DEVELOPMENT AND VALIDATION OF A PSYCHOLOGICAL SCALE FOR BARIATRIC SURGERY: THE BARITEST

In the past 30 days, how much difficulty did you have in: Understanding and communicating D1.1 Concentrating on doing something for ten minutes? None Mild Moderate Severe Extreme or cannot do D1.2 Remembering to do important things? None Mild Moderate Severe Extreme or cannot do D1.3 Analyzing and finding solutions to problems in day-to-day life? None Mild Moderate Severe Extreme or cannot do D1.4 Learning a new task, for example, learning how to get to a new place? None Mild Moderate Severe Extreme or cannot do D1.5 Generally understanding what people say? None Mild Moderate Severe Extreme or cannot do D1.6 Starting and maintaining a conversation? None Mild Moderate Severe Extreme or cannot do Getting around D2.1 Standing for long periods such as 30 min? None Mild Moderate Severe Extreme or cannot do D2.2 Standing up from sitting down? None Mild Moderate Severe Extreme or cannot do D2.3 Moving around inside your home? None Mild Moderate Severe Extreme or cannot do D2.4 Getting out of your home? None Mild Moderate Severe Extreme or cannot do D2.5 Walking a long distance such as a kilometer [or equivalent]? None Mild Moderate Severe Extreme or cannot do

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In the past 30 days, how much difficulty did you have in: Self-care D3.1 Washing your whole body? None Mild Moderate Severe Extreme or cannot do D3.2 Getting dressed? None Mild Moderate Severe Extreme or cannot do D3.3 Eating? None Mild Moderate Severe Extreme or cannot do D3.4 Staying by yourself for a few days? None Mild Moderate Severe Extreme or cannot do Getting along with people D4.1 Dealing with people you do not know? None Mild Moderate Severe Extreme or cannot do D4.2 Maintaining a friendship? None Mild Moderate Severe Extreme or cannot do D4.3 Getting along with people who are close to you? None Mild Moderate Severe Extreme or cannot do D4.4 Making new friends? None Mild Moderate Severe Extreme or cannot do D4.5 Sexual activities? None Mild Moderate Severe Extreme or cannot do Life activities D5.1 Taking care of your household responsibilities? None Mild Moderate Severe Extreme or cannot do D5.2 Doing most important household tasks well? None Mild Moderate Severe Extreme or cannot do D5.3 Getting all the household work done that you needed to do? None Mild Moderate Severe Extreme or cannot do D5.4 Getting your household work done as quickly as needed? None Mild Moderate Severe Extreme or cannot do

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Because of your health condition, in the past 30 days, how much difficulty did you have in: D5.5 Your day-to-day work/school? None Mild Moderate Severe Extreme or cannot do D5.6 Doing your most important work/school tasks well? None Mild Moderate Severe Extreme or cannot do D5.7 Getting all the work done that you need to do? None Mild Moderate Severe Extreme or cannot do D5.8 Getting your work done as quickly as needed? None Mild Moderate Severe Extreme or cannot do

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Participation in society In the past 30 days: D6.1 How much of a problem did you have in joining in community activities (e.g., festivities, religious, or other activities) in the same way as anyone else can? None Mild Moderate Severe Extreme or cannot do D6.2 How much of a problem did you have because of barriers or hindrances in the world around you? None Mild Moderate Severe Extreme or cannot do D6.3 How much of a problem did you have living with dignity because of the attitudes and actions of others? None Mild Moderate Severe Extreme or cannot do D6.4 How much time did you spend on your health condition, or its consequences? None Mild Moderate Severe Extreme or cannot do D6.5 How much have you been emotionally affected by your health condition? None Mild Moderate Severe Extreme or cannot do D6.6 How much has your health been a drain on the financial resources of you or your family? None Mild Moderate Severe Extreme or cannot do D6.7 How much of a problem did your family have because of your health problems? None Mild Moderate Severe Extreme or cannot do D6.8 How much of a problem did you have in doing things by yourself for relaxation or pleasure? None Mild Moderate Severe Extreme or cannot do H1 Overall, in the past 30 days, how many days were these difficulties present? Record number of days ______ H2 In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? Record number of days ______ H3 In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition? Record number of days ______ This completes the questionnaire. Thank you.

