Latent class of impulsivity and its relationship with anxiety and depression among metabolic surgery patients
10.3760/cma.j.cn115396-20230330-00078
- VernacularTitle:代谢手术患者冲动性潜在类别与焦虑抑郁的关系
- Author:
Wenjing ZHANG
1
;
Wenwen YUE
;
Teng LIU
;
Xin HUANG
;
Weihua LI
;
Shaozhuang LIU
Author Information
1. 山东第一医科大学附属省立医院器官移植·肝胆外二科，济南 250021
- Keywords:
Obesity;
Anxiety;
Depression;
Metabolic surgery;
Impulsivity;
Latent profile analysis
- From:
International Journal of Surgery
2023;50(9):617-623,F4
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify latent classes of impulsivity among metabolic surgery patients based on latent class model and determine the relationship between the latent classes of impulsivity and anxiety and depression symptoms.Methods:The 272 obese patients (97 males and 175 females) undergoing metabolic surgery in the Department of Weight Loss and Metabolic of Qilu Hospital of Shandong University from October 2021 to August 2022 were included. The average age was (30.50±6.70) years old and the average body mass index (BMI) was (42.54±6.97) kg/m 2. The survey contents included: demographic and sociological data; impulsivity; anxiety symptoms; depression symptoms. The latent profile analysis (LPA) of impulsivity among metabolic surgery patients was conducted using Mplus 8.3. The comparison of anxiety and depression between different latent classes was analyzed by the binary logistic regression analysis using SPSS 25.0. Results:The research subjects in terms of impulsivity were divided into 3 latent classes: "low impulsivity group" accounted for 32.7%; "high impulsivity group" accounted for 51.8%; "high sensation seeking/positive urgency/negative urgency group" accounted for 15.4%. The binary logistic regression analysis results showed that taking "low impulsivity group" for reference, the risk of positive anxiety and depression was 2.06 ( OR=2.06, 95% CI: 1.08-3.93) and 4.13 ( OR=4.13, 95% CI: 2.17-7.87) times higher for "high impulsivity group" patients than for "low impulsivity group" patients; the risk of positive anxiety and depression was 3.25 ( OR=3.25, 95% CI: 1.42-7.44) and 4.16 ( OR=4.16, 95% CI: 1.82-9.50) times higher for "high sensation seeking/positive urgency/negative urgency group" patients than for "low impulsivity group" patients. Conclusions:The impulsivity of metabolic surgery patients showed obvious heterogeneity and could be divided into 3 types: "low impulsivity group" , "high impulsivity group" , and "high sensation seeking/positive urgency/negative urgency group" . Compared with "low impulsivity group" , "high impulsivity group" and "high sensation seeking/positive urgency/negative urgency group" metabolic surgery patients are most likely to develop anxiety and depressive symptoms.
