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

Autor

Słowa kluczowe:

personality trait profiles, the NEO-PI-R test, surgical treatment of obesity, psychological recommendations in the treatment of obesity

Abstrakt

Background

The aim of the study was to investigate and identify similarities and differences in the severity of personality traits of candidate 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 evaluation 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 values in the Neuroticism factor and low values in the Extraversion and Conscientiousness factors. Third cluster is characterised by low results in the factor Neuroticism and Extraversion, and high results in Openness to experience and Conscientiousness 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 ‘avoidancefocused’. 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.

 

Downloads

Download data is not yet available.

Bibliografia

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.1902

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.2021.781323

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/10.1080/10826084.2018.1433212

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 chirurgii bariatrycznej i metabolicznej [Polish recommendations in the field of bariatric and metabolic surgery]. Medycyna Praktyczna. Chirurgia, 6, 13–25.

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/s40519-020-01086-0

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/jamasurg.2013.3654

Cheroutre, C., Guerrien, A., & Rousseau, A. (2020). Contributing of cognitive-behavioral therapy in the context of bariatric surgery: a review of the lit erature. Obesity Surgery, 30, 3154–3166. https://doi.org/10.1007/s11695-020-04627-9

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.2188

Costa, P. T., Jr., & McCrae, R. R. (1992). NEO PI-R professional manual. Psychological Assessment Resources.

Costa, P. T., Jr., & McCrae, R. R. (2005). Osobowość człowieka dorosłego. Perspektywa teorii pięcioczynnikowej [Adult personality. A five-factor theory perspective]. Wydawnictwo WAM.

David, L. A., Sijercic, I., & Cassin, S. E. (2020). Preoperative and post-operative psychosocial interventions for bariatric surgery patients: a systematic review. Obesity Reviews, 21, e12926. https://doi.org/10.1111/obr.12926

de Figueiredo, M. D. D., Nasser, S. N., Franco, C. B., Dos Santos, C. B., Boguszewski, C. L., Suplicy, H. L., Rodrigues, 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/s40519-020-00877-9

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.eurpsy.2021.1734

Fairburn, C. G. (2013). Terapia poznawczo-behawioralna i zaburzenia odżywiania się [Cognitive-behavioral therapy and eating disorders]. Wydawnictwo Uniwersytetu Jagiellońskiego.

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.ajp.2008.08040608

Federico, A., Spalatro, A. V., Giorgio, I., Enrica, M., Abbate Daga, G., & Secondo, F. (2019). Personality and psychopathology 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/s40519-019-00690-z

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. Surgery Today, 53, 882–889. https://doi.org/10.1007/s00595-023-02659-z

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 Disorders Review, 25, 586–594. https://doi.org/10.1002/erv.2558

Generali, I., & De Panfilis, C. (2018). Personality traits and weight loss surgery outcome. Current Obesity Reports, 7, 227–234. https://doi.org/10.1007/s13679-018-0315-x

Georgiadou, E., Gruner-Labitzke, K., Köhler, H., de Zwaan, M., & Müller, A. (2014). Cognitive function and nonfood-related impulsivity in post-bariatric surgery patients. Frontiers in Psychology, 5, 1502. https://doi.org/10.3389/fpsyg.2014.01502

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. Inwentarz NEO-PI-R w teorii i praktyce [Personality diagnosis. NEO-PI-R inventory in theory and practice] (pp. 113–154). Pracownia Testów Psychologicznych PTP.

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.jpsychires.2019.10.014

Maddi, S. R., Fox, S. R., Khoshaba, D. M., Harvey, R. H., Lu, J. L., & Persico, M. (2001). Reduction in psychopathology following bariatric surgery for morbid obesity. Obesity Surgery, 11, 680–685. https://doi.org/10.1381/09608920160558605

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 Assessment, 27, 101–114. https://doi.org/10.1007/s10862-005-5384-y

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.12356

Marek, R. J., Martin-Fernandez, K., Heinberg, L. J., & Ben-Porath, Y. S. (2021). An investigation of the eating concerns scale of the Minnesota Multiphasic Personality Inventory-3 (MMPI-3) in a postoperative bariatric surgery sample. Obesity Surgery, 31, 2335–2338. https://doi.org/10.1007/s11695-020-05113-y

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.2273

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.jpsychores.2019.03.010

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.2294

O’Dea, J. A., & Dibley, M. J. (2014). Prevalence of obesity, overweight and thinness in Australian children and adolescents by socioeconomic status and ethnic/cultural group in 2006 and 2012. International Journal of Public Health, 59, 819–828. https://doi.org/10.1007/s00038-014-0605-3

Ogden, J., Ratcliffe, D., & Snowdon-Carr, V. (2019). British Obesity Metabolic Surgery Society endorsed guidelines for psychological support preand post-bariatric surgery. Clinical Obesity, 9, e12339. https://doi.org/10.1111/cob.12339

Oltmanns, J. R., Rivera Rivera, J., Cole, J., Merchant, A., & Steiner, J. P. (2020). Personality psychopathology: Longitudinal prediction of change in body mass index and weight post-bariatric surgery. Health Psychology, 39, 245–254. https://doi.org/10.1037/hea0000842

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.2020.00563

Riegel, K. D., Konecna, J., Matoulek, M., & Rosova, L. (2022). Implementation of the DSM-5 and ICD-11 dimensional models of maladaptive personality traits into pre-bariatric assessment. Frontiers in Psychology, 12, 814421. https://doi.org/10.3389/fpsyg.2021.814421

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.0802768

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.2002.09.001

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.2019.81312

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.

Siuta, J. (2009). Diagnoza osobowości. Inwentarz NEO-PI-R w teorii i praktyce [Personality diagnosis. NEO-PI-R inventory in theory and practice]. Pracownia Testów Psychologicznych PTP.

Stapleton, P., Spinks, T., & Carter, B. (2020). Psychological determinants of continued obesity oneyear postbariatric surgery. Psychological Reports, 123, 1044–1063. https://doi.org/10.1177/0033294119844983

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.eatbeh.2014.08.008

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.

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/s11695-008-9446-6

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.08m04328blu

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/s40519-020-00890-y

Opublikowane

2025-10-10

Jak cytować

Ćwięk, A., Kowalska, J., Izydorczyk, B., Major, P., & Bętkowska-Korpała, B. (2025). 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. Health Psychology Report, 13(4), 327–340. Pobrano z https://czasopisma.bg.ug.edu.pl/index.php/HPR/article/view/12891

Numer

Dział

Artykuły