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Annex 2
Complementary Scales: Brazilian version of the Obesity-related Problems Scale (OP)
How do you feel about your weight or your body shape in the following situations?

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Appendix 1
Evaluation of the version of BARITEST by the Committee of Experts.

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Appendix 2
Confirmatory factor analysis of BariTest.

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Appendix 3
Reference levels for interpreting the BariTest result.

BariTest It is important that you answer all items, putting the answer that you most identify with at this moment.		0 NEVER	1 RARELY	2 SOMETIMES	3 FREQUENTLY	4 ALWAYS
1	There are days when I feel a tightness in my chest, as if I am distressed.
2	There are times when I cry a lot.
3	I find myself in a bad mood and/or irritated for no reason.
4	There are days when I wake up extremely excited and others, I hardly want to get out of bed.
5	There are times when I feel like dying.
6	I believe that I do things impulsively.
7	People say that I am anxious.
8	I have difficulty falling asleep because I feel very agitated and/or with rapid thoughts at night.
9	I do and/or say things without thinking.
10	I feel discouraged and hopeless.
11	I have bouts of tachycardia, despair, and the feeling that I am going to die.
12	I have a feeling of regret for the things I do/say.
13	I believe that I am a disappointment for my family and/or friends.
14	There are phases that I work too much and produce a lot, and in other phases, I don’t feel like working, and my work doesn’t produce.
15	I realize that I talk too much or speak much faster than normal.
16	When I’m eating, I lose control and end up eating too much.
17	When I feel the urge to eat it is difficult to control.
18	When I feel like eating some treats, I cannot put it off.
19	I eat a few times a day, but when I eat, I exaggerate the quantity.
20	When I have emotional problems, I use food to relieve tension or to bring me joy.
21	I have a habit of eating “fast food” (snacks).
22	I eat quickly and chew food sparingly.
23	I think about food most of the day.
24	I am a candy eater.
25	My behavior toward food causes me a lot of suffering.
26	I realize that I eat more at night.
27	I have difficulty in distinguishing between hunger and the desire to eat.
28	I eat sparingly in front of others, but then I make up for it when I’m alone.
29	I eat small amounts of food for several hours in a row (Pinch Habit).
30	I have a habit of eating when distracted by the TV, cell phone, computer, …
31	I have difficulty leaving food on the plate at the end of a meal.
32*	I feel supported and valued as a person.
33*	I like the way I relate to people.
34*	I consider myself an optimistic person and I have positive thoughts.
35*	I am satisfied with my sex life.
36*	I perform physical activity.
37*	I perform leisure activities.
38	I feel pain in my body.
39*	I believe I have quality of life.
40*	I have quality sleep.
41	I stop going to social environments because of my physical appearance.
42	I feel ashamed because of my weight.
43	I believe I have problems at work because of my weight.
44	I believe that people who live with me would love me more if I were thinner.
45	I have difficulty performing my personal hygiene because of my weight.
46	I avoid places until I know if there will be a place where I can sit.
47	The next morning, after drinking, I wake up with a hangover. (If you don’t drink, mark with 0).
48	I am in the habit of using alcohol to relax and be happy.
49	People tell me that I am drinking too much.
50	I have already cancelled appointments due to drinking the day before.
51	I don’t like going to social events that don’t have alcohol.
52	I notice that my family/friends insist that I eat more.
53	I believe that my family/friends are offended if I refuse any food.
54	In my family, people are in the habit of eating (includes meals/snacks/sweets) in front of the TV.
55*	My family has a healthy lifestyle (food and physical activity).
56*	I have family/friends support to facilitate my health care (e.g., taking care of children when I have an appointment, taking care of the house when I need help, …).
57*	My family members acquired a healthier lifestyle to help me lose weight.
58*	I believe I have people with whom I can vent or talk about issues related to my health, obesity, and/or weight loss.
59*	I am satisfied with the support I receive from my friends/family.

