Idade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?trica
Ano de defesa: | 2020 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul
|
Programa de Pós-Graduação: |
Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de
|
Departamento: |
Escola de Medicina
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede2.pucrs.br/tede2/handle/tede/9288 |
Resumo: | BACKGROUND: Candidates for bariatric surgery are an important group for the study of personality, in order to predict possible complications and poor results in the postoperative period. Psychodynamic aspects of personality interfere in adaptive processes. Therefore, psychiatric evaluation by specialized teams is essential before bariatric surgery. Difficulties in parental bonding have been identified as one of the predisposing factors for obesity. The way in which parents offer care and protection is important in developing the ability to deal with adverse situations in adulthood. However, currently there are no studies that associate personality characteristics with the age of onset of obesity in bariatric patients. OBJECTIVES: to investigate how levels of personality organization, parental bonding and age of onset of obesity are related in obese patients seeking care at the COMPUCRS clinic. METHODS: A retrospective, cross-sectional, observational, descriptive study, with case-control was conducted. Information was collected from medical records attended at COMPUCRS from July 2016 to December 2018. Data from 475 patients were analyzed, with clinical, demographics and PBI and IPO-Br?s scores. RESULTS: Regarding the PBI, low father care was found to be significantly more frequent in the group with late onset of obesity (46.7% versus 57.0%; p = 0.040). In addition, in relation to the IPO-Br, there was a statistically significant difference for PGP above the cut-off point, which was more frequent in the group with late onset of obesity (13.6% versus 21.6%; p = 0.032). CONCLUSION: The findings of this study demonstrate that individuals with alterations in parental bonding and levels of personality organization may need more in-depth psychotherapeutic interventions to achieve better results of bariatric surgery. |
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Padoin, Alexandre Vontobelhttp://lattes.cnpq.br/0241056171343649http://lattes.cnpq.br/3018727752653024Bergmann, Carolina Goldman2020-10-26T19:38:56Z2020-05-22http://tede2.pucrs.br/tede2/handle/tede/9288BACKGROUND: Candidates for bariatric surgery are an important group for the study of personality, in order to predict possible complications and poor results in the postoperative period. Psychodynamic aspects of personality interfere in adaptive processes. Therefore, psychiatric evaluation by specialized teams is essential before bariatric surgery. Difficulties in parental bonding have been identified as one of the predisposing factors for obesity. The way in which parents offer care and protection is important in developing the ability to deal with adverse situations in adulthood. However, currently there are no studies that associate personality characteristics with the age of onset of obesity in bariatric patients. OBJECTIVES: to investigate how levels of personality organization, parental bonding and age of onset of obesity are related in obese patients seeking care at the COMPUCRS clinic. METHODS: A retrospective, cross-sectional, observational, descriptive study, with case-control was conducted. Information was collected from medical records attended at COMPUCRS from July 2016 to December 2018. Data from 475 patients were analyzed, with clinical, demographics and PBI and IPO-Br?s scores. RESULTS: Regarding the PBI, low father care was found to be significantly more frequent in the group with late onset of obesity (46.7% versus 57.0%; p = 0.040). In addition, in relation to the IPO-Br, there was a statistically significant difference for PGP above the cut-off point, which was more frequent in the group with late onset of obesity (13.6% versus 21.6%; p = 0.032). CONCLUSION: The findings of this study demonstrate that individuals with alterations in parental bonding and levels of personality organization may need more in-depth psychotherapeutic interventions to achieve better results of bariatric surgery.INTRODU??O: Candidatos ? cirurgia bari?trica comp?em um grupo de interesse para o estudo da personalidade, com o objetivo de predizer poss?veis complica??es e/ou mal resultado no p?s-operat?rio. Aspectos psicodin?micos da