. A five-factor theory perspective]. Wydawnictwo WAM.
 
11.
David, L. A., Sijercic, I., & Cassin, S. E. (2020). Preoperative and post-operative psychosocial interventions for bar-iatric surgery patients: a systematic review. Obesity Reviews, 21, e12926. https://doi.org/10.1111/obr.12....
 
12.
de Figueiredo, M. D. D., Nasser, S. N., Franco, C. B., Dos Santos, C. B., Boguszewski, C. L., Suplicy, H. L., Ro-drigues, A. M., & Radominski, R. B. (2021). Personality type, eating behaviour and suicide risk in women in treatment for obesity. Eating and Weight Disorders, 26, 547–554. https://doi.org/10.1007/s40519....
 
13.
Espada, N., Ortiz-Fune, C., Bersabe-Pérez, M., Delgado-Perales, S., Díaz-Trejo, S., González-Parra, D., & Roncero, C. (2021). Psychological profile of the bariatric surgery candidates in a Spanish hospital in 2020: a descriptive study. European Psychiatry, 64, S653–S653. https://doi.org/10.1192/j.eurp....
 
14.
Fairburn, C. G. (2013). Terapia poznawczo-behawioralna i zaburzenia odżywiania się [Cognitive-behavioral therapy and eating disorders]. Wydawnictwo Uniwersytetu Jagiellońskiego.
 
15.
Fairburn, C. G., Cooper, Z., Doll, H. A., O’Connor, M. E., Bohn, K., Hawker, D. M., Wales, J. A., & Palmer, R. L. (2009). Transdiagnostic cognitive-behavioral therapy for patients with eating disorders: a two-site trial with 60-week follow-up. American Journal of Psychiatry, 166, 311–319. https://doi.org/10.1176/appi.a....
 
16.
Federico, A., Spalatro, A. V., Giorgio, I., Enrica, M., Abbate Daga, G., & Secondo, F. (2019). Personality and psy-chopathology differences between bariatric surgery candidates, subjects with obesity not seeking surgery management, and healthy subjects. Eating and Weight Disorders, 24, 623–631. https://doi.org/10.1007/s40519....
 
17.
Fujii, A., Inoue, K., Kimura, H., Miyauchi, T., Takao, N., Yoshiuchi, S., Kurose, S., & Kimura, Y. (2023). Personality traits and preoperative lifestyle improvement are predictors of early weight loss after sleeve gastrectomy. Sur-gery Today, 53, 882–889. https://doi.org/10.1007/s00595....
 
18.
García-Ruiz-de-Gordejuela, A., Agüera, Z., Granero, R., Steward, T., Llerda-Barberá, A., López-Segura, E., Vilarrasa, N., Sanchez, I., Jiménez-Murcia, S., Virgili, N., López-Urdiales, R., de Bernabe, M. M., Garrido, P., Monseny, R., Monasterio, C., Salord, N., Pujol-Gebelli, J., Menchón, J. M., & Fernández-Aranda, F. (2017). Weight loss trajectories in bariatric surgery patients and psychopathological correlates. European Eating Dis-orders Review, 25, 586–594. https://doi.org/10.1002/erv.25....
 
19.
Generali, I., & De Panfilis, C. (2018). Personality traits and weight loss surgery outcome. Current Obesity Reports, 7, 227–234. https://doi.org/10.1007/s13679....
 
20.
Georgiadou, E., Gruner-Labitzke, K., Köhler, H., de Zwaan, M., & Müller, A. (2014). Cognitive function and non-food-related impulsivity in post-bariatric surgery patients. Frontiers in Psychology, 5, 1502. https://doi.org/10.3389/fpsyg.....
 
21.
Jankowski, T., Oleś, M., Bąk, W., & Oleś, P. (2009). Przydatność inwentarza NEO-PI-R w diagnozie indywidualnej [The usefulness of the NEO-PI-R inventory in individual diagnosis]. In J. Siuta (Ed.), Diagnoza osobowości. In-wentarz NEO-PI-R w teorii i praktyce [Personality diagnosis. NEO-PI-R inventory in theory and practice] (pp. 113–154). Pracownia Testów Psychologicznych PTP.
 