Group	Characteristic	Group 1 – before bariatric (n=464)		Group 2 – after bariatric (n=134)		Group 3 – control (n=48)
Group	Characteristic	n	Mean (±SD)	n	Mean (±SD)	n	Mean (±SD)
BMI	^* * Does not apply to this group.	464	40.56 (±5.71)	134	31.36 (±6.58)	48	22.83 (±2.95)
		n	Percentage	n	Percentage	n	Percentage
Gender	Female	364	78.44	120	89.55	41	85.41
Gender	Male	100	21.55	14	10.44	7	14.58
Age range (years)	18–30	147	31.68	31	23.13	25	52.08
	31–45	231	49.78	50	37.31	13	27.08
	46 or above	85	18.31	52	38.8	6	12.5
Marital status	Single	154	33.18	40	29.85	19	39.58
	Marriage	262	56.46	69	51.49	25	52.08
	Other	45	9.69	25	18.65	4	8.33
Education	Elementary school	37	7.97	27	20.14	1	2.08
	High school/Technical	171	36.85	77	57.46	1	2.08
	university/postgraduation	253	54.52	27	20.14	46	95.83
Surgery technique	RYGB	335	72.19	126	94.02	^* * Does not apply to this group.	^* * Does not apply to this group.
Surgery technique	SG	85	18.31	5	3.73	^* * Does not apply to this group.	^* * Does not apply to this group.

Construct	Number of items	Bariatric sample (n=598)	Male (n=114)	Female (n=484)
Construct	Number of items	(95%CI)	Male (n=114)	Female (n=484)
Emotional state	15	0.89 (0.88–0.90)	0.879	0.891
Eating behavior	16	0.91 (0.90–0.92)	0.904	0.915
Quality of life	9	0.75 (0.72–0.78)	0.793	0.736
Relationship with body weight	6	0.78 (0.75–0.80)	0.812	0.778
Alcohol consumption	5	0.85 (0.83–0.87)	0.842	0.844
Social support	8	0.62 (0.58–0.66)	0.613	0.628

In the past 30 days, how much difficulty did you have in:
Understanding and communicating
	D1.1	Concentrating on doing something for ten minutes?	None	Mild	Moderate	Severe	Extreme or cannot do
	D1.2	Remembering to do important things?	None	Mild	Moderate	Severe	Extreme or cannot do
	D1.3	Analyzing and finding solutions to problems in day-to-day life?	None	Mild	Moderate	Severe	Extreme or cannot do
	D1.4	Learning a new task, for example, learning how to get to a new place?	None	Mild	Moderate	Severe	Extreme or cannot do
	D1.5	Generally understanding what people say?	None	Mild	Moderate	Severe	Extreme or cannot do
	D1.6	Starting and maintaining a conversation?	None	Mild	Moderate	Severe	Extreme or cannot do
Getting around
	D2.1	Standing for long periods such as 30 min?	None	Mild	Moderate	Severe	Extreme or cannot do
	D2.2	Standing up from sitting down?	None	Mild	Moderate	Severe	Extreme or cannot do
	D2.3	Moving around inside your home?	None	Mild	Moderate	Severe	Extreme or cannot do
	D2.4	Getting out of your home?	None	Mild	Moderate	Severe	Extreme or cannot do
	D2.5	Walking a long distance such as a kilometer [or equivalent]?	None	Mild	Moderate	Severe	Extreme or cannot do