personalidade interferem em processos adaptativos e, por isso, torna-se imprescind?vel a avalia??o psiqui?trica por equipes especializadas antes da cirurgia da obesidade. Dificuldades no apego parental t?m sido apontadas como um dos fatores predisponentes da obesidade. A forma como os pais oferecem cuidado e prote??o e? importante no desenvolvimento da capacidade de lidar com as situa??es adversas na vida adulta. Contudo, ainda n?o h? estudos que associem caracter?sticas da personalidade com a idade de in?cio da obesidade nesses pacientes. OBJETIVOS: investigar como se relacionam n?veis de organiza??o da personalidade, v?nculo parental e idade de in?cio da obesidade nos pacientes obesos que procuram atendimento no ambulat?rio do COMPUCRS. M?TODOS: Atrav?s de estudo transversal, observacional descritivo e retrospectivo, com caso controle, foi realizada coleta de dados de prontu?rios atendidos no COMPUCRS no per?odo de julho de 2016 a dezembro de 2018. Foram analisados dados de 475 pacientes, com dados cl?nicos, demogr?ficos e escores obtidos por escalas PBI e IPO-Br. RESULTADOS: Em rela??o ao PBI, houve diferen?a estatisticamente significativa para cuidado baixo do pai, que foi mais frequente no grupo com in?cio da obesidade mais tardia (46,7% versus 57,0%; p=0,040). Al?m disso, em rela??o ao IPO-Br, houve diferen?a estatisticamente significativa para PGP acima do ponto de corte, que foi mais frequente no grupo com in?cio da obesidade mais tardia (13,6% versus 21,6%; p=0,032). CONCLUS?O: Os resultados deste estudo demonstram que indiv?duos com altera??es no v?nculo parental e n?veis de organiza??o da personalidade podem precisar de interven??es psicoterap?uticas mais aprofundadas para obter melhores resultados da cirurgia bari?trica.Submitted by PPG Medicina e Ci?ncias da Sa?de (medicina-pg@pucrs.br) on 2020-07-24T13:18:11Z No. of bitstreams: 1 Dissertac?a?o Mestrado Carolina Goldman Bergmann Final.pdf: 2942348 bytes, checksum: 42acedc7acaee6e28ae0ea5f5beb7f49 (MD5)Approved for entry into archive by Clarissa Selbach (clarissa.selbach@pucrs.br) on 2020-10-26T19:31:51Z (GMT) No. of bitstreams: 1 Dissertac?a?o Mestrado Carolina Goldman Bergmann Final.pdf: 2942348 bytes, checksum: 42acedc7acaee6e28ae0ea5f5beb7f49 (MD5)Made available in DSpace on 2020-10-26T19:38:56Z (GMT). No. of bitstreams: 1 Dissertac?a?o Mestrado Carolina Goldman Bergmann Final.pdf: 2942348 bytes, checksum: 42acedc7acaee6e28ae0ea5f5beb7f49 (MD5) Previous issue date: 2020-05-22application/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/179132/DIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Medicina e Ci?ncias da Sa?dePUCRSBrasilEscola de MedicinaV?nculo parentalIdade de in?cio da obesidadeOrganiza??o da personalidadeCirurgia bari?tricaObesidadeParental bondingPersonality organizationAge of onset of obesityBariatric surgeryObesityCIENCIAS DA SAUDE::MEDICINAIdade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?tricainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisTrabalho ser? publicado como artigo ou livro60 meses26/10/2025-721401722658532398500500500-224747486637135387-969369452308786627info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAILDIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdf.jpgDIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdf.jpgimage/jpeg4103http://tede2.pucrs.br/tede2/bitstream/tede/9288/4/DIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdf.jpg60bfbfc76e788d4da9e9d9713f40a81aMD54TEXTDIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdf.txtDIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdf.txttext/plain2203http://tede2.pucrs.br/tede2/bitstream/tede/9288/3/DIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdf.txte1f5023fbfed586a9d26364f1653f971MD53ORIGINALDIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdfDIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdfapplication/pdf406838http://tede2.pucrs.br/tede2/bitstream/tede/9288/2/DIS_CAROLINA_GOLDMAN_BERGMANN_CONFIDENCIAL.pdf8ac5577ac8819a7ddd22c3e1e5eaf18aMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8590http://tede2.pucrs.br/tede2/bitstream/tede/9288/1/license.txt220e11f2d3ba5354f917c7035aadef24MD51tede/92882020-10-26 21:00:10.544oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2020-10-26T23:00:10Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Idade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?trica |
title |
Idade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?trica |
spellingShingle |
