The MBMD™ Test in Practice:
MBMD Test Facilitates Bariatric Evaluations
Psychological factors play an important role in contributing to or impeding bariatric post-surgical success. The MBMD (Millon Behavioral Medicine Diagnostic) test is a self-report tool that helps identify those factors in bariatric surgery candidates.
Jeffrey Wilbert, PhD, is a consulting psychologist in private practice in Dayton, Ohio, specializing in emotional eaters and bariatrics. Area surgeons require a presurgical psychological evaluation for their bariatric surgery candidates and refer them to Dr. Wilbert. The surgeons use the information from the evaluations to help them with patient selection.
Dr. Wilbert added the MBMD test to his battery of tests last fall, replacing a lengthy test that he believes isn't particularly well suited for the bariatric population.
He selected the MBMD test because of its:
- norms on medical patients, making it an appropriate test for this population
- brevity – with 165 true/false items, patients need only 20-25 minutes to complete the test
- ease of administration
- face validity for this population
Patient data obtained from the MBMD test results that Dr. Wilbert and the surgeons he works with find especially useful include: level of depression, emotional distress, anxiety, description of personality functioning, and non-compliance with medical instructions.
With this data, along with data from other tests in his battery and patient interviews, Dr. Wilbert helps the surgeons identify suitable candidates for surgery, as well as patients who potentially may have a difficulty with post-operative emotional adjustment. For those latter patients, Dr. Wilbert may recommend psychological treatment and advises the surgeon on how to handle the patient to help enable a positive outcome.
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