In the past 30 days, how much difficulty did you have in:
Self-care
	D3.1	Washing your whole body?	None	Mild	Moderate	Severe	Extreme or cannot do
	D3.2	Getting dressed?	None	Mild	Moderate	Severe	Extreme or cannot do
	D3.3	Eating?	None	Mild	Moderate	Severe	Extreme or cannot do
	D3.4	Staying by yourself for a few days?	None	Mild	Moderate	Severe	Extreme or cannot do
Getting along with people
	D4.1	Dealing with people you do not know?	None	Mild	Moderate	Severe	Extreme or cannot do
	D4.2	Maintaining a friendship?	None	Mild	Moderate	Severe	Extreme or cannot do
	D4.3	Getting along with people who are close to you?	None	Mild	Moderate	Severe	Extreme or cannot do
	D4.4	Making new friends?	None	Mild	Moderate	Severe	Extreme or cannot do
	D4.5	Sexual activities?	None	Mild	Moderate	Severe	Extreme or cannot do
Life activities
	D5.1	Taking care of your household responsibilities?	None	Mild	Moderate	Severe	Extreme or cannot do
	D5.2	Doing most important household tasks well?	None	Mild	Moderate	Severe	Extreme or cannot do
	D5.3	Getting all the household work done that you needed to do?	None	Mild	Moderate	Severe	Extreme or cannot do
	D5.4	Getting your household work done as quickly as needed?	None	Mild	Moderate	Severe	Extreme or cannot do


D5.5	Your day-to-day work/school?	None	Mild	Moderate	Severe	Extreme or cannot do
D5.6	Doing your most important work/school tasks well?	None	Mild	Moderate	Severe	Extreme or cannot do
D5.7	Getting all the work done that you need to do?	None	Mild	Moderate	Severe	Extreme or cannot do
D5.8	Getting your work done as quickly as needed?	None	Mild	Moderate	Severe	Extreme or cannot do

Participation in society
In the past 30 days:
	D6.1	How much of a problem did you have in joining in community activities (e.g., festivities, religious, or other activities) in the same way as anyone else can?	None	Mild	Moderate	Severe	Extreme or cannot do
	D6.2	How much of a problem did you have because of barriers or hindrances in the world around you?	None	Mild	Moderate	Severe	Extreme or cannot do
	D6.3	How much of a problem did you have living with dignity because of the attitudes and actions of others?	None	Mild	Moderate	Severe	Extreme or cannot do
	D6.4	How much time did you spend on your health condition, or its consequences?	None	Mild	Moderate	Severe	Extreme or cannot do
	D6.5	How much have you been emotionally affected by your health condition?	None	Mild	Moderate	Severe	Extreme or cannot do
	D6.6	How much has your health been a drain on the financial resources of you or your family?	None	Mild	Moderate	Severe	Extreme or cannot do
	D6.7	How much of a problem did your family have because of your health problems?	None	Mild	Moderate	Severe	Extreme or cannot do
	D6.8	How much of a problem did you have in doing things by yourself for relaxation or pleasure?	None	Mild	Moderate	Severe	Extreme or cannot do
	H1	Overall, in the past 30 days, how many days were these difficulties present?			Record number of days ______
	H2	In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?			Record number of days ______
	H3	In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?			Record number of days ______

