Ethical issues in the psychosocial assessment of bariatric surgery candidates

J Health Psychol. 2016 Jul;21(7):1457-71. doi: 10.1177/1359105314556160. Epub 2014 Nov 18.

Abstract

Psychosocial evaluation is recommended prior to bariatric surgery. Practice guidelines have been published on assessment methods for bariatric surgery candidates, but they have not emphasized ethical issues with this population. This review outlines ethical and professional considerations for behavioral healthcare providers who conduct pre-surgical assessments of bariatric surgery candidates by merging ethical principles for mental health professionals with current practices in pre-surgical assessments. Issues discussed include the following: (a) establishing and maintaining competence, (b) obtaining informed consent, (c) respecting confidentiality, (d) avoiding bias and discrimination, (e) avoiding and addressing dual roles, (f) selecting and using psychological tests, and (g) acknowledging limitations of psychosocial assessments.

Keywords: bariatric surgery; behavioral healthcare provider; ethical issues; ethics; psychosocial assessment; weight loss surgery.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery / ethics
  • Bariatric Surgery / psychology*
  • Bias
  • Clinical Competence
  • Confidentiality / ethics
  • Humans
  • Informed Consent / ethics
  • Informed Consent / psychology
  • Mental Competency
  • Prejudice / ethics
  • Prejudice / prevention & control
  • Preoperative Care / ethics*
  • Preoperative Care / psychology
  • Professional Role
  • Psychological Tests*