Idade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?trica Bergmann, Carolina Goldman V?nculo parental Idade de in?cio da obesidade Organiza??o da personalidade Cirurgia bari?trica Obesidade Parental bonding Personality organization Age of onset of obesity Bariatric surgery Obesity CIENCIAS DA SAUDE::MEDICINA |
title_short |
Idade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?trica |
title_full |
Idade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?trica |
title_fullStr |
Idade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?trica |
title_full_unstemmed |
Idade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?trica |
title_sort |
Idade de in?cio de obesidade, apego e n?veis de organiza??o de personalidade em pacientes candidatos a cirurgia bari?trica |
author |
Bergmann, Carolina Goldman |
author_facet |
Bergmann, Carolina Goldman |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Padoin, Alexandre Vontobel |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0241056171343649 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3018727752653024 |
dc.contributor.author.fl_str_mv |
Bergmann, Carolina Goldman |
contributor_str_mv |
Padoin, Alexandre Vontobel |
dc.subject.por.fl_str_mv |
V?nculo parental Idade de in?cio da obesidade Organiza??o da personalidade Cirurgia bari?trica Obesidade |
topic |
V?nculo parental Idade de in?cio da obesidade Organiza??o da personalidade Cirurgia bari?trica Obesidade Parental bonding Personality organization Age of onset of obesity Bariatric surgery Obesity CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Parental bonding Personality organization Age of onset of obesity Bariatric surgery Obesity |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
BACKGROUND: Candidates for bariatric surgery are an important group for the study of personality, in order to predict possible complications and poor results in the postoperative period. Psychodynamic aspects of personality interfere in adaptive processes. Therefore, psychiatric evaluation by specialized teams is essential before bariatric surgery. Difficulties in parental bonding have been identified as one of the predisposing factors for obesity. The way in which parents offer care and protection is important in developing the ability to deal with adverse situations in adulthood. However, currently there are no studies that associate personality characteristics with the age of onset of obesity in bariatric patients. OBJECTIVES: to investigate how levels of personality organization, parental bonding and age of onset of obesity are related in obese patients seeking care at the COMPUCRS clinic. METHODS: A retrospective, cross-sectional, observational, descriptive study, with case-control was conducted. Information was collected from medical records attended at COMPUCRS from July 2016 to December 2018. Data from 475 patients were analyzed, with clinical, demographics and PBI and IPO-Br?s scores. RESULTS: Regarding the PBI, low father care was found to be significantly more frequent in the group with late onset of obesity (46.7% versus 57.0%; p = 0.040). In addition, in relation to the IPO-Br, there was a statistically significant difference for PGP above the cut-off point, which was more frequent in the group with late onset of obesity (13.6% versus 21.6%; p = 0.032). CONCLUSION: The findings of this study demonstrate that individuals with alterations in parental bonding and levels of personality organization may need more in-depth psychotherapeutic interventions to achieve better results of bariatric surgery. |
publishDate |
2020 |
dc.date.accessioned.fl_str_mv |
2020-10-26T19:38:56Z |
dc.date.issued.fl_str_mv |
2020-05-22 |
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info:eu-repo/semantics/publishedVersion |
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http://tede2.pucrs.br/tede2/handle/tede/9288 |
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http://tede2.pucrs.br/tede2/handle/tede/9288 |
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por |
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por |
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500 500 500 |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de |
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PUCRS |
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Brasil |
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Escola de Medicina |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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