Items	Agreement index
1. When I’m eating, I feel like I’m losing control and I end up eating too much.	3.6
2. I think about food most of the day.	3.6
3. I eat sparingly in front of others, but then I make up for it when I’m alone.	4
4. I have a habit of eating when distracted by the TV, cell phone, computer.	3.6
5. I eat small amounts of food for several hours in a row (Pinch Habit).	3.7
6. When I feel sad or anxious or idle I have a habit of compensating with food and overeating.	3.7
7. I chew my food well and eat my meals calmly.	3.6
8. I eat few times a day, but when I eat, I overdo it.	3.6
9. I have difficulty in distinguishing between hunger and the desire to eat.	3.9
10. I have crises of eating a lot until I am full.	3.1
11. I have a habit of eating “fast food” (Snacks).	3.8
12. I am a candy eater.	3.5
13. When I feel the urge to eat, it is difficult to control myself.	3.9
14. I intend to eat just a little, but when I see it, I eat a lot more than I want to.	3.4
15. I notice that I eat more at night.	3.9
16. I wake up in the early hours to eat something.	3
17. When I go on a diet, I manage to stop eating some foods that I love, without any problem.	3.3
18. My behavior towards food causes me a lot of suffering.	3.9
19. When I have emotional problems, I use food to relieve tension or to bring me joy.	3.9
20. When I feel like eating a treat, I eat without delaying and/or depriving myself.	3.7
21. I have difficulty leaving food on the plate at the end of a meal.	3.9
22. The next morning, after drinking, I wake up with a hangover (If you don’t drink, mark 0).	3.6
23. I drink alcohol on weekends.	3.1
24. I drink alcohol during the week.	3.4
25. People tell me that I am drinking too much. (If you don’t drink, mark “never”).	3.5
26. I am in the habit of using alcohol to relax and be happy. (If you don’t drink, mark “never”).	3.9
27. After drinking alcohol, I missed or was late for an appointment the next day. (If you don’t drink, mark “never”).	3.6
28. I don’t like going to social events that don’t have alcohol.	3.9
29. I perform leisure activities.	3.7
30. I stop going to social settings (parties, meetings,.) due to my physical appearance or health limitations.	3.9
31. I believe I have problems with my work because of my weight.	3.6
32. I feel pain in my body.	3.6
33. I am satisfied with myself.	3.4
34. I feel happy.	3
35. I like the way I relate to people.	3.6
36. I am satisfied with my sex life.	3.5
37. I am satisfied with the support I receive from my friends/family.	3.6
38. I have negative feelings, such as: bad mood, despair, anxiety and/or depression.	3
39. I feel ashamed because of my weight.	3.5
40. I have quality sleep.	3.9
41. The physical environment (home or work) that I frequent is stressful (pollution, noise, traffic, arguing).	3.4
42. Religion is part of my life and/or I have a higher belief.	2.3
43. I find it difficult to perform my personal hygiene because of my weight.	3.5
44. I avoid places until I know if there will be a place where I can sit.	3.5
45. I believe I have quality of life.	3.9
46. I perform physical activity.	3.7
47. I find myself sulking and irritated for no reason.	3.5
48. There are times when I sleep a lot and times when I sleep little.	3
49. I believe I talk too much.	3.1
50. There are days when I wake up extremely excited and on others I barely feel like getting out of bed.	3.7
51. I feel very sad and/or unhappy.	3
52. I believe that there is nothing to achieve in my future.	3.1
53. I feel discouraged and hopeless.	3.5
54. I believe that I am a disappointment to my family and/or friends.	3.6
55. There are times when I feel like dying.	3.6
56. I think about ending my life.	3.3
57. There are times when I cry a lot.	3.6
58. I have or have had some type of auditory hallucination (heard voices).	2.7
59. I find myself much more interested in sex than usual.	3.1
60. There are phases that I work too much and produce a lot, and in other phases I don’t feel like working, and my work doesn’t produce.	3.5
61. I find that I get distracted or lose focus on what I’m doing very easily.	3.4
62. I feel that there are people following me and/or watching me.	3.1
63. I talk too much or speak much faster than normal.	3.5
64. Standing still causes me anxiety.	3.1
65. I have a feeling of regret for the things I do/say.	3.5
66. I feel so nervous that I have shortness of breath.	3.3
67. I have a tremor in my hands.	2.9
68. I feel more nervous than other people, with some everyday situations.	3.1
69. People say that I am anxious.	3.9
70. I find it difficult to fall asleep because I feel very agitated and/or with rapid thoughts at night.	3.6
71. I have bouts of tachycardia, despair and the feeling that I am going to die.	3.6
72. I believe that I do things impulsively.	3.9
73. I do and/or say things without thinking.	3.5
74. I can focus on just one thing for a long time.	3
75. I buy things on impulse, without really needing them.	3.4
76. There are situations where I think I’m going to lose control and go after someone.	3.4
77. I consider myself an optimistic person and I have positive thoughts.	3.8
78. I have self-control.	2.7
79. My family/friends are offended if I refuse any food.	3.6
80. My family/friends insist that I eat more.	3.5
81. In my family, people are in the habit of eating (includes meals, snacks and sweets) in front of the TV.	3.6
82. I have family/friends support to facilitate my health care (e.g., taking care of children when I have an appointment, taking care of the house when I need help).	4
83. My family has a healthy lifestyle (food and physical activity).	3.7
84. I feel supported and valued as a person.	3.9
85. I have people I can talk to or talk about issues related to my health, obesity and/or weight loss.	4
86. My family members acquired a healthier lifestyle to help me with the weight loss process.	3.5
87. I believe that the people who live with me would love me more if I were not obese.	3.5
88. I believe I have people with whom I can vent or talk about issues related to my health, obesity and/or weight loss.	3.7
89. I usually wait for things to work out over time.	2.9
90. I panic when difficulties arise.	2.9
91. To deal with difficulties, I make an action plan and try to apply it.	3.1
92. I know what I have to do and I redouble my efforts to achieve it.	3.4
93. I try to see the positive and/or make the best of situations.	3.2
94. When I have problems/difficulties, I face the situation.	3.3
95. I forget about my problems by denying and/or taking medication.	3.4
96. When I have a problem, I feel guilty.	2.9
97. When I have a problem, I distance myself from others.	3.2
98. When I have a problem, I don’t do anything, because I think I won’t be able to solve it.	3.1
99. I feel angry at the people who caused me a problem.	3.4

Dimension	Item	Factorial loading	Standard error	Construct coefficient	BariTest general coefficient
Emotional state	1	10.000	0.0000	17.652	0.3273
	2	0.9204	0.0285	16.248	0.3013
	3	10.015	0.0298	17.678	0.3278
	4	10.849	0.0311	19.152	0.3551
	5	10.709	0.0309	18.904	0.3505
	6	0.9410	0.0288	16.611	0.3080
	7	0.8879	0.0280	15.674	0.2906
	8	0.8556	0.0275	15.103	0.2800
	9	0.8764	0.0278	15.471	0.2869
	10	11.378	0.0320	20.085	0.3724
	11	0.8203	0.0270	14.480	0.2685
	12	10.167	0.0300	17.947	0.3328
	13	10.668	0.0308	18.831	0.3492
	14	0.9734	0.0293	17.182	0.3186
	15	0.5087	0.0231	0.8980	0.1665
Eating behavior	16	10.000	0.0000	19.187	0.3638
	17	10.166	0.0253	19.505	0.3698
	18	0.9094	0.0238	17.449	0.3308
	19	0.8733	0.0233	16.757	0.3177
	20	10.719	0.0261	20.567	0.3899
	21	0.7578	0.0219	14.539	0.2756
	22	0.6526	0.0206	12.521	0.2374
	23	0.8907	0.0236	17.089	0.3240
	24	0.6337	0.0204	12.159	0.2305
	25	0.9807	0.0248	18.816	0.3567
	26	0.6276	0.0204	12.043	0.2283
	27	0.7742	0.0221	14.855	0.2816
	28	0.8943	0.0236	17.158	0.3253
	29	0.5849	0.0199	11.222	0.2127
	30	0.5985	0.0201	11.483	0.2177
	31	0.7635	0.0219	14.649	0.2777
Quality of life	32^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	10.000	0.0000	35.401	0.5531
	33^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	0.9617	0.0346	34.046	0.5320
	34^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	10.095	0.0355	35.738	0.5584
	35^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	0.8073	0.0317	28.578	0.4465
	36^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	0.6471	0.0290	22.909	0.3579
	37^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	0.4676	0.0266	16.555	0.2587
	38	0.6006	0.0283	21.261	0.3322
	39^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	0.9824	0.0350	34.779	0.5434
	40^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	0.5856	0.0281	20.731	0.3239
Relationship with body weight	41	10.000	0.0000	44.830	0.7285
	42	10.660	0.0336	47.791	0.7766
	43	0.8484	0.0298	38.032	0.6180
	44	10.146	0.0327	45.486	0.7391
	45	0.7663	0.0285	34.352	0.5582
	46	0.8813	0.0303	39.508	0.6420
Alcohol consumption	47	10.000	0.0000	52.100	0.9226
	48	0.9320	0.0465	48.556	0.8599
	49	11.566	0.0548	60.259	10.671
	50	0.9126	0.0459	47.546	0.8420
	51	0.7973	0.0422	41.539	0.7356
	52	10.000	0.0000	28.210	0.3644
Social support	53	11.017	0.0737	31.079	0.4014
	54	0.5297	0.0551	14.944	0.1930
	55^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	12.046	0.0778	33.981	0.4389
	56^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	10.015	0.0699	28.253	0.3649
	57^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	0.9904	0.0695	27.938	0.3609
	58^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	12.749	0.0806	35.966	0.4646
	59^* * Items 32, 33, 34, 35, 36, 37, 39, 40, 55, 56, 57, 58, and 59 had the score reversed so that all domains point in the same direction of assessing psychological well-being. Calculation for correction of BariTest obtained through confirmatory factor analysis.	17.592	0.1017	49.628	0.6410