22.
Lavender, J. M., King, W. C., Kalarchian, M. A., Devlin, M. J., Hinerman, A., Gunstad, J., Marcus, M. D., & Mitchell, J. E. (2020). Examining emotion-, personality-, and reward-related dispositional tendencies in relation to eating pathology and weight change over seven years in the Longitudinal Assessment of Bariatric Surgery (LABS) study. Journal of Psychiatric Research, 120, 124–130. https://doi.org/10.1016/j.jpsy....
 
23.
Maddi, S. R., Fox, S. R., Khoshaba, D. M., Harvey, R. H., Lu, J. L., & Persico, M. (2001). Reduction in psycho-pathology following bariatric surgery for morbid obesity. Obesity Surgery, 11, 680–685. https://doi.org/10.1381/096089....
 
24.
Malouff, J. M., Thorsteinsson, E. B., & Schutte, N. S. (2005). The relationship between the Five-Factor Model of personality and symptoms of clinical disorders: a meta-analysis. Journal of Psychopathology and Behavioral As-sessment, 27, 101–114. https://doi.org/10.1007/s10862....
 
25.
Marek, R. J., Ben-Porath, Y. S., & Heinberg, L. J. (2016). Understanding the role of psychopathology in bariatric surgery outcomes. Obesity Reviews, 17, 126–141. https://doi.org/10.1111/obr.12....
 
26.
Marek, R. J., Martin-Fernandez, K., Heinberg, L. J., & Ben-Porath, Y. S. (2021). An investigation of the eating con-cerns scale of the Minnesota Multiphasic Personality Inventory-3 (MMPI-3) in a postoperative bariatric sur-gery sample. Obesity Surgery, 31, 2335–2338. https://doi.org/10.1007/s11695....
 
27.
Meany, G., Conceição, E., & Mitchell, J. E. (2014). Binge eating, binge eating disorder and loss of control eating: Effects on weight outcomes after bariatric surgery. European Eating Disorders Review, 22, 87–91. https://doi.org/10.1002/erv.22....
 
28.
Monteleone, A. M., Cascino, G., Solmi, M., Pirozzi, R., Tolone, S., Terracciano, G., Parisi, S., Cimino, M., Monteleone, P., Maj, M., & Docimo, L. (2019). A network analysis of psychological, personality and eating characteristics of people seeking bariatric surgery: Identification of key variables and their prognostic value. Journal of Psychosomatic Research, 120, 81–89. https://doi.org/10.1016/j.jpsy....
 
29.
Müller, A., Claes, L., Wilderjans, T. F., & de Zwaan, M. (2014). Temperament subtypes in treatment seeking obese individuals: a latent profile analysis. European Eating Disorders Review, 22, 260–266. https://doi.org/10.1002/erv.22....
 
30.
O’Dea, J. A., & Dibley, M. J. (2014). Prevalence of obesity, overweight and thinness in Australian children and ado-lescents by socioeconomic status and ethnic/cultural group in 2006 and 2012. International Journal of Public Health, 59, 819–828. https://doi.org/10.1007/s00038....
 
31.
Ogden, J., Ratcliffe, D., & Snowdon-Carr, V. (2019). British Obesity Metabolic Surgery Society endorsed guide-lines for psychological support pre- and post-bariatric surgery. Clinical Obesity, 9, e12339. https://doi.org/10.1111/cob.12....
 
32.
Oltmanns, J. R., Rivera Rivera, J., Cole, J., Merchant, A., & Steiner, J. P. (2020). Personality psychopathology: Lon-gitudinal prediction of change in body mass index and weight post-bariatric surgery. Health Psychology, 39, 245–254. https://doi.org/10.1037/hea000....
 
