PSYCHOLOGICAL EVALUATION FOR BARIATRIC SURGERY

EATING HABITS:

What do you have for breakfast?

What do you eat?

What a dinner

At what time

With whom

He skips meals,

Come between hours

It is constantly itching

He/She sits down to eat.

Drink plenty of water

They repeat the dish

How you chew

The time it takes to eat

Eats in an anxious or compulsive manner

Previous attempts to lose weight

Result of these

They present binge eating

Vomiting

How often do they happen

At what times of the day

There are triggers.

Laxative consumption
 Consumption of diuretics without medical indication.

Sleep habits

BIOGRAPHICAL INTERVIEW:

Studies

Adaptation to changes

Work carried out

Responsibility at work

Need for supervision in your daily life

Body Image Test - Questionnaire
B.S.Q.
Never............... 1 point
Rarely.........2 points
Once........ 3 points
Often....... 4 points
Very often...5 points
Always.............6 points

1. To feel bored you ha fact to worry for you figure?

Have you worried so much about your figure that you have thought you would have to start to
diet?

3.− Have you thought that your thighs, hips, or buttocks are too large in relation to
with the rest of the body?

4. Have you been afraid of gaining weight?

5.−Have you worried that your meat is not firm enough?

6.− Feeling full (after a big meal), has it made you feel fat?

Have you ever felt so bad about your figure that you've ended up crying?

8.−Have you avoided running so that your flesh wouldn’t bleed?

9. Being with slim girls, has it made you pay attention to your figure?

10.− Have you been worried that your thighs widen when you sit?

11.− Has eating little food made you feel fat?

12.− When you look at the figure of other girls, have you compared it to yours?
unfavorably?

13.− Thinking about your figure, has it interfered with your ability to concentrate (when you look at...
Are you watching television, reading, or having a conversation?

14.− Has being naked (for example, when you shower) made you feel fat?

15. Have you avoided wearing clothes that outline your figure?

Have you imagined cutting thick parts of your body?

17.−Eating sweets, cakes, or other high-calorie foods, has it made you feel
fat?

18. - Have you avoided going to social events (for example, a party) because you have felt unwell?
with your figure?

19. Have you felt excessively fat or round?

20. Have you felt insecure about your body?

21.−Worrying about your figure, has it made you go on a diet?

22. Have you felt more comfortable with your body when your stomach was empty?

23.−Have you thought that your figure is due to your lack of self-control?

24.−Have you been worried that other people see love handles around your waist or
stomach?

25.−Have you thought that it is not fair that other girls are thinner than you?

26. Have you vomited to feel thinner?

27.− When you are with other people, have you worried about taking up too much space (for
example, sitting on a sofa or on a bus?

28.− Have you been worried that your skin has the appearance of orange peel (cellulite)?

29.− Seeing yourself reflected in a mirror or in a shop window, has it made you feel bad about your
figure?

30. Have you pinched areas of your body to see how much fat you had?

31.−Have you avoided situations where people could see your body (for example in
common changing rooms of pools or showers?

32.−Have you taken laxatives to feel thinner?

33.−Have you paid more attention to your figure when being with other people?

34.− Has your concern for your figure made you think that you should exercise?

SOLUTIONS TO THE TEST:

Once you have added up the total points you have obtained in the test, you will see that there will be
a numerical score has been obtained. The cutoff for the total score has been
established in 105. THUS, A SCORE ABOVE IS CONSIDERED PATHOLOGY
105 AT THE END OF THE TEST. At least in theory, the higher your score exceeds it
number, the greater the distortion suffered on their body image. To those people who
if you have obtained a score above 105 points we recommend that you
try to contact a psychiatrist or psychologist in your area to rule out a
food problem.
Remember that the test results are indicative and cannot replace
a comprehensive assessment conducted by a psychiatrist or psychologist in an interview
conventional clinic. If you want to have greater certainty about the result, go to your
regular psychiatrist.

Bulimia Test (BITE)

Instructions: Below is a test to measure if you are feeding yourself properly
abnormal and at risk of suffering from bulimia. It is a self-administered scale.
in the form of statements with 33 sections and in each question you must choose only one
response. Each response is rated on a scale from 1 to 0 points, corresponding to
to the number behind the answer you choose. Write down the points you are going to
adding as you take the questionnaire; the test result is corrected at the end
from the page.

Try to answer the test honestly, it's yourself that you are helping with your
own sincerity.

Do you have regular habits in your daily eating?

YES (0 points)

NO (1 points)

2. Do you usually follow strict diets?

YES (1 point)

NO (0 points)

3. Do you consider it a failure to break your diet at any time?

YES (1 point)

NO (0 points)

Do you count the calories of everything you eat, even when you are not on a diet?

YES (1 point)

NO (0 points)

Have you ever fasted for a whole day?

YES (1 point)
NO (0 points)

6. How often?

More than once a week (1 point)

Not even once a week (0 points)

7. Have you ever used pills, diuretics, or laxatives to induce vomiting or to

lose weight?

YES (1 point)

NO (0 points)

8. Is your daily life severely affected by your eating habits?

YES (1 point)

NO (0 points)

9. Do you believe that food "dominates" your life?

YES (1 point)

NO (0 points)

10. Have you ever experienced 'eating and eating' until physical discomfort forces you to stop?
stop?

YES (1 point)

NO (0 points)

11. Are there moments when you can 'only' think about food?

YES (1 point)

NO (0 points)

12. Do you behave rationally in front of others and exceed in private?

YES (1 point)

NO (0 points)

13. Can you stop eating whenever you set your mind to it?

YES (0 point)
NO (1 point)

14. Have you ever experienced an irresistible urge to 'eat, eat, and eat'?

YES (1 point)

NO (0 points)

15. When you feel anxious, do you tend to overeat?

YES (1 point)

NO (0 points)

16. Does the idea of gaining weight terrify you?

YES (1 point)

NO (0 points)

17. Have you ever eaten large amounts of food quickly and outside of mealtimes?

YES (1 point)

NO (0 points)

18. Do you feel ashamed of your eating habits?

YES (1 point)

NO (0 points)

19. Are you worried about not having control over "how much" you eat?

YES (1 point)

NO (0 points)

20. Do you turn to food to feel better?

YES (1 point)

NO (0 points)

21. Are you able to leave food on the plate at the end of a meal?

YES (0 point)

NO (1 points)
22. Does he/she deceive others about the amount he/she eats?

YES (1 point)

NO (0 points)

23. Does the feeling of hunger you have correspond to what you eat?

YES (0 point)

NO (1 point)

24. Do you ever binge eat large amounts of food?

YES (1 point)

NO (0 points)

25. If so, when you finish 'gorging', do you feel 'miserable'?

YES (1 point)

NO (0 points)

26. Do you binge eat only when you are alone?

YES (1 point)

NO (0 points)

27. How often do these 'binges' occur?

Binge eating happens more than once a week (1 point)

Binge eating occurs less than once a week (0 points)

28. Would you travel long distances to satisfy the urgent need for a 'binge'?

YES (1 point)

NO (0 points)

After eating a lot, do you feel very guilty?

YES (1 point)

NO (0 points)

30. Do you ever eat in secret?

YES (1 point)

NO (0 points)

31. Do you believe that your eating habits can be considered normal?

YES (0 point)

NO (1 point)

32. Do you consider yourself a 'compulsive' eater (unable to stop)?

YES (1 point)

NO (0 points)

Does your weight vary by more than 2 kg a week?

YES (1 point)

NO (0 points)

SOLUTIONS TO THE TEST:

Once you have added up the total points you obtained in the test, you will see that your
the result is found within one of the following sections:

Total score of 0-10 points: Absence of compulsive behaviors towards the

food. Its result in the test implies that no serious alterations are observed in its form
of feeding and no bulimic problem is detected. It can be said that its result
it is within normal range.

Total score of 10-20 points: Abnormal eating pattern, although not

necessarily implies suffering from bulimia. Your result on the test indicates that although you
some changes in their eating habits are detected, this does not necessarily mean
suffering from a bulimia-type problem. Since the result is inconclusive, it could be
It is beneficial to contrast the result with the opinion of a professional.

Total score of 20-33 points: Highly altered eating pattern, bulimia

very likely nervous. Their result in the test indicates that they have a very specific way of eating.
altered and it is very possible that she is starting or has already been suffering from bulimia for a long time.
nervous. It is highly advisable to seek professional help in order to try to define
this problem undoubtedly interferes significantly in their daily life.

Remember that the test results have an indicative value and cannot
replace a complete evaluation carried out by a psychiatrist or psychologist in a
conventional clinical interview. If you want to have greater certainty about the
result go to your referring psychiatrist.