Percentile	Group
Percentile	Postop: 18–30	Postop: 31–45	Postop: 46+	Preop: F:18–30	Preop: F:31–45	Preop: F:46+	Preop: M:18–30	Preop: M:31–45	Preop: M:46+
2.5	6.087	5.462	0.580	20.054	17.081	11.480	18.479	14.233	8.013
5	9.728	8.533	4.024	23.199	20.302	14.861	21.158	17.426	11.371
10	13.926	12.074	7.994	26.825	24.016	18.759	24.247	21.107	15.242
15	16.759	14.463	10.673	29.272	26.521	21.389	26.331	23.591	17.854
20	19.010	16.362	12.802	31.217	28.513	23.479	27.988	25.565	19.929
25	20.941	17.991	14.629	32.885	30.221	25.272	29.409	27.259	21.710
30	22.675	19.453	16.269	34.383	31.756	26.882	30.685	28.780	23.309
35	24.282	20.809	17.789	35.771	33.177	28.374	31.868	30.189	24.791
40	25.807	22.095	19.232	37.088	34.526	29.790	32.990	31.526	26.198
45	27.283	23.340	20.627	38.363	35.832	31.160	34.076	32.820	27.558
50	28.735	24.565	22.000	39.617	37.116	32.509	35.144	34.093	28.897
55	30.187	25.789	23.374	40.871	38.401	33.857	36.212	35.367	30.236
60	31.662	27.034	24.769	42.146	39.706	35.227	37.298	36.660	31.597
65	33.187	28.320	26.212	43.463	41.055	36.643	38.420	37.998	33.003
70	34.794	29.676	27.732	44.851	42.477	38.135	39.603	39.407	34.485
75	36.529	31.139	29.372	46.350	44.011	39.745	40.879	40.928	36.084
80	38.460	32.768	31.199	48.018	45.719	41.538	42.300	42.621	37.865
85	40.711	34.666	33.328	49.962	47.711	43.628	43.956	44.595	39.941
90	43.543	37.055	36.007	52.409	50.216	46.258	46.041	47.079	42.552
95	47.741	40.596	39.977	56.035	53.930	50.156	49.130	50.760	46.423
97.5	51.382	43.668	43.421	59.180	57.151	53.537	51.809	53.953	49.781

[1] Correspondence: Carolina Mocellin Ghizoni. E-mail: carolinamocellin@hotmail.com

OP1.	Receiving friends at home
OP2.	Visiting the home of relatives or friends
OP3.	Going to restaurants
OP4.	Doing activities in the community (courses etc.)
OP5.	Holidaying away from home
OP6.	Trying on and buying clothes
OP7.	Bathing in public places (beach, pool etc.)
OP8.	Intimate relationships (kiss, sex, etc.)

Brasil

Brasil

DEVELOPMENT AND VALIDATION OF A PSYCHOLOGICAL SCALE FOR BARIATRIC SURGERY: THE BARITEST

DESENVOLVIMENTO E VALIDAÇÃO DE ESCALA PSICOMÉTRICA PARA OS PACIENTES DE CIRURGIA BARIÁTRICA: O BARITEST

ABSTRACT

BACKGROUND:

AIMS:

METHODS:

RESULTS:

CONCLUSIONS: