{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T16:48:05Z","timestamp":1784306885525,"version":"3.55.0"},"reference-count":55,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2011,2,1]],"date-time":"2011-02-01T00:00:00Z","timestamp":1296518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2011,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Early adverse experiences such as sexual, verbal, or physical abuse and parental neglect have been associated with a higher risk of weight or eating problems in adulthood, and death or prolonged separation from parents during childhood has been implicated as a correlate of adult psychiatric disorders that are widely represented in obese subjects seeking bariatric surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The aim of this study was to examine the rate of childhood parental loss in obese bariatric surgery candidates and explore its association with a psychiatric diagnosis and clinical and weight\/eating-related characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The current and lifetime psychiatric diagnoses of 120 consecutive bariatric patients undergoing pre-surgical psychiatric consultation were assessed using a modified version of the Structured Clinical Interview for DSM-IV (SCID-CV), and information relating to parental death or separation before the age of 17 years was collected using a semi-structured interview. The rate of childhood parental loss was compared with that of an always slender population sharing the same psychiatric diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>91.7% of the obese subjects were diagnosed as having a bipolar spectrum disorder. Overall, 28% of the patients reported a childhood parental death or separation. Early parental loss was not equally distributed in the different diagnostic subgroups, being more frequent in those with bipolar II disorders; the always slender subjects with bipolar II disorders showed a lower rate of early parental loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The study findings confirm the association between obesity and bipolar disorders and suggest that early parental loss may play a role in the development of obesity in bipolar II subjects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2190\/pm.41.2.e","type":"journal-article","created":{"date-parts":[[2011,4,14]],"date-time":"2011-04-14T21:01:59Z","timestamp":1302814919000},"page":"155-171","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Childhood Parental Loss and Bipolar Spectrum in Obese Bariatric Surgery Candidates"],"prefix":"10.1177","volume":"41","author":[{"given":"Alessandra","family":"Alciati","sequence":"first","affiliation":[{"name":"Luigi Sacco University Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felice","family":"Gesuele","sequence":"additional","affiliation":[{"name":"Luigi Sacco University Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Rizzi","sequence":"additional","affiliation":[{"name":"Luigi Sacco University Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piercarlo","family":"Sarzi-Puttini","sequence":"additional","affiliation":[{"name":"Luigi Sacco University Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Foschi","sequence":"additional","affiliation":[{"name":"Luigi Sacco University Hospital, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,4,14]]},"reference":[{"key":"bibr1-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.15.1861"},{"key":"bibr2-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i41.6602"},{"key":"bibr3-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802038"},{"key":"bibr4-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199307000-00002"},{"key":"bibr5-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(94)91163-0"},{"key":"bibr6-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2005.16"},{"key":"bibr7-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1997.01830180015003"},{"key":"bibr8-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2001.40"},{"key":"bibr9-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.3.394"},{"key":"bibr10-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2006.11.008"},{"key":"bibr11-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2009.01.020"},{"key":"bibr12-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2005.12.038"},{"key":"bibr13-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-5618.2000.020206.x"},{"key":"bibr14-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.186.2.121"},{"key":"bibr15-PM.41.2.e","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(01)01239-2"},{"key":"bibr16-PM.41.2.e","unstructured":"Freud S. 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