33.
Raman, J., Spirou, D., Jahren, L., & Eik-Nes, T. T. (2020). The clinical obesity maintenance model: a theoretical framework for bariatric psychology. Frontiers in Endocrinology, 11, 563. https://doi.org/10.3389/fendo.....
 
34.
Riegel, K. D., Konecna, J., Matoulek, M., & Rosova, L. (2022). Implementation of the DSM-5 and ICD-11.
 
35.
dimensional models of maladaptive personality traits into pre-bariatric assessment. Frontiers in Psychology, 12, 814421. https://doi.org/10.3389/fpsyg.....
 
36.
Rydén, A., Sullivan, M., Torgerson, J. S., Karlsson, J., Lindroos, A. K., & Taft, C. (2004). A comparative controlled study of personality in severe obesity: a 2-y follow-up after intervention. International Journal of Obesity and Related Metabolic Disorders, 28, 1485–1493. https://doi.org/10.1038/sj.ijo....
 
37.
Saulsman, L. M., & Page, A. C. (2004). The five-factor model and personality disorder empirical literature: a meta-analytic review. Clinical Psychology Review, 23, 1055–1085. https://doi.org/10.1016/j.cpr.....
 
38.
Sekuła, M., Boniecka, I., & Paśnik, K. (2019). Bulimia nervosa in obese patients qualified for bariatric surgery – clinical picture, background and treatment. Videosurgery and Other Miniinvasive Techniques, 14, 408–414. https://doi.org/10.5114/wiitm.....
 
39.
Siuta, J. (2006). Inwentarz osobowości NEO-PI-R Paula T. Costy Jr i Roberta R. McCrae. Adaptacja polska [NEO-PI-R inventory by Paul T. Costa Jr and Robert R. McCrae. Polish adaptation]. Pracownia Testów Psychologicznych PTP.
 
40.
Siuta, J. (2009). Diagnoza osobowości. Inwentarz NEO-PI-R w teorii i praktyce [Personality diagnosis. NEO-PI-R in-ventory in theory and practice]. Pracownia Testów Psychologicznych PTP.
 
41.
Stapleton, P., Spinks, T., & Carter, B. (2020). Psychological determinants of continued obesity one-year postbari-atric surgery. Psychological Reports, 123, 1044–1063. https://doi.org/10.1177/003329....
 
42.
Stenbæk, D. S., Hjordt, L. V., Haahr, M. E., Worm, D., Hansen, D. L., Mortensen, E. L., & Knudsen, G. M. (2014). Personality characteristics in surgery seeking and non-surgery seeking obese individuals compared to non-obese controls. Eating Behaviors, 15, 595–598. https://doi.org/10.1016/j.eatb....
 
43.
Strus, W., & Cieciuch, J. (2014). Poza Wielką Piątkę – przegląd nowych modeli struktury osobowości [Beyond the Big Five – review of new models of personality structure]. Polskie Forum Psychologiczne, 19, 17–49.
 
44.
van Hout, G. C., Hagendoren, C. A., Verschure, S. K., & van Heck, G. L. (2009). Psychosocial predictors of success after vertical banded gastroplasty. Obesity Surgery, 19, 701–707. https://doi.org/10.1007/s11695....
 
45.
White, M. A., Kalarchian, M. A., Masheb, R. M., Marcus, M. D., & Grilo, C. M. (2010). Loss of control overeating predicts outcomes in bariatric surgery patients: a prospective, 24-month follow-up study. Journal of Clinical Psychiatry, 71, 175–184. https://doi.org/10.4088/JCP.08....
 
46.
Yeo, D., Toh, A., Yeo, C., Low, G., Yeo, J. Z., Aung, M. O., Rao, J., & Kaushal, S. (2021). The impact of impulsivity on weight loss after bariatric surgery: a systematic review. Eating and Weight Disorders, 26, 425–438. https://doi.org/10.1007/s40519....
 
Copyright: © Institute of Psychology, University of Gdansk This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
eISSN:2353-5571
ISSN:2353-4184
Journals System - logo
